Capacity for Management of Type 2 Diabetes Mellitus (T2 DM) in Primary Health Centers in Indonesia

Introduction: According to WHO data, the prevalence of type 2 diabetes mellitus (T2 DM) inIndonesia will be increasing 154% in year 2030. Therefore all the primary health centres areneeded to improve with good capacity of T2DM management. Since there is no data available,the aim of this study was to describe the capacity of primary health centers in Indonesia inmanagement of T2DM.Methods: A questionnaire survey was conducted from January to December 2007 to generalpractitioners working in primary health centres in eight provinces of Indonesia. Data collectedinclude availability of health personnel, laboratory, and supporting facilities to diagnose T2DMand it’s complications and medication. A total of 272 primary health centre (PHCs) participated.Results: Laboratory facilities exist in 82% of the PHC. Most do not have equipments to diagnose complications such as ophthalmoscope (72%), electrocardiogram (92%) and radiology tools (96%). Oral hypoglycaemic agents available in 94% of the PHCs. Sulphonylurea (glybenclamide) is available in all while biguanide is available in 29%. Most PHC (97%) do not provide insulin. Only 6% have facility to manage diabetic foot, and only 21% able to conduct T2DM education.Conclusion: Ability to diagnose T2DM in the PHCs is sufficient, but the capacity in the treatment, detections and management of complications are limited. Special effort by the Ministry of Health and professional organizations will be needed to improve the capacity.