From: Diabetes care in a complex humanitarian emergency setting: a qualitative evaluation
Theme | Category | Codes | |
---|---|---|---|
Undermine programme effectiveness | Promote programme effectiveness | ||
Community awareness, knowledge and family support | Acceptance of DM Adherence to DM treatment Knowledge Accessibility of treatment | Ignorance regarding DM Word-of-mouth only DM awareness Reliance on traditional healers Fear of diagnosis Feeling of emasculation among men relating to diagnosis Recommended foods difficult to obtain, expensive Transportation to clinic challenging in conflict Long distance to clinic Perception of traditional medicines as more effective | Acceptance of chronic nature of disease View of medicine as the difference between life and death Awareness of consequences of not treating Support of family in DM diet and treatment adherence Bonding with other DM patients Appreciation of importance of regular appointments Patient education as empowerment |
Sustainable treatment approach | Implementation of DM programme Staff investment and capacity Ownership and certainty of programme Maintenance of DM programme | Heavy workload for staff compromises quality Low expectations for programme capacity No dedicated programme resources Dependence on NGO to maintain programme Low institutional investment in programme | Staff pride in programme Motivation from increased skills and responsibility |