Social determinants of health and its relationship with clinical and economic outcomes in people with type 2 diabetes in Bangladesh
Diabetic association of Bangladesh (BADAS) 2024-25 ARK Foundation, in partnership with Diabetic association of Bangladesh (BADAS) is implementing a research study to understand the social determinant of health (SDOH) and its relationship with clinical and economic outcome of T2DM (Type2 Diabetes Mellitus) in Bangladesh with the research grant of Ministry of Health and Family Welfare.
The study has been implemented in eight BADAS centers located in eight districts of Bangladesh recruiting 840 T2DM patients of 40 years & above (105 from each center) at baseline in 2024 who were suffering from diabetes for at least five years. Data regarding sociodemographic, clinical, anthropometric, ophthalmic, health expenditure for treatment of T2DM were collected in the study.
As part of intervention diagnostic test expenditure for three biomarkers (FPG, 2hABF, HbA1c) at four time visits in four months interval and two biomarkers (Lipid profile, Serum Creatinine) at two time visits in 12 months interval in BADAS centers by the recruited T2DM patients were covered by the study. Besides health education session, cell phone-based m-Health intervention e.g., reminder for follow-up, drug compliance, healthy lifestyle messages are also provided for the recruited T2DM patients.
Endline data were collected from 772 (out of 840 recruited at baseline) T2DM patients in BADAS centers as on 2025 with 8.1% lost to follow up. Preliminary analysis of baseline data indicate one of the SDOH indicators i.e. household income was significantly associated with glycaemic control, with higher-income (>20000 BDT per month) participants more likely to achieve control than lower-income (≤20000 BDT per month) participants (18.2% vs 12.8%, p=0.03).
Protocol manuscript and manuscript on baseline data have been submitted to Trial and BMC Public Health Journals and currently under review
Funder: Ministry of Health and Family Welfare
Partner Organization: Diabetic Association of Bangladesh (BADAS)
Duration: 2024-2025
