20. Yusef, J.I. Management of Diabetes Mellitus and Hypertension at UNRWA Primary Health Care Facilities in Lebanon. Eastern Mediterranean Health Journal 2000; 6,2/3: 378-390.

This study aims to determine the prevalence of risk factors and complications in diabetic and hepertensive patients, and to assess the level of care extended to these patients at each clinic. The purpose was to identify areas of weakness where training and supervision are needed. A cross-sectional descriptive study was conducted at all UNRWA primary health care facilities in Lebanon Field, to assess the quality of care of diabetes mellitus and hypertension. The study reviewed 2202 records of diabetic and hypertensive patients. Both diseases were present at an early age (< 40 years), with family history, obesity and sedentary lifestyle being the main risk factors. The major complication was cardiovascular disease followed by retinopathy. Action-oriented measures to improve the organization and management of the health care services were identified.