Health system performance for people with diabetes in 28 low- and middle-income countries: A cross-sectional study of nationally representative surveys.
Jennifer Manne-GoehlerPascal GeldsetzerKokou AgoudaviGlennis Andall-BreretonKrishna Kumar AryalBrice Wilfried BicabaPascal BovetGarry BrianMaria DorobantuGladwell GathechaMongal Singh GurungDavid GuwatuddeMohamed MsaidieCorine HouehanouDismand HouinatoJutta Mari Adelin JorgensenGibson B KagarukiKhem B KarkiDemetre LabadariosJoao S MartinsMary T MayigeRoy Wong McClureOmar MwalimJoseph Kibachio MwangiBolormaa NorovSarah Quesnel-CrooksBahendeka K SilverLela SturuaLindiwe TsabedzeChea Stanford WessehAndrew C StokesMaja-Emilia MarcusCara EbertJustine Ina DaviesSebastian VollmerRifat AtunTill W BärnighausenGodfather D KimaroPublished in: PLoS medicine (2019)
The study uncovered poor management of diabetes along the care cascade, indicating large unmet need for diabetes care across 28 LMICs. Performance across the care cascade varied by World Bank income group and individual-level characteristics, particularly age, educational attainment, and BMI. This policy-relevant analysis can inform country-specific interventions and offers a baseline by which future progress can be measured.