ABSTRACT The macroeconomic approach is a way of analyzing and studying issues related to the global analysis of the economy. The objective of this paper is to estimate the influence of macro- economic determinants on the achievement of the monetary poverty reduction targets in Paraguay during the period 1997-2020. It works specifically with the first two targets that have to do with the eradication of extreme poverty and the reduction to 50% of total poverty. The macroeconomic determinants analyzed are GDP, CPI, the Gini index and social spending. For this purpose, we propose the application of an econometric model which, based on regression models, allows us to calculate the incidence of each of the variables analyzed on monetary poverty. In addition, projections are made to infer whether or not the objectives of SDG 1 can be met and under what conditions. The results obtained allow us to affirm, on one hand, that all the determinants analyzed have a significant impact on monetary poverty and, on the other hand, allow us to infer that none of the targets can be met by 2030, either by maintaining constant or even increasing economic growth. This leads to the conclusion that the effectiveness of poverty reduction strategies lies in combining efforts that link GDP growth with equitable redistribution of resources and social investment.

RESUMEN Este trabajo tiene como objetivo estimar la influencia de los determinantes macroeconómicos en la consecución de las metas de reducción de pobreza monetaria en Paraguay durante el período 1997-2020. Los determinantes macroeconómicos analizados son el PIB, el IPC, el índice de Gini y el gasto social. Para el efecto, se propone la aplicación de un modelo econométrico, el cual, a partir de modelos de regresión, permite calcular la incidencia de cada una de las variables analizadas sobre la pobreza monetaria. Además, se realizan proyecciones para inferir si se pueden cumplir o no con los objetivos del ODS 1 y bajo qué condiciones. Los resultados obtenidos permiten afirmar, por un lado, que todos los determinantes analizados inciden significativamente sobre la pobreza monetaria y, por otro lado, permiten inferir que ninguna de las metas se puede cumplir al 2030, ya sea manteniendo constante o incluso aumentando el crecimiento económico. Esto permite concluir que la eficacia en las estrategias de reducción de pobreza radica en combinar esfuerzos que vinculen el aumento del PIB con la redistribución equitativa de recursos y la inversión social.

Resumo Este artigo aborda a questão da habitação e dos aglomerados subnormais no contexto de municípios selecionados da Região Metropolitana do Rio de Janeiro, Brasil, e verifica a viabilidade de cumprimento da meta 11.1 dos objetivos de desenvolvimento sustentável (ODS) em escala regional. São utilizados como fontes de dados, estudos recentes encomendados e divulgados pelo Governo Federal Brasileiro e dados do Censo. Na realidade estudada, o município de Belford Roxo, com índices alarmantes de comunidades e domicílios em contexto de aglomerados subnormais, apresenta tendência de deterioração da situação da habitação. Japeri e Queimados, pelas taxas de crescimento demográfico das últimas décadas, também merecem ser monitorados. Enquanto Nova Iguaçu, Mesquita e Nilópolis, com percentuais menores de suas populações vivendo em aglomerados subnormais, apresentam condições propícias para o alcançar a meta 11.1 dos ODS até 2030.

Abstract This article addresses the issue of housing and subnormal agglomerations in selected municipalities within the Metropolitan Region of Rio de Janeiro, Brazil, and verifies the feasibility of achieving target 11.1 of the Sustainable Development Goals (SDGs) on a regional scale. Recent studies commissioned and released by the Brazilian Federal Government and Census data are used as data sources. In the reality studied, the municipality of Belford Roxo, with alarming rates of communities and households in the context of subnormal agglomerations, shows a tendency to deteriorate the housing situation. Japeri and Queimados, due to the demographic growth rates of recent decades. Conversely, Nova Iguaçu, Mesquita, and Nilópolis, with smaller proportions of their populations living in subnormal agglomerations, present a favorable condition for achieving target 11.1 of the SDGs by 2030.

Resumen Este artículo aborda el tema de la vivienda y de las aglomeraciones subnormales en el contexto de municipios seleccionados de la Región Metropolitana de Río de Janeiro - Brasil, y verifica la viabilidad de alcanzar la meta 11.1 de los objetivos de desarrollo sostenible (ODS) a escala regional. Los estudios recientes encargados y publicados por el gobierno federal brasileño y los datos del censo se utilizan como fuentes de datos. En la realidad estudiada, el municipio de Belford Roxo, con índices alarmantes de comunidades y viviendas en el contexto de aglomeraciones subnormales, muestra una tendencia al deterioro de la situación habitacional. Japeri y Queimados, debido a las tasas de crecimiento demográfico de las últimas décadas, también merecen ser monitoreadas, mientras que Nova Iguaçu, Mesquita y Nilópolis, con porciones más pequeñas de sus poblaciones viviendo en aglomeraciones subnormales, presentan una condición favorable para alcanzar la meta 11.1 de los ODS para 2030.

