Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic

Lockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. Th...

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Autores principales:	Silver Bahendeka, Thereza Piloya, Jasper Onono, Ronald Wesonga, Gerald Mutungi, Wenceslaus Sseguya, Denis Mubangizi
Formato:	article
Lenguaje:	EN
Publicado:	PAGEPress Publications 2021
Materias:	Type 1 diabetes COVID-19 SARS-CoV-2 lockdown e-health Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/16cda1ec563a461db31cbc13a8437ee5
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id	oai:doaj.org-article:16cda1ec563a461db31cbc13a8437ee5
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spelling	oai:doaj.org-article:16cda1ec563a461db31cbc13a8437ee52021-11-23T21:40:49ZHealth service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic10.4081/hls.2021.97992281-7824https://doaj.org/article/16cda1ec563a461db31cbc13a8437ee52021-11-01T00:00:00Zhttps://www.pagepressjournals.org/index.php/hls/article/view/9799https://doaj.org/toc/2281-7824 Lockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. The digitized tool (UT1D-HIMAS) maintained electronic health records, monitored clinic supplies, patient clinic visits and admissions, and sent automated SMS messages. Delivery of supplies was by motor vehicles, motorcycles, bicycles or patients/caregivers walking to clinics. Metabolic control was assessed by glycated haemoglobin (HbA1c). Monitoring of clinic supplies including emergency restocking, patient clinic visits and admissions, and sending automated SMS by UT1D-HIMAS were successfully achieved. A fall in clinic visits, reaching a nadir (67.9%) in May 2020 was observed. HbA1c (mean ± SD mmol/mol) significantly (p= 0.040) worsened from 79.1 ± 26.8 to 94.9 ± 39.2 and (p=0.002) from 67.1 ± 22.7 to 84.8 ± 39.4 in the rural and urban clinic respectively. The digitized health information system exhibited high practicability in tracking stocks, clinic visits and hospitalisation but failed to improve metabolic control. Silver BahendekaThereza PiloyaJasper OnonoRonald WesongaGerald MutungiWenceslaus SseguyaDenis MubangiziPAGEPress PublicationsarticleType 1 diabetesCOVID-19SARS-CoV-2lockdowne-healthPublic aspects of medicineRA1-1270ENHealthcare in Low-resource Settings, Vol 9, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Type 1 diabetes COVID-19 SARS-CoV-2 lockdown e-health Public aspects of medicine RA1-1270
spellingShingle	Type 1 diabetes COVID-19 SARS-CoV-2 lockdown e-health Public aspects of medicine RA1-1270 Silver Bahendeka Thereza Piloya Jasper Onono Ronald Wesonga Gerald Mutungi Wenceslaus Sseguya Denis Mubangizi Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
description	Lockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. The digitized tool (UT1D-HIMAS) maintained electronic health records, monitored clinic supplies, patient clinic visits and admissions, and sent automated SMS messages. Delivery of supplies was by motor vehicles, motorcycles, bicycles or patients/caregivers walking to clinics. Metabolic control was assessed by glycated haemoglobin (HbA1c). Monitoring of clinic supplies including emergency restocking, patient clinic visits and admissions, and sending automated SMS by UT1D-HIMAS were successfully achieved. A fall in clinic visits, reaching a nadir (67.9%) in May 2020 was observed. HbA1c (mean ± SD mmol/mol) significantly (p= 0.040) worsened from 79.1 ± 26.8 to 94.9 ± 39.2 and (p=0.002) from 67.1 ± 22.7 to 84.8 ± 39.4 in the rural and urban clinic respectively. The digitized health information system exhibited high practicability in tracking stocks, clinic visits and hospitalisation but failed to improve metabolic control.
format	article
author	Silver Bahendeka Thereza Piloya Jasper Onono Ronald Wesonga Gerald Mutungi Wenceslaus Sseguya Denis Mubangizi
author_facet	Silver Bahendeka Thereza Piloya Jasper Onono Ronald Wesonga Gerald Mutungi Wenceslaus Sseguya Denis Mubangizi
author_sort	Silver Bahendeka
title	Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
title_short	Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
title_full	Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
title_fullStr	Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
title_full_unstemmed	Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
title_sort	health service delivery for type 1 diabetes during the lockdown in uganda following the coronavirus disease 2019 pandemic
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/16cda1ec563a461db31cbc13a8437ee5
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Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic

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