Table 7.

Selected quotations from providers

Provider perceived barriers to appropriate care of diabetes, including insulin use
• “When it [insulin] has been there in the past the barriers include lack of refrigeration.”
• “In the villages there is no fridge, and no test strips, making monitoring difficult.”
• “There is a lack of blood glucose monitoring – even if a patient is newly starting insulin or very unwell they may get 5 test strips for the first week. For longer term patient they get 1 strip per month!”
• “I regularly encountered poor understanding from patients, and conflicting health beliefs which lead to poor compliance.”