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medRxiv PreprintsInternational9 November 2026

Evaluating the Quality of Diabetes Care

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Diabetes mellitus (DM) is an escalating global public health concern, contributing significantly to global mortalities and posing a major financial burden, particularly in Low and Middle Income Countries (LMICs) like Ghana [Letsa, 2023]. Suboptimal quality of care can lead to severe microvascular complications such as diabetic nephropathy (DN) and opportunistic infections like urinary tract infections (UTIs) [Letsa, 2023]. DN affects 30 to 40% of diabetics and is a leading cause of end-stage kidney failure, with a reported prevalence of kidney diseases of 12.5% in Ghana [Adoba et al., 2025]. G
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