SAIA Type 2 Diabetes

Cardiometabolic diseases are increasingly prevalent in Sub-Saharan African settings. In Mozambique, the prevalence of type II diabetes more than doubled between 2005 and 2015. While efforts are needed to strengthen diabetes care within health facilities, communities need strategies to prevent diabetes from occurring and worsening.

Type 2 Diabetes in Mozambique

Type 2 Diabetes (T2D) is growing in burden in Mozambique, where factors such as an aging population, obesogenic environments, and urbanization contribute to growing risk for the disease. T2D is responsible for an increasingly large number of deaths among working-age people, and as many as 60% of people are undiagnosed. While resources are limited for improving T2D care, the HIV system in Mozambique is comparatively well-resourced. The HIV program has been the foundation on which SAIA-HTN has begun implementing health systems strengthening for hypertension among people with HIV. We will build on this platform to pilot strategies to enhance care and prevention in in central Mozambique.

This study will apply SAIA to T2D care systems in two facilities in central Mozambique and which have been activated for SAIA-HTN. By applying systems engineering tools, like process mapping, as well as continuous quality improvement and cascade analysis, it will generate and present data to front-line healthcare workers to inform ongoing care optimization strategies. Modifications to SAIA tools and to care delivery improvements will be leveraged in future scaling initiatives. Additionally, this study will pilot Citizen Science-based health education in community settings in partnership with the Mozambican Association of Diabetics (AMODIA). This education will seek to promote changes to the food environment to reduce risk of cardiometabolic disease. In parallel, a food environment assessment will establish a baseline of food intake and preparation habits in community settings as a foundation to inform future initiatives.

Recent Publications and Posters

SAIA-T2D Study Location

The initial pilot project for SAIA-T2D will take place in Eduardo Mondlane Health Center, Chimoio, Manica Province and Macarungo Health Center, Beira, Sofala Province, Mozambique.