How can digital health create access to care for people living with type 1 diabetes in Tunisia?

Søren Kibsgaard, Lynn Eriksen, Michael Hedegaard

Research output: Working paper/PreprintWorking paperEducation


This teaching note provides insights into the topic of implementing digital health in Tunisia through the Changing Diabetes in Children (CDiC) program established by Novo Nordisk. The note highlights Critical Success Factors and how they can increase incentives for decision-makers to prioritize digital health, thus reaching more children and young adults with type 1 diabetes. The applied analysis-synthesis bridge model worked as a method of understanding the current situation in Tunisia.

The lack of data and patient registries in Tunesia has been identified as an essential challenge to fully implement a sustainable digital-health solution, as data collection from patients are necessary across various stakeholder groups to improve access to care. The results highlight that to utilize digital solutions and technologies in Tunisia, high-quality data and patient registries must be present to collect, store, analyze, and visualize results to serve as evidence-based tools for decision-makers. It is suggested to follow a six-step strategy to create awareness and increase incentives for prioritizing digital health, targeting selected stakeholders and decision-makers. Additionally, the results highlight that the outlook for digital health as a sustainable solution is unlikely within the implementation period of CDiC ending 2027 due to political instability, even if the technological foundation is present. Finally, patient registries do not exist in Tunisia but are regarded as mission-critical in a long-term sustainable incentivized scenario if Tunisian decision-makers are to take ownership of digital health.
Original languageEnglish
Number of pages17
Publication statusPublished - 2023


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