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Strengthening diabetes care in humanitarian crises in low- and middle-income settings | Journal Article / Commentary | MSF Science Portal
Journal Article
|Commentary

Strengthening diabetes care in humanitarian crises in low- and middle-income settings

Kehlenbrink S, Ansbro É, Besançon S, Hassan S, Roberts B, Jobanputra K

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Abstract
Amid the growing global diabetes epidemic, the scale of forced displacement resulting from armed conflict and humanitarian crises is at record-high levels. More than 80% of the displaced population lives in lower- and middle-income countries, which also host 81% of the global population living with diabetes. Most crises are protracted, often lasting decades, and humanitarian aid organizations are providing long-term primary care to both the local and displaced populations. Humanitarian crises are extremely varied in nature and occur in contexts that are diverse and dynamic. The scope of providing diabetes care varies depending on the phase of the crisis. This paper describes key challenges and possible solutions to improving diabetes care in crisis settings. It focuses on (1) ensuring a reliable supply of life preserving medications and diagnostics, (2) restoring and maintaining access to health care, and (3) adapting service design to the context. These challenges are illustrated through case studies in Ukraine, Mali, the Central African Republic, and Jordan.

Countries

Central African Republic Jordan Mali Ukraine

Subject Area

displaced populationsnon-communicable diseasediabetes

Languages

English
DOI
10.1210/clinem/dgac331
Published Date
27 May 2022
PubMed ID
35639997
Journal
Journal of Clinical Endocrinology and Metabolism
Volume | Issue | Pages
Volume 107, Issue 9, Pages e3553-e3561
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