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Improving diabetes care in developing countries: the example of Pakistan
Abdul Basit1, Musarrat Riaz1, Asher Fawwad2
1Department of Medicine Baqai Institute of Diabetology and Endocrinology Baqai Medical University, Plot No. 1-2, II-B, Nazimabad No. 2, Karachi 74600, Pakistan.
Pakistan faces a high diabetes prevalence, a significant health challenge. Multifaceted approaches and public-private partnerships are key to improving care for millions with diabetes.
Area of Science:
- Public health
- Endocrinology
- Developing country health challenges
Background:
- Pakistan experiences a high prevalence of diabetes and its complications, straining its healthcare system.
- Key risk factors include urbanization, lifestyle changes, malnutrition, and genetic predispositions.
- Previous national action plans (since 1995) for diabetes control have had imperfect implementation.
Purpose of the Study:
- To outline strategies and initiatives undertaken in Pakistan to address the growing burden of diabetes.
- To highlight the development of multidisciplinary diabetes care teams and physician training.
- To focus on priority areas such as diabetic foot care, diabetes education, and pediatric diabetes management.
Main Methods:
- Implementation of national action plans for diabetes control.
- Training of primary care physicians in diabetes management.
- Development of multidisciplinary diabetes care teams.
- Adoption of International Diabetes Federation (IDF) guidance for prioritization.
- Promotion of national and international stakeholder collaboration.
Main Results:
- Initiation of primary care physician training and multidisciplinary team development.
- Defined prioritization strategies focusing on diabetic foot, education, and children with diabetes.
- Undertaken research to enhance understanding and management of diabetes.
- Promoted collaboration among various stakeholders.
Conclusions:
- Public-private partnerships are crucial for effective diabetes management in Pakistan.
- Multifaceted approaches are essential to improve the lives of the large diabetic population.
- Continued research and collaboration are vital for advancing diabetes care.
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