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OP17 A small amount of nutrition knowledge influences the business practices by street food vendors and food preferences of consumers in the Western Cape Province, South Africa
DIABETES RESEARCH A N D CLINICAL PRACTICE
103S (2014) S 1–S61
S13
used to calculate its glycemic index (GI), using the OGTT as the reference. The accompanying sauces tested with foofoo corn were: okra sauce (Abelmoschus esculentus), the so-called yellow sauce (Elaeis guinensis), the pistachio sauce (Pistacia vera), the “nkui” (Triumpheta pentandra), “ndolé” (Vernonia amygdalima) and cabbage (Brassica oleracea). Results: All meals had low glycemic index. Okra and cabbage had the highest GI (22.59%), followed by “ndolè” (20.18%), the yellow sauce (13.10%), pistachio sauce (11.60%), and “nkui” (5.27%). There were no significant changes in triglycerides level. Conclusion: Whatever the sauce that accompanies, foofoo corn has a low glycemic index. With 5.27%, “Nkui” gives it a very low glycemic index, the lowest of all mixed foods currently known, and may provide a pharmacological interest.
knowledge, attitudes, and perceptions that ordinary people have about PA. This information is rather limited or non existent, in sub Saharan Africa. We collected data on the impediments, motivations and conditions of engaging in physical activity in two urban settings of Cameroon. Methods: Six focus group discussions (FGDs) were conducted with 61 consenting male and female adults 20 years and older in Nkwen, Bamenda, North West Region and in Biyemassi, Yaounde, Central Region, Cameroon. Discussion sessions were tape recorded, transcribed and analyzed. Results: All participants expressed the idea that PA promotes good health. Socio-economic and technological changes affect physical activity levels. Motivations for PA included the positive results generated by PA, like being “smart”, reduction of stress, general wellbeing
OP15 The food sold by street foods vendors in the Western Cape Province, South Africa do not foster good health
and good health. The availability of good infrastructure was considered a facilitator and thereby a motivating factor of PA. Barriers included sweating, lack of infrastructure, lack of time, ignorance of the benefits of PA, bad weather, illness, and old age. Recommendations from participants for improving PA levels are included. Conclusion: Despite expressing constraints in the practice of PA, participants indicated interest in being physical activities. There was indication of a high level of awareness in the benefits of PA and a wish to see public institutions involved in the provision of viable infrastructure and promotion of PA in local communities.
J. Hill a , Z. Mchiza a , N. Steyn b . a Medical Research Council; b Human Sciences Research Council Introduction: There is dearth of data on the nutritional value of food sold in the streets in the developing countries, despite the proliferation of these foods in these countries and the concern that most of these foods are strong risk factors for chronic non-communicable diseases when consumed in excess. Aim: To conduct a situational analysis on the type and condition of foods sold by vendors on the streets of Cape Town and surrounding areas. Methods: One hundred eighty-six vendors selling different types of food around various community centres took part in the survey. The interviews were conducted by trained fieldworkers using validated questionnaires. Street foods were categorised in different ways: i) by meal; ii) by single food item or beverage; iii) by the level of processing and iv) by method of cooking (fried, boiled, baked, grilled, roasted and steamed). Results: A vast amount of different types of street foods were observed to be sold by street vendors in these areas. The majority of vendors had more than one food item for sale, while some specialised in a specific type of food only that included bread with various fillings; traditional or cultural cuisines and meat dishes; deep fat fried foods, crisps, sweets, biscuits and processed foods, sweetened beverages as well as fruit and vegetables. The picture observed highlighted that 12%, 8%, 68%, 67% and 78% of the vendors sold high fat meals, deep fat fried food items, packaged crisps, sweets and sugar concentrated beverages, respectively. Fewer vendors sold fruits (36%) and vegetables (16%). Conclusion: A sound scientific street food policy by the City of Cape Town Government is recommended to enforce healthy street food business to ensure public health in the province.
