ArticleAfrican journal of primary health care & family medicine2019
The ability of primary healthcare clinics to provide quality diabetes care: An audit.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- An examination of primary health care nursing service evaluation using the Donabedian model: A systematic review.Research in nursing & health · 2023Pooled it
- Strengthening diabetes education and peer support in South Africa: Insights from a national stakeholder convening ahead of the 2025 Diabetes Summit.African journal of primary health care & family medicine · 2026Article
- Prevalence, Screening Practices and Risk Stratification for Diabetic Foot Complications in Primary Healthcare Clinics: A Cross-Sectional Study in Gauteng Province, South Africa.International journal of environmental research and public health · 2025Observational
- Barriers to effective management of type 2 diabetes mellitus in primary healthcare facilities.Journal of public health in Africa · 2025Article
- Quality of care provided to patients with type 2 diabetes mellitus in Tshwane, South Africa.African journal of primary health care & family medicine · 2024Article
- Determinants of sub-optimal glycemic control among patients enrolled in a medicine dispensing programme in KwaZulu-Natal: A cohort study, 2018-2021.African journal of primary health care & family medicine · 2024Article
- Disease awareness and healthcare utilization in rural South Africa: a comparative analysis of HIV and diabetes in the HAALSI cohort.BMC public health · 2023Article
- Factors affecting the implementation of a complex health intervention to improve insulin management in primary care: A SWOT analysis.African journal of primary health care & family medicine · 2022Article
- Suboptimal control for patients with type 2 diabetes in the Central Chronic Medicine Dispensing programme in South Africa.African journal of primary health care & family medicine · 2021Article
- Designing an integrated, nurse-driven and home-based digital intervention to improve insulin management in under-resourced settings.Therapeutic advances in endocrinology and metabolism · 2021Article
- Audit of diabetic care in family practice center in Abha City, Aseer region: CBAHI standards application.Journal of family medicine and primary care · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn South Africa, much of diabetes care takes place at primary healthcare (PHC) facilities where screening for diabetic complications is often low. Clinics require access to equipment, resources and a functional health system to do effective screening, but what is unknown is whether these components are in place.
aimThe aim of this study was to assess the capacity of primary care clinics in one district to provide quality diabetes care.
settingThis study was conducted at the Tshwane district in South Africa.
methodsAn audit was done in 12 PHC clinics. A self-developed audit tool based on national and clinical guidelines was developed and completed using observation and interviewing the clinic manager and pharmacist or pharmacy assistant.
resultsScales, height rods, glucometers and blood pressure machines were available. Monofilaments were unknown and calibration of equipment was rare. The Essential Drug List was the only guideline consistently available. All sites reported consistent access to medication, glucose strips and urine dipsticks. All sites made use of the chronic disease register, and only 25% used an appointment system. No diabetes-specific structured care form was in use. All facilities had registered and enrolled nurses and access to doctors. Availability of educational material was generally poor.
conclusionThe capacity to deliver quality care is compromised by the poor availability of guidelines, educational material and the absence of monofilaments. These are modifiable risk factors that could be resolved by the clinic managers and staff development educators. However, patient records and health information systems need attention at policy level.
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