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Table 7 Selected quotations from providers

From: A mixed-methods needs assessment of adult diabetes mellitus (type II) and hypertension care in Toledo, Belize

Provider perceived barriers to appropriate care of diabetes, including insulin use

• “When it [insulin] has been there in the past the barriers include lack of refrigeration.”

• “In the villages there is no fridge, and no test strips, making monitoring difficult.”

• “There is a lack of blood glucose monitoring – even if a patient is newly starting insulin or very unwell they may get 5 test strips for the first week. For longer term patient they get 1 strip per month!”

• “I regularly encountered poor understanding from patients, and conflicting health beliefs which lead to poor compliance.”