A Survey on Factors Affecting Knowledge and Satisfaction with Care Among Persons with Diabetes Mellitus in an Urban Health Centre and its Outreach Clinics in South India

Lerisha Lovelina; Pavan Mukherjee; Vijaya Kumar; Sunil Abraham; Sajitha  Rahman; Ruby Angeline Pricilla

doi:10.15605/jafes.038.02.05

Authors

Lerisha Lovelina Christian Medical College, Vellore, Tamil Nadu, India
Pavan Mukherjee Christian Medical College, Vellore, Tamil Nadu, India
Vijaya Kumar Christian Medical College, Vellore, Tamil Nadu, India
Sunil Abraham Christian Medical College, Vellore, Tamil Nadu, India https://orcid.org/0000-0001-7703-1882
Sajitha Rahman Christian Medical College, Vellore, Tamil Nadu, India https://orcid.org/0000-0003-0979-9763
Ruby Angeline Pricilla Christian Medical College, Vellore, Tamil Nadu, India

DOI:

https://doi.org/10.15605/jafes.038.02.05

Keywords:

community health workers, primary health care, knowledge, satisfaction, diabetes

Abstract

Objective. To determine the level of knowledge and factors affecting knowledge and satisfaction with diabetes care among persons with diabetes at urban health centre (UHC) and community health worker (CHW)-led outreach clinics (ORC) in South India.

Methodology. A cross-sectional study was carried out using a structured questionnaire. One hundred patients at the UHC and 200 patients at the ORC were included.

Results. Patients with DM of more than eight years, with co-morbidities and maintained on insulin had good knowledge at the UHC. At the ORC, participants who received education beyond the primary level and belonging to non - Hindu religion had higher knowledge. Patients at the ORC experienced better satisfaction in terms of waiting time for appointments,
consultation, registration system and counselling. At the UHC, those who received primary education or those with lower educational attainment had better satisfaction. Overall, knowledge (p=0.03) and satisfaction (p=0.00001) of diabetes care was better at the ORC than at the UHC.

Conclusions. Our study found better knowledge and satisfaction with diabetes care at the ORC than at the UHC. Whether or not the difference can be attributed to CHW-based clinics in the community needs to be further elucidated.

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Author Biographies

Lerisha Lovelina, Christian Medical College, Vellore, Tamil Nadu, India

Senior Resident, Department of Family Medicine

Pavan Mukherjee, Christian Medical College, Vellore, Tamil Nadu, India

Medical Social Worker, Low Cost Effective Care Unit

Vijaya Kumar, Christian Medical College, Vellore, Tamil Nadu, India

Community Health Nurse., Low Cost Effective Care Unit

Sunil Abraham, Christian Medical College, Vellore, Tamil Nadu, India

Professor, Department of Family Medicine

Sajitha Rahman, Christian Medical College, Vellore, Tamil Nadu, India

Department of Family Medicine

Ruby Angeline Pricilla, Christian Medical College, Vellore, Tamil Nadu, India

Professor, Department of Community Medicine

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