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

Objective

Background:
Type 2 diabetes mellitus (T2DM) and pre-diabetes contribute increasingly to the global burden of disease with the health systems struggling to effectively manage prevention and control. This necessitates contextually appropriate, policy relevant solutions with high scale-up potential. The study is built on a consortium experienced in implementation and cross-cultural translation of disease prevention and management. We aim to strengthen capacity for T2DM care including prevention in high-risk population, through proven strategies like task shifting to community health workers, and expanding care networks through community-based peer support groups.

Methods:
A phased, participatory approach with built-in on-going policy dialogue will be used for implementing and testing a complex intervention in three countries representing low-, middle- and high-income settings: rural Uganda, urban South Africa and vulnerable immigrant populations in urban Sweden. These actions will follow an iterative process with modifications and improvements within and between the stages of formative research to implementation and evaluation. The testing will be conducted with a controlled design in two arms, a facility-only strategy vs. a combined facility and community strategy evaluated in terms of health systems, disease-related and equity outcomes.

Outcomes:
The study has a strong social innovations component that will leverage existing networks and platforms, to empower patients, their families and communities through the self-management approach. It will embed research into policy and practice from the beginning; and enable cross-lessons from other chronic conditions and reciprocal learning. It will re-introduce the essential but ‘missing’ community component still existing in low- and middle-income countries back to the health system of a high-income country in a contextually appropriate form, which is relevant for Europe in tackling T2DM and other chronic conditions.

Field of science

  • /medical and health sciences/clinical medicine/endocrinology/diabetes
  • /social sciences/political science/political policy/civil society/nongovernmental organization

Call for proposal

H2020-HCO-2014
See other projects for this call

Funding Scheme

RIA - Research and Innovation action

Coordinator

KAROLINSKA INSTITUTET
Address
Nobels Vag 5
17177 Stockholm
Sweden
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 987 237

Participants (5)

PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE
Belgium
EU contribution
€ 237 500
Address
Nationalestraat 155
2000 Antwerpen
Activity type
Higher or Secondary Education Establishments
ABSETZ SIRKKU PILVIKKI
Finland
EU contribution
€ 160 687
Address
Paciuksenkaari 12 A 15
00270 Helsinki
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
MAKERERE UNIVERSITY
Uganda
EU contribution
€ 751 843
Address
Main Campus
256 Kampala
Activity type
Higher or Secondary Education Establishments
UNIVERSITY OF THE WESTERN CAPE
South Africa
EU contribution
€ 829 562
Address
Robert Sobukwe Road
7535 Cape Town
Activity type
Higher or Secondary Education Establishments
UPPSALA UNIVERSITET
Sweden
EU contribution
€ 378 150
Address
Von Kraemers Alle 4
751 05 Uppsala
Activity type
Higher or Secondary Education Establishments