Baatiema, Leonard, Strachan, Daniel Llywelyn, Osetohamhen Okoibhole, Lydia, Kretchy, Irene Akwo, Kushitor, Mawuli, Baffour Awuah, Raphael, Adekunle Sanuade, Olutobi, Korleki Dankyi, Ernestina, Amon, Samuel, Adjaye-Gbewonyo, Kafui ORCID: https://orcid.org/0000-0002-8919-6518, Yacobi, Haim, Vaughan, Megan, Blandford, Ann, Antwi, Publa, Jennings, Hannah Maria, Arhinful, Daniel Kojo, de-Graft Aikins, Ama and Fottrell, Edward (2024) Contextual awareness, response and evaluation (CARE) of diabetes in poor urban communities in Ghana: the CARE diabetes project qualitative study protocol. Global Health Action, 17 (1):2364498. ISSN 1654-9716 (Print), 1654-9880 (Online) (doi:10.1080/16549716.2024.2364498)

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Abstract

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.

Item Type:	Article
Uncontrolled Keywords:	diabetes, urban, Ghana, qualitative, non-communicable diseases
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing
Last Modified:	27 Mar 2025 12:38
URI:	http://gala.gre.ac.uk/id/eprint/50133

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