Improving diabetes mellitus care in Nigeria – health promotion and education perspectives

Authors

DOI:

https://doi.org/10.15584/ejcem.2024.3.24

Keywords:

community participation, diabetes mellitus care, HPE, Nigeria, primary health care

Abstract

Introduction and aim. In this review, we suggest ways to improve diabetes mellitus (DM) care in Nigeria from a Health Promotion and Education (HPE) perspective by addressing the gap in DM care through the adoption of strategies from the Ottawa Charter and National Health Promotion Policy (NHPP) guidelines.

Material and methods. This review conducted a comprehensive literature search on Africa Journal Online, PubMed, Google Scholar, and Science Direct, from 1986 to 2023, using relevant keywords.

Analysis of the literature. The adoption of the Ottawa charter and NHPP remains a key strategy in addressing the gap in DM care in Nigeria. This could be achieved by the adoption of population-focused multi-sectoral interventions encompassing legislation, regulation, and fiscal measures, creating sustaining and expanding health-promoting environments to reduce modifiable risk factors, and reorienting the primary health care services to aid the diagnosis, treatment and rehabilitation of DM patients.

Conclusion. This review concluded that the government and other critical stakeholders should adopt the HPE strategies that covers increased financing, strict legislation on DM modifiable risk factors, reorientation of the primary healthcare system, and capacity building for HPE practitioners into DM care in Nigeria as a strategy to improving DM care and prevention in Nigeria.

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References

National Bureau of Statistics, 2022. https://www.nigerianstat.gov.ng/index.php. Accessed June 16, 2023.

"Nigeria Population (Demographics, Maps, Graphs)", World Population Review 2022. https://worldpopulationreview.com. Accessed June 16, 2023.

World Health Organisation 2018. Nigeria fulfils commitment, launches Plan for the Prevention and Control of Non-Communicable Diseases. https://www.afro.who.int/news/nigeria-fulfils-commitment-launches-plan-prevention-and-control-non-communicable-diseases. Accessed November 20, 2023.

World Health Organisation 2022. Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1. Accessed April 22, 2023.

International Diabetes Federation 2021. IDF Diabetes Atlas, 10th edition. Brussels, Belgium. Accessed August 10, 2023.

Akinkugbe OO. Non-communicable disease in Nigeria. Final report of National Survey. Lagos: Federal Ministry of Health and Social Services. 1997:64-90.

Uloko AE, Musa BM, Ramalan MA, et al. Prevalence and risk factors for diabetes mellitus in Nigeria: a systematic review and meta-analysis. Diabetes Ther. 2018;9(3):1307-1316. doi: 10.1007/s13300-018-0441-1

Cookey SN, Gomba VE, Wariboko CM. Prevalence of Diabetes in Rural Communities in South South and South East Nigeria A Retrospective, Cross Sectional Community Based Survey. IOSR J Dent Med Sci. 2022;21(2):26-32. doi: 10.9790/0853-2102072632

Afolalu T, Wada O, Olawade D, Suntai A. Prevalence of Diabetes Mellitus among Adult Residents of Tinda Rural Community, Nigeria. J Biosci Med. 2020;8:107-116. doi: 10.4236/jbm.2020.811010

Arugu GM, Maduka O. Risk Factors for Diabetes Mellitus among Adult Residents of a Rural District in Southern Nigeria: Implications for Prevention and Control. J Clin Pract. 2017;20:1544-1549. doi: 10.4103/njcp.njcp_154_17

Sabir A, Ohwovoriole A, Isezuo S, Fasanmade O, Abubakar S, Iwuala S. Type 2 Diabetes Mellitus and Its Risk Factors among the Rural Fulanis of Northern Nigeria. Ann Afr Med. 2013;12:217-222. doi: 10.4103/1596-3519.122689

Olatunbosun ST, Ojo PO, Fineberg NS, Bella AF. Prevalence of Diabetes Mellitus and Impaired Glucose Tolerance in a Group of Urban Adults in Nigeria. J Natl Med Assoc. 1998;90:293-301.

