Effectiveness of Adherence on Management of Type 2 Diabetes Mellitus among Diabetic Patients in Borama District, Somaliland

Abstract

This study investigated the effectiveness of adherence to the management of type 2 diabetes among diabetic patients in Borama district. Type 2 diabetes is a chronic disease associated with abnormally high levels of the sugar glucose in the blood. The problem of the study was the high prevalence of diabetes in Borama district. The study was adopted an expost facto research design on a random sample of 190 types 2 diabetic patients on a self-care strategy program. Data was collected using questionnaire and document analysis methods in March 2019 and analyzed using the odds-ratio technique. The study found a significant difference in the proportion of diabetic patients in Borama district who adhere and those who do not adhere to treatment, χ² (1, N = 190) = 68.841, p = .000; and a significant difference in the proportion of diabetic patients with controlled and uncontrolled type 2 diabetes among diabetic patients in Borama district, χ² (1, N = 190) = 66.021, p = .000. The study also found there is a significant difference in the log of odds of management of diabetes among diabetic patients who adhere and those who do not, -2LL (1) = 96.606, p = .000. The study concludes that adherence is effective for the management of type 2 diabetes among diabetic patients in Borama district, Somaliland. The study recommends that the Ministry of Health Development of Somaliland mount a health awareness campaign program to encourage the practice of adherence among diabetic patients.