**4.2 Healthcare providers**

There is inadequate number of healthcare providers for comprehensive management of type 1 diabetes patients in Africa. It is known that in Africa the doctor–patient ratio is low as compared to the Western countries, and the ratio is unacceptably low for the number of pediatric endocrinologists in Africa. So, the available healthcare providers are overwhelmed with work. The few available healthcare providers lack/have less knowledge about the management of diabetes, specifically type 1 diabetes.

An infectious disease burden is still on the rise; hence, there is the double burden of communicable and non-communicable diseases. Unworthy to some workers as a rare disease or unclear management brings a message of difficulty to learn and retain the knowledge. This is comparable to the emergency and outpatient conditions.
