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báo cáo khoa học: ""For someone who's rich, it's not a problem". Insights from Tanzania on diabetes health-seeking and medical pluralism among Dar es Salaam's urban poor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: "For someone who's rich, it's not a problem". Insights from Tanzania on diabetes health-seeking and medical pluralism among Dar es Salaam's urban poor | Kolling et al. Globalization and Health 2010 6 8 http www.globalizationandhealth.eom content 6 1 8 GLOBALIZATION yiy AND HEALTH RESEARCH Open Access For someone who s rich it s not a problem . Insights from Tanzania on diabetes health-seeking and medical pluralism among Dar es Salaam s urban poor Marie Kolling1 Kirsty Winkley 2 and Mette von Deden1 Abstract The prevalence of chronic non-communicable disease such as type 2 diabetes mellitus T2DM is rising worldwide. In Africa T2DM is primarily affecting those living in urban areas and increasingly affecting the poor. Diabetes management among urban poor is an area of research that has received little attention. Based on ethnographic fieldwork in Dar es Salam the causes and conditions for diabetes management in Tanzania have been examined. In this paper we focus on the structural context of diabetes services in Tanzania the current status of biomedical and ethnomedical health care and health-seeking among people with T2DM. We demonstrate that although Tanzania is actively developing its diabetes services many people with diabetes and low socioeconomic status are unable to engage continuously in treatment. There are many challenges to be addressed to support people accessing diabetes health care services and improve diabetes management. Introduction Diabetes affects approximately 246 million people world-wide 1 and has become a major threat to global public health 2 . In Africa the prevalence of diabetes has increased significantly and the International Diabetes Federation IDF Atlas 2006 reports an overall prevalence of diabetes at 3.1 affecting a total population of 10.4 million people a huge number despite a lower prevalence than Europe 8.4 and North America 9.2 1 . In this paper we seek to explore the global diabetes epidemic from a local perspective by investigating the challenges to diabetes management among urban poor in Dar es Salaam Tanzania. Since the 1980s Tanzanians have witnessed a rapid rise in chronic .