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Table 2 Study indicators and measurement

From: Quality and barriers of outpatient diabetes care in rural health facilities in Uganda – a mixed methods study

Dimension

Indicators

Definition

Foundations of quality systems

Staff and training

 Guidelines for diagnosis & treatment of DM

Observed presence of national (&other) guidelines for DM

 Staff trained in diabetes diagnosis & treatment

At least one staff member providing DM services trained in some aspect of DM care

Basic technologies/Equipment

 Adult weighing scale

Observed availability & reported functionality of each item at the facility

 Blood pressure measurement device

 Stethoscope

 Glucometer

 Blood glucose test strips

 Measuring tape

 Urine protein test strips

Essential medicines

 Metformin

Observed availability of each medicine at the facility

 Glibenclamide

 Insulin

Diagnostics

 Blood glucose

Able to conduct the test at the facility and observed availability of functioning equipment & reagents for the test

 Urine dipstick- protein

 Urine dipstick- albumin/ketones

 Blood cholesterol

Processes of care

Blood glucose monitoring

Received at least one glucose measurement in past year

Blood pressure monitoring

Received at least one blood pressure measurement in past year

Blood cholesterol monitoring

Received at least one cholesterol measurement in past year

Monitoring kidney disease

Received urine-protein test in past year

Eye examination

Received dilated eye examination in past year

Foot examination

Received foot examination in past year

Health Outcomes

Blood glucose control

Having RBS level of ≤11.0 mmol/l

Blood pressure control

Having BP of ≤130/80 mmHg

Chronic complications

Having at least one of the selected complications