Tackling Diabetes in a Whole of Society Approach: Challenges, progress, and opportunities in the Pacific Island countries.

Main Article Content

Si Thu Win Tin Elisiva Na’ati Ilisapeci Kubuabola Tanieru Tekiang Amerita Ravuvu

Abstract

Diabetes is an indiscriminate killer and disproportionately affects the world’s most vulnerable populations in the Pacific region. There have been several declarations aimed at tackling diabetes through engaging civil societies given that they are more influential in shaping the lives of people in the communities. Despite civil societies are gaining attention as important stakeholders in tackling diabetes and involving in health promotion initiatives in some Pacific Island countries, they are still largely absent from the decision-making process and coordination roles. Ensuring a collaborative approach that involves civil societies and engages them through truly inclusive processes in planning, implementation, and policymaking to prevent and control diabetes at the national level remains challenging. The Pacific region should take its unique opportunities such as the existing strong networks of civil societies, churches, women, and youth, and empower them to be at the centre of national efforts in fighting against the interconnected health, social and environmental determinants of diabetes. This article highlights to invest additional resources in engaging and mobilising civil society organizations which will meaningfully contribute to creating healthier environments to become healthier communities and enhance diabetes prevention and management efforts across the Pacific.

Keywords: Diabetes, civil societies, prevention, Pacific

Article Details

How to Cite
TIN, Si Thu Win et al. Tackling Diabetes in a Whole of Society Approach: Challenges, progress, and opportunities in the Pacific Island countries.. Medical Research Archives, [S.l.], v. 12, n. 7, july 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5433>. Date accessed: 15 nov. 2024. doi: https://doi.org/10.18103/mra.v12i7.5433.
Section
Editorial

References

1. GBD 2021 Diabetes Collaborators. Global, regional and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet 2023 July; 402(10397): 203-234. Doi: https://doi.org/10.1016/S0140-6736(23)01301-6
2. International Diabetes Federation. Diabetes Atlas 10th Edition, IDF 2021. Accessed May 21, 2024. https://diabetesatlas.org/idfawp/resourcefiles/2021/07/IDF_Atlas_10th_Edition_2021.pdf
3. World Health Organization. Reports on the STEPwise approach to NCD risk factor surveillance, WHO. Accessed May 21, 2024. https://www.who.int/teams/noncommunicable-diseases/surveillance/data
4. Win Tin ST, Kenilorea G, Gadabu E, Tassserei J, Colagiuri R. The prevalence of diabetes complications and associated risk factors in Pacific Island countries. Diabetes Res Clin Pract 2014; 103: 114-118. Doi: https://doi.org/10.1016/j.diabres.2013.09.017
5. Matoto V, Win Tin ST, Na’ati E, Tomiki S, Ofahulu M, Fangalua A, Toli V. Measuring diabetes complications, risk factors and capacity for managing diabetes: An initial step to improve diabetes care at the primary health centre in Tonga, European Journal of Medicine, Medical Research Archives 2023. [S.l.], V. 11, N. 11. Doi: https://doi.org/10.18103/mra.v11i11.4649
6. Win Tin ST, Gadabu E, Iro G, Tasserei J, Colagiuri R. Counting the costs of diabetes in the Solomon Islands and Nauru. PLoS ONE ; 10(12) 2015: e0145603. DOI : https://doi.org/10.1371/journal.pone.0145603
7. United Nations. Sustainable Development Goals, UN 2015. Accessed May 21, 2024. https://www.un.org/sustainabledevelopment/sustainable-development-goals/.
8. International Diabetes Federation. Renewing the Fight: A Call to Action for Diabetes and Chronic Kidney Disease. A policy brief by the International Diabetes Federation and the International Society of Nephrology. IDF. Accessed May 21, 2024. https://idf.org/media/uploads/2023/07/IDF-ISN-Policy-Brief-Renewing-the-Fight_-a-call-to-action-on-diabetes-and-chronic-kidney-disease.pdf
9. World Health Organization. Bridgetown Declaration on Non-Communicable Diseases and Mental Health, 2023. Accessed May 22, 2024. https://cdn.who.int/media/docs/default-source/ncds/sids-event/2023-bridgetown-declaration-on-ncds-and-mental-health.pdf
10. NCD Alliance. A civil society guide to advance NCD prevention policies. Unpacking WHO’s Best Buys and other recommended interventions, 2023. Accessed May 22, 2024. file:///C:/Users/sithuw/OneDrive%20-%20SPC/Desktop/Prevention_guide-WHO_Best_Buys-EN.pdf
11. World Bank. Non-Communicable Disease (NCD) Roadmap Report, 2014. Accessed May 30, 2024. http://documents.worldbank.org/curated/en/534551468332387599/pdf/893050WP0P13040PUBLIC00NCD0Roadmap.pdf.
12. World Health Organization and the Pacific Community. Outcome of the Thirteenth Pacific Health Ministers Meeting, Tahiti, French Polynesia, 2019. Accessed May 22, 2024. https://www.who.int/docs/default-source/wpro---documents/dps/phmm-phoh-documents/13th-phmm-outcome-document---en.pdf
13. World Health Organization and the Pacific Community. Fifteenth Pacific Health Ministers Meeting, Nuku’alofa, Tonga, Meeting Report, 2023. Accessed May 22, 2024. https://www.who.int/southeastasia/publications/i/item/RS-2003-GE-44-TON
14. The Pacific Community. Fourteen Pacific Heads of Heath Meeting, meeting report, 2023. Accessed May 31, 2023. https://phd.spc.int/sites/default/files/p-related-files/2023-10/Report%20of%2014th%20PHoH%20Meeting%20Report%20April%202023.pdf.
15. Win Tin ST, Kubuabola I, Snowdon W, Cash H, Na’ati E, Waqa G, Moadsiri A, Bertrand S, Ravuvu A. Assessing the progress on the implementation of policy and legislation actions to address the Non-Communicable Diseases crisis in the Pacific. PLOS ONE journal, 2022. Doi: https://doi.org/10.1371/journal.pone.0272424