Table 3.

Strategies to Enhance DSME Implementation in Africa

Strategy	Implementation Approach
Integration of Traditional Healers	Train traditional healthcare practitioners to provide basic diabetes education and self-management support to improve accessibility.
Culturally Adapted Educational Materials	Develop DSME materials in local languages, incorporating traditional diets and cultural perspectives to improve engagement.
Task-Shifting Approaches	Train nurses, community health workers, and peer educators to deliver DSME interventions in underserved areas to address the shortage of diabetes specialists.
Use of mHealth Technologies	Expand DSME delivery via mobile platforms, ensuring content is culturally and linguistically appropriate. Conduct pilot studies to assess feasibility and effectiveness.
Health System Integration	Embed DSME within primary healthcare settings, ensuring routine follow-up and linking patients with healthcare providers for sustained support.