Towards more effective strategies for management of diabetes in Mauritius
Hemant Kassean
University of Mauritius, Reduit, Mauritius.
DOI: 10.4236/ojpm.2012.22037   PDF   HTML     6,856 Downloads   12,839 Views   Citations


Over the past 2 decades, the prevalence of diabetes in Mauritius has remained one of the highest in the world with no recent significant improvement. Mauritius ranked 2nd in 2002 and 4th in the world in 2009 with nearly one in five of its adult population above the age of 30 years being affected. Nearly half of those affected do not know that they have the disease and this adversely influences quality of life, risks of complications as well as morbidity and mortality. Despite the availability of free health services, over 50% of diabetes patients are poorly controlled and the risk of complications from diabetes such as cardiovascular diseases, renal failure, blindness, peripheral vascular and neurological diseases leading to lower limb amputations, remain very high. Despite continued efforts from the Ministry of Health and Quality of Life (MOH & QOL) to provide easily accessible diabetes care to all patients, the outcome remains poor. Most of the outpatients and primary health care centres are overcrowded and the set-up does not provide optimal care and attention. Diabetes care is very much medical-orientated and the health promotion campaigns have had little impact so far. Prevention and control of diabetes must become a priority. There is an urgent need for enhanced heath promotion and education, as evidence suggests that a change in diet and lifestyle can bring about significant improvement in the incidence and prevalence of diabetes. This paper examines some of the key actions/ proposals with respect to: evaluation of actions taken, health promotion campaigns, attitude and behavioural change, focused leadership and commitment, marketing strategies, effective segmentation and targeting.

