2nd Edition of International Obesity and Metabolism Conference 2026

Abstract

Theme: Modern medical research and application on diabetic conditions and endocrinology function

Background: Diabetes is a major cause of death and disability worldwide. The global prevalence of diabetes among adults over 18 years has risen from 4.7% in 1980 to 8.5% in 2014. Kenya’s prevalence is currently at 3.3% and is projected to reach 4.5% by 2025, according to the WHO. The 2017 STEP survey provides a current estimate of 4.6%, amounting to 750,000 persons and 20,000 annual deaths. Nyeri County has an estimated prevalence of 7.2% which is significantly higher than the national prevalence.

Thus, we describe factors associated with the increasing prevalence of diabetes among adults in Nyeri County.

Methods: A community health needs assessment was conducted. Structured questionnaires were randomly administered to 203 households. Fishers et al., 1998, formula was used to determine the sample size. The sampling frame included all community members aged 18 years and older in Mukurweini Sub-County. Focus group discussions were held with known diabetics, health professionals, and community health volunteers. Key informant interviews were conducted with opinion leaders. Observations at households, hospitals, and community institutions were recorded. The assessment covered knowledge levels, health-seeking behavior, healthcare access, physical activity, and nutrition. Data were analyzed using SPSS and summarized into a policy, environment, and systems rating scale using the CDC CHANGE tool.

Results: There has been an increase in diabetes among adults from 3.3% to 7.2% in 2019. The community reported factors related to their education level, health care access, health-seeking habits, diet, and physical activity. They identified needs and assets about diabetes and proposed intervention strategies.

Conclusion: Community engagement leads to improved intervention efforts. A change strategy is being implemented by the community.