Diabetes Care in Humanitarian Settings

Endocrinol Metab Clin North Am. 2023 Dec;52(4):603-615. doi: 10.1016/j.ecl.2023.05.010. Epub 2023 Jun 18.

Abstract

Despite the increasing prevalence of diabetes in populations experiencing humanitarian crisis, along with evidence that people living with diabetes are at higher risk for poor outcomes in a crisis, diabetes care is not routinely included in humanitarian health interventions. We here describe 4 factors that have contributed to the inequities and lack of diabetes inclusion in humanitarian programmes: (1) evolving paradigms in humanitarian health care, (2) complexities of diabetes service provision in humanitarian settings, (3) social and cultural challenges, and (4) lack of financing. We also outline opportunities and possible interventions to address these challenges and improve diabetes care among crisis-affected populations.

Keywords: Diabetes; Health equity; Humanitarian crises; Humanitarian setting.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care*
  • Diabetes Mellitus* / epidemiology
  • Diabetes Mellitus* / therapy
  • Humans