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Kassean, H. (2012) Towards more effective strategies for management of diabetes in Mauritius. Open Journal of Preventive Medicine, 2, 257-264. doi: 10.4236/ojpm.2012.22037.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Shaw, J.E., Zimmet, P.Z., de Courten, M., et al. (1999) Impaired fasting glucose or impaired glucose tolerance. What best predicts future diabetes in Mauritius? Diabetes Care, 22, 399-402. doi:10.2337/diacare.22.3.399
[2] IDF. (2009) IDF diabetes atlas. 4th Edition, International Diabetes Foundation, Brussels.
[3] UN Resolution 61/225 (2009) Accessed 31 October 2011.
[4] HSA. (2010) Health Statistics Annual, Publication of the Statistics Unit, Ministry of Health and Quality of Life (accessed 20 October 2011).
[5] NCD (2009) The mauritius non communicable diseases survey—The trends in diabetes and cardiovascular disease risk in Mauritius. Non-Communicable Diseases, Reduit.
[6] IDF Diabetes Atlas (2002). International Diabetes Foundation.
[7] Dowse, G.K., Gareeboo, H., Zimmet, P.Z., et al. (1990) Abdominal obesity and physical inactivity as risk factors for NIDDM and impaired glucose tolerance in Indian, Creole, and Chinese Mauritians. American Journal of Epidemiology, 118, 673-688.
[8] Shah, P.C. (1987) Diabetes mellitus in and around Bardoli. Journal of the Diabetic Association of India, 27, 11-14.
[9] NSFD. (2007) The national service framework for Diabetes—Mauritius. A ten-year programme. Ministry of Health & Quality of Life, Accessed 15 December 2012.
[10] Kirigia, J.M., et al. (2009) Economic burden of diabetes mellitus in the WHO African region. BMC International Health and Human Rights, 9, 6. doi:10.1186/1472-698X-9-6
[11] HSA. (2010) Health Statistics Annual, Publication of the Statistics Unit, Ministry of Health and Quality of Life (accessed 25 October 2011).
[12] Soderberg, S., Dowse, G.K.P. Zimmet, J., et al. (2004) High incidence of type 2 diabetes and increasing conversion rates from impaired fasting glucose and impaired glucose tolerance to diabetes in Mauritius. Journal of Internal Medicine, 256, 37-47.
[13] HSA. (2010) Health Statistics Annual, Publication of the Statistics Unit, Ministry of Health and Quality of Life (accessed 12 December 2011).
[14] Kassean, H. and Narainen, N. (2005). Nurses’ perceptions of their role in caring for diabetic patients at the primary care level: A case study from Mauritius. Journal of Health Management, 7, 207-213. doi:10.1177/097206340500700203
[15] Diabetes Mauritius (2006) accessed 14 August 2010.
[16] Doobaly, P. and Gooneeadry, A (2005) Managing diabetic patients in the community. Unpublished Dissertation.
[17] Salon de al Sante. (2011) Plaidoirie pour une population informée Le Mauricien. 28 June 2011.
[18] Ramanah, K. (2006) Strategies for improving diabetic care in Mauritius, Unpublished Dissertation.
[19] Pan X.-R., et al. (1997) Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: The Da Qing IGT and diabetes study. Diabetes Care, 20, 537-544. doi:10.2337/diacare.20.4.537
[20] Diabetes Prevention Program Research Group. (2001) Prevention of type 2 diabetes mellitus by changes in life- style among subjects with impaired glucose tolerance. The New England Journal of Medicine, 344, 1343-1350. doi:10.1056/NEJM200105033441801
[21] Diabetes Prevention Program Research Group. (2002) Reduction in the incidence of type 2 diabetes with life-style intervention or metformin. The New England Journal of Medicine, 346, 393-403.
[22] American Diabetes Association & National Institute of Diabetes, Digestive and Kidney Diseases. (2004) The prevention or delay of type 2 diabetes. Diabetes Care, 27, S47-S54
[23] Eagly, A., et al. (1993) The psychology of attitudes. Harcourt Brace Jovanovich College Publishers, Forth Worth.
[24] National Institute for Health and Clinical Excellence (2011) Behaviour change, Accessed 14 May 2011.
[25] Ewles, L. and Simnett, I. (1996) Promoting health: A practical guide. Balliere Tindall, London.
[26] Wellings, K. and Macdowall, W. (2005) Evaluating mass media approaches to health promotion: A review of methods. Health Education, 100, 23-32.
[27] Winett. (1992) North of England study of standards and performance in general practice. Overview of the study. Centre for Health Services Research, Newcastle-Upon Tyne.
[28] Black, E.R., et al. (1994) Innovations in patient care: Changing clinical practice and improving quality. Association of Health Service Research, 11, 78-79.
[29] Rosenstock, M. (1966) Why people use health services. The Milbank Memorial Fund Quarterly, 44, 94-127.
[30] Becker, M.H. (1974) The health belief model and personal health behaviour. N.J. Charles, London.
[31] Tones, K., Tilford, S. and Robinson, Y. (1990) Health education: Effectiveness and efficiency. Chapman and hall, London.
[32] Beck, V. (2004) Working with daytime and primetime television shows in the United States to promote health. In: Singhal, A., Cody, M.J., Rogers, E.M. and Sabido, M., Eds., Entertainment-education and social change: History, research, and practice. Lawrence Erlbaum and Associates Publishers, Mahwah.
[33] Kreuter, M.W., et al. (2003) Achieving cultural appropriateness in health promotion programs: Targeted and tailored approaches. Health Education & Behavior, 30, 133-146
[34] Bloom, J.R. (1990) The relationship of social support and health. Social Science & Medicine, 30, 635-637. doi:10.1016/0277-9536(90)90162-L
[35] DeWalt, D.A., et al. (2004) Literacy and health outcomes: A systematic review of the literature. Journal of General Internal Medicine, 19, 1228-1239. doi:10.1111/j.1525-1497.2004.40153.x
[36] Keller, D.L., et al. (2008) Impact of health literacy on health outcomes in ambulatory care patients: A systematic review. Annals of Pharmacotherapy, 42, 1272-1281. doi:10.1345/aph.1L093
[37] NCD. (2004) Non-Communicable Diseases survey. Ministry of Health & Quality of Life, Reduit.
[38] Glik, D. (2004) Health communication in popular media formats. Medscape Public Health & Prevention, New York.
[39] Tones, K., Tilford, S. and Robinson, Y. (1990) Health education: Effectiveness and efficiency. Chapman and hall, London.
[40] Nutbeam, D., et al. (1990) Evaluation in Health Education. A review of progress, possibility and problems. Journal of Epidemiology and Community Health, 44, 83- 89. doi:10.1136/jech.44.2.83
[41] Saunders, R.P., et al. (2005) Developing a process-evaluation plan for assessing health promotion program implementation: A how-to guide. Health Promotion Practice, 6, 134-147. doi:10.1177/1524839904273387

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