Availability and accessibility of diabetes clinics on Trinidad: An analysis using proximity tools in a GIS environment

Abstract

Non-communicable diseases (NCDs), account for a growing number of deaths worldwide. The English-speaking Caribbean has the highest per capita burden of NCDs in the region of the Americas [1]. This paper presents an overview of availability and accessibility based on clinic hours and physician fulltime equivalents (FTE) on the island of Trinidad devoted to diabetes and wound care. The project integrates a Geographic Information System (GIS) with epidemiologic and bio-statistical data to provide a necessary spatial analysis not otherwise possible. It examines the island’s ability to effectively deliver treatment to residents with diabetes by providing a geographic perspective to data published on the internet by the Trinidad-Tobago Ministry of Health and the Central Statistical Office. Results indicate a significant regional variability in both numbers of physicians and office hours devoted to diabetes treatment.

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Boda, P. (2013) Availability and accessibility of diabetes clinics on Trinidad: An analysis using proximity tools in a GIS environment. Health, 5, 35-42. doi: 10.4236/health.2013.511A2006.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] World Health Organization (WHO) (2013) Chronic illnesses.
http://www.who.int/topics/chronicdiseases/factsheets/en/index.html
[2] Population Reference Bureau (2013) Noncommunicable diseases and youth: A critical window of opportunity for Latin America/Caribbean. Policy Brief.
[3] Dachs, J., Norberto, W., Ferrer, M., Florez, C., Elisa, B., Aluisio, J.D., Narváez, R. and Valdivia, M. (2002) Inequalities in health in Latin America and the Caribbean: Descriptive and exploratory results for self-reported health problems and health care in twelve countries. Revista Panamericana de Salud Pública, 11, 335-355.
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-
49892002000500009&lng=en&tlng=en.10.1590/S1020-49892002000500009
[4] Naomar, A.-F., Ichiro, K., Alberto, P.F. and Norberto, W.D.J. (2003) Research on health inequalities in Latin America and the Caribbean: Bibliometric analysis (1971-2000) and Descriptive Content Analysis (1971-1995). American Journal of Public Health, 93, 2037-2043.
http://dx.doi.org/10.2105/AJPH.93.12.2037
[5] Montenegro, R.A. and Carolyn, S. (2006) Indigenous health in Latin America and the Caribbean. Lancet, 367, 1859-1869. http://dx.doi.org/10.1016/S0140-6736(06)68808-9
[6] Hospedales, C., James, S., Alafia, T., Cummings, R., Gollop, G. and Greene, E. (2011). Raising the priority of chronic noncommunicable diseases in the Caribbean. Revista Panamericana de Salud Pública, 30, 393-400.
[7] Perel, P., Casas, J.P., Ortiz, Z. and Miranda, J. (2006) Noncommunicable diseases and injuries in Latin America and the Caribbean: Time for action. PLOS Medicine, 3, e344. http://dx.doi.org/10.1371/journal.pmed.0030344
[8] Ferguson, T.S., Tulloch-Reid, M.K., Cunningham-Myrie, C.A., Davidson-Sadler, T., Copeland, S. and Lewis-Fuller, (2011) Chronic disease in the Caribbean: Strategies to respond to the public health challenge in the region. What can we learn from Jamaica’s experience? West Indian Medical Journal, 60, 397-411.
[9] Bourne, P.A. (2009) Socio-demographic determinants of health care-seeking behaviour, self-reported illness and self-evaluated health status in Jamaica. International Journal of Collaborative Research on Internal Medicine & Public Health, 1, 101-130.
[10] Bourne, P.A. and Joan, R. (2009) Good health status of rural women in the reproductive ages. International Journal of Collaborative Research on Internal Medicine & Public Health, 1, 132-155.
[11] Bourne, P.A. (2009) A theoretical framework of the good health status of Jamaicans: Using econometric analysis to model good health status over the life course. North American Journal of Medical Science, 1, 86-95.
[12] Chadee, D., Terrance, S., Lexley, M., Pinto, P., Mary, C., Rohan M., and Surujpal, T. (2013) Prevalence of selfreported diabetes, hypertension and heart disease in individuals seeking State funding in Trinidad and Tobago, West Indies. Journal of Epidemiology and Global Health, 3, 95-103. http://dx.doi.org/10.1016/j.jegh.2013.02.002
[13] Singh, H., Haqq, E.D. and Mustapha, N. (1999) Patients’ perception and satisfaction with health care professionals at primary care facilities in Trinidad and Tobago. Bulletin-World Health.
