Author(s)

Mohamed Lamine Dramé^1*, Carmelle Mizéhoun-Adissoda², Salimanou Amidou², Paulin Sogbohossou³, René Paré³, Armand Ekambi³, Corine Houehanou², Dismand Houinato², Karel Gyselinck³, Michael Marx⁴, Maria Rosàrio Oliveira Martins¹, Paulo Ferrinho¹

¹Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal.
²Laboratory of Non-Communicable and Neurologic Diseases Epidemiology, Faculty of Health Science, University of Abomey-Calavi, Cotonou, Benin.
³Belgium Technical Cooperation—BTC, Cotonou, Benin.
⁴University of Heidelberg, Heidelberg, Germany.

Aims: Diabetes is a major public health problem in low and middle-income countries. This study 1) estimated prevalence and factors associated with hyperglycemia in Benin, and 2) assessed the treatment quality of diabetes. Methodology: A cross-sectional research was conducted with two components. The First component has included 4954 subjects aged (18 - 69) randomly selected in Mono/Couffo and Donga regions. Data were collected according to WHO’s STEPS approach. Capillary blood glucose was measured using the automat Cardiocheck® PA. The Second component considered Public Health Centers (PHCs) within the study regions. Health system established for diabetes control, healthcare practices and the level of involvement of the Public Healthcare Providers and community actors in the management of diabetes have been explored. Findings: A total of 4775 subjects participated in the first component with a predominance of women (56.8%), rural residence and aged (<45 years). Prevalence of hyperglycemia was 9.2%. Age ≥ 30 years, Fon ethnic groups and related, obesity, hypercholesterolemia, and inadequate intake of fruits and vegetables were positively associated with hyperglycemia. The second component has underscored a mismatch of facilities, processes and quality healthcare. Conclusion: Diabetes prevalence goes increasingly in Benin when its management is inadequate in PHCs. Prevention and control actions should be strengthened.

Diabetes, Determinants, Treatment, Benin

Dramé, M. , Mizéhoun-Adissoda, C. , Amidou, S. , Sogbohossou, P. , Paré, R. , Ekambi, A. , Houehanou, C. , Houinato, D. , Gyselinck, K. , Marx, M. , Martins, M. and Ferrinho, P. (2018) Diabetes and Its Treatment Quality in Benin (West Africa): Analysis of Data from the STEPS Survey 2015. Open Journal of Epidemiology, 8, 242-258. doi: 10.4236/ojepi.2018.84019.