Peace education is the basis for global peace and a prerequisite for attaining sustainable development and global goals. Considering the widespread physical and structural violence and destructive protests across South African higher education, it is crucial to embrace peace education to deal with violence in all its forms. This article explores the need for peace education in the South African higher education curriculum. A qualitative critical review of the literature reveals widespread gender-based violence, sexual exploitation, destructive student protests at and the militarisation of universities through military force to quell violent student protests nationwide in South Africa. Lack of peace skills indicates that both lecturers, university management and students are in need peace education. Peace education must be incorporated in South African higher education. As part of a model for it, this article recommends the establishment of peace as a stand-alone subject, extra-curricular activities for peace and storytelling to deliver peace education and inculcate a culture of peace in both educators and students. More so, there is a need to embrace the pedagogy of peace education and establish institutes for peace and conflict resolution at every higher education institution in South Africa.

In the historical higher education (HE) context of early post-independence Africa, little was done to unpack or critique the dominant notion of African universities as "developmental" and to create workable models for the future. The resultant conflictual role of African universities, caught between the demands of academic excellence, on the one hand, and local demands of development and regional and communal impact, on the other, have not yet been adequately resolved. Conceptually and organisationally, "engagement", "transfer" and "outreach" activities serve as mechanisms to bridge the divide between the traditional academy and the needs and expectations of societal stakeholders located outside of formal HE structures. This is now often referred to as the third mission (TM) of HE, the first and second missions being teaching and research. In recent years, many of the existing DAAD (German Academic Exchange Service) African Centres of Excellence (ACE) have established partnerships and networks with actors from the political, social and economic sector to increase their relevance and impact in their regions, especially relating to Sustainable Development Goals. Against this backdrop, a qualitative exploratory study was conducted to determine the experiences and perceptions of participating representatives from ten ACE, located in their different and specific regional and societal contexts, about their university-society community engagement (CE) or TM activities. This article reports on the findings of this study, which contributes to the larger aims of identifying long-term synergies and collaboration potential and the development of conceptual models that are scalable. The findings of this study can form an adaptable basis for future TM-CE projects and for possible future research projects about such activities in HE.

Abstract This work analyzes the evolution of international concern for sustainability and the objectives that have been set at a global level until reaching the 2030 Agenda. It analyzes the Sustainable Development Goals from the design, highlighting the harmonious game between them that allows the professionals make a contribution to the common future envisaged by the United Nations.

Resumen Este trabajo analiza la evolución de la preocupación internacional por la sostenibilidad y los objetivos que se han planteado a nivel global hasta llegar a la Agenda 2030. Analiza los Objetivos de Desarrollo Sostenible desde el diseño destacando el juego armónico entre ellos que permite a los profesionales realizar una contribución para el futuro común planteado por Naciones Unidas.

Resumo Este trabalho analisa a evolução da preocupação internacional com a sustentabilidade e os objetivos que se têm definido a nível global até atingir a Agenda 2030. Analisa os Objetivos de Desenvolvimento Sustentável desde a conceção, destacando o jogo harmonioso entre eles que permite aos profissionais realizar uma contribuição para o futuro comum previsto pelas Nações Unidas.

Abstract Throughout this work we address the concept of Sustainable Entrepreneurship that arises from Social Entrepreneurship and the Sustainable Development Goals in a context of major global crises and emergencies such as Climate Change and COVID-19, and relates as well with the change in the paradigm of consumption in which millennials and centennials seek to buy products made in a responsible way and that have the least possible impact on the ecosystem. We will provide examples of successful stories of sustainable entrepreneurs at a global level and the opportunities that this new form of business offers. We’ll also make reference to the importance of teaching this new business model in universities, particularly in business schools, a model that is conscious and responsible with the environment and that responds to the need for an urban economy that provides concrete development solutions for the community in which it is inserted and the city we need.

Resumen A lo largo del presente trabajo abordamos el concepto de Emprendedorismo Sostenible, que surge del Emprendedorismo Social y de los Objetivos de Desarrollo Sostenible en un contexto de grandes crisis y emergencias mundiales, como el Cambio Climático y COVID-19, sumado al cambio en el paradigma del consumo en el cual los millennials y centennials buscan comprar productos elaborados de forma responsable y que tengan el menor impacto posible en el ecosistema. Se brindarán ejemplos de casos de éxitos de emprendedores sostenibles a nivel global y de las oportunidades que esta nueva forma de negocios brinda, así como de la importancia de que desde los ámbitos universitarios, en particular desde las escuelas de negocios, se enseñe este nuevo modelo de negocios consciente y responsable con el ambiente y que da respuesta a la necesidad de una economía urbana que brinde soluciones concretas de desarrollo para la comunidad en la que está inserta y la ciudad que necesitamos.

