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Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa
Thesis (MMed)--Stellenbosch University, 2014.
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| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : University of Stellenbosch
2016
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| _version_ | 1867614015646072832 |
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| access_status_str | Open Access |
| author | Kroukamp, Roland |
| author2 | Mash, Bob |
| author_browse | Kroukamp, Roland Mash, Bob |
| author_facet | Mash, Bob Kroukamp, Roland |
| author_sort | Kroukamp, Roland |
| collection | Thesis |
| dc_rights_str_mv | University of Stellenbosch |
| description | Thesis (MMed)--Stellenbosch University, 2014. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/98219 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:45:19.124Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Stellenbosch : University of Stellenbosch |
| publisherStr | Stellenbosch : University of Stellenbosch |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/98219 Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa Kroukamp, Roland Mash, Bob University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Family Medicine and Primary Care. UCTD Diabetes -- South Africa -- Western Cape Patient eduction -- South Africa -- Western Cape-- Cost effectiveness Thesis (MMed)--Stellenbosch University, 2014. ENGLISH ABSTRACT: Background Resource constrained primary care environments in Africa need cost-effective models of patient education to combat the emerging epidemic of non-communicable chronic diseases. This study aimed to evaluate the cost-effectiveness of a group diabetes education programme delivered by health promoters with a guiding style,in community health centres in the Western Cape, South Africa. Method The effectiveness of the education programme was derived from the outcomes of a pragmatic cluster randomised controlled trial (RCT). Incremental operational costs of the intervention, as implemented in the trial, were calculated. All these data were entered into a Markov micro-simulation model to model outcomes and cost-effectiveness expressed as an Incremental Cost Effectiveness Ratio (ICER).Data predicting risk of death from stroke and ischaemic heart disease in this model was derived from South African surveys. Results: The only significant effect from the RCT was a reduction in blood pressure at 1-year (systolic blood pressure -4.65mmHg (-9.18- -0.12) and diastolic blood pressure -3.30mmHg (-5.35 - -1.26)). The ICER for the intervention, based on the assumption that the costs would recur every year and the effect be maintained, was 1862. Conclusion: An ICER of less than 10000 for medical intervention in South Africa is considered cost-effective. A structured group education programme performed by mid-level trained healthcare workers with a guiding style at community health clinics, for the management of Type 2 diabetes in the Western Cape, South Africa is therefore cost-effective. AFRIKAANSE OPSOMMING: Nie beskikbaar nie. 2016-01-28T11:36:23Z 2016-01-28T11:36:23Z 2014-03 Thesis http://hdl.handle.net/10019.1/98219 en_ZA University of Stellenbosch 22 pages application/pdf Stellenbosch : University of Stellenbosch |
| spellingShingle | UCTD Diabetes -- South Africa -- Western Cape Patient eduction -- South Africa -- Western Cape-- Cost effectiveness Kroukamp, Roland Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa |
| title | Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa |
| title_full | Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa |
| title_fullStr | Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa |
| title_full_unstemmed | Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa |
| title_short | Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa |
| title_sort | cost effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in cape town south africa |
| topic | UCTD Diabetes -- South Africa -- Western Cape Patient eduction -- South Africa -- Western Cape-- Cost effectiveness |
| url | http://hdl.handle.net/10019.1/98219 |
| work_keys_str_mv | AT kroukamproland costeffectivenessofadiabetesgroupeducationprogrammedeliveredbyhealthpromoterswithaguidingstyleinunderservedcommunitiesincapetownsouthafrica |