Towards insulin for all: Operationalising the WHA74 resolution on diabetes
Geneva, 23-May-22
Background: At the World Health Assembly today, countries will be discussing draft recommendations to strengthen and monitor diabetes responses within national non-communicable disease programmes, including potential targets. In May 2021, during the centenary year of the discovery of insulin, WHO member states passed a resolution on “Reducing the burden of non-communicable diseases through strengthening prevention and control of diabetes” at the 74th World Health Assembly. Within the resolution were specific appeals on access to insulin, directed at both member states and the WHO.
In January 2022, WHO proposed the following global targets to the WHO Executive Board:
- 80% of people with diabetes are diagnosed (this includes all types of diabetes)
- 80% of people with diagnosed diabetes have good control of glycaemia
- 80% of people with diagnosed diabetes have good control of blood pressure
- 60% of people with diabetes of 40 years or older receive statins
- 100% of people with type 1 diabetes have access to affordable insulin treatment (including devices for insulin delivery, such as syringes and needles) and blood glucose self-monitoring (the bundle)
These potential targets will be put forward for consideration by member states today at the WHA. For background on this, see a new technical brief by Doctors Without Borders/Médecins Sans Frontières (MSF) and Santé Diabète that gives a snapshot of the situation in Kenya, South Africa and Mali with regard to targets for diabetes care.
Quote from Dr Helen Bygrave, Chronic Diseases Advisor for MSF’s Access Campaign:
“We strongly support setting global targets for response to diabetes, but achieving them will mean investingin monitoring and surveillance system . In countries where MSF works, we have witnessed the challenges faced by people with diabetes receiving care in the public health system, who often don’t have access to the bundle of insulin, medical supplies required to inject it, and tools to monitor their blood glucose levels.It is imperative that countries consider this ‘diabetes bundle’ and its price, when forecasting, budgeting and procuring”
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Shailly Gupta
+41-79 203 13 02