**1.2 The healthcare systems in sub-Saharan Africa**

Most of the sub-Saharan African health systems are designed in such a way that they are able to tackle the infectious diseases and their acute patterns. HIV has been a challenging situation, because of its chronicity nature, hence forcing the system to deal with chronic diseases and meeting the global sustainable development goals. The system has not been planned to tackle the NCD (diabetes in sub-Saharan Africa, from clinical care to policy). There is a move by the UN to reduce premature deaths from NCDs by 2030, in which case it requires a lot of co-ordinations that are difficult to achieve right now. As it has been studied, to


**Table 1.** *Incidence studies of diabetes in children in sub-Saharan Africa [6–9].*
