Adherence to Care Among Children and Adolescents with Type 1 Diabetes Mellitus in Primary Care Clinic in Kigali, Rwanda

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School of Nursing and Midwifery, East Africa


Type 1 diabetes mellitus (T1DM) causes a huge burden globally, especially in children and adolescents. Evidence shows that better adherence to T1DM care is associated with improved clinical and health outcomes. However, little is known about the adherence to T1DM care among children and adolescents in Rwanda. This study aimed to investigate the adherence of children and adolescents to diabetes care in Rwanda. A cross-sectional and quantitative study design was used. In total, we recruited 108 participants between 10 to 19 years of age who visited the primary care clinic of the Rwanda diabetes association center between 1st March 2019 and 30th May 2019. Descriptive and logistic regression analyses were used to analyze the data. A p-value less than 0.05 with a 95% Confidence Interval (CI) was considered to be statistically significant. As result, of 106 participants, (59.4%) were females and 79.2% were aged between 15-19 years. A total of 84 (79.2%) respondents were adherent to T1DM care while (20.8%) were not adherent. Multivariate logistic regression analysis indicated that only living with a parent or guardian who had an occupation was a predictor of adherence to T1DM care (OR: 8.994, 95%CI: 1.355-59.71, p=.023). Taken together, Adherence is an important factor in the management of type 1 diabetes among children and adolescents. Strengthening care among children and adolescents with T1DM in primary care is needed to increase adherence to treatment for a better outcome.


This work was published before the author joined Aga Khan University.

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