OP16 Motivations and barriers of physical activity (PA) in urban Cameroon: Results of a qualitative study G. Mbeh, F. Assah, J. Saji, E. Atanga. HoPiT, Yaounde, Cameroon Introduction: Physical Activity (PA) is known to promote good health and to improve the prevention and management of obesity and non communicable diseases (NCDs). However, in urban sub Saharan Africa (SSA), it is observed that PA levels are declining while physical inactivity is on the rise. The challenge for public health authorities is to reverse or slow down this trend through socio-economic and culturally appropriate interventions. Recommendations to find ways to increase physical activity in urban areas, as a measure to prevent NCDs, have been called for. Effective interventions need to be informed by the
OP17 A small amount of nutrition knowledge influences the business practices by street food vendors and food preferences of consumers in the Western Cape Province, South Africa Z. Mchiza a , J. Hill a , N. Steyn b . a Medical Research Council; b Human Sciences Research Council Introduction: South Africa is in its final stage of nutrition transition and also displays the classic features of a population well established in the nutrition-related non-communicable disease (NCD). South African adults have a small amount of knowledge when it comes to health and nutrition. A major concern thereof, since the majority of food sold on the streets are concentrated in saturated- and trans-fat, sugar and salt, and are therefore strong risk factors for NCDs. Objective: To assess nutrition/food knowledge of 186 street food vendors and 263 consumers in the Western Cape, South Africa to serve as a point of reference to the food preferred by consumers in these areas. Methods: General knowledge of street food vendors and consumers regarding the nutrient content of food was investigated using 15 questions. The types of food sold by vendors and the foods preferred by consumers were investigated. Trained fieldworkers administered validated questionnaires. Results: Three percent consumers and less than ten percent vendors (7%) scored high (11–15 correct answers) on the questions regarding the knowledge of fat, sugar and salt content of food. One hundred percent, 41%, 79% and 49% consumers preferred buying sugar concentrated fruit juice blends and fizzy drinks, crisps and biscuits, sweets and chocolates, as well as high fat meat dishes and deep fat fried foods, respectively. Eighty percent and 81% of consumers reported purchasing fruits and vegetables most often (4–7 days per week), respectively. Majority (70%) of vendors specialized in selling foods that are high in fat, sugar and salt content; with only a fewer specializing in selling fruits and vegetables. Conclusion: Although nutrition knowledge, alone, may not be adequate as a determinant of maintaining a healthy diet, there
S14
DIABETES RESEARCH A N D CLINICAL PRACTICE
is concern that knowledge can encourage the preferences of less healthy types of food.
OP18 Contexte psychologique et stratégies de coping adoptées par les malades du diabète au CHU Sylvanus Olympio à Lomé, Togo d’août 2011 à décembre 2012 A. Balaka a , M.A. Djibril a , T. Tchamdja a , K.D. Nemi a , K.A. Djagadou a , K. Agbetiafa a , E. Tambourou b , A. Tousso b , A. Agbétra a . a Service de médecine interne, CHU Sylvanus Olympio, Université de Lomé ; b Service de psychiatrie et de psychologie médicale, CHU Sylvanus Olympio, Université de Lomé Objectif : Notre objectif était d’évaluer l’influence du contexte psychologique sur les types de stratégies d’ajustements adoptés par les malades du diabète au service de médecine interne du CHU Sylvanus Olympio. Méthodes : Il s’était agi d’une étude descriptive et analytique portant sur 260 malades du diabète. Les données ont été recueillies grâce à un guide d’entretien à savoir : contexte psychologique des diabétiques et un questionnaire, celui de l’évaluation des stratégies de coping validé en France par Lazarus R. S. et Folkman S. (2001). Résultats : Durant la période, 260 patients sujets diabétiques dont 142 hommes (54,6 %) et 118 femmes (45,4 %). La sexratio (F/H) était de 0,83. La moyenne d’âge était de 52 ans ±11 ans (extrêmes : 20 ans et 73 ans). Pour le contexte psychologique dans lequel vivaient les diabétiques, 78,5 % de nos malades trouvaient les antidiabétiques trop chers, 69,2 % se sentaient affectés par les conflits familiaux ; 61,53 % se sentaient seuls et 76,3 % se voyaient abandonnés. Seuls 17,8 % pensaient être une source de malheur pour leur famille. Les difficultés socioéconomiques qui caractérisaient le quotidien des diabétiques (50 %) entrainaient chez ces derniers des stratégies d’ajustement majoritairement centrées sur l’émotion. S’agissant du coping adopté, les stratégies centrées sur les émotions étaient de 50 % des cas. Dans 36,3 % des cas, les malades interrogés adoptaient les stratégies centrées sur la résolution des problèmes et 33,8 % adoptaient les stratégies centrées sur la recherche de soutien auprès de l’entourage. Une répartition sexuelle du coping montrait que les femmes utilisaient majoritairement les stratégies centrées sur l’émotion (52,5 %) contre 26,8 % pour les hommes. Discussion : Notre étude montre l’importance qu’occupent les facteurs psychologiques dans la gestion des maladies chroniques en général et du diabète en particulier. Les efforts doivent être redoublés dans le suivi des diabétiques en accordant plus d’attention à leur vie psychosociale.
