Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. May 15, 2015; 6(4): 566-575
Published online May 15, 2015. doi: 10.4239/wjd.v6.i4.566
Adapting chronic care models for diabetes care delivery in low-and-middle-income countries: A review
Grace Marie V Ku, Guy Kegels
Grace Marie V Ku, Guy Kegels, Department of Public Health, Institute of Tropical Medicine, B-2000 Antwerp, Belgium
Author contributions: Ku GMV contributed to the design of the research, conducted the qualitative interviews and analysis and drafted the manuscript; Kegels G provided substantial contributions in the concept and design, analysis, and in the drafting of the manuscript; both authors read and approved the final manuscript.
Supported by The Belgian Directorate for Development Cooperation through the Institute of Tropical Medicine, Antwerp.
Conflict-of-interest: Neither of the authors has any financial competing interests regarding this research.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Grace Marie V Ku, MD, MPH, PhD, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, B-2000 Antwerp, Belgium.
Telephone: +63-91-53615683
Received: August 29, 2014
Peer-review started: August 29, 2014
First decision: November 27, 2014
Revised: January 27, 2015
Accepted: February 9, 2015
Article in press: February 11, 2015
Published online: May 15, 2015
Core Tip

Core tip: This paper introduces strategies that low-to-middle-income countries can employ to introduce feasible care and prevention for diabetes amidst problems of the double burden of disease and scarcity of resources, and presents a context-adapted service delivery model that integrates care for diabetes and similar chronic conditions in the current health services and assimilates the delivery of diabetes care with other responsibilities of the health system so that people under the care of health services and the health system can experience the whole spectrum of diabetes prevention and care.