Assessing health systems for type 1 diabetes in sub-Saharan Africa: developing a 'Rapid Assessment Protocol for Insulin Access'

BMC Health Services Research
David BeranMaximilian de Courten

Abstract

In order to improve the health of people with Type 1 diabetes in developing countries, a clear analysis of the constraints to insulin access and diabetes care is needed. We developed a Rapid Assessment Protocol for Insulin Access, comprising a series of questionnaires as well as a protocol for the gathering of other data through site visits, discussions, and document reviews. The Rapid Assessment Protocol for Insulin Access draws on the principles of Rapid Assessment Protocols which have been developed and implemented in several different areas. This protocol was adapted through a thorough literature review on diabetes, chronic condition management and medicine supply in developing countries. A visit to three countries in sub-Saharan Africa and meetings with different experts in the field of diabetes helped refine the questionnaires. Following the development of the questionnaires these were tested with various people familiar with diabetes and/or healthcare in developing countries. The Protocol was piloted in Mozambique then refined and had two further iterations in Zambia and Mali. Translations of questionnaires were made into local languages when necessary, with back translation to ensure precision. In each country the proto...Continue Reading

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Citations

Apr 10, 2009·Human Resources for Health·Neil Pakenham-Walsh, Frederick Bukachi
Sep 18, 2008·Bulletin of the World Health Organization·David BeranJohn S Yudkin
Nov 6, 2012·The International Journal of Health Planning and Management·David BeranJohn S Yudkin
Jul 15, 2015·Pediatric Diabetes·Graham D OgleMartin Silink
Jul 6, 2011·Asia-Pacific Journal of Public Health·David Beran, Michiyo Higuchi
Jul 1, 2010·Asia-Pacific Journal of Public Health·Michiyo Higuchi
Apr 5, 2018·International Health·Abhishek SharmaShiva Raj Mishra
Oct 1, 2019·BMJ Global Health·Douglas BallDavid Beran

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Methods Mentioned

BETA
RAP

Software Mentioned

RAPIA

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