Idealism Versus Realism in Sustainable Global Research

In sub-Saharan African countries, non-communicable diseases (NCDs) such as Type II diabetes are increasing in incidence and prevalence. Glycated hemoglobin (HbA1c) is a diagnostic tool for monitoring and managing patients with diabetes that is unavailable in many resource constrained environments. Following a qualitative study with key informants in rural northwestern Tanzania, point of care HbA1c machines were introduced to improve care of patients with diabetes. Education modules were developed for study participants in Shirati, Tanzania to improve disease management in this remote area that included locally available food choices, exercises to reduce blood glucose, and overall understanding of the disease process. A greater understanding of the cultural norms and mores as well as factors affecting supply of equipment are essential to improve care provided to this population. This paper contributes knowledge to the ongoing challenges of appropriate sustainable research to improve health in low resource areas