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Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala

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Listed:
  • David Flood
  • Sandy Mux
  • Boris Martinez
  • Pablo García
  • Kate Douglas
  • Vera Goldberg
  • Waleska Lopez
  • Peter Rohloff

Abstract

Background: The burden of chronic, non-communicable diseases such as diabetes is growing rapidly in low- and middle-income countries. Implementing management programs for diabetes and other chronic diseases for underserved populations is thus a critical global health priority. However, there is a notable dearth of shared programmatic and outcomes data from diabetes treatment programs in these settings. Program Description: We describe our experiences as a non-governmental organization designing and implementing a type 2 diabetes program serving Maya indigenous people in rural Guatemala. We detail the practical challenges and solutions we have developed to build and sustain diabetes programming in this setting. Methods: We conduct a retrospective chart review from our electronic medical record to evaluate our program’s performance. We generate a cohort profile, assess cross-sectional indicators using a framework adapted from the literature, and report on clinical longitudinal outcomes. Results: A total of 142 patients were identified for the chart review. The cohort showed a decrease in hemoglobin A1C from a mean of 9.2% to 8.1% over an average of 2.1 years of follow-up (p

Suggested Citation

  • David Flood & Sandy Mux & Boris Martinez & Pablo García & Kate Douglas & Vera Goldberg & Waleska Lopez & Peter Rohloff, 2016. "Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-14, September.
    • Handle: RePEc:plo:pone00:0161152
    DOI: 10.1371/journal.pone.0161152
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    References listed on IDEAS

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    1. repec:wbk:wboper:13070 is not listed on IDEAS
    2. Roberto Iunes & Leonardo Cubillos-Turriago & Maria-Luisa Escobar, 2012. "Universal Health Coverage and Litigation in Latin America," World Bank Publications - Reports 13072, The World Bank Group.
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