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

Elisa Chilet-Rosell, Nora Piay, Ildefonso Hernández-Aguado, Blanca Lumbreras, Francisco Barrera-Guarderas, Ana Lucía Torres-Castillo, Cintia Caicedo-Montaño, Gregorio Montalvo-Villacis, Mar Blasco-Blasco, María Fernanda Rivadeneira, María Pastor-Valero, Mónica Márquez-Figueroa, Juan Francisco Vásconez and Lucy Anne Parker
Additional contact information
Elisa Chilet-Rosell: CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
Nora Piay: Department of Public Health, Universidad Miguel Hernández, 03550 Sant Joan d’Alacant, Alicante, Spain
Ildefonso Hernández-Aguado: CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
Blanca Lumbreras: CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
Francisco Barrera-Guarderas: Faculty of Medicine, Pontificia Universidad Católica del Ecuador (PUCE), Quito 170143, Ecuador
Ana Lucía Torres-Castillo: Institute of Public Health, Pontificia Universidad Católica del Ecuador (PUCE), Quito 170143, Ecuador
Cintia Caicedo-Montaño: Centre of Community Epidemiology and Tropical Medicine (CECOMET), Esmeraldas 0801265, Ecuador
Gregorio Montalvo-Villacis: School of Medical Specialities, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito (USFQ), Quito 170901, Ecuador
Mar Blasco-Blasco: Department of Public Health, Universidad Miguel Hernández, 03550 Sant Joan d’Alacant, Alicante, Spain
María Fernanda Rivadeneira: Institute of Public Health, Pontificia Universidad Católica del Ecuador (PUCE), Quito 170143, Ecuador
María Pastor-Valero: CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
Mónica Márquez-Figueroa: Centre of Community Epidemiology and Tropical Medicine (CECOMET), Esmeraldas 0801265, Ecuador
Juan Francisco Vásconez: Faculty of Nursing, Pontificia Universidad Católica del Ecuador (PUCE), Quito 170143, Ecuador
Lucy Anne Parker: CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain

IJERPH, 2020, vol. 17, issue 2, 1-10

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.

Keywords: diabetes mellitus; type 2 diabetes; primary prevention; public policy; public health; implementation science (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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