Diabetes Care in Humanitarian Settings

• Sylvia Kehlenbrink ^[2] ; Kiran Jobanputra ^[3] ; Amulya Reddy ^[3] ; Philippa Boulle ^[4] ; Apoorva Gomber ^[5] ; Rachel Nugent ^[1] ; Vinod Varma ^[6] ; Anna T. Nakayama ^[7] ; Tom Ellman ^[8]
  1. [1] University of Washington

     University of Washington

     Estados Unidos

     
  2. [2] Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, 221 Longwood Avenue RFB-2, Boston, MA 02115, USA.
  3. [3] Médecins Sans Frontières, Chancery Exchange, Lower Ground Floor, 10 Furnival Street, London EC4A 1AB, UK.
  4. [4] Médecins Sans Frontières, Route de Ferney 140, Geneva 1202, Switzerland.
  5. [5] Division of Global Health Equity, Brigham and Women's Hospital, Center for Integration Science, 75 Francis Street, Boston MA 02115, USA.
  6. [6] The Global Fund to Fight AIDS, Tuberculosis and Malaria, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland
  7. [7] International Alliance for Diabetes Action, 101 South Hanley Road, Suite 800, Saint Louis, MO 63105, USA
  8. [8] Médecins Sans Frontières, 9th Floor, Zurich House, 70 Fox Street, Marshalltown, Johannesburg 2001, South Africa

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• Localización: Endocrinology and metabolism clinics of North America, ISSN 0889-8529, Vol. 52, Nº. 4, 2023, págs. 603-615
• Idioma: inglés
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• Resumen

  • Despite the increasing prevalence of diabetes in populations experiencing humanitarian crisis, along with evidence that people living with diabetes are at higher risk for poor outcomes in a crisis, diabetes care is not routinely included in humanitarian health interventions. We here describe 4 factors that have contributed to the inequities and lack of diabetes inclusion in humanitarian programmes: (1) evolving paradigms in humanitarian health care, (2) complexities of diabetes service provision in humanitarian settings, (3) social and cultural challenges, and (4) lack of financing. We also outline opportunities and possible interventions to address these challenges and improve diabetes care among crisis-affected populations.