Mental health in diabetes management: A qualitative study

Abstract

The realization of Sustainable Development Goal 3 (Target 3.4) is hindered by the high cost of treatment and budget cuts in health services provision in sub-Saharan Africa. Available research in diabetes self-management scarcely emphasizes mental health yet it is an important predictor of self-management.  As part of a broader study, this qualitative arm sought to explore psychological challenges associated with diabetes self-management. The sample of 12 respondents comprised people living with diabetes, health professionals, community health workers and caregivers in Kenya. Semi-structured in-depth interviews were used for data collection. Data were coded manually. The themes of stigma and mental distress were found in analysis. Research, design and implementation of support models that incorporate elements of self-empowerment and patients’ psychological needs are recommended.