Case Story


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Initiative Name:
Diabetes and Gender: Lessons Learned in Mexico and Tailored to Trinidad and Tobago
Initiative Status:
Completed and consolidating results
Adaptation, replication or scaling up of a previous initiative?
Modality of the initiative:
Disease Prevention and Control
Diabetes Mellitus, Non Communicable Diseases, Gender

Geographic Identifiers

Countries Leading or Providing Technical Cooperation:
Countries Demanding Technical Cooperation:
Trinidad and Tobago
Participating National Institutions, Organizations and/or Subregional Entities:
Trinidad and Tobago - Ministry of Health; Ministry of Child, Youth and Gender Affairs; Mexico - Ministry of Health, Centro Nacional de Equidad de Género y Salud Reproductiva, Ciudad Juarez Sanitary Jurisdiction
Participating International and Multilateral Organizations:
Pan American Health Organization (PAHO)
Initiative Start Date:
June 2011
Initiative End Date:
December 2011

Initiative Cost/Budget and Sources of Funding

Initiative Total Cost/Budget: (in US$)
Percentage Contributed by 3rd party sources:

Initiative Description

In the Americas, Mexico and the English-speaking Caribbean have the highest mortality rates related to diabetes mellitus (DM). For those living with diabetes, the disease causes blindness, renal and neural damage, and cardiovascular disease. According to research, diabetes is the primary cause of death for men and women in Mexico and the second common cause of death among English-speaking Caribbean women.

While the numbers of men and women who contract diabetes in Mexico and the English-speaking Caribbean are similar, it is clear that gender affects the progression and treatment of the disease. In order to come to a better understanding of these differences and lower the risk for contracting diabetes, a Technical Cooperation among Countries (TCC) project was proposed to transfer the best practices in gender and diabetes prevention in Mexico and Trinidad and Tobago.

A delegation from Trinidad and Tobago visited Mexico to learn about their national campaign that was honored by PAHO as a “Best practice of Mainstreaming Gender into Health” in 2008 and the delegation learned about gender-specific aspects of diabetes prevention. The Trinidadian delegation also gave a presentation and provided suggestions on how to evaluate intercultural aspects of diabetes prevention. A delegation from Mexico later travelled to Trinidad to support health care providers in their training. They also worked to translate educational materials on diabetes for both patients and providers and to adapt the materials to Trinidadian needs and culture. Through the use of focus groups, the delegation from Mexico was also able to provide suggestions and feedback on the pilot program.

The project reflects and reinforces the importance of addressing specific gender and ethnicity factors related to chronic disease risk. Developing gender sensitive educational materials for diabetes as well as tailoring health services for men and women are essential health promotion tools.

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Additional Material:


Album 1

Album 2

Links and Additional Resources:

Contact Information:

Name of Contact Person:
Lorely Ambriz, Knowledge Management & Communication Advisor
Pan American Health Organization
Pan American Health Organization (PAHO) / A Regional Office of the World Health Organization (WHO) United States-Mexico Border Office
5400 Suncrest Dr. Ste. C-4 El Paso, TX 79912
Office (915) 845-5950 Ext. 42523 / Cel (915) 449-3040 / Fax (915) 845-4361