Retrospective assessment of the quality of diabetes care in a rural diabetes clinic in Western Kenya

BMC Endocrine Disorders

Table 7 - Grading of the WDH clinic structure metrics against the International Diabetes Federation Guidelines

IDF Domains	Below minimal care	Minimal Care	Standard Care
Screening		X
Care delivery			X
Education			X
Psychological Care	X – Limited access to mental health care referral and medications
Lifestyle management		X
Glucose control Targets		X
Clinical Monitoring			X
Self-monitoring			X
Glucose control: oral therapy		X
Glucose control: insulin therapy			X
Blood pressure control			X
Cardiovascular risk protection	X-Statins infrequently used/available
Eye Screening		X
Kidney damage	X-limited assessment for proteinuria or routine creatinine
Foot care		X
Nerve damage		X
Pregnancy	X-Approved methods for diabetes screening not routinely done
Children			X
In-patient care	X-Limited access to intensive care and limited biochemistry capacity

ISSN: 1472-6823