Africa COVID-19 diabetes Rwanda type 1 diabetes young adults UniSC Diversity Area - Life Stages
Introduction: data on the impact of COVID-19 on people with type 1 diabetes (T1D) in less resourced countries are limited. Our study was undertaken in Kigali, Rwanda, and aimed to investigate and describe the problems and challenges experienced by young adults with T1D resulting from the early phase of the pandemic. The study further aimed to understand the mechanisms being used to solve problems and overcome challenges, and perceived support needs.
Methods: this was a cross-sectional study, with anonymous data (n=52) collected through use of questionnaire. Participants were registered, and attending or receiving diabetes-related healthcare through the Rwanda Diabetes Association clinic.
Results: mean+standard deviation age and T1D duration were 24.0±2.1 and 7.4±3.4 years respectively, with sex distribution unequal (male n=22, 42.3%). Of 43 participants, the COVID-19 pandemic did not significantly affect participants´ access to diabetes management supplies and care. Eight (18.6%) participants experienced difficulties accessing blood glucose testing strips, 13 (30.2%) insulin, and three (7.0%) syringes and pen devices. Thirty-two (74.4%) experienced difficulty in attending standard diabetes healthcare reviews at the clinic setting. Some participants experienced hardship, through a decrease in personal or family income (n=42, 80.8%) and challenges in accessing food (n=34, 65.4%), with thirty (57.7%) participants having decreased meal frequency (p<0.001).
Conclusion: our research illustrates the indirect effects of measures undertaken to curb the spread of COVID-19 on young adults with T1D in Rwanda. Study findings may help inform actions to mitigate negative impacts on T1D care in other crises.
Details
Title
Perceived impact of the COVID-19 pandemic on young adults with type 1 diabetes in Rwanda
Authors
Jean Claude Habineza (Author) - Rwanda Diabetes Association
Steven James (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Laurien Sibomana (Author) - University of Pittsburgh
Emma L Klatman (Author) - Diabetes NSW
Etienne Uwingabire (Author) - Rwanda Diabetes Association
Jayanthi Maniam (Author) - Diabetes NSW
Graham David Ogle (Author) - Diabetes NSW
Publication details
Pan African Medical Journal, Vol.40, pp.1-8
Publisher
Pan African Medical Journal, Center for Public health Research and Information
Date published
2021
DOI
10.11604/pamj.2021.40.252.28899
ISSN
1937-8688
Copyright note
Jean Claude Habineza et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Organisation Unit
School of Health; School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy