Contextualizing Evidence for Action on Diabetes in Low-Resource Settings—Project CEAD Part I: A Mixed-Methods Study Protocol

Abstract

Challenges remain for policy adoption and implementation to tackle the unprecedented and relentless increase in obesity, diabetes and other non-communicable diseases (NCDs), especially in low- and middle-income countries. The aim of this mixed-methods study is to analyse the contextual relevance and applicability to low-resource settings of a sample of evidence-based healthy public policies, using local knowledge, perceptions and pertinent epidemiological data. Firstly, we will identify and prioritise policies that have the potential to reduce the burden of diabetes in low-resource settings with a scoping review and modified Delphi method. In parallel, we will undertake two cross-sectional population surveys on diabetes risk and morbidity in two low-resource settings in Ecuador. Patients, community members, health workers and policy makers will analyse the contextual relevance and applicability of the policy actions and discuss their potential for the reduction in inequities in diabetes risk and morbidity in their population. This study tackles one of the greatest challenges in global health today: how to drive the implementation of population-wide preventative measures to fight NCDs in low resource settings. The findings will demonstrate how local knowledge, perceptions and pertinent epidemiological data can be used to analyse the contextual relevance and applicability of potential policy actions.

Understanding When Diabetic Patients’ Psychological Burden affects their Marital Satisfaction

“…Previous studies have documented comparable findings on the effects of shift employment on women. In conclusion, it may be inferred that psychological risk factors exert a more pronounced influence on the onset of type 2 diabetes in females as opposed to males (Chilet-Rosell et al, 2020).…”

Realizando una encuesta poblacional en tiempos de pandemia: Experiencias de campo desde Ecuador

“…El proyecto "Contextualización de la Evidencia para la Acción en Diabetes en entornos con bajos recursos: Un estudio utilizando métodos mixtos en Quito y Esmeraldas, Ecuador" es un proyecto de ciencia de implementación cuyo objetivo es explorar los procesos por los cuales las recomendaciones en salud pública pueden ser traducidas a acciones informadas por la evidencia y adaptadas al contexto específico 3,4 .…”

“…Se realizó un muestreo multietápico en el que las primeras unidades de muestreo fueron secciones censales; las segundas, lotes residenciales (parcelas de terreno) dentro de cada sección censal; la tercera hogares dentro de cada lote y la final personas mayores de 18 años dentro de cada hogar. La muestra final estimada fue de 720 personas 3 .…”

Contextualizing Evidence for Action on Diabetes in Low-Resource Settings—Project CEAD Part-II, Strengthening the Health System: A Mixed-Methods Study Protocol

“…This protocol, together with a previously published one [ 15 ], is part of a 5 year (2019–2023) European Research Council (ERC)-funded research project, “Contextualizing Evidence for Action in Diabetes in low-resource settings” (CEAD). It is an implementation science project whose overall objective is to explore the process by which global recommendations can be translated into context-specific, evidence-informed action for diabetes prevention in low-resource settings.…”