Diabetes mellitus is an increasing global health problem affecting millions of people worldwide. In the Republic of Kiribati, more than 20% of adults suffer from type 2 diabetes and the prevalence is rising.
This study, commissioned by The Fred Hollows Foundation NZ, explores Kiribati patients' understanding of diabetes and the accessibility of relevant services using the Talanga and Kakala Pacific research methodologies. It highlights the gaps and failures in the health system to meet the complex health care needs of patients with diabetes.
Improvements suggested include a comprehensive village-based health promotion and community development program focusing on youth and schools from early childhood and onward, increasing the skilled workforce, and an integrated approach to service delivery.