Community Health Assessment findings on Diabetes among Adults in Nyeri County, Kenya, 2019

Abstract

Background: The global prevalence of diabetes among adults was 8.5% in 2014. Kenya’s prevalence is at 3.3%, according to WHO. Nyeri County has an estimated prevalence of 7.2% which is significantly higher than the national prevalence.

Methods: A cross- sectional study was conducted in Mukurweini Sub County, Nyeri. Systematic random sampling was used to recruit participants from a sampling frame of all adult community members. A sample of 190 households calculated at a confidence level of 95 and a 5% error margin. Every 7th household was picked and respondents were household heads. Data was collected using structured questionnaires, Key informant interviews and Focus group discussions. Knowledge levels, health seeking behavior, health care access, physical activity and nutrition were assessed. Data was analyzed and rated using the CDC CHANGE tool.

Findings: Low education levels with 65% at primary and below hence low levels of knowledge on diabetes, poor uptake of physical activity as 51% never engaged in any and inappropriate dietary choices and meal timing. Low screening levels for diabetes with only 36% having ever been screened. There were no clear policies on community engagement in physical activity. Easy access to health facilities, friendly health care workers and availability of health services and medication were identified as the assets.

Conclusion: Assessing the community’s knowledge, attitudes, behavior and resources provides information on how to improve diabetes prevention and treatment. It helps to inform future interventions.