Sabir AA, Isezuo SA, Ohwovoriole AE. Dysglycaemia and Its Risk Factors in an Urban Fulani Population of Northern Nigeria. West Afr J Med. 2011;30:325-330.

Agofure O, Odjimogho S, Okandeji-Barry OR, Efegbere HA, Nathan HT. Pattern of diabetes mellitus-related complications and mortality rate: Implications for diabetes care in a low-resource setting. Sahel Med J. 2020a;23:206-10. doi: 10.4103/smj.smj_64_19

Agofure O, Okandeji-Barry OR, Ogbon P. Pattern of diabetes mellitus complications and co-morbidities in ughelli north local government area, Delta State, Nigeria. Niger J Basic Clin Sci. 2020b;17:123-127. doi: 10.4103/njbcs.njbcs_37_18

Ogbera AO, Kapur A, Odeyemi K, et al. Screening for diabetes mellitus and human immune deficiency virus infection in persons with tuberculosis. J Prev Med Hyg. 2014;55(2):42-45.

Arogundade FA. Kidney transplantation in a low-resource setting: Nigeria. Kidney Int Suppl. 2013;3(2):241-245. doi: 10.1038/kisup.2013.23

Danesi M, Okubadejo N, Ojini F. Prevalence of stroke in an urban, mixed income community in Lagos, Nigeria. Neuroepidemiology. 2007;28(4):216-223. doi: 10.1159/000108114

Odatuwa-Omagbemi D, Adiki O. Extremity amputations in Warri, South South Nigeria. J West Afr Coll Surg. 2012;2(1):14-24.

Fasanmade OA, Dagogo-Jack S. Diabetes care in Nigeria. Ann Glob Health. 2015;81:821-829. doi: 10.1016/j.aogh.2015.12.012

Adisa R, Alutundu MB, Fakeye TO. Factors contributing to nonadherence to oral hypoglycaemic medications among ambulatory type 2 diabetes patients in Southwestern Nigeria. Pharmacy Pract. 2009;7(3):163-169. doi: 10.4321/s1886-36552009000300006

Aguocha BU, Ukpabi JO, Onyeonoro UU, Njoku P, Ukegbu AU. Pattern of diabetic mortality in a tertiary health facility in south eastern Nigeria. African J Diabetes Med. 2013;21(1):14-16.

Unachukwu CN, Uchenna DI, Young EE. Mortality among diabetes in patients in Port Harcourt Nigeria. African J Endocrinol Metabol. 2008;7:1. doi: 10.4314/ajem.v7i1.57567

Agofure O, Oyewole OE, Igumbor EO and Nwose EU. Diabetes care in delta state of Nigeria: An expository review. Diabetes Updates. 2018a;1(1):1-8. doi: 10.15761/DU.1000106

World Health Organisation 2023. Country profile Nigeria. https://www.afro.who.int/countries/nigeria/news/stakeholders-call-increased-access-diabetes-education. Accessed March 12, 2024.

World Health Organization 2016. Diabetes country profiles. https://cdn.who.int/media/docs/default-source/country-profiles/diabetes/ngaen.pdf?sfvrsn =a7a9827_38&download=true. Accessed March 12, 2024.

Sixth Global Conference on Health Promotion, Bangkok, Thailand, August, 2005.

Cheld 2022. Addressing the Diabetes Burden in Nigeria through policy and health education-Report. https://cheld.org/addressing-the-diabetes-burden-in-nigeria-through-policy-and-health-education. Accessed February 27, 2024.

United Nation general assembly. Political declaration of the high-level meeting of the general assembly on the prevention and control of noncommunicable diseases. New York: United Nations, 66th sess. https://digitallibrary.un.org/record/720106. Accessed November 6, 2023.

Chinenye S, Ogu R, Korubo I. Diabetes Advocacy and Care in Nigeria: A Review. The Nigerian Health Journal. 2015;15(4).

