Alejandro Domínguez Rodríguez, Ausiàs Cebolla I Marti, Jessica Navarro, Rosa María Baños Rivera
Nutritional education knowledge of teachers and nutritionists in four European countries
Nutricion hospitalaria
type 2 diabetes t2dm poses enormous global health care challenge especially among rural communities healthcare areas inadequate inaccessible due sociodemographic barriers overcome situation many low middleincome countries resorting task shifting using community health workers chws diabetes management however successful implementation depends practice behaviours knowledge workers crosssectional study aimed evaluate proficiency chws involved diabetes screening management rural south india identifying existing practice behaviours knowledge gaps employing customised questionnaire developed inputs experts government officials assessed practice behaviours corresponding knowledge base 275 chws analytical methodologies consisted descriptive statistics logistic regression mosaic plots comprehensive data interpretation study showcased significant deficiencies practice behaviours 97 knowledge 95 current mean levels ranging 48 50 respectively among participants identified areas insufficiency broadly representative core competencies required effective diabetes management encompassing diabetes diagnosis referral hba1c testing diabetes diet diabetes type selfmanagement microvascular complications screening peripheral neuropathy management diabetes risk assessment several areas correct practice behaviour reported relatively large number chws despite incorrect answers related knowledge questions referral health centres selfmanagement calculation diabetes risk assessment study highlights widespread deficiencies 97 chws diabetes management practices knowledge 95 chws overcome deficiencies thorough needs assessments vital effective chw training training chws identify prior knowledge andor behaviour also interrelationship help create robust flexible set practice behaviours