Facilitators and barriers for early detection and management of type II diabetes and hypertension, Sidama Regional State, Ethiopia

a qualitative study


  • Tigist Kebede Hawassa University Author
  • Dejene Hailu Hawassa University Author
  • Alemneh Kabeta Hawassa University Author
  • Afework Mulugeta Mekele University Author




Type-II DM, hypertension, facilitators, barriers, adults, early diagnosis


Background: The burden of Non-communicable diseases (NCD) is rapidly increasing in Ethiopia and remains public health problem. The diseases have led to a double burden of diseases in the country.

Method: it was a qualitative study designed to explore facilitators and barriers for early detection and management of type II diabetes and hypertension, Sidama Regional State, Ethiopia. A total of four focused group discussions, twelve key informant interviews and twelve in-depth interviews were conducted; the data was collected using a semi-structured interview guide. The interviews were transcribed, coded, and analysed using a content analysis approach. The study was conducted in the selected governmental primary health care units (health centres and primary hospitals) from February to June 2021.

Results: The primary identified demand-side facilitators were; fear of early death, family history, exposure to mass media, knowledge of NCDs, and illness of unknown origin. As the same time the identified supply-side facilitators were. Concern of the federal government, the availability of the right policy, and the willingness of some health care providers. Also, financial problems, the unwelcoming approach of the health care providers, knowledge deficit, and lack of trust in public health facilities are recognized as demand-side barriers. In addition, lack of trained medical personnel, unavailability of screening and diagnostic materials, and dissatisfaction of the primary health care unit workers were identified as supply-side barriers to early detection and management of diabetes and hypertension.


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Author Biographies

  • Tigist Kebede, Hawassa University

    Hawassa University, Department of Human Nutrition, College of Agriculture, Hawassa, Ethiopia

  • Dejene Hailu, Hawassa University

    Hawassa University, Department of public health, College of Medicine and health sciences, Hawassa, Ethiopia

  • Alemneh Kabeta, Hawassa University

    Hawassa University, Department of Nursing, College of Medicine and Health Sciences, Hawassa, Ethiopia

  • Afework Mulugeta, Mekele University

    Mekele University, School of Public Health, College of Health Sciences, Mekele, Ethiopia


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Original Article

How to Cite

Kebede, T. (2023) “Facilitators and barriers for early detection and management of type II diabetes and hypertension, Sidama Regional State, Ethiopia: a qualitative study”, Ethiopian Journal of Public Health and Nutrition (EJPHN), 6(1), pp. 29–41. doi:10.20372/ejphn.v6i1.359.

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