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

David Flood, Sandy Mux, Boris Martinez, Pablo García, Kate Douglas, Vera Goldberg, Waleska Lopez and Peter Rohloff

PLOS ONE, 2016, vol. 11, issue 9, 1-14

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

Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0161152

DOI: 10.1371/journal.pone.0161152

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