{"id":12034,"date":"2021-06-11T17:28:59","date_gmt":"2021-06-11T17:28:59","guid":{"rendered":"https:\/\/www.mmj.mw\/?p=12034"},"modified":"2022-10-28T08:41:34","modified_gmt":"2022-10-28T08:41:34","slug":"this-disease-would-suit-better-those-who-have-moneyinsulin-treated-diabetes-illness-experience-in-rural-malawi","status":"publish","type":"post","link":"https:\/\/www.mmj.mw\/?p=12034","title":{"rendered":"\u2018This disease would suit better those who have money\u2019:Insulin-Treated Diabetes Illness Experience in rural Malawi"},"content":{"rendered":"\n<p>Ellen Nkambule <sup>1,2<\/sup>, Annie Msosa <sup>1<\/sup>, Kondwani Wella <sup>1<\/sup>, Gladys Msiska <sup>1<\/sup><\/p>\n\n\n\n<ol><li>Kamuzu College of Nursing, University of Malawi, Lilongwe Malawi\/Kamuzu University of Health Sciences<\/li><li>St John\u2019s Institute for Health, Mzuzu, Malawi.<br>* Corresponding author: Ellen Nkambule. (nkambule2019ellen@kcn.unima.mw)<\/li><\/ol>\n\n\n\n<p><strong>Abstract<\/strong><\/p>\n\n\n\n<p><strong>Background<\/strong><br>Understanding the illness experience among rural-based insulin-treated diabetic patients has implications for practice and policy. However, there is a lack of in-depth knowledge about insulin-treated diabetic patients\u2019 illness experiences in rural Malawi. We explored the experiences of people living with insulin-treated diabetes in rural Malawi.<br><strong>Research Designs and Methods<\/strong><br>The study used a qualitative narrative inquiry. Participants were identified at Kamuzu Central Hospital Diabetes Clinic. The hospital is a tertiary level health care facility. We purposively selected 10 participants from rural areas attending the clinic. Data were collected through in-depth interviews in the privacy of the homes of the study participants and analysis was done using Riessman approach of thematic narrative analysis.<br><strong>Results<\/strong><br>The following five themes emerged: (1) diabetes perceived as the illness for the rich; (2) \u2018everything is on a standstill\u2019; (3) dietary challenges of the diabetes illness experience; (4) drug-related challenges associated with the diabetes illness experience and (5) experiencing physical effects of the diabetes illness.<br><strong>Conclusion<\/strong><br>Rural-based insulin-treated diabetic patients struggled to live with the illness in the context of low resources. There is a need for multi-factorial approaches at both the community and system levels so as to support people living with diabetes in the rural areas in order to improve their experiences.<\/p>\n\n\n\n<div class=\"wp-block-buttons\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.mmj.mw\/wp-content\/uploads\/2021\/06\/ellen-100pdf.pdf\">Download PDF<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ellen Nkambule 1,2, Annie Msosa 1, Kondwani Wella 1, Gladys Msiska 1 Kamuzu College of Nursing, University of Malawi, Lilongwe Malawi\/Kamuzu University of Health Sciences St John\u2019s Institute for Health, Mzuzu, Malawi.* Corresponding author: Ellen Nkambule. (nkambule2019ellen@kcn.unima.mw) Abstract BackgroundUnderstanding the illness experience among rural-based insulin-treated diabetic patients has implications for practice and policy. However, there [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[109],"tags":[],"_links":{"self":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/12034"}],"collection":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12034"}],"version-history":[{"count":1,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/12034\/revisions"}],"predecessor-version":[{"id":12035,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/12034\/revisions\/12035"}],"wp:attachment":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12034"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12034"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}