Peimani M, Nasli-Esfahani E, Shakibazadeh E. Ottawa charter framework as a guide for type 2 diabetes prevention and control in Iran. J Diabetes Metab Disord. 2019;18:255-261. doi: 10.1007/s40200-018-0381-3

De Silva AP, De Silva SHP, Haniffa R, et al. A survey on socioeconomic determinants of diabetes mellitus management in a lower-middle-income setting. Int J Equity Health. 2016;15(1):74. doi: 10.1186/s12939-016-0363-3

Bowman S, Unwin N, Critchley J, et al. Use of evidence to support healthy public policy: a policy effectiveness-feasibility loop. Bull World Health Organ. 2012;90(11):847-853. doi: 10.2471/BLT.12.104968

Ajisegiri WS, Abimbola S, Tesema AG, Odusanya OO, Peiris D, Joshi R. The organisation of primary health care service delivery for non-communicable diseases in Nigeria: A case-study analysis. PLOS Glob Public Health. 2022;2(7):e0000566. doi: 10.1371/journal.pgph.0000566

Chimeddamba O, Peeters A, Walls HL, Joyce C. Noncommunicable disease prevention and control in Mongolia: a policy analysis. BMC Public Health. 2015;15:660. doi: 10.1186/s12889-015-2040-7

Pan SY, Cameron C, DesMeules M, Morrison H, Craig CL, Jiang X. Individual, social, environmental, and physical environmental correlates with physical activity among Canadians: a crosssectional study. BMC Public Health. 2009;9:21. doi: 10. 1186/1471-2458-9-21

Preventing and Managing Chronic Disease: Ontario’s Framework. Ministry of Health and Long-Term Care. 2007. http:// www.health.gov.on.ca/en/pro/programs/cdpm/ pdf/framework_ full. pdf. Accessed February 27, 2024.

Agide FD, Shakibazadeh E. Contextualizing Ottawa Charter Frameworks for Type 2 Diabetes Prevention: A Professional Perspective as a Review. Ethiop J Health Sci. 2018;28(3):355-364. doi: 10.4314/ejhs.v28i3.14

Infanti JJ, O'Dea A, Gibson I, et al. Reasons for participation and non-participation in a diabetes prevention trial among women with prior gestational diabetes mellitus (GDM) BMC Med Res Methodol. 2014;14(1):13. doi: 10.1186/1471-2288-14-13

Federal Ministry of Health. National guideline on the prevention, control and management of diabetes mellitus. https://www.health.gov.ng/doc/National%20Guideline%20for%20the%20prevention,%20control%20and% 20management %20of%20Diabetes%20Mellitus%20in%20Nigeria%20(3).pdf. Accessed February 27, 2024.

World Health Organization 2013. Global action plan for the prevention and control of non-communicable diseases 2013-2020 Internet. Geneva, Switzerland: World Health Organization. http://www.who.int/nmh/events/ncd_ action_plan/en/. Accessed February 27, 2024.

Federal Ministry of Health 2019. National Multi-Sectoral Action Plan for the prevention and control of non-communicable diseases (2019-2025). https://www.iccp-portal.org/system/files/plans/NCDs_Multisectoral_Action_Plan.pdf. Assessed December 11, 2023.

Kongats K. 2014. Diabetes prevention & management through a health equity lens. Canada: Wellesley Institute. http://www. deslibris.ca/ID/240390. Assessed December 11, 2023.

Javanparast S, Baum F, Labonte R, Sanders D, Rajabi Z, Heidari G. The experience of community health workers training in Iran: a qualitative study. BMC Health Serv Res. 2012;12:291. doi: 10.1186/1472-6963-12-291

Agofure O, Okandeji-Barry RO, Okporu UC, et al. Knowledge of diabetes mellitus: An aggregate qualitative study of students, teachers, market women, religious organization and community youths. Ibom Med J. 2021b;14(2):161-169.

