Grant: Travel Awards - Institute Community Support

Introduction: The prevalence of gestational diabetes (GDM) is estimated at greater than 15% in South Africa and women with previous GDM are known to be at high risk to develop type 2 diabetes (T2D). Integrating such chronic non-communicable diseases and their prevention into primary health care is the next major challenge for health systems in low and middle income countries like sub-Saharan Africa (SSA) and is the primary focus of this study. The Prevention of Mother-to-Child Transmission of HIV (PMTCT) experience of integration in health care may have important lessons for integrating prevention of diabetes among women with recent gestational diabetes. This study is embedded in and informs the process evaluation of a larger study, IINDIAGO (Integrated INtervention for DIAbetes rIsk after GestatiOnal diabetes). Objectives: 1.Document PMTCT integration into routine primary health care and analyse how GDM and T2D are managed and integrated within PMTCT programmes in the study sites. (Phase 1) 2.Assess the process of implementation of the pilot IINDIAGO TD2 prevention intervention. (Phase 2) 3.Explore stakeholders' perceptions (community health workers (CHWs), managers, policy makers, and women) regarding the optimal level of integration and the contextual facilitators and barriers to scale-up and sustainability of an integrated intervention into routine, community-based primary healthcare services. (Phase 3)