Baseline assessment of knowledge of home based carers for people with diabetes in a rural village in South Africa: A quantitative study

Background: In South Africa, Type 2 Diabetes Mellitus (T2DM) is a significant health problem causing disability and premature death. Home Based Carers (HBCs) who care for T2DM patients in a rural village in South Africa lack formal training, which may result in knowledge deficits on the provision of care. Objective: To describe knowledge of HBCs who care for T2DM patients in a rural village in South Africa. Methods: A self-administered questionnaire with closed-ended questions was used. The questionnaire included seven questions to assess biographic characteristics, 13 self-test statements to assess actual common practices and 29 statements to test diabetes knowledge. Data were captured and analysed using the Statistical Package for Social Sciences version 24. Results: More than 60% of the HBCs’ had between 5 and 10 years of experience with a mean of 9 years. Eighty-nine percent (89%) of HBCs had some kind of secondary education but 89% never attended an in-service training on T2DM. Only 27% of HBCs agreed with the statement they could instruct people with diabetes on daily personal care and 11% agreed they could identify the normal ranges of blood glucose. Where 57% of the respondents agreed with the statement they could not perform one method of blood glucose control, 1 out of 3 (32%) agreed with the statement they could not instruct people with diabetes on self-care management for a sick day. The results revealed that there was no significant relationship (rho=.055, N = 53, p = 0.69) between HBCs years of experience and knowledge scores. Conclusion: The study showed that HBCs who care for people with diabetes lack knowledge with regard to diabetes mellitus. Therefore, people with diabetes in a rural village in South Africa are not managed well and there is a need for training of HBCs on T2DM.