OP19 Factors hindering attitude to treatment among patients with type-2 diabetes mellitus in the Niger Delta, Nigeria A. Otovwe, O. Oyewole. Dept. of health promotion and education, University of Ibadan Introduction: Type-2 Diabetes mellitus could be well managed if patients adhere strictly to treatment regimen. Patients’ attitude to treatment recommendations has been shown to influence level of adherence to treatment. Consequently, the study investigated the factors hindering attitude to treatment among patients with Type-2 Diabetes Mellitus in the Niger Delta, Nigeria. Methods: A cross-sectional study was conducted among 350 purposively selected patients with Type-2 diabetes mellitus. A semi-structured questionnaire was interviewer administered to obtain information on respondents’ socio-demographic characteristics, attitude to medication and dietary treatment, and factors hindering attitude to treatment. Descriptive statistics,
103S (2014) S 1–S61
Chi-square test and logistic regression were used to analyse the data with level of significance set at 0.05. Results: Mean age of respondents was 57.9±9.8 years, 60.9% were females and 78.0% were married. Above average of respondents exhibited good attitude to medication (65.10%) and dietary (64.0%) treatment respectively. Analysis of the determinants of poor attitude to medication treatment shows; taking many drugs to get better quickly was the major contributing variable at (OR = 2.08 95% CI = 1.268–3.406). Major factors hindering attitude to medication and dietary treatment includes difficulty in sticking to recommended diet, long queues and waiting times in the clinic; side effects from recommended drugs, and the least was doctors not having much time to listen to patients’ complaints. Conclusion: Taking many drugs to get better quickly and many other factors hindering attitude to treatment recommendations remains a challenge among patients with type-2 diabetes mellitus. Thus, health education on diabetic care with emphasis on improving attitude to medication and dietary treatment regimen, among other strategies, should be organised regularly for diabetic patients as one of the management strategies.
OP20 La colonie de vacances comme outil d’éducation thérapeutique dans le suivi des enfants et adolescents diabétiques M.A. Barry, N.B. Baldé, K. Moustapha, J.S. Bangoura, M.C. Diallo, T.O. Bano, A.S. Baldé, A.G. Barry, M.A. Diallo, T.S. Diallo. Hôpital Universitaire (Guinée-Conakry) Objectif : Évaluer la colonie de vacances comme outil éducation thérapeutique des enfants et adolescents diabétiques. Méthodes : L’étude a concerné 46 enfants diabétiques suivis au CHU de Donka-Conakry et dans les unités régionales de Diabétologie. Un questionnaire a été soumis aux enfants au début et à la fin de la colonie, et un bilan réalisé. Le diagnostic éducatif posé par les soignants en charge des enfants avant la colonie a été comparé à celui fait par les soignants au cours de la colonie. Résultats : L’âge moyen des sujets était de 15,6±3,2 ans [9– 21] et le sex-ratio était de 1,15. La moyenne de l’hémoglobine glyquée (HbA1C) était 8,2±2,8 % [4–14]. Le diagnostic éducatif pré-colonie était comparable à celui observé pendant la colonie. La colonie de vacances a permis une amélioration des connaissances des enfants sur les risques de complications sur l’artériopathie (30,4 % Vs 90 %), la rétinopathie (34,7 % Vs 91,3 %), la cardiopathie (8,6 % Vs 65,2 %) ; sur la gestion de l’hypoglycémie (78,2 VS 95, 6 %). Conclusion : Les résultats de cette étude indiquent que la colonie de vacance a eu un impact positif sur les connaissances des enfants diabétiques sur les risques de complication et sur leurs compétences dans la gestion des hypoglycémies. Au delà du partenariat en cours, ce type d’activités mérite d’être pérennisé prioritairement.
