D I A B E T E S R E S E A R C H A N D C L I N I C A L P R A C T I C E 1 0 3 S ( 2 0 1 4 ) S 1 – S 6 1 S55

P74Low level of adherence to treatment in diabetic patients in asub-urban and a rural setting in Cameroon

A. Chandini a, D. Nebongo a, H. Kimbi-Mbufong b, S.P. Choukem c.aHuman Health and Diseases Connections (2HDC) Research Group,Faculty of Health Sciences, University of Buea, Cameroon; bFaculty ofScience, University of Buea, Cameroon; cFaculty of Health Sciences,University of Buea, Cameroon; Human Health and DiseasesConnections (2HDC) Research Group, Faculty of Health Sciences,University of Buea, Cameroon; Hôpital Général de Douala, Douala,Cameroun

Introduction: Diabetes is a challenging disease to manage suc-cessfully because of the complexity of its management plan.Many diabetic patients do not achieve good glycaemic controland suffer from complications of diabetes as a result of poor ad-herence. The objective of this study was to determine the extentof adherence to various aspects of treatment and determine therisk factors for poor adherence to drug treatment.

Methods: In this cross sectional study we included 198 type1 and type 2 diabetic patients registered at the diabetic carecentres of the Buea Regional Hospital and the Batibo DistrictHospital selected using consecutive sampling. The participantswere aged 21 years or more, and had been receiving treatmentfor at least 6 months. Adherence was measured using self-reported adherence in a questionnaire that included the Moriskyscale

Results: Using the Morisky scale, good adherence rate was66.1% to drug treatment, 26.7% to exercise and 56% to medicalappointments. Good adherence to self-monitor of blood sugarwas 4.5%. The factors that were independently related tothe adherence level to drugs were: Age (p=0.025), educationallevel (p<0.001), the level of perceived social support (p<0.001),perceived cost of treatment (p=0.023), and finally the attitudetowards treatment (p<0.001).

Conclusion: Adherence to the various aspects of diabetesmanagement was sub-optimal with adherence to self-monitorof blood sugar and exercise being the least, and these wereinfluenced by several personal, economic and social factors.Adherence to treatment can be improved by subsidising the anti-diabetic drugs, helping the patients develop a positive attitudetowards their management plan by education, providing moresocial support to the patients, and finally putting in place abetter follow-up plan for younger patients.

P75Adherence to anti-diabetic drugs among patients with Type2 diabetes mellitus at Muhimbili National Hospital, Dar esSalaam, Tanzania – a cross-sectional study

G. Rwegerera. University of Botswana, School of Medicine

Objective: This study sought to assess adherence to antidiabeticdrugs, associated factors and complications among patients withType 2 diabetes mellitus.

Methods: A cross-sectional study was conducted among type2 diabetes mellitus patients who were attending the Diabeticclinic of Muhimbili National hospital between May 2009 andFebruary 2010. Assessment of adherence to antidiabetic medi-cations was based on patients’ self-reported recall of skippeddays without taking medications, over the past one week andthree months. Data were entered and analyzed using Statis-tical Package for Social Sciences (SPSS Inc. Chicago, Illinoisversion 16). The crude and adjusted odds ratio (COR/AOR) and95%Confidence Interval (CI) were performed to determine fac-tors associated with anti-diabetic medications adherence and ap-value of 0.05 or less was considered statistically significant.

Results: Adherence rates to antidiabetic drugs were foundto be 60.2% and 71.2% at one week and three months re-

spectively. High cost of medication was significantly associatedwith anti-diabetic non-adherence. Adherence to anti-diabeticdrugs significantly increased with an increase in number ofnon-diabetic medications. Patients with good adherence had lesscomplications compared to the ones with poor anti-diabetic ad-herence, though the association was not statistically significant.

Conclusion: Adherence to antidiabetic drugs was found to besuboptimal. Patients with other medical conditions in additionto diabetes mellitus are more likely to adhere to anti-diabeticmedications. There is a need for the responsible authorities toset policies that subsidize cost of anti-diabetic drugs to improveadherence and reduce associated complications.

P76L’outil conversation Map© : l’expérience en Guinée

T.O. Barry, O. Kourouma, B. Traoré, S.M. Bah, B. Sall, N.M. Baldé,M.C. Diallo. Hôpital Universitaire (Guinée-Conakry)

Objectif : Rapporter l’expérience de l’utilisation de l’outil conver-sation Map© au niveau des structures de prise en charge dudiabète en Guinée.

Méthodes : Il s’agissait d’une part de décrire les étapesde mise en place de la Map© par les formateurs experts etd’exploiter les fiches d’éducation Map© des animateurs ; d’autrepart de recueillir l’opinion des agents formés sur cet outil etrapporter l’impact de son utilisation et les difficultés observées.

Résultats : 96 animateurs locaux (14 médecins contre 82infirmiers) ont été formés et 70 kits Map distribués dans lesstructures sanitaires. 145 séances de Map© ont été réalisés(88,3 % de séances à Conakry contre 11,7 % dans les unitésrégionales).

Les principales difficultés rapportées par les animateursétaient : l’insuffisance du temps de formation, le manqued’expérience d’éducation de groupe, la contigüité des salles danscertaines structures, l’absence de supervision des animateursau niveau des unités. La Map© a été utilisée comme outil desensibilisation et de plaidoyer au niveau du parlement.

Conclusion : La Conversation Map© peut redynamiser l’édu-cation et aider à prévenir les complications du diabète. Il a servid’outil de sensibilisation et de plaidoyer au près des autorités.Cependant la non familiarisation à ce type d’éducation, l’inertiethérapeutique et l’insuffisance de temps de formation restent undéfi à relever pour sa pérennisation en Guinée.

P77Evaluation des connaissances, attitudes et pratiques sur lediabète sucré dans la ville de Lubumbashi

F. Malonga Kaj, A. Ntambue Mukengeshayi, H. MundongoTshamba. Université de Lubumbashi, RDC

Objectif : Cette étude a eu pour objectif d’évaluer le niveau desconnaissances, les attitudes et les pratiques de la population dela ville de Lubumbashi en R.D.Congo et plus précisément dans lazone de santé Kenya sur le diabète sucré.

Méthodes : Il s’agit d’une étude descriptive transversaleayant porté sur un échantillon aléatoire tiré au sein de lapopulation au mois de juin 2011. Les données ont été récoltéespar interview structuré. Le calcul de l’échantillon était basésur l’hypothèse que la prévalence estimée des connaissancesattitudes et pratiques est de 50 pour cent avec une précisionà 5 % (IC 95 %). La taille de l’échantillon était majorée de 10 %pour remédier à d’éventuelles données manquantes. Le logicielExcel 2007 et SPSS 19.0 ont servi pour l’encodage et l’analyse destendances des résultats.

Résultats : Au total 500 personnes étaient incluses dansl’étude, avec une prédominance masculine (54,7 %). Le taux deréponse à l’enquête a été de 85 %. La tranche d’âge comprise