Agofure O, Oghenerume H. Knowledge of Diabetes Mellitus among Students of a Public Secondary School in Southern Nigeria: A Cross-Sectional Study. Stud J health Res Afr. 2022;3:3. doi: 10.51168/sjhrafrica.v3i3.108

Ardeňa GJ, Paz‑Pacheco E, Jimeno CA, Lantion‑Ang FL, Paterno E, Juban N. Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: phase I of the community‑based Diabetes Self‑Management Education (DSME) Program in San Juan, Batangas, Philippines. Diabetes Res Clin Pract. 2010;90:160‑166. doi: 10.1016/j.diabres.2010.08.003

Odenigbo MA, Inya‑Osuu J. Knowledge, attitudes and practices of people with type 2 diabetes mellitus in a tertiary health care centre, Umuahia, Nigeria. J Diabetes Metab. 2012;3:187. doi: 10.4172/2155-6156.1000187

Sabo SY, Moh’d AS, Emenike VI. Assessment of diabetic patients’ knowledge and understanding of diabetes mellitus in a north‑eastern Nigeria tertiary hospital. SAJ Pharma Pharmacol. 2019;6:104.

World Diabetes Foundation. Strengthening diabetes care in Lagos State through 35 diabetes clinics, Nigeria, WDF 16-1433. https://www.worlddiabetesfoundation.org/projects/nigeria-wdf16-1433. Assessed December 11, 2023.

Guide to community preventive services. Diabetes management: Interventions engaging community health workers. https://www.the communityguide.org/findings/diabetes-management-intervention-engaging-community-health-workers.html. Assessed December 11, 2023.

Flynn MAT. Empowering people to be healthier: public health nutrition through the Ottawa charter. Proc Nutr Soc. 2015;74(3):303-312. doi: 10.1017/S002966511400161X.

Rafii F, Fatemi NS, Danielson E, Johansson CM, Modanloo M. Compliance to treatment in patients with chronic illness: A concept exploration. Iran J Nurs Midwifery Res. 2014;19(2):159-167.

Tol A, Baghbanian A, Mohebbi B, et al. Empowerment assessment and influential factors among patients with type 2 diabetes. J Diabetes Metab Disord. 2013;12(1):6. doi: 10.1186/2251-6581-12-6

Colagiuri R, Girgis S, Eigenmann C, Gomez M, Griffiths R. National evidence-based guideline for patient education in type 2 diabetes. Canberra: Diabetes Australia and the NHMRC; 2009. http://static.diabetesaustralia.com.au/s/fileassets/diabetes-australia/b9b8789d-c7ba-473d-bd49-0b7d793a0835.pdf. Assessed December 11, 2023.

Beck J, Greenwood DA, Blanton L, et al. National standards for diabetes self-management education and support. Diabetes Care. 2017;40(10):1409-1419. doi: 10.2337/dci17-0025

Okafor CN, Ezenduka PO, Onyenekwe CC, et al. Effect of Educational Intervention Programme on Self- Management Practices of Individuals with Type 2 Diabetes Mellitus in South-East, Nigeria. Int J Diabetes Clin Res. 2021;8:145. doi: 10.23937/2377-3634/1410145

Okafor CN, Akosile CO, Nkechi CE, et al. Effect of educational intervention programme on the health-related quality of life (HRQOL) of individuals with type 2 diabetes mellitus in South-East, Nigeria. BMC Endocr Disord. 2023;23:75. doi: 10.1186/s12902-023-01329-y

Ozioma IG. Development of Culture-Centered Diabetes Education Program for Nigerian Immigrants 2017. Nursing Masters. Paper 39. https://fisherpub.sjf.edu/nursing_etd_masters/39. Assessed December 11, 2023.

Akande TM. Referral system in Nigeria: Study of a tertiary health facility. Ann Afr Med. 2004;3:130-133.

Okumagba M. Improving access to health care in rural communities by re-orienting and integrating patent medicine sellers into primary health care service delivery in Nigeria. South American Journal of Public Health. 2015;3(2).

Egwu IN. Reorientation in Primary Health Care Implementation: An Educational Intervention. Int. Q. Community Health Educ. 1988;9(3):231-242. doi: 10.2190/51E2-0FQU-NGDN-3J59

Zahran AM, Salama AA, Beddah AS. Undiagnosed diabetes among adult attendants of a rural primary healthcare center in Menoufia Governorate. Menoufia Med J. 2017;30(3):800.