OP21 Outil de plaidoyer pour le diabète de type 2 fondé sur l’estimation des coûts médicaux dans quatre pays africains K. Alouki a , H. Delisle a , S. Besançon b , N. Baldé c . a Université de Montréal (Canada) ; b Santé Diabète Mali ; c Hôpital Universitaire (Guinée-Conakry) Objectif : Développer un outil simple pour estimer les coûts médicaux du diabète et de ses complications pour les patients, dans la perspective du système de santé Méthodes : Dans le cadre du projet “ Double fardeau de la malnutrition ”, un groupe de travail de quatre pays d’Afrique de l’ouest a d’abord paramétré les soins pour une prise en charge
103S (2014) S 1–S61
S13
used to calculate its glycemic index (GI), using the OGTT as the reference. The accompanying sauces tested with foofoo corn were: okra sauce (Abelmoschus esculentus), the so-called yellow sauce (Elaeis guinensis), the pistachio sauce (Pistacia vera), the “nkui” (Triumpheta pentandra), “ndolé” (Vernonia amygdalima) and cabbage (Brassica oleracea). Results: All meals had low glycemic index. Okra and cabbage had the highest GI (22.59%), followed by “ndolè” (20.18%), the yellow sauce (13.10%), pistachio sauce (11.60%), and “nkui” (5.27%). There were no significant changes in triglycerides level. Conclusion: Whatever the sauce that accompanies, foofoo corn has a low glycemic index. With 5.27%, “Nkui” gives it a very low glycemic index, the lowest of all mixed foods currently known, and may provide a pharmacological interest.
knowledge, attitudes, and perceptions that ordinary people have about PA. This information is rather limited or non existent, in sub Saharan Africa. We collected data on the impediments, motivations and conditions of engaging in physical activity in two urban settings of Cameroon. Methods: Six focus group discussions (FGDs) were conducted with 61 consenting male and female adults 20 years and older in Nkwen, Bamenda, North West Region and in Biyemassi, Yaounde, Central Region, Cameroon. Discussion sessions were tape recorded, transcribed and analyzed. Results: All participants expressed the idea that PA promotes good health. Socio-economic and technological changes affect physical activity levels. Motivations for PA included the positive results generated by PA, like being “smart”, reduction of stress, general wellbeing
OP15 The food sold by street foods vendors in the Western Cape Province, South Africa do not foster good health
and good health. The availability of good infrastructure was considered a facilitator and thereby a motivating factor of PA. Barriers included sweating, lack of infrastructure, lack of time, ignorance of the benefits of PA, bad weather, illness, and old age. Recommendations from participants for improving PA levels are included. Conclusion: Despite expressing constraints in the practice of PA, participants indicated interest in being physical activities. There was indication of a high level of awareness in the benefits of PA and a wish to see public institutions involved in the provision of viable infrastructure and promotion of PA in local communities.
J. Hill a , Z. Mchiza a , N. Steyn b . a Medical Research Council; b Human Sciences Research Council Introduction: There is dearth of data on the nutritional value of food sold in the streets in the developing countries, despite the proliferation of these foods in these countries and the concern that most of these foods are strong risk factors for chronic non-communicable diseases when consumed in excess. Aim: To conduct a situational analysis on the type and condition of foods sold by vendors on the streets of Cape Town and surrounding areas. Methods: One hundred eighty-six vendors selling different types of food around various community centres took part in the survey. The interviews were conducted by trained fieldworkers using validated questionnaires. Street foods were categorised in different ways: i) by meal; ii) by single food item or beverage; iii) by the level of processing and iv) by method of cooking (fried, boiled, baked, grilled, roasted and steamed). Results: A vast amount of different types of street foods were observed to be sold by street vendors in these areas. The majority of vendors had more than one food item for sale, while some specialised in a specific type of food only that included bread with various fillings; traditional or cultural cuisines and meat dishes; deep fat fried foods, crisps, sweets, biscuits and processed foods, sweetened beverages as well as fruit and vegetables. The picture observed highlighted that 12%, 8%, 68%, 67% and 78% of the vendors sold high fat meals, deep fat fried food items, packaged crisps, sweets and sugar concentrated beverages, respectively. Fewer vendors sold fruits (36%) and vegetables (16%). Conclusion: A sound scientific street food policy by the City of Cape Town Government is recommended to enforce healthy street food business to ensure public health in the province.
