DESIDE – Individual and Social Determinants of Health in Global Paediatrics Care: a participatory approach for barriers and opportunities

Reporting Organization:McGill University
Total Budget ($CAD):$ 45,000
Timeframe: June 1, 2017 - June 30, 2018
Status: Implementation
Contact Information: Julia von Oettingen
[email protected]

Partner & Funder Profiles

Reporting Organization

McGill University

Funders (Total Budget Contribution)

Return to top


Country - Total Budget Allocation

Haiti - $ 45,000.00 (100.00%)

Return to top

Areas of Focus

Health - Total Budget Allocation

Nutrition (33.4 %)

Mental Health (33.3 %)

Non-Communicable Diseases (33.3 %)

Return to top


The main objective of this research project is to understand the impact of socio-economic, psychosocial and cultural factors, as well as the impact of nutrition and physical activity on quality of life, self-efficacy and blood glucose control in children and adolescents with diabetes in Haiti, a low-income country.

Return to top

Target Population

Gender and age: Adolescent females Adolescent males Children, girls Children, boys Under-5 children
Descriptors: Other Haitian youth with type 1 diabetes; Families of youth with T1D, healthcare facilitiies and healthcare professionals providing care to T1D youth
Total Direct Population: Unspecified
Return to top


Clinics built
Evaluation conducted
Training conducted
Return to top

Results & Indicators

Expected Results

1) Determine the socioeconomic status, health literacy level, and diabetes self-efficacy of Haitian youth with T1D
2) Evaluate the psychosocial and physical health status of children with diabetes in our cohort,
3) Investigate the diet and activity related lifestyle habits of children with diabetes in our cohort, and
4) Assess the relationship between these variables and glycemic control, health related quality of life and clinical phenotypes.

Secondary outcomes:
1) Perform the psychometric evaluation of the health litteracy, health-related quality of life, self-esteem and self-efficacy questionnaires in children with diabetes in Haiti, and in Haitian children with diabetes in Montreal.
2) We will also assess how results compare between the two study sites.

Achieved Results

Haitian youth with diabetes residing in Haiti have low SES, often lag behind in school and have high rates of unemployment. Depression is highly prevalent and self-esteem tends to be low. Poor glycemic control is extremely common, possibly preventing detection of a predictive effect of SES, psychosocial metrics or quality of life. Quality of life is suboptimal and is associated with lower self-esteem. Depression and self-esteem may be impacting self-management skills. Despite this adversity, youth do not subjectively perceive their current health as poor, and view their social status comparable to peers. This research project has provided the first comprehensive evaluation of social determinants of diabetes in Haiti. It will inform clinical practice in Haiti and potentially other low-income countries.


SDG Goal 2. End hunger, achieve food security and improved nutrition and promote sustainable agriculture
  • SDG 2.1.2 Prevalence of moderate or severe food insecurity in the population, based on the Food Insecurity Experience Scale (FIES)
SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease
  • SDG 3.b.3 Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis
Return to top
Return to top

Associated Projects (If applicable)

Return to top