The problem of diabetics dropping out of treatment at the Abidjan Anti-diabetic Center (CADA)

Abstract

This article aims to analyze the social dynamics that contribute to the therapeutic drop-out observed in 43% of diabetics followed at the Center Anti-Diabétique d'Abidjan (CADA) over the period 2020-2023. The approach that structures this research work, which took place from February 12 to 23, 2024, is based on a mixed approach (qualitative and quantitative). For the collection of survey data, the study mobilized the technique by semi-directed interview and questionnaire and was based on reasoned choice sampling. The main target population is diabetic patients who were followed in Canada and who, at some point in their journey, disappeared from the ranks of patients who come to medical appointments. Health professionals and leaders of national diabetic associations were also interviewed to obtain additional information beyond that provided by diabetics. The main results of this research show that the socio-demographic profile including age, education level, purchasing power of the diabetics concerned, their perception of anti-diabetic treatment related to socio-cultural burdens and induced restrictions as well as the disintegration of social support associated with therapeutic pluralism that is available to them lead to a shift away from formal medical follow-up in Cada.