TY - JOUR
T1 - Contextual awareness, response and evaluation (CARE) of diabetes in poor urban communities in Ghana
T2 - the CARE diabetes project qualitative study protocol
AU - Baatiema, Leonard
AU - Strachan, Daniel Llywelyn
AU - Okoibhole, Lydia Osetohamhen
AU - Kretchy, Irene Akwo
AU - Kushitor, Mawuli
AU - Awuah, Raphael Baffour
AU - Sanuade, Olutobi Adekunle
AU - Korleki Danyki, Ernestina
AU - Amon, Samuel
AU - Adjaye-Gbewonyo, Kafui
AU - Yacobi, Haim
AU - Vaughan, Megan
AU - Blandford, Ann
AU - Antwi, Publa
AU - Jennings, Hannah Maria
AU - Arhinful, Daniel Kojo
AU - de-Graft Aikins, Ama
AU - Fottrell, Edward
AU - the CARE Diabetes Team
N1 - © 2024 The Author(s).
PY - 2024/7/16
Y1 - 2024/7/16
N2 - Diabetes remains a major, global clinical and public health threat with consistent rises in prevalence around the world over the past four decades. Two-thirds of the projected increases in global diabetes prevalence to 2045 are expected to come from low- and middle-income countries, including those in sub-Saharan Africa. Ghana is typical of this trend. However, there are gaps in evidence regarding the appropriate development of interventions and well-targeted policies for diabetes prevention and treatment that pay due attention to relevant local conditions and influences. Due consideration to community perspectives of environmental influences on the causes of diabetes, access to appropriate health services and care seeking for diabetes prevention and management is warranted, especially in urban settings. The ‘Contextual Awareness, Response and Evaluation (CARE): Diabetes in Ghana’ project is a mixed methods study in Ga Mashie, Accra. An epidemiological survey is described elsewhere. Six qualitative studies utilising a range of methodologies are proposed in this protocol to generate a contextual understanding of type 2 diabetes mellitus in an urban poor population. They focus on community, care provider, and policy stakeholder perspectives with a focus on food markets and environmental influences, the demand and supply of health services, and the history of the Ga Mashie community and its inhabitants. The results will be shared with the community in Ga Mashie and with health policy stakeholders in Ghana and other settings where the findings may be usefully transferable for the development of community-based interventions for diabetes prevention and control.
AB - Diabetes remains a major, global clinical and public health threat with consistent rises in prevalence around the world over the past four decades. Two-thirds of the projected increases in global diabetes prevalence to 2045 are expected to come from low- and middle-income countries, including those in sub-Saharan Africa. Ghana is typical of this trend. However, there are gaps in evidence regarding the appropriate development of interventions and well-targeted policies for diabetes prevention and treatment that pay due attention to relevant local conditions and influences. Due consideration to community perspectives of environmental influences on the causes of diabetes, access to appropriate health services and care seeking for diabetes prevention and management is warranted, especially in urban settings. The ‘Contextual Awareness, Response and Evaluation (CARE): Diabetes in Ghana’ project is a mixed methods study in Ga Mashie, Accra. An epidemiological survey is described elsewhere. Six qualitative studies utilising a range of methodologies are proposed in this protocol to generate a contextual understanding of type 2 diabetes mellitus in an urban poor population. They focus on community, care provider, and policy stakeholder perspectives with a focus on food markets and environmental influences, the demand and supply of health services, and the history of the Ga Mashie community and its inhabitants. The results will be shared with the community in Ga Mashie and with health policy stakeholders in Ghana and other settings where the findings may be usefully transferable for the development of community-based interventions for diabetes prevention and control.
KW - Diabetes
KW - Ghana
KW - non-communicable diseases
KW - qualitative
KW - urban
UR - http://www.scopus.com/inward/record.url?scp=85198956823&partnerID=8YFLogxK
U2 - 10.1080/16549716.2024.2364498
DO - 10.1080/16549716.2024.2364498
M3 - Article
C2 - 39011874
AN - SCOPUS:85198956823
SN - 1654-9880
VL - 17
JO - Global health action
JF - Global health action
IS - 1
M1 - 2364498
ER -