Developing countries

English

A multidisciplinary effort to improve the quality of chronic disease care

Although chronic diseases are leading causes of death and disability, they are neglected elements of the global health agenda. Of all deaths worldwide in 2005, 60% were caused by chronic diseases – principally cardiovascular diseases and diabetes (32%), cancer (13%), and chronic respiratory diseases (7%). Because the increase in chronic diseases is underappreciated, and their economic impact underestimated, many countries take little interest in their prevention, and leave the responsibility for management to individuals.


Challenges to diabetes self-management in developing countries

In developing countries, financial and human resources are limited despite serious needs and multiple health challenges. More than three-quarters of the people with diabetes worldwide live in developing countries. Between 2000 and 2025, the rise in the number of people with the condition in these countries will be around 170%. In  the developing world, diabetes, like other chronic diseases, is often ignored in terms of healthcare priorities; the focus remains largely on immediate and acute care rather than on prevention.

Time to start making good health sense

President's editorial

Here's to celebrations

Editor-in-chief's editorial

Improving access to education and care in Cambodia

Four years ago, when Cambodia’s first diabetes surveys were analysed, they surprised everyone: there were twice as many people with diabetes than had been expected – more than 250,000 people. However, the major donors supporting the country’s healthcare sector continue to distribute financial support in unequal shares.

Agents for change: champions in the fight against diabetes in South Africa

The potential threat from type 2 diabetes in  South Africa remains dangerously underestimated and its current prevalence widely unrecognized. Yet the problem is growing at an alarming rate. A series of factors that are particular to the region represent enormous obstacles to an effective response by people with the condition, healthcare providers and wider society. In this article, Noy Pullen identifies some of the key socio-economic, environmental and educational issues affecting rural South Africa.

The fattening rooms of Calabar - a breeding ground for diabesity

Calabar is the capital city of Cross River State of Nigeria. It is a cosmopolitan town with a population of about half a million people. The population of Cross River State stands at around 2.5 million. Inhabitants of the region are mostly farmers, fishermen and civil servants. The Efik in south Calabar are a proud people with a rich cultural heritage. In Efik communities, the preservation of centuries-old values and customs is central to the tradition of ‘fattening rooms’.

Abject poverty, major difficulties and tragic outcomes in Cambodia

When her doctor diagnosed her with type 2 diabetes in 1997, it was shocking news to Sokhann. For more than a decade, she lived with her condition without any treatment, education or follow-up.

Bambi in danger - poverty and unmet needs in Mauritania

Bambi is a 19-year old Mauritanian woman. Illiterate and poor, she is married and has a four-year-old daughter. Early in 2008, she was diagnosed with type 1 diabetes. It took her 10 months of struggle to learn to read her blood glucose monitoring device and inject insulin.

Xiaoping's story: multiple psychosocial barriers to a full and happy life

Xiaoping, a 15-year-old girl living in a rural region of china, was diagnosed with type 1 diabetes in october 2007. since then, her life has undergone a series of dramatic changes.

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