Results of the Multisectoral Roundtable for Access to Medicines and Supplies for Diabetes

What happens when key actors across the health system come together to tackle one of the most pressing challenges in diabetes care?

Early 2025, CRONICAS convened a full-day multisectoral roundtable bringing together 25 representatives from 15 institutions, including the Ministry of Health, regional health authorities, integrated health networks, civil society, academia, and international partners.

The objective was clear: to identify systemic barriers to access and co-develop practical, sustainable solutions to improve access to medicines and health technologies for diabetes in Peru

Building on high-level presentations on regulatory frameworks and supply systems, participants engaged in structured discussions across three thematic areas:

• regulation and registration,

• procurement and supply, and

• access to diabetes technologies

Using a deliberative dialogue methodology, stakeholders jointly analysed root causes and mapped actionable pathways forward.

The discussions highlighted critical challenges, including limited trust in biosimilar insulins, inefficiencies in procurement and supply chains leading to stock-outs and overstocking, and inequitable access to essential diabetes technologies such as glucometers and test strips. These systemic issues were linked to fragmented information systems, regulatory gaps, and insufficient coordination across levels of the health system.

Importantly, the roundtable went beyond problem identification. Participants developed problem trees, solution pathways, and concrete recommendations, ranging from strengthening regulatory alignment and pharmacovigilance, to modernizing procurement systems and ensuring sustainable financing for diabetes care. The overarching conclusion was that improving access requires coordinated, system-wide reforms rather than isolated interventions.

This policy brief provides a concise synthesis of these discussions, offering evidence-informed insights and actionable recommendations for policymakers, practitioners, and partners working to strengthen diabetes care systems