Addressing the Challenge and Constraints of Insulin Sources and Supply (ACCISS) – Phase 2

Access to insulin is a public health issue that affects both patients with type 2 and type 1 diabetes. Insulin is extremely important to prevent the onset of complications and to improve the quality of life of those who have diabetes. However, there is evidence of problems of access to insulin in multiple parts of the world, including Peru.

Aim:

The main objective of this project is to improve access to insulin in Peru. Among the specific objectives are: 1) rise awareness of the need to improve diabetes care and the access to insulin in the national health system, 2) familiarize stakeholders with the results of previous ACCISS studies in Peru and around the world, 3) develop an insulin acquisition and distribution plan to improve the availability and affordability of insulin in the public sector, 4) create a tool to monitor the prices and availability of insulin in different regions of the country, 5) develop a manual for the use of insulin and promote its use by health personnel, and 6) improve knowledge of civil society regarding better access to treatment and care for people with type 1 diabetes.

Study design:

To achieve the proposed objectives, different actions will be taken, such as: involvement of key actors (type 1 and 2 diabetes organizations, policy makers, physicians), active participation in the preparation of an insulin use manual, training of health personnel, implementation of the manual in health-care centers. As well as estimating the cost of managing diabetes, preparing documents that serve as support for the national insurance system, and suggest improvements in the insulin acquisition and distribution plan. Finally, create a tool for monitoring prices and availability of insulin.

Result:

Contact:

Maria Lazo-Porras, MD, MSc
maria.lazo@upch.pe

Place of study
Perú, Mali, Kirguistán

Funding
The Leona M. and Harry B. Helmsley Charitable Trust

Duration of the study
2018 – 2021

Reserachers

María Lazo Porras

Janeth Tenorio-Mucha

Jessica Zafra-Tanaka

Collaborators

David Beran, University of Geneva.

Richard Laing, Boston University.

Margaret Ewen, Health Action International.

Publications

  • Jessica Hanae Zafra-Tanaka, Lizzete Najarro, Janeth Tenorio-Mucha, Maria Lazo-Porras, Diego Bartra, Gina Bazán, María Claudia Berghusen Anteparra, Ursula Bonilla, Vicky Motta, David Beran. COVID-19’s impact on type 1 diabetes management: A mixed-methods study exploring the Peruvian experience. Int J Health Plann Manage. 2022 Dec;37 Suppl 1:129-143. doi:10.1002/hpm.3536. Epub 2022 Jul 5. https://pubmed.ncbi.nlm.nih.gov/35790022/
  • Janeth Tenorio-Mucha, María Lazo-Porras, Jessica Zafra, Margaret Ewen, David Beran. Using government data to understand the use and availability of medicines for hypertension and diabetes: lessons from Peru. J Pharm Policy Pract. 2022 Nov 18;15(1):86. doi:10.1186/s40545-022-00481-5. https://pubmed.ncbi.nlm.nih.gov/36401297/

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