Contextual Awareness, Response and Evaluation: Diabetes in Ghana

2型糖尿病（T2D）影响了加纳约6%的成年人，导致身心健康状况不佳、过早死亡，并增加了个人、家庭和医疗保健服务的成本。CARE：糖尿病项目是公共卫生专家、历史学家、社会科学家、经济学家、政治学家、心理学家、药剂师和工程师之间的一项研究合作，旨在了解加纳阿克拉三个城市社区中糖尿病的背景驱动因素和后果。这将包括对T2D的历史、政治和物理背景的研究，让我们深入了解环境、经济和社会因素如何在这个城市环境中塑造T2D风险。将通过社区调查收集关于个人、家庭和社区疾病负担和风险因素的信息，而社会科学方法将提供对环境决定因素和疾病观念的深刻理解。对数字基础设施和发展能力的评估将确定数字战略的机会，以提高对T2D的认识、预防疾病和加强卫生系统。我们还将绘制可用的正式和非正式卫生保健提供者的地图，并与这些机构、社区团体和政策制定者合作，共同制定干预策略，以减少研究地区的T2D风险。特别是，我们将调整和测试一种特定的社区动员干预措施，这种干预措施已被证明在其他环境中成功地降低了糖尿病风险。

Type 2 diabetes (T2D) affects approximately 6% of adults in Ghana resulting in poor mental and physical health, premature death, and increased costs for individuals, families and healthcare services. The CARE:Diabetes project represents a research collaboration between public health specialists, historians, social scientists, economists, political scientists, psychologists, pharmacists and engineers to understand the contextual drivers and consequences of T2D in three urban communities in Accra, Ghana. This will include research into the historical, political and physical context of T2D, giving us insights into how environmental, economic and social factors have shaped T2D risk in this urban setting. Information on individual, household and community burdens of disease and risk factors will be gathered through community surveys while social science methods will provide deep understanding of contextual determinants and perceptions of disease. Assessment of digital infrastructure and development capacity will identify opportunities for digital strategies to raise awareness of T2D, prevent disease, and strengthen health systems. We will also map available formal and informal health care providers and work with these, community groups and policy makers to co-create intervention strategies to reduce T2D risk in the study area. In particular, we will adapt and test a specific community mobilisation intervention that has proven successful in reducing diabetes risk in other settings.