Evidence map›Paper›PMID 38774927›Full record

ArticleGlobal health action2024

Impact of the COVID-19 pandemic on type 2 diabetes care and factors associated with care disruption in Kenya and Tanzania.

Richard E Sanya, Caroline H Karugu, Peter Binyaruka, Shukri F Mohamed, Lyagamula Kisia, Peter Kibe, Irene Mashasi, Grace Mhalu, Christopher Bunn, Manuela Deidda and 5 more

Abstract read
In one paragraph

Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Richard E SanyaChronic Diseases Management Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0001-6348-9075
Caroline H KaruguChronic Diseases Management Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-6914-9714
Peter BinyarukaDepartment of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania.ORCID 0000-0002-1892-7985
Shukri F MohamedChronic Diseases Management Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-8693-1943
Lyagamula KisiaChronic Diseases Management Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-2045-6158
Peter KibeChronic Diseases Management Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-9027-9054
Irene MashasiDepartment of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania.ORCID 0000-0003-4274-0843
Grace MhaluDepartment of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania.ORCID 0000-0002-0417-3027
Christopher BunnSchool of Social and Political Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0001-6604-1305
Manuela DeiddaSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-0921-6970
Frances S MairSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-9780-1135
Eleanor GrieveSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4115-2882
Cindy M GraySchool of Social and Political Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4295-6110
Sally MtengaDepartment of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania.ORCID 0000-0001-6100-7562
Gershim AsikiChronic Diseases Management Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-9966-1153

Funding

Medical Research Council MR/V035924/1
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic affected healthcare delivery globally, impacting care access and delivery of essential services.

objectivesWe investigated the pandemic's impact on care for patients with type 2 diabetes and factors associated with care disruption in Kenya and Tanzania.

methodsA cross-sectional study was conducted among adults diagnosed with diabetes pre-COVID-19. Data were collected in February-April 2022 reflecting experiences at two time-points, three months before and the three months most affected by the COVID-19 pandemic. A questionnaire captured data on blood glucose testing, changes in medication prescription and access, and healthcare provider access.

resultsWe recruited 1000 participants (500/country). Diabetes care was disrupted in both countries, with 34.8% and 32.8% of the participants reporting change in place and frequency of testing in Kenya, respectively. In Tanzania, 12.4% and 17.8% reported changes in location and frequency of glucose testing, respectively. The number of health facility visits declined, 14.4% (

conclusionsCOVID-19 disrupted diabetes care more in Kenya than Tanzania. Health systems and emergency preparedness should be strengthened to ensure continuity of service provision for patients with diabetes.

Indexed as

COVID-19Diabetes Mellitus, Type 2Health Services AccessibilityAdultAgedCross-Sectional StudiesDelivery of Health CareFemaleHumansKenyaMaleMiddle AgedPandemicsSARS-CoV-2TanzaniaAfricachronic disease careCOVID-19Diabeteshealth systems

Identifiers

PMID38774927
PMCPMC11123500

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.