Date of Conferral



Doctor of Public Health (DrPH)


Public Health


James Ricardo


Type 2 diabetes is a complex metabolic disorder characterized by hypoglycemia or hyperglycemia that affects fat, protein, and carbohydrate metabolism. Researchers have identified that for individuals with Type 2 diabetes, staying on interventions for diabetes self-management is sometimes difficult and challenging. It is an increasing public health concern, especially in certain minority populations and in many developing and developed nations. This is especially true for the population of women 40 years and older in Mgbidi, Nigeria. In the Enugu State of Nigeria, women bear most of the burden of Type 2 diabetes when compared to the males in the state. This study explored and evaluated the impediments to self-managed Type 2 diabetes among Mgbidi women in the Enugu State of Nigeria, West Africa, using a qualitative phenomenological approach. The concept of impediments influencing cultural behavior was used as the guiding framework. The participants were a group of 9 women 40 years and older who live with Type 2 diabetes. Face-to-face in-depth structured and unstructured interviews were used for the data collection. The responses of the participants were recorded using a tape recorder with their consent. Their responses were analyzed using aspects of Hycner's and Colaizzi's approach for analyzing phenomenological data. The result of this study supported and expanded on the findings of the current literature review. Individual and social challenges and barriers came to light; such as lack of or non-functioning care centers, lack of diabetes related education, and misconceptions like ignorance, social support and medications behaviors. The use of the concept of impediments influencing culturally sensitive self-management behavior of type 2 Diabetes strengthened the study. The findings could help to enhance cultural sensitive diabetes education for this population and other populations who have diabetes in this community.