Godfred Agongo

Discussion In this multicountry study of the diabetes care cascade in SSA, we demonstrate attrition at each stage of the cascade with just over half of those with diabetes being aware of their condition and only approximately one-third of those who reported ever receiving treatment achieving optimal glycaemic control.

Multimorbidity We defined multimorbidity as the presence of two or more of the following seven conditions (HIV infection, cardiovascular disease (CVD), chronic kidney disease (CKD), asthma, diabetes, dyslipidaemia and hypertension) for all sites except for women from Soweto, where data was only available for four of the conditions (HIV infection, diabetes, dyslipidaemia and hypertension).

Abstract Objectives To determine the prevalence of multimorbidity, to identify which chronic conditions cluster together and to identify factors associated with a greater risk for multimorbidity in sub-Saharan Africa (SSA). Design Cross-sectional, multicentre, population-based study. Setting Six urban and rural communities in four subSaharan African countries. Participants Men (n=4808) and women (n=5892) between the ages of 40 and 60 years from the AWI-Gen study.