Type 1 Diabetes as a “Tracer” condition in Developing Countries. Beran, D.¹, Yudkin J.S.¹ and de Courten M.² ¹ International Insulin Foundation, International Health and Medical Education Centre, University College London, Holborn Union Building, Archway Campus,
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condition in Developing Countries
To assess the prevalence and patterns of care of type 1 diabetes in 2 sub-Saharan African countries (Mozambique and Zambia) and to relate prevalence, and estimates of life expectancy, to geographical factors and availability of insulin and monitoring equipment.
Rapid Assessment Protocol for Insulin Access (RAPIA)
The RAPIA provides information in the categories of:
Prevalence of type 1 diabetes
Insulin availability is irregular in rural areas - particularly in Mozambique.
Insulin very expensive when purchased privately
Testing for diagnosis and management rarely available
Type 1 diabetes outcomes are poor especially in rural areas.
There is evidence that:
The IIF is a UK registered charity which was formally established by leading academics and physicians in the field of diabetes. Its aims are to prolong the life and promote the health of people with diabetes in developing countries by improving the sustainable supply of insulin and education in its use.
Next steps: The results of the RAPIA have been presented to the Ministry of Health, Diabetes Association and other stakeholders in both Mozambique and Zambia where the IIF is about to start the implementation phase of its work in collaboration with the IDF Africa Region. The IIF will also be carrying out a similar assessment in Mali.
The Rapid Assessment Tool developed by the IIF was piloted in Mozambique, thanks to a grant from the World Diabetes Foundation.
Its implementation in Zambia, was made possible with the financial support of the World Health Organisation, the Diabetes Foundation and the Barnett & Sylvia Shine No 2 Charitable Trust (UK based Charities).