Research from Cities Changing Diabetes in Mexico City highlighted
socioeconomic vulnerabilities and revealed that numerous barriers,
including lack of resources and trust in institutions, can prevent
engagement with healthcare services.
To make care more accessible, the partnership established a
multidisciplinary diabetes clinic n the district of Iztapalapa, an
underserved area of the city, and expanded an existing maternal health
programme to reach individuals who are at risk for or who have
diabetes (El Médico en Tu Casa). These efforts seek to improve
the quality of care by addressing identified vulnerabilities, focusing
efforts on health-promoting policy and strengthening the health system.
In 2016, Mexico City was one of six cities that called on
governments worldwide to make health central to the 'New Urban Agenda'
by focusing on preventing non-communicable diseases (NCDs),
prioritising health in urban policies and employing new models of collaboration.
Improving interinstitutional collaboration
To achieve these goals within Mexico City, the Ministry of Health
set up the Interinstitutional Commission under the broad umbrella of
the Cities Changing Diabetes programme. Through three separate
institutions related to diabetes prevention and management, this
commission ensures that health is integrated into all policy decisions.
Through collaborative consultation, the commission has identified
- Creating a strategic approach to the prevention of diabetes
- Establishing a universal set of indicators and
measurement parameters to be used by all institutions collecting
data related to diabetes and obesity
- Working with
stakeholders outside the healthcare sector to improve recreational
spaces and opportunities for physical exercise.
This new collaboration model will help ensure that the Cities
Changing Diabetes programme is aligned with the government's goals to
improve the city's 840 health units.
"We've managed to observe the importance of providing
comprehensive care to the patients with diabetes through a
multidisciplinary team, and this is also extended to the entire
health sector, considering that this can only be achieved through
training and resource training allocation, without and not
forgetting the importance of promoting the change of habits among
- Alberto Gallardo Hernández, Home
Healthcare Attention subdirector, Public Healthcare Services of Mexico City.
Mexico City fact sheet
Mexico City case study