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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/13221

Title: Factors influencing treatment outcomes of Patients with Diabetes and Hypertension at the Ejisu Government Hospital in Ejisu, Ashanti Region, Ghana
Authors: Owusu-Ansah, Joseph
Owusu-Dabo, Ellis
Keywords: Diabetes
Ejisu Government Hospital
Hypertension
Treatment outcomes
Ashanti Region
Ghana
Issue Date: 13-Nov-2020
Abstract: Diabetes and Hypertension prevalence accounts for more than two-thirds of all medical admissions in Ghana. This necessitates the exploratory factors that affect the treatment outcomes of these conditions. The aim of this study is to determine factors that influence treatment outcomes of patients with Diabetes or Hypertension at the Ejisu Government Hospital. A facility based descriptive cross-sectional study design was carried out on 423 patients, aged ≥18 years who visited the diabetic clinic at Ejisu Government Hospital at least once in a month and were diagnosed of Diabetes and or Hypertension a year or more ago, using a structured questionnaire. Stata 14.0 was used to analyze collected data with results presented in tables. Poisson logistic regression was used to determine the association between the demographic variables indicated in this study to determine which variables influenced treatment outcome. There were 71% of patients with their glucose score in the normal range (4.4-8.8mmol/l) on the day of interview whiles 6.13% patients were severely hypertensive (≥160/≥100mmHg) on the day of interview. According to Morisky’s adherence scale, 68.04% of patients had low adherence; 285 patients reported getting their medications all the time whereas 384 patients agreed to the belief that their medication could be managed. Patients with family history of diabetes had nearly fifty-seven percent [OR = 0.57; 95% CI = 0.32-1.00; p=0.05] chance of experiencing positive treatment outcomes. Also, patients with family history of hypertension, were fifty percent less likely [OR = 0.5; 95% CI = 0.31-0.98; p=0.04] to report positive treatment outcome. All other socio-demographic factors [age≥70 {0.73; 95% CI= 0.13-1.38; p=0.15}, gender {OR=0.52; 95% CI= 0.15-1.81; p=0.30}, marital status {OR=1.45; 95% CI=0.86-2.45; p=0.16} and employment status {OR=0.34; 95% CI=0.12-0.98; p=0.44}] did not influence treatment outcomes for diabetes and similarly for Hypertension. Family history of patients with Diabetes and Hypertension influence treatment outcomes negatively
Description: A thesis submitted to the Department of Health Policy, Management and Economics, School of Public Health, College of Health Sciences in partial fulfilment of the requirement for the degree of Master of Public Health in Health Services Planning and Management, 2019.
URI: http://hdl.handle.net/123456789/13221
Appears in Collections:College of Health Sciences

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