Publications by authors named "Nora Piay"

Article Synopsis
  • The study explores the challenges and supports in managing type 2 diabetes in Latin America and the Caribbean, where the disease rates are rising despite evidence-based recommendations being primarily created for wealthier regions.
  • The researchers reviewed 60 studies, emphasizing that most barriers relate to healthcare access, social influences, and the attitudes of healthcare providers, which affect patients' ability to manage their diabetes.
  • The findings suggest that effective diabetes management in this region requires addressing broader public policy issues and improving healthcare access and support systems rather than focusing solely on individual patient behavior.
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Challenges remain for policy adoption and implementation to tackle the unprecedented and relentless increase in obesity, diabetes and other non-communicable diseases (NCDs), especially in low- and middle-income countries. The aim of this mixed-methods study is to analyse the contextual relevance and applicability to low-resource settings of a sample of evidence-based healthy public policies, using local knowledge, perceptions and pertinent epidemiological data. Firstly, we will identify and prioritise policies that have the potential to reduce the burden of diabetes in low-resource settings with a scoping review and modified Delphi method.

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