A qualitative study of healthcare provider perspectives on challenges and opportunities to improve diabetes self-management practices in rural Bangladesh
Authors' conclusion
The findings contribute valuable perspectives to the global discourse on DSMP in rural settings, particularly in Bangladesh and similar contexts within low- and middle-income countries (LMICs), underscoring the need for context-specific, culturally sensitive interventions.
Study context
- Population
- Healthcare professionals providing care to adults with T2D in Bangladesh across tertiary, secondary and primary care settings
- Participants
- 24 healthcare professionals
- Comparison
- Local-level vs National-level
- Local-leveln = 15
- National-leveln = 9
- Outcome
- Perspectives on constraints and opportunities of diabetes self-management practices in rural Bangladesh
Methodological detailssemi-structured interviews, purposive sampling, thematic analysis using deductive framework based on socio-ecological model
- Semi-structured interviews
- Purposive sampling
- Thematic analysis using deductive framework based on socio-ecological model
Main finding
As reported in the abstract
- Four key themes: healthcare system, government support and policy, patient factors, community influences
- Rural healthcare system challenges: inadequate resources, workforce shortages, limited access to essential medications and equipment, leading to high burden on providers
- Minimal integration of diabetes care into primary health systems, compounded by cultural beliefs and fatalistic attitudes toward disease management
- Suggested interventions: group-based diabetes self-management practices (DSMP) for peer support and home visits for personalised care
Original publication
A qualitative study of healthcare provider perspectives on challenges and opportunities to improve diabetes self-management practices in rural Bangladesh. Diabetes Res Clin Pract. Published 14 August 2025. doi:10.
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