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Table 2 Prioritised problems and planned and implemented strategies

From: Implementation and fidelity of a participatory learning and action cycle intervention to prevent and control type 2 diabetes in rural Bangladesh

Problem Strategy N groups Problem category
Lack of knowledge about glucose testing to prevent and control diabetes Awareness raising through household visits by small groups of group attenders 122 Diabetes knowledge and care
Glucometer and/or glucometer testing strips are unavailable in villages, and it is unaffordable to travel to Faridpur head quarters. Use the group fund to travel to test blood glucose levels or to visit a medical professional. 43 Diabetes knowledge and care
Local blood glucose testing is not available Facilitator to arrange village measurement of blood glucose 122 Diabetes knowledge and care
Lack of knowledge about the need for a balanced diet (in quantity and type of food) Awareness raising through household visits by small groups of group attenders 122 Diet
Vegetables are not always available, and it is not always feasible to buy in large quantities Kitchen gardening and income generation (such as selling vegetables, and rearing livestock) to increase household access to vegetables 122 Diet
Lack of knowledge about relation between physical activity and diabetes, and the sufficiency of exercise to remain healthy Awareness raising through household visits by small groups of group attenders, including counselling of home-based physical exercise for women. 122 Physical Activity
Cultural taboo towards women walking outside their home Lack of knowledge about swimming as exercise Lack of interest and motivation Exercise in groups, led by group attenders 122 Physical Activity
Men ridicule women walking outside their homes Men commit to not ridicule women walking outside their homes 61 Physical activity
Lack of knowledge about the effect of smoking among men and its relationship with diabetes Awareness raising by small groups of group attenders 61 Smoking and tobacco
Men and women are addicted to tobacco products, so it is difficult to give up Group attenders, and those who have given up tobacco products personally encourage tobacco users to give up. 122 Smoking and tobacco
  Support for men and women to stop consuming tobacco products through anti-tobacco sub-committees making household visits 90 Smoking and tobacco
Smoking is promoted by peer pressure Male group attenders will encourage adolescents not to smoke 61 Smoking and tobacco