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Tanzania and diabetes—a model for developing countries?

BMJ 2005; 330 doi: (Published 17 March 2005) Cite this as: BMJ 2005;330:679
  1. Kaushik Ramaiya, general secretary (
  1. Tanzania Diabetes Association

Tanzania has a new network of diabetes clinics. About 100 000 people with diabetes in Tanzania now have access to affordable treatment and health education in these diabetes clinics, established by the Tanzania Diabetes Association, and run by district, regional and referral hospitals. Consultations are free of charge, while insulin and other medicines and laboratory tests are heavily subsidised or, for the poorest patients, free.

On the mainland, diabetes clinics have been established in each of the 19 regional hospitals, four referral hospitals, and three district hospitals. Additionally, in the city of Dar es Salaam, diabetes clinics have been established in each of the three district hospitals. Diabetes clinics have also been established in Zanzibar and in Pemba.

The Ministry of Health in Tanzania has given doctors and nurses to staff the diabetes clinics in hospitals nationwide, and partners are supporting the training and education for healthcare professionals. These include Novo …

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