Erasmus RT, Soita DJ, Hassan MS, et al. High prevalence of diabetes mellitus and metabolic syndrome in a South African coloured population: baseline data of a study in Bellville, Cape Town. S Afr Med J. 2012;102(11):841-844. doi: 10.1046/j.1464-5491.2003.00782.x

Animaw W, Seyoum Y. Increasing prevalence of diabetes mellitus in a developing country and its related factors. PLoS One. 2017;12(11):e0187670. doi: 10.1371/journal.pone.0187670.

Abebe SM, Berhane Y, Worku A, Assefa A. Diabetes mellitus in North West Ethiopia: a community-based study. BMC Public Health. 2014;14(1):97. doi: 10.1186/1471-2458-14-97.

Megerssa YGM, Birru S, Goshu A, Tesfaye D. Prevalence of undiagnosed diabetes mellitus and its risk factors in selected institutions at Bishoftu town, East Shoa, Ethiopia. Diabetes Metab J. 2013;S12(008):2-7.

Wondemagegn AT, Bizuayehu HM, Abie DD, Ayalneh GM, Tiruye TY, Tessema MT. Undiagnosed diabetes mellitus and related factors in East Gojjam (NW Ethiopia) in 2016: a community-based study. J Public Health Res. 2017;6(1):834. doi: 10.4081/jphr.2017.834

Worede A, Alemu S, Gelaw YA, Abebe M. The prevalence of impaired fasting glucose and undiagnosed diabetes mellitus and associated risk factors among adults living in a rural Koladiba town, northwest Ethiopia. BMC Res. Notes. 2017;10(1):251. doi: 10.1186/s13104-017-2571-3.

Seifu W, Woldemichael K, Tsehaineh B. Prevalence and risk factors for diabetes mellitus and impaired fasting glucose among adults aged 15-64 years in Gilgel Gibe Field Research Center, Southwest Ethiopia, 2013:through a WHO step wise approach. MOJ Public Health. 2015;2(5):136-143. doi: 10.15406/mojph.2015.02.00035

Ludwig C, Streicher M, Habicht SD, Swai ME, Krawinkel MB. Targeted screening reveals high numbers of prediabetes and diabetes mellitus in Moshi, Tanzania. Diabetes Metab J. 2017;8(1):720. doi: 10.4172/2155-6156.1000720

Balde NM, Camara A, Diallo AA, et al. Prevalence and awareness of diabetes in Guinea: findings from a WHO STEPS. JEMDSA. 2017;22(3):36-42.

Echouffo-Tcheugui JB, Dzudie A, Epacka ME, et al. Prevalence and determinants of undiagnosed diabetes in an urban Sub-Saharan African population. Prim Care Diabetes. 2012;6(3):229-234. doi: 10.4102/ajlm.v11i1.1433

Seck SM, Dia DG, Doupa D, et al. Diabetes burden in urban and rural Senegalese populations: a cross-sectional study in 2012. Int J Endocrinol. 2015;6:163641. doi: 10.1155/2015/163641

Enang OE, Out AA, Essien OE, et al. Prevalence of dysglycemia in Calabar: a cross-sectional observational study among residents of Calabar, Nigeria. BMJ Open Diabetes Res Care. 2014;2(1):e000032. doi: 10.1136/bmjdrc-2014-000032

Sabir A, Isezuo S, Ohwovoriole A. Dysglycaemia and its risk factors in an urban Fulani population of northern Nigeria. West Afr J Med. 2011;30(5). doi: 10.11604/pamj.2016.23.19.5806

Abiodun OO, Olaogun AAE, Oladayo Akinpelu AO. Educational Intervention Impacts on Knowledge and Performance of Self-Care Practices among Type 2 Diabetes Mellitus Patients in Selected Hospitals in Southwestern, Nigeria. Int J Diabetes Clin Res. 2020;7:124. doi: 10.23937/23773634/1410124

