Evolution and contributions of the association of young diabetics of Cameroon in the optimal management of patients followed within the framework of changing diabetes in children program: a mixed methods case study
DOI:
https://doi.org/10.4314/rasp.v6i2.7Keywords:
Type 1 diabetes, Changing Diabetes in Children, Community contribution, Family, Children and adolescentsAbstract
In sub-Saharan Africa, high mortality from type 1 diabetes (T1D) is attributable to poor access to insulin. Programs have recently been integrated in Africa and the voluntary sector plays a vital role in improving access to care. The objective is to examine the adaptations and reactions of actors about the management of T1D in Cameroon by exploring the contributions of the Association of Young Diabetics of Cameroon (AJDC) to the Changing Diabetes in Children (CDiC) program. This is a mixed-methods case study using Kroeger's conceptual framework. The methods and data sources included are documentary reviews, reports, policies and regulations, and a questionnaire for managers, care professionals and family members involved in care management and participating in AJDC activities (N=50). In addition, participatory observation episodes and semi-directed in-depth interviews with eighteen people selected in a reasoned manner were carried out. The evolution of the AJDC and its contributions to the CDiC program are perceptible in terms of crisis management and support for professionals and families. However, challenges remain: shortage of insulin and human resources, lack of equipment and infrastructure, and psychological support for families. The adaptability and reactions of the different actors about managing T1D in Cameroon is essential better to understand the nature of the participants' interactions.
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