Skip to main content

Table 4 Simplification process of SOPs for the diagnosis of DM

From: Setting up a nurse-led model of care for management of hypertension and diabetes mellitus in a high HIV prevalence context in rural Zimbabwe: a descriptive study

 2016201720182019
Diagnostic approach
At site level
No diagnostic devices used at site levelFBS/RBS on hand-held glucometerFBS/RBS on hand-held glucometerFBS/RBS on hand-held glucometer
And HbA1c on Point of care platform to confirm
Conventional laboratory (hospital based)Lab-based FBGConfirm with lab-based FBGNot applicableNot applicable
Lab-based HbA1c to confirmLab-based HbA1c for final diagnosisLab-based A1c to confirmNot applicable
RationaleDependency on sample transport (ST) and stability
Lab overwhelmed
Delays in result reception
Same dependency on ST
Lab workload improved
Still delays in result reception
Same dependency on ST
Lab workload improved.
Still delays in result reception
Need for motivated HR to follow quality control procedures for HbA1c
Increased autonomy at PHC
Faster decision making