ReviewDiabetes, metabolic syndrome and obesity : targets and therapy2019
Mitigating The Burden Of Diabetes In Sub-Saharan Africa Through An Integrated Diagonal Health Systems Approach.
Review in Diabetes, metabolic syndrome and obesity : targets and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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Who cites it
39 citing papers in PubMed.
- Beyond blood pressure: carotid intima-media thickness uncovers subclinical atherosclerosis in normotensive adults with type 2 diabetes in Sub-Saharan Africa.Cardiovascular diabetology. Endocrinology reports · 2026Article
- User-Centered Diabetes Self-Management App (DiabAid Nexus) in Sub-Saharan Africa: Development and Usability Study.Journal of medical Internet research · 2026Article
- Optimising care for uncomplicated type 2 diabetes mellitus in Lagos, Nigeria: cost and benefit estimates using real-world data.BMJ global health · 2026Article
- Lived experiences and perceptions of social support in diabetes self-management among patients, families, and friends in Ethiopia.Scientific reports · 2026Article
- Effects of a device-measured physical activity intervention on visual outcomes, including contrast sensitivity, and glycaemic control in individuals with abnormal glucose tolerance: a pilot randomised trial post-CarMeR study.Pilot and feasibility studies · 2026Article
- Correlation Between Coagulopathy and Glycemic Control Among People With Type 2 Diabetes Mellitus in the Southwestern Cameroon, a Cross-Sectional Study.Health science reports · 2026Article
- Premature Mortality from Type 2 Diabetes Mellitus Attributable to Household Air Pollution from Solid Fuels in Eastern Sub-Saharan Africa, 1990 to 2023.Environmental health insights · 2026Article
- The Role of Community Organisation, Religion, Spirituality and Cultural Beliefs on Diabetes Social Support and Self-Management in Sub-Saharan Africa: Integrative Literature Review.Journal of religion and health · 2025Review
- Glycaemic control and its related factors among people with type 2 diabetes in low- and middle-income countries: a systematic review and meta-analysis.Frontiers in clinical diabetes and healthcare · 2025Article
- Article
- A health promotion model approach in exploring self-management and glycemic control in type 2 diabetes: the moderating effects of self-efficacy and social support.Frontiers in clinical diabetes and healthcare · 2025Article
- 'Operating in the dark': perspectives of health service users and healthcare workers on quality of diabetes care at a public referral hospital in Blantyre, Malawi - a qualitative study.Wellcome open research · 2025Article
- 'We cannot just keep it in our palm': A policy analysis of the integration of the case management of neglected tropical diseases into the health system of Liberia.PLOS global public health · 2025Article
- Contextual awareness, response and evaluation (CARE) of diabetes in poor urban communities in Ghana: the CARE diabetes project qualitative study protocol.Global health action · 2024Article
- Barriers and facilitators in the acquisition of diabetes knowledge among tertiary-care nurses in central and southern Malawi: an exploratory-descriptive qualitative study.BMC health services research · 2024Article
- Perspectives of healthcare providers and persons with type 2 diabetes mellitus on improving glycaemic control in Kinshasa, Democratic Republic of the Congo: a qualitative study.BMJ public health · 2024Article
- Awareness, treatment, and control among adults living with arterial hypertension or diabetes mellitus in two rural districts in Lesotho.PLOS global public health · 2024Article
- Insulin therapy among diabetic patients in rural communities of Sub-Saharan Africa: a perspective review.Therapeutic advances in endocrinology and metabolism · 2024Review
- COVID-19, economic crisis, and food insecurity worsen the double burden of malnutrition in Lebanon.Frontiers in public health · 2024Article
- Comparative Determination of Glomerular Filtration Rate Estimation Formulae in Type 2 Diabetic Patients: An Observational Study.BioMed research international · 2024Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Diabetes is a chronic non-communicable disease (NCD) presenting growing health and economic burdens in sub-Saharan Africa (SSA). Diabetes is unique due to its cross-cutting nature, impacting multiple organ systems and increasing the risk for other communicable and non-communicable diseases. Unfortunately, the quality of care for diabetes in SSA is poor, largely due to a weak disease management framework and fragmented health systems in most sub-Saharan African countries. We argue that by synergizing disease-specific vertical programs with system-specific horizontal programs through an integrated disease-system diagonal approach, we can improve access, quality, and safety of diabetes care programs while also supporting other chronic diseases. We recommend utilizing the six World Health Organization (WHO) health system building blocks - 1) leadership and governance, 2) financing, 3) health workforce, 4) health information systems, 5) supply chains, and 6) service delivery - as a framework to design a diagonal approach with a focus on health system strengthening and integration to implement and scale quality diabetes care. We discuss the successes and challenges of this approach, outline opportunities for future care programming and research, and highlight how this approach can lead to the improvement in the quality of care for diabetes and other chronic diseases across SSA.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.