Ubangha LO, Odugbemi TO, Abiola AO. Diabetes mellitus: Identifying the knowledge gaps and risk factors among adolescents attending a public school in Lagos State. J Clin Sci. 2016;13:193-198. doi: 10.4103/2468-6859.192302

Anyanti J, Akuiyibo SM, Fajemisin O, Idogho O, Amoo B. Assessment of the level of knowledge, awareness and management of hypertension and diabetes among adults in Imo and Kaduna states, Nigeria: a cross-sectional study. BMJ Open. 2021;11:e043951. doi: 10.1136/bmjopen-2020-043951

Odili VU, Isiboge PD, Eregie A. Patients’ Knowledge of Diabetes Mellitus in a Nigerian City. Trop J Pharm Res. 2011;10(5):637-642. doi: 10.4314/tjpr.v10i5.13

Agofure O, Oyewole OE, Okandeji-Barry RO. Health Seeking Behaviour among patients with type-2 diabetes mellitus in Warri, Delta Sate, Nigeria. Journal of Agric Bio and App Sci. 2015;4:161-171.

Awosusi A, Folaranmi T, Yates R. Nigeria’s new government and public financing for universal health coverage. Lancet Glob Health. 2015;3:514-515. doi: 10.1016/S2214-109X(15)00088-1

Otovwe A, Baba A. Knowledge of referral and feedback system among health workers in billiri local government area of Gombe state, Nigeria. European J Pharm Med Res. 2016;3:111-155.

Otovwe A, Henry EA, Ese OA. Knowledge of dietary and medical management of type-2 diabetes in an urban and rural community of Delta State Nigeria. AJDM. 2018;26(1).

Ng R, Sutradhar R, Yao Z, Wodchis WP, Rosella LC. Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease. Int J Epidemiol. 2020;49(1):113-130. doi: 10.1093/ije/dyz078

World Health Organization 2015. WHO global report on trends in tobacco smoking 2000–2025. Geneva: World Health Organization. https://www.who.int/tobacco/publications/surveillance/reportontrendstobaccosmoking/en/. Accessed June 13, 2023.

Oyewole BK, Animasahun VJ, Chapman HJ. Tobacco use in Nigerian youth: A systematic review. PloS One. 2018;13(5):e0196362. doi: 10.1371/journal.pone.0196362

World Bank Group. World Development Indicators. https://datatopics. Worldbank .org/world-development-indicators. Accessed June 13, 2023.

National Population Commission (NPC) Nigeria and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF 2019.

Schrieks IC, Heil AL, Hendriks HF, Mukamal KJ, Beulens JW. The effect of alcohol consumption on insulin sensitivity and glycemic status: a systematic review and meta-analysis of intervention studies. Diabetes Care. 2015;38(4):723-732. doi: 10.2337/dc14-1556

Kim SJ, Kim DJ. Alcoholism and diabetes mellitus. Diabetes Metab J. 2012;36(2):108-115. doi: 10.4093/dmj.2012.36.2.108

Wan Q, Liu Y, Guan Q, Gao L, Lee KO, Zhao J. Ethanol feeding impairs insulin stimulated glucose uptake in isolated rat skeletal muscle: role of Gs alpha and cAMP. Alcohol Clin Exp Res. 2005;29(8):1450-1456. doi: 10.1097/01.alc.0000174768.78427.f6

World Health Organization 2004. Global status report on alcohol and health. Geneva: World Health Organization. Accessed June 13, 2023.

Adeloye D, Olawole-Isaac A, Auta A, et al. Epidemiology of harmful use of alcohol in Nigeria: a systematic review and meta-analysis. Am J Drug Alcohol Abuse. 2019;1-13. doi: 10.1080/00952990.2019.1628244

Bennett LA, Campillo C, Chandrashekar CR, Gureje O. Alcoholic beverage consumption in India, Mexico, and Nigeria: a cross-cultural comparison. Alcohol Health Res World. 1998;22:243-252.