OP16 Motivations and barriers of physical activity (PA) in urban Cameroon: Results of a qualitative study G. Mbeh, F. Assah, J. Saji, E. Atanga. HoPiT, Yaounde, Cameroon Introduction: Physical Activity (PA) is known to promote good health and to improve the prevention and management of obesity and non communicable diseases (NCDs). However, in urban sub Saharan Africa (SSA), it is observed that PA levels are declining while physical inactivity is on the rise. The challenge for public health authorities is to reverse or slow down this trend through socio-economic and culturally appropriate interventions. Recommendations to find ways to increase physical activity in urban areas, as a measure to prevent NCDs, have been called for. Effective interventions need to be informed by the
OP17 A small amount of nutrition knowledge influences the business practices by street food vendors and food preferences of consumers in the Western Cape Province, South Africa Z. Mchiza a , J. Hill a , N. Steyn b . a Medical Research Council; b Human Sciences Research Council Introduction: South Africa is in its final stage of nutrition transition and also displays the classic features of a population well established in the nutrition-related non-communicable disease (NCD). South African adults have a small amount of knowledge when it comes to health and nutrition. A major concern thereof, since the majority of food sold on the streets are concentrated in saturated- and trans-fat, sugar and salt, and are therefore strong risk factors for NCDs. Objective: To assess nutrition/food knowledge of 186 street food vendors and 263 consumers in the Western Cape, South Africa to serve as a point of reference to the food preferred by consumers in these areas. Methods: General knowledge of street food vendors and consumers regarding the nutrient content of food was investigated using 15 questions. The types of food sold by vendors and the foods preferred by consumers were investigated. Trained fieldworkers administered validated questionnaires. Results: Three percent consumers and less than ten percent vendors (7%) scored high (11–15 correct answers) on the questions regarding the knowledge of fat, sugar and salt content of food. One hundred percent, 41%, 79% and 49% consumers preferred buying sugar concentrated fruit juice blends and fizzy drinks, crisps and biscuits, sweets and chocolates, as well as high fat meat dishes and deep fat fried foods, respectively. Eighty percent and 81% of consumers reported purchasing fruits and vegetables most often (4–7 days per week), respectively. Majority (70%) of vendors specialized in selling foods that are high in fat, sugar and salt content; with only a fewer specializing in selling fruits and vegetables. Conclusion: Although nutrition knowledge, alone, may not be adequate as a determinant of maintaining a healthy diet, there
S14
DIABETES RESEARCH A N D CLINICAL PRACTICE
is concern that knowledge can encourage the preferences of less healthy types of food.
OP18 Contexte psychologique et stratégies de coping adoptées par les malades du diabète au CHU Sylvanus Olympio à Lomé, Togo d’août 2011 à décembre 2012 A. Balaka a , M.A. Djibril a , T. Tchamdja a , K.D. Nemi a , K.A. Djagadou a , K. Agbetiafa a , E. Tambourou b , A. Tousso b , A. Agbétra a . a Service de médecine interne, CHU Sylvanus Olympio, Université de Lomé ; b Service de psychiatrie et de psychologie médicale, CHU Sylvanus Olympio, Université de Lomé Objectif : Notre objectif était d’évaluer l’influence du contexte psychologique sur les types de stratégies d’ajustements adoptés par les malades du diabète au service de médecine interne du CHU Sylvanus Olympio. Méthodes : Il s’était agi d’une étude descriptive et analytique portant sur 260 malades du diabète. Les données ont été recueillies grâce à un guide d’entretien à savoir : contexte psychologique des diabétiques et un questionnaire, celui de l’évaluation des stratégies de coping validé en France par Lazarus R. S. et Folkman S. (2001). Résultats : Durant la période, 260 patients sujets diabétiques dont 142 hommes (54,6 %) et 118 femmes (45,4 %). La sexratio (F/H) était de 0,83. La moyenne d’âge était de 52 ans ±11 ans (extrêmes : 20 ans et 73 ans). Pour le contexte psychologique dans lequel vivaient les diabétiques, 78,5 % de nos malades trouvaient les antidiabétiques trop chers, 69,2 % se sentaient affectés par les conflits familiaux ; 61,53 % se sentaient seuls et 76,3 % se voyaient abandonnés. Seuls 17,8 % pensaient être une source de malheur pour leur famille. Les difficultés socioéconomiques qui caractérisaient le quotidien des diabétiques (50 %) entrainaient chez ces derniers des stratégies d’ajustement majoritairement centrées sur l’émotion. S’agissant du coping adopté, les stratégies centrées sur les émotions étaient de 50 % des cas. Dans 36,3 % des cas, les malades interrogés adoptaient les stratégies centrées sur la résolution des problèmes et 33,8 % adoptaient les stratégies centrées sur la recherche de soutien auprès de l’entourage. Une répartition sexuelle du coping montrait que les femmes utilisaient majoritairement les stratégies centrées sur l’émotion (52,5 %) contre 26,8 % pour les hommes. Discussion : Notre étude montre l’importance qu’occupent les facteurs psychologiques dans la gestion des maladies chroniques en général et du diabète en particulier. Les efforts doivent être redoublés dans le suivi des diabétiques en accordant plus d’attention à leur vie psychosociale.
