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Variation in health system performance for managing diabetes among states in India: a cross-sectional study of individuals aged 15 to 49?years
Authors: Jonas Prenissl, Lindsay M. Jaacks, Viswanathan Mohan, Jennifer Manne-Goehler, Justine I. Davies, Ashish Awasthi, Anne Christine Bischops, Rifat Atun, Till Bärnighausen, Sebastian Vollmer, and Pascal Geldsetzer
Source: BMC Medicine, 17: 92; DOI: 10.1186/s12916-019-1325-6
Topic(s): Diabetes
Health care utilization
Country: Asia
Published: MAY 2019
Abstract: Background Understanding where adults with diabetes in India are lost in the diabetes care cascade is essential for the design of targeted health interventions and to monitor progress in health system performance for managing diabetes over time. This study aimed to determine (i) the proportion of adults with diabetes in India who have reached each step of the care cascade and (ii) the variation of these cascade indicators among states and socio-demographic groups. Methods We used data from a population-based household survey carried out in 2015 and 2016 among women and men aged 15–49?years in all states of India. Diabetes was defined as a random blood glucose (RBG) =?200?mg/dL or reporting to have diabetes. The care cascade—constructed among those with diabetes—consisted of the proportion who (i) reported having diabetes (“aware”), (ii) had sought treatment (“treated”), and (iii) had sought treatment and had a RBG