Agofure O, Okandeji-Barry O, Odjimogho S. Prevalence of Alcohol Consumption among Primary and Secondary School Adolescents in Obiaruku Community in Delta State, Southern Nigeria. Afr J Biomed Res. 2020;23:35-40.

Adekeye OA, Adeusi SO, Chenube OO, Ahmadu FO, Sholarin MA. Assessment of alcohol and substance use among undergraduates in selected private universities in Southwest Nigeria. IOSR-JHSS. 2015;20:1-7. doi: 10.9790/0837-20320107

World Health Organization 2018. Global status report on alcohol and health. Geneva: World Health Organization WHO Press; 2018. https://apps.who.int/iris/bitstream/handle/10665/112736/9789240692763_eng.pdf;sequence=1. Accessed June 13, 2023.

Oduwole AA, Ladapo TA, Fajolu IB, Ekure EN, Adeniyi OF. Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study. BMC Public Health. 2012; 12(1):616. doi: 10.1186/1471-2458-12-616

Abubakari A, Bhopal R. Systematic review on the prevalence of diabetes, overweight/obesity and physical inactivity in Ghanaians and Nigerians. Public Health. 2008; 122(2):173-182. doi: 10.1016/j.puhe.2007.06.012

Abiona O, Oluwasanu M, Oladepo O. Analysis of alcohol policy in Nigeria: multi-sectoral action and the integration of the WHO “best-buy interventions. BMC Public Health. 2019;19:810. doi: 10.1186/s12889-019-7139-9

Global status report on alcohol and health 2018. Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO.

Livingston M 2015. Understanding recent trends in Australian alcohol consumption. Canberra: Foundation for Alcohol Research and Education & Centre for Alcohol Policy Research. http://fare.org.au/wp-content/uploads/Understanding-recent-trends-inAustralian-alcohol-consumption.pdf. Accessed August 12, 2023.

Jaja T, Yarhere IE. Risk factors for type-2 diabetes mellitus in adolescents secondary school students in Port Harcourt, Nigeria. Niger J Paediatr. 2015;42(2):137-141. doi: 10.4314/njp.v42i2.13

Okpere AN, Anochie IC, Eke FU. Prevalence of Microalbuminuria among secondary school children. Afr Health Sci. 2012;12(2):140-147. doi: 10.4314/ahs.v12i2.10

Oluwayemi IO, Brink SJ, Oyenusi EE, Oduwole OA, Oluwayemi MA. Fasting Blood Glucose Profile among Secondary School Adolescents in Ado-Ekiti, Nigeria. J Nutr Metab. 2015;417859:4. doi: 10.1155/2015/417859

Agofure O, Akpojubaro EH. Diabetes mellitus in primary and secondary schools in Africa: an exploratory review. Alexandria J Med. 2020;56(1):166-172. doi: 10.1080/20905068.2020.1833278

Dong Y, Chen L, Gutin B, Zhu H. Total, insoluble, and soluble dietary fiber intake and insulin resistance and blood pressure in adolescents. Eur J Clin Nutr. 2019;73(8):1172-1178. doi: 10.1038/s41430-018-0372-y

Weickert MO, Pfeiffer AFH. Impact of Dietary Fiber Consumption on Insulin Resistance and the Prevention of Type 2 Diabetes. J Nutr. 2018;148(1):7-12. doi: 10.1093/jn/nxx008

Agofure O, Okporu UC. Effects of Teachers-led educational intervention on Knowledge and Attitude towards the prevention of diabetes mellitus among students of a Secondary School in Southern Nigeria: a one group quasi-experimental study. Rwanda Medical J. 2023;80(2):23-34. doi: 10.4314/rmj.v80i2.3

Srinivas SC, Wrench WM, Bradshaw K, Dukhi. Diabetes mellitus: preliminary health-promotion activity based on service-learning principles at a South African national science festival. JEMDSA. 2011;16(2):101-106. doi: 10.1080/22201009.2011.10872258

Mhlongo M, Marara P, Bradshaw K, Srinivas S. Health education on diabetes at a South African national science festival. Afr J Health Professions Educ. 2018;10(1):26-30. doi: 10.7196/AJHPE.2018.v10i1.887

Agofure O, Okandeji-Barry RO, Okporu UC, Odjimogho S, Agofure K, Abuh I. Opinion of teachers on perceived deficiencies in the current secondary school curriculum in the prevention and control of non-communicable diseases: a qualitative study. Port Harcourt J Educ Stud. 2021b;6(1).

