Ethiopia is a mountainous and beautiful country. The capital city, Addis Abba, is about 2500 m (8000 ft) above sea level. Around 85% of the people are farmers who live in circular thatched huts called tukuls. These are grouped into small villages which are often remote and inaccessible. While unpaved roads link the main centres, many areas can be reached only by footpaths. Road transport is either by bus or taxi, both relatively expensive; or by mule or on foot, which are laborious and slow. In this article, Shtitaye Alemu and Peter Watkins look at the needs of people with diabetes in Ethiopia and report on a programme in the North of the country which is bringing significant improvements to care.
Ethiopia, Gondar, prevalence, Africa, insulin