The management of Diabetes is quite expensive especially in the developing World. It is more expensive if not managed hence there is no limit to the cost until the final knock of death. The hope however is that early actions in terms of management and care always bring about notable change in outcome measures in a diabetic well being. Ideally, resources should be made available to ensure that people diagnosed with diabetes carry out blood glucose self monitoring, receive appropriate meters, strips and education free of charge. Unfortunately at this stage, such a goal is unrealistic in many Countries even though possible due to competing priorities for very limited health budgets particularly in the context of the HIV/AIDs and TB epidemics sweeping across Sub Saharan Africa.
Through public private partnership scheme, the following can be achieved:
- Provision of free glucometers and test strips and drugs for Children and Pregnant women with diabetes this will aid the fight against the upsurge in Child Maternal Mortality rate.
- Arrangement can be made with Manufacturers whereby the meters are provided free to the patient while the test strips are paid for at subsidized rate.
- In areas or institutions where meters are available, information on the importance of blood glucose self monitoring needs to be explained in a culturally appropriate manner using local languages that people can understand.
- The media should foster dialogue and initiate discuss among stake holders, interest groups and policy makers towards engineering change to best practices.
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