[14] Pinto, P., Lexley, M., Terrance, S., Suruipal, T. and Shivananda N. (2013) Restrictive pulmonary deficit is associated with inflammation in sub-optimally controlled obese diabetes. Journal of Thoracic Disease, 5, 289-297.
[15] Nayak, S., Sateesh, S., Castay, G., Safia, C., Jacita, B., Cecile, M., David, D., Francesca, K. and Shaun, W. (2013) Evaluation of pulmonary dysfunction among persons with type 2 diabetes in Trinidad. International Journal of Research and Development in Pharmacy and Life Sciences. http://imsear.hellis.org/handle/123456789/146400
[16] Nayak, B.S., Ali, P., Seepersad, R., Cooke, N., Geawan, S., Brown, A., Ramdeen, A., Mahabir, L. and Lutchman, B. (2013) Type 2 diabetes, high triglycerides, LDL, are risk factors for cardiovascular disease in persons 45 years and older. International Journal of Research in Pharmaceutical and Biomedical Sciences, 4, 165-169.
[17] Nayak, B.S., Kameel, M., Shawn, S., Justin, S., Shalina, S., Crystal, S., Cadina, S., Victoria, S., Nirvani, S. and Munish, S. (2013) A comparison between HbA1c and fasting plasma glucose in the diagnosis of type 2 diabetes in Trinidad: A high prevalence setting. World Journal of Pharmacy and Pharmaceutical Sciences, 1, 1171-1180.
[18] Ariyanayagam-Baksh, S.M., Bickram, L., Picou, D. and Mahabir, D..(1995) Counting the cost of diabetic hospital admissions from a multi-ethnic population in Trinidad. Diabetic Medicine, 12, 1077-1085.
http://dx.doi.org/10.1111/j.1464-5491.1995.tb00424.x
[19] Gulliford, M.C., Ariyanayagam-Baksh, S.M., Bickram, L., Picou, D. and Mahabir, D. (1997) Social environment, morbidity and use of health care among people with diabetes mellitus in Trinidad. International Journal of Epidemioogy, 26, 620-627.
http://dx.doi.org/10.1093/ije/26.3.620
[20] Nicholls, K. (2010) The diabetes epidemic in Trinidad & Tobago: Attacking a burdensome disease with conventional weapons. White paper.
http://www.docs-archive.com/view/76
6d00e5c7c28db89294aa2d77764114/THE-DIABETES-EPIDEMIC-IN-TRINIDAD-%26-TOBAGO.pdf
[21] Mahabir, D. and Guiliford, M.C. (1997) Use of medicinal plantgs for diabetes in Trinidad and Tobago. Revista Panamericana de Salud Publica, 1.
http://dx.doi.org/10.1590/S1020-498919970003000002
[22] Motilal, S. and Rohan, G.M. (2013) Nutmeg extracts for painful diabetic neuropathy: A randomized, double-blind, controlled study. The Journal of Alternative and Complementary Medicine, 19, 347-352.
http://dx.doi.org/10.1089/acm.2012.0016
[23] Gucciardi, E. and Souraya, S. (2013) A systematic literature review of diabetes self-management education features to improve diabetes education in women of Black African/Caribbean decent and Hispanic/Latin American ethnicity Patient Education and Counseling. Science Direct. http://www.sciencedirect.com/science/artiucle/pii/S073839911300116X
[24] New and comprehensive study of diabetes care in Trinidad-Tobago released (2012)
http://www.hopkinsmedicine.org/news/media/releases/new_and_compr
ehensive_study_of_diabetes_care_in_trinidad_and_tobago_released
[25] Carrington, S., Cohall, D.H., Gossell-Williams, M. and Lindo, J.F. (2012) The antimicrobial screening of a Barbadian medicinal plant with indications for use in the treatment of diabetic wound infections. West Indian Medical Journal.
http://caribbean.scielo.org/scielo.php?script=sci_arttext&pid=S0043-
31442012000900003&lng=en&nrm=iso
[26] Ferguson, T.S., Tulloch-Reid, M.K., Younger, N., Wright-Pascoe, R., Boyne, M., McFarland, S.R., Francis, D. and Wilks, R.J. (2012) Diabetic foot complications among patients attending a specialist diabetes clinic in Jamaica: Prevalence and associated factors. West Indian Medical Journal, 61.
[27] Lee, J., Wolch, J.R. and Walsh, J. (1998) Homeless health and service needs. In: Kearns, R.A. and Gesler, W., Eds., Putting Health into Place, Syracuse University Press, Syracuse.
[28] Penchansky, R. and Thomas, J.W. (1981) The concept of access: Definition and relationships to consumer satisfaction. Medical Care, 19, 127-140.
http://dx.doi.org/10.1097/00005650-198102000-00001
[29] Bureau of Primary Health Care (BPHC) (2012) Published in The Federal Register, 77, Government Accounting Office, Washington DC.
[30] Trinidad and Tobago Ministry of Health website (2013) http://www.health.gov.tt/

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