Diabetes Care in Humanitarian Settings

Implementing and evaluating integrated care models for non-communicable diseases in fragile and humanitarian settings

“…NCD care in humanitarian crisis and operations has gained increasing attention only over the last decade. Still, there is a lack of a standardized response, and NCD care remains fragmented and poorly coordinated during many crises ( Ansbro et al, 2022 ; Bausch et al, 2021 ; Kehlenbrink et al, 2023 ; Slama et al, 2017 ).…”

“…PLWNCDs in LMIC settings including in fragile and humanitarian settings, often face high out-of-pocket spending on NCD medicines, diagnostic and monitoring tests, specialist consultations, MHPSS and physical therapy - where these are available ( Witter et al, 2020 ). Additionally, low health literacy, coupled with challenges in sustainable access to healthy food, acceptable physical activity options and limited MHPSS-based disease coping strategies in crisis settings further influence their experience of increasing disease severity and complications ( Kehlenbrink et al, 2023 ; Boulle et al, 2019 ; Rehr et al, 2018 ; Zablith et al, 2021 ). Cumulatively, these dynamics constrain the ability to achieve continuous, comprehensive and cost-efficient care for PLWNCDs, and contribute to the rates of preventable NCD-related morbidities and mortality in humanitarian settings ( Ansbro et al, 2022 ; Bausch et al, 2021 ; Witter et al, 2020 ; Patel et al, 2022 ; P Harris et al, 2022 ).…”