SMART2D - A people-centred approach through Self-Management and Reciprocal learning for the prevention and management of Type-2-Diabetes

Background

Formal Health Services will be overwhelmed by the magnitude of the T2DM burden. In addition healthcare services are often poorly accessible, acceptable, available, affordable or adequate (5As of access) to the needs of the target population in low- and middle-income countries and, especially among the urban vulnerable immigrant groups, in high-income countries, resulting in poor prevention and management of T2DM.

Aims

Our overall aim was to strengthen capacity for T2DM care (both prevention and management), through proven strategies like task-shifting to non-physician health care providers and community health workers, and expanding care networks through community-based peer support groups. Our target population was adult men and women at high-risk for or diagnosed with T2DM, i.e., individuals with pre-diabetes and diabetes in the three settings.

Project plan

• To formulate and implement a contextually appropriate self-management approach through facility and community components for prevention and control of T2DM in three settings

• To evaluate the outcome of the self-management approach and the added benefit of the community component compared to the facility component; and in dialogue with stakeholders

• To translate the research findings at each stage into relevant input for national guidelines and policies in each setting and for reciprocal transfer of knowledge across sites.

Publications and output

GACD have also published an end-of-programme report providing a comprehensive summary of the programme and outcomes.

This project has a related case study Self-management for the prevention and management of Type 2 Diabetes.

You may visit the project website for more information.

Funding organisations

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