Accès aux soins de diabétologie en Afrique sub-saharienne : bilan d'un réseau diabète en Guinée

In Guinea, in the context of diabetes care decentralization, a first diabetes care network was developed in the Futa Jallon area, located 450 km from the capital. In this paper, we describe this network specificity and report the results after a period of 9 years of practice. The commitment of the diabetics' regional association was a key factor in the establishment of the network care. The number of annual consultations increased from 101 (2002) to 2938 (2011). The in-hospital death rate decreased from 15% (2002) to 3% (2011). Despite these very significant progresses, many challenges remain.