Hawe P, King L, Noort M, Jordens C, Lloyd B. Indicators to help with capacity building in Health Promotion. Australian Centre for Health Promotion. 2000. https://iseralaska.org/static/akpfs/IndicatorsForCapacityBuilding.pdf. Accessed June 28, 2023.

Mehra R, Vats S, Kumar R, et al. Emergence of diabetes education and capacity-building programs for primary care physicians in India. J Family Med Prim Care. 2022;11(3):839-846. doi: 10.4103/jfmpc.jfmpc_669_21

Wijeyaratne C, Arambepola C, Karunapema P, et al. Capacity building of the allied health workforce to prevent and control diabetes: lessons learnt from the National Initiative to Reinforce and Organize General Diabetes Care in Sri Lanka (NIROGI) Lanka project. WHO South-East Asia J Public Health. 2016;5(1):34-39. doi: 10.4103/2224-3151.206550

Ojobi JE, Odoh G, Aniekwensi E, Dunga J. Mortality among type 2 diabetic in patients in a Nigerian tertiary hospital. Afr J Diab Med. 2016;24:17-20.

Unadike BC, Essien I, Akpan NA, Peters EJ, Assien OE. Profile and outcome of diabetic admissions at the university of Uyo teaching hospital, Uyo. Int J Med Med Sci. 2013;5:286‑289.

Oshilonya HU, Ijioma SN, Ibeh IN. Prevalence of type‑2 diabetes mellitus amongst suspected subjects in Agbor, Delta State, Nigeria and its relationship with age and gender. Arch Appl Sci Res. 2015;7:18‑20.

Adeloye D, Ige JO, Aderemi AV, et al. Estimating the prevalence, hospitalisation and mortality from type 2 diabetes mellitus in Nigeria: A systematic review and meta‑analysis. BMJ Open. 2017;7:e015424. doi: 10.1136/bmjopen-2016-015424

Javadinasab H, Masoudi Asl I, Vosoogh-Moghaddam A, Najafi B. Sustainable financing of health promotion services in selected countries: Best experience for developing countries. Med J Islam Repub Iran. 2019;5:33:52. doi: 10.34171/mjiri.33.52

World Health Organization 2013. Regional Office for Africa. State of health financing in the African region. Geneva: WHO. https://www.afro.who.int/sites/default/files/2017-06/state-of-health-financing-afro.pdf. Accessed November 21, 2023.

Abubakar I, Dalglish SL, Angell B, et al. The Lancet Nigeria Commission: investing in health and the future of the nation. Lancet. 2022; 399(10330):1155-1200. doi: 10.1016/S0140-6736(21)02488-0

Eze AE. Health Promotion and Its Challenges to Public Health Delivery System in Africa. Public Health in Developing Countries - Challenges and Opportunities. IntechOpen 2020 doi: 10.5772/intechopen.91859

World Health Organization 2001. Health Promotion: A Strategy for the African Region. Geneva: WHO. https://www.afro.who.int/sites/default/files/2017-06/Health%20Promotion%20Strategy%20inside%20English.pdf. Accessed June 29, 2023.

Nwatu CB. Improving access to diabetes care in Nigeria – The GIFSHIP opening. Int J Med Health Dev. 2022;27:319-325. doi: 10.4103/ijmh.ijmh_33_22

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2024-09-30

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Agofure, O., Abiodun, O. O., & Oyewole, O. E. (2024). Improving diabetes mellitus care in Nigeria – health promotion and education perspectives. European Journal of Clinical and Experimental Medicine, 22(3), 653–667. https://doi.org/10.15584/ejcem.2024.3.24

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