Psychosocial management of diabetes: Applicability of national guidelines to Mewat, an underserved region of Haryana

Abstract

Mewat, a district of Haryana state in India, has unique and different socio cultural milieu which can limit the effective implementation of national guidelines on psychosocial management of diabetes. We reviewed and discussed the underlying socio-cultural and demographic characteristics of Mewat district in order to tailor these national guidelines according to the applicability to improve implementation. We also proposed possible multifaceted interventions/solutions to overcome the potential hurdles for successful implementation of the guidelines in the district.

Diabetes - guidelines - India - management - Mewat - psychosocial - recommendations

• References

• 1 Kalra S, Sridhar GR, Balhara YP, Sahay RK, Bantwal G, Baruah MP. et al. National recommendations: Psychosocial management of diabetes in India. Indian J Endocrinol Metab 2013; 17: 376-395
• 2 Institute for Human Development. A Baseline Survey of Minority Concentration Districts of India: Mewat (Haryana). New Delhi: Ministry of Minority Affairs, Government of India; 2008
• 3 Office of Registrar General and Census Commissioner, India. Census of India 2011: Provisional Population Totals Paper 1 of 2011. New Delhi: Ministry of Home Affairs, Government of India; 2011
• 4 Office of Registrar General and Census Commissioner, India. Census of India 2011: Provisional Population Totals Paper 2 of 2011 (India & States/UTs). New Delhi: Ministry of Home Affairs, Government of India; 2011
• 5 Kalra S, Baruah MP, Ranabir S, Singh NB, Choudhury AB, Sutradhar S. et al. Guidelines for ethno-centric psychosocial management of diabetes mellitus in India: The North East consensus group statement. J Soc Health Diabetes 2013; 1: 9-14
• 6 District Administration, Mewat. Chief Medical Officer [document on the Internet]. Nuh: Government of Haryana; Available from: http://mewat.gov.in/pdf/CMO/cmo.pdf [Updated 2013, June 10; Last accessed on 2013, August 3].
• 7 Directorate General of Health Services. Indian Public Health Standards (IPHS): Guidelines for District Hospitals (101 to 500 Bedded) Revised 2011. New Delhi: Ministry of Health and Family Welfare, Government of India; 2012
• 8 Directorate General of Health Services. Indian Public Health Standards (IPHS): Guidelines for Sub-district/Sub-divisional Hospitals (31 to 100 Bedded) Revised 2012. New Delhi: Ministry of Health and Family Welfare, Government of India; 2012
• 9 National Rural Health Mission. List of District Hospitals. [Document on the Internet] Nuh: Government of Haryana; Available from: http://www.nrhmharyana.org/Writereaddata/userfiles/file/PDFs/HMIS_MCTS/Annexure-D(ii).pdf [Updated 2013, June 10; Last accessed on 2013, August 3].
• 10 Shaheed Hassan Khan Mewati Govt. Medical College Nalhar (Mewat): Hospital. [Document on the Internet] Nalhar: Government of Haryana; Available from: http://www.gmcmewat.ac.in/index.php [Updated 2013, June 10; Last accessed on 2013, August 3].
• 11 Directorate General of Health Services. Indian Public Health Standards (IPHS): Guidelines for Community Health Centres (Revised 2012). New Delhi: Ministry of Health and Family Welfare, Government of India; 2012
• 12 Directorate General of Health Services. Indian Public Health Standards (IPHS): Guidelines for Primary Health Centres (Revised 2012). New Delhi: Ministry of Health and Family Welfare, Government of India; 2012
• 13 Directorate General of Health Services. Indian Public Health Standards (IPHS): Guidelines for sub-centres (Revised 2012). New Delhi: Ministry of Health and Family Welfare, Government of India; 2012
• 14 Radio Mewat: Programming: Swasthaya ki Baat. [Document on the Internet.] Mewat: Community Radio Association; 2010. Available from: http://www.radiomewat.org/ [Last accessed on 2013, August 2].
• 15 Al-Islam S, Ahmad T, Halim A, Taymiyyah IB. The Nature of Fasting [e-book]. Hyderabad: Darussalam Publishers and Distributers. Available from: http://www.islamcan.com/ramadan/ebooks/en_The_Nature_of_Fasting.pdf [Last accessed on 2013, August 2].
• 16 Salti I, Bénard E, Detournay B, Bianchi-Biscay M, Le Brigand C, Voinet C. et al. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care 2004; 27: 2306-2311
• 17 Daradkeh TK. Parasuicide during Ramadan in Jordan. Acta Psychiatr Scand 1992; 86: 253-254
• 18 Sheikh A, Wallia S. Ramadan fasting and diabetes. BMJ 2007; 335: 613-614
• 19 Hui E, Bravis V, Hassanein M, Hanif W, Malik R, Chowdhury TA. et al. Management of people with diabetes wanting to fast during Ramadan. BMJ 2010; 340: c3053
• 20 Afifi ZE. Daily practices, study performance and health during the Ramadan fast. J R Soc Health 1997; 117: 231-235
• 21 Maia AC, Braga AdeA, Brouwers A, Nardi AE, Oliveira e SilvaAC. Prevalence of psychiatric disorders in patients with diabetes types 1 and 2. Compr Psychiatry 2012; 53: 1169-1173
• 22 Ministry of Health and Family Welfare. National Rural Health Mission (2005-2012): Mission Document. New Delhi: Government of India; 2005
• 23 Hazra A. Current prospects of social work in India. Employment News. 2013 July 27-August 2
• 24 Mewat Development Agency. Community & Women Empowerment. [Document on the Internet]. Nuh, Mewat: Government of Haryana. Available from: http://mda.nic.in/SHG%20Information.htm [Updated 2013, July 31; Last accessed on 2013, August 3].