PDF(Pubmed)
Abstract：
The prevalence of type 2 diabetes (T2D), associated systemic disorders, diabetic retinopathy (DR) and current health policies in south Asian countries were analysed to assess country-specific preparedness to meet the 2030 Sustainable Development Goals. The south Asian countries were classified by human development index, socio-demographic index, multidimensional poverty indices, and eye health resources for epidemiological resource-level analysis. In south Asia, the prevalence of diagnosed and undiagnosed T2D in adults aged 40 years or above, was higher in Pakistan (26.3%) and Afghanistan (71.4%), respectively; India has the highest absolute number of people with DR, and Afghanistan has the highest prevalence of DR (50.6%). In this region, out-of-pocket spending is high (∼77%). This Health Policy is a situational analysis of data available on the prevalence of DR and common eye diseases in people with T2D in south Asia and available resources to suggest tailored health policies to local needs. The common issues in the region are insufficient human resources for eye health, unequal distribution of available workforce, and inadequate infrastructure. Addressing these challenges of individuals with T2D and DR, a 10-point strategy is suggested to improve infrastructure, augment human resources, reduce out-of-pocket spending, employ targeted screening, and encourage public-private partnerships.
摘要：
2型糖尿病（T2D）的患病率，相关的系统性疾病，我们分析了南亚国家的糖尿病性视网膜病变(DR)和现行卫生政策,以评估各国在实现2030年可持续发展目标方面的准备情况.南亚国家按人类发展指数分类，社会人口指数，多维贫困指数，和眼卫生资源进行流行病学资源水平分析。在南亚,在40岁或以上的成年人中诊断和未诊断的T2D的患病率，巴基斯坦(26.3%)和阿富汗(71.4%)较高，分别；印度的DR患者绝对数量最高，阿富汗的DR患病率最高（50.6%）。在这个地区,自付支出很高(77%)。本卫生政策是对南亚T2D患者中DR和常见眼病患病率的现有数据以及可用资源的情况分析，以根据当地需求提出量身定制的卫生政策。该地区的共同问题是眼睛健康人力资源不足，现有劳动力分配不均，基础设施不足。应对T2D和DR患者的这些挑战，提出了改善基础设施的10点战略，增加人力资源，减少自付支出，采用有针对性的筛查，鼓励公私伙伴关系。
