Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes

Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes

Sonak D Pastakia,1 Chelsea R Pekny,1 Simon M Manyara,2 Lydia Fischer3 1Department of Pharmacy Practice, Purdue University College of Pharmacy, Indianapolis, IN, USA; 2Department of Pharmacy, Moi Teaching and Referral Hospital, Eldoret, Kenya; 3Department of Pediatrics, Indiana University School of M...

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Autores principales: Pastakia SD, Pekny CR, Manyara SM, Fischer L
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
diabetes
sub-Saharan Africa
policy
outcomes
protocols
medication access
Specialties of internal medicine
RC581-951
Acceso en línea:https://doaj.org/article/fd7955fc16e74e05b1d30ff8e833e557
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spelling oai:doaj.org-article:fd7955fc16e74e05b1d30ff8e833e5572021-12-02T02:56:38ZDiabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes1178-7007https://doaj.org/article/fd7955fc16e74e05b1d30ff8e833e5572017-06-01T00:00:00Zhttps://www.dovepress.com/diabetes-in-sub-saharan-africa-from-policy-to-practice-to-progress-tar-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Sonak D Pastakia,1 Chelsea R Pekny,1 Simon M Manyara,2 Lydia Fischer3 1Department of Pharmacy Practice, Purdue University College of Pharmacy, Indianapolis, IN, USA; 2Department of Pharmacy, Moi Teaching and Referral Hospital, Eldoret, Kenya; 3Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA Abstract: The global prevalence and impact of diabetes has increased dramatically, particularly in sub-Saharan Africa. This region faces unique challenges in combating the disease including lack of funding for noncommunicable diseases, lack of availability of studies and guidelines specific to the population, lack of availability of medications, differences in urban and rural patients, and inequity between public and private sector health care. Because of these challenges, diabetes has a greater impact on morbidity and mortality related to the disease in sub-Saharan Africa than any other region in the world. In order to address these unacceptably poor trends, contextualized strategies for the prevention, identification, management, and financing of diabetes care within this population must be developed. This narrative review provides insights into the policy landscape, epidemiology, pathophysiology, care protocols, medication availability, and health care systems to give readers a comprehensive summary of many factors in these domains as they pertain to diabetes in sub-Saharan Africa. In addition to providing a review of the current evidence available in these domains, potential solutions to address the major gaps in care will be proposed to reverse the negative trends seen with diabetes in sub-Saharan Africa. Keywords: outcomes, protocols, medication access, pathophysiology, epidemiology, health care systemsPastakia SDPekny CRManyara SMFischer LDove Medical Pressarticlediabetessub-Saharan Africapolicyoutcomesprotocolsmedication accessSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 10, Pp 247-263 (2017)
institution DOAJ
collection DOAJ
language EN
topic diabetes
sub-Saharan Africa
policy
outcomes
protocols
medication access
Specialties of internal medicine
RC581-951
spellingShingle diabetes
sub-Saharan Africa
policy
outcomes
protocols
medication access
Specialties of internal medicine
RC581-951
Pastakia SD
Pekny CR
Manyara SM
Fischer L
Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
description Sonak D Pastakia,1 Chelsea R Pekny,1 Simon M Manyara,2 Lydia Fischer3 1Department of Pharmacy Practice, Purdue University College of Pharmacy, Indianapolis, IN, USA; 2Department of Pharmacy, Moi Teaching and Referral Hospital, Eldoret, Kenya; 3Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA Abstract: The global prevalence and impact of diabetes has increased dramatically, particularly in sub-Saharan Africa. This region faces unique challenges in combating the disease including lack of funding for noncommunicable diseases, lack of availability of studies and guidelines specific to the population, lack of availability of medications, differences in urban and rural patients, and inequity between public and private sector health care. Because of these challenges, diabetes has a greater impact on morbidity and mortality related to the disease in sub-Saharan Africa than any other region in the world. In order to address these unacceptably poor trends, contextualized strategies for the prevention, identification, management, and financing of diabetes care within this population must be developed. This narrative review provides insights into the policy landscape, epidemiology, pathophysiology, care protocols, medication availability, and health care systems to give readers a comprehensive summary of many factors in these domains as they pertain to diabetes in sub-Saharan Africa. In addition to providing a review of the current evidence available in these domains, potential solutions to address the major gaps in care will be proposed to reverse the negative trends seen with diabetes in sub-Saharan Africa. Keywords: outcomes, protocols, medication access, pathophysiology, epidemiology, health care systems
format article
author Pastakia SD
Pekny CR
Manyara SM
Fischer L
author_facet Pastakia SD
Pekny CR
Manyara SM
Fischer L
author_sort Pastakia SD
title Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
title_short Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
title_full Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
title_fullStr Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
title_full_unstemmed Diabetes in sub-Saharan Africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
title_sort diabetes in sub-saharan africa – from policy to practice to progress: targeting the existing gaps for future care for diabetes
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/fd7955fc16e74e05b1d30ff8e833e557
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AT manyarasm diabetesinsubsaharanafricandashfrompolicytopracticetoprogresstargetingtheexistinggapsforfuturecarefordiabetes
AT fischerl diabetesinsubsaharanafricandashfrompolicytopracticetoprogresstargetingtheexistinggapsforfuturecarefordiabetes
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