OP19 Factors hindering attitude to treatment among patients with type-2 diabetes mellitus in the Niger Delta, Nigeria A. Otovwe, O. Oyewole. Dept. of health promotion and education, University of Ibadan Introduction: Type-2 Diabetes mellitus could be well managed if patients adhere strictly to treatment regimen. Patients’ attitude to treatment recommendations has been shown to influence level of adherence to treatment. Consequently, the study investigated the factors hindering attitude to treatment among patients with Type-2 Diabetes Mellitus in the Niger Delta, Nigeria. Methods: A cross-sectional study was conducted among 350 purposively selected patients with Type-2 diabetes mellitus. A semi-structured questionnaire was interviewer administered to obtain information on respondents’ socio-demographic characteristics, attitude to medication and dietary treatment, and factors hindering attitude to treatment. Descriptive statistics,
103S (2014) S 1–S61
Chi-square test and logistic regression were used to analyse the data with level of significance set at 0.05. Results: Mean age of respondents was 57.9±9.8 years, 60.9% were females and 78.0% were married. Above average of respondents exhibited good attitude to medication (65.10%) and dietary (64.0%) treatment respectively. Analysis of the determinants of poor attitude to medication treatment shows; taking many drugs to get better quickly was the major contributing variable at (OR = 2.08 95% CI = 1.268–3.406). Major factors hindering attitude to medication and dietary treatment includes difficulty in sticking to recommended diet, long queues and waiting times in the clinic; side effects from recommended drugs, and the least was doctors not having much time to listen to patients’ complaints. Conclusion: Taking many drugs to get better quickly and many other factors hindering attitude to treatment recommendations remains a challenge among patients with type-2 diabetes mellitus. Thus, health education on diabetic care with emphasis on improving attitude to medication and dietary treatment regimen, among other strategies, should be organised regularly for diabetic patients as one of the management strategies.
OP20 La colonie de vacances comme outil d’éducation thérapeutique dans le suivi des enfants et adolescents diabétiques M.A. Barry, N.B. Baldé, K. Moustapha, J.S. Bangoura, M.C. Diallo, T.O. Bano, A.S. Baldé, A.G. Barry, M.A. Diallo, T.S. Diallo. Hôpital Universitaire (Guinée-Conakry) Objectif : Évaluer la colonie de vacances comme outil éducation thérapeutique des enfants et adolescents diabétiques. Méthodes : L’étude a concerné 46 enfants diabétiques suivis au CHU de Donka-Conakry et dans les unités régionales de Diabétologie. Un questionnaire a été soumis aux enfants au début et à la fin de la colonie, et un bilan réalisé. Le diagnostic éducatif posé par les soignants en charge des enfants avant la colonie a été comparé à celui fait par les soignants au cours de la colonie. Résultats : L’âge moyen des sujets était de 15,6±3,2 ans [9– 21] et le sex-ratio était de 1,15. La moyenne de l’hémoglobine glyquée (HbA1C) était 8,2±2,8 % [4–14]. Le diagnostic éducatif pré-colonie était comparable à celui observé pendant la colonie. La colonie de vacances a permis une amélioration des connaissances des enfants sur les risques de complications sur l’artériopathie (30,4 % Vs 90 %), la rétinopathie (34,7 % Vs 91,3 %), la cardiopathie (8,6 % Vs 65,2 %) ; sur la gestion de l’hypoglycémie (78,2 VS 95, 6 %). Conclusion : Les résultats de cette étude indiquent que la colonie de vacance a eu un impact positif sur les connaissances des enfants diabétiques sur les risques de complication et sur leurs compétences dans la gestion des hypoglycémies. Au delà du partenariat en cours, ce type d’activités mérite d’être pérennisé prioritairement.
OP21 Outil de plaidoyer pour le diabète de type 2 fondé sur l’estimation des coûts médicaux dans quatre pays africains K. Alouki a , H. Delisle a , S. Besançon b , N. Baldé c . a Université de Montréal (Canada) ; b Santé Diabète Mali ; c Hôpital Universitaire (Guinée-Conakry) Objectif : Développer un outil simple pour estimer les coûts médicaux du diabète et de ses complications pour les patients, dans la perspective du système de santé Méthodes : Dans le cadre du projet “ Double fardeau de la malnutrition ”, un groupe de travail de quatre pays d’Afrique de l’ouest a d’abord paramétré les soins pour une prise en charge