Addressing the Challenge and Constraints of Insulin Sources and Supply (ACCISS) – Phase 2

Access to insulin is a public health issue that affects both patients with type 2 and type 1 diabetes. Insulin is extremely important to prevent the onset of complications and to improve the quality of life of those who have diabetes. However, there is evidence of problems of access to insulin in multiple parts of the world, including Peru.


The main objective of this project is to improve access to insulin in Peru. Among the specific objectives are: 1) rise awareness of the need to improve diabetes care and the access to insulin in the national health system, 2) familiarize stakeholders with the results of previous ACCISS studies in Peru and around the world, 3) develop an insulin acquisition and distribution plan to improve the availability and affordability of insulin in the public sector, 4) create a tool to monitor the prices and availability of insulin in different regions of the country, 5) develop a manual for the use of insulin and promote its use by health personnel, and 6) improve knowledge of civil society regarding better access to treatment and care for people with type 1 diabetes.


To achieve the proposed objectives, different actions will be taken, such as: involvement of key actors (type 1 and 2 diabetes organizations, policy makers, physicians), active participation in the preparation of an insulin use manual, training of health personnel, implementation of the manual in health-care centers. As well as estimating the cost of managing diabetes, preparing documents that serve as support for the national insurance system, and suggest improvements in the insulin acquisition and distribution plan. Finally, create a tool for monitoring prices and availability of insulin.


In process


María Lazo-Porras, MD, MSc


Perú, Mali, Kyrgyzstan


The Leona M. and Harry B. Helmsley Charitable Trust


2018 – 2021

Research team

María Lazo Porras, CRONICAS, Universidad Peruana Cayetano Heredia.
Janeth Tenorio-Mucha, CRONICAS, Universidad Peruana Cayetano Heredia.
Jessica Zafra-Tanaka, CRONICAS, Universidad Peruana Cayetano Heredia.

David Beran, University of Geneva.
Richard Laing, Boston University.
Margaret Ewen, Health Action International.