Eben Donges Hospital (EDH) is a regional hospital in the Boland/Overberg region of the Western Cape. It serves a diverse community whose economic stability is reliant on the intensive fruit-farming industry. This farming is heavily dependent on organophosphate (OP)-containing insecticides for pest control, often to the detriment of labourers’ health. The combination of accessibility, limited le...

1. Schneider H, Blaauw D, Dartnall E, et al. STD care in the South African private health sector. S Afr Med J 2001; 91: 151-156. 2. Connolly AM, Wilkinson D, Harrison A, Lurie M, Abdool Karim SS. Inadequate treatment for sexually transmitted diseases in the South African private health sector. Int J STD AIDS 1999; 10: 324-327. 3. Chabikuli N, Schneider H, Blaauw D, et al. Equity in the provisio...

It is therefore very important to optimise the care of diabetic patients at primary, secondary and tertiary care level. Numerous clinical practice guidelines for management of diabetes have been compiled and circulated to health care workers, but despite this the level of diabetes care is still not ideal because of suboptimal implementation strategies. Guideline implementation problems are a si...