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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