Resumo Ao longo deste trabalho abordamos o conceito de Empreendedorismo Sustentável, que surge do Empreendedorismo Social e dos Objetivos de Desenvolvimento Sustentável em um contexto de grandes crises e emergências globais, como Mudanças Climáticas e COVID-19, somadas à mudança de paradigma de consumo em que millennials e centennials procuram comprar produtos feitos de forma responsável e que tenham o menor impacto possível no ecossistema. Exemplos de casos de sucesso de empreendedores sustentáveis a nível global e das oportunidades que esta nova forma de negócio oferece, bem como a importância do ensino deste novo modelo nas universidades, em particular nas escolas de negócios, negócios conscientes e responsáveis com o meio ambiente e que respondam à necessidade de uma economia urbana que ofereça soluções concretas de desenvolvimento para a comunidade em que está inserida e para a cidade de que precisamos.

Postpartum depression (PPD) is a significant public health concern in resource-constrained sub-Saharan Africa (SSA). Efforts to combat this burden are hampered by the region's wide variation in reported prevalence. This review aimed to systematically synthesize up-to-date data on PPD in SSA. The review was structured per the Preferred Reporting Item for Systematic Reviews and Meta-analyses. Included in the review were studies that reported the prevalence of PPD in SSA. A search was undertaken of PubMed, Medline, CINAHL, Academic Search Complete, and PsycINFO. A random-effect model was fitted to estimate the pooled burden of postpartum depressive symptoms in SSA. We conducted subgroup analyses to estimate the distribution of postpartum depressive symptoms based on important study characteristics: sample size, the timing of diagnosis, design, study setting/region, instrument, and income/ economy. The prevalence of postpartum depressive symptoms ranged from 3.8% to 69.9%, with a pooled estimate of 22.1% (CI 18.5-26.2; I² = 98.2; Tau = 0.848; p<0.001). There was a significant variation in postpartum depressive symptoms with sample size (p<0.001). The highest prevalence (25.6% CI 21.5-30.1) was obtained within 12 weeks postpartum. The prevalence estimate was highest (23.3%; CI 20.1-26.8) with the Edinburgh Postnatal Depression Scale (EPDS). South Africa (30.6%; CI 23.6-38.7) and Zimbabwe (29.3%; CI 22.2-37.5) reported the highest prevalence rates, while Tanzania (13.5%; CI 10.1-17.9) reported the lowest prevalence estimates. Upper-middle SSA countries presented the highest prevalence rates (30.6%; CI 23.6-38.7). The prevalence was highest within the period 2010-2015. PPD constitutes a significant health burden in SSA and is fast becoming an epidemic in southern Africa. SIGNIFICANCE: • Given that PPD is a recurring mental health challenge among women in sub-Saharan Africa, there is an urgent need for strategic policy provisions to ameliorate its burden. • An increase in prevalence of PPD from 2005-2010 to 2015-2021 is indicative of the need for national governments to intensify efforts targeted at achieving the UN Sustainable Development Goals 3 and 5 in the region. • In SSA, the prevalence of PPD is highest (approximately 30%) in Southern Africa, precisely South Africa and Zimbabwe, where it is fast becoming an epidemic; hence strategies are needed to curtail its growing trend. • There is a need to characterise and stratify the risk factors of PPD in sub-Saharan to guide policy development of predictive algorithms and implementation strategies.

Abstract The content of this agenda includes very sensitive issues, especially for emerging economy countries, such as reducing inequalities in their variety of dimensions, generating inclusive economic development, incorporating the principles of responsible work for all, building sustainable cities, with production systems in harmony with the environment, striving for alliances between public and private actors in favor of sustained development. In this article we will analyze some of the SDGs created in said Agenda, and how the fulfillment of them and their goals positively influenced both economically, socially and environmentally, in industries such as textiles and fashion, which today it is in permanent attention due to its negative consequences, having to transform its entire system, which includes from the raw materials it extracts from nature, at the rate it does, its production process, the toxic products it uses, its polluting effects, non-responsible working conditions, irrational behavior by consumers of their products and the accumulation of waste.

Resumen El contenido de dicha agenda incluye temas muy sensibles, en especial para los países de economías emergentes, como son reducir las desigualdades en su variedad de dimensiones, generar un desarrollo económico con inclusión, que incorpore los principios del trabajo responsable para todos, construyendo ciudades sostenibles, con sistemas productivos en armonía con el medio ambiente, bregando por alianzas entre actores públicos y privados en pro de un desarrollo sostenido. En el presente artículo analizaremos algunos a los ODS creados en dicha Agenda, y como el cumplimiento de los mismos y de sus metas, influenciaron positivamente tanto a nivel económico, como en lo social y ambiental, en industrias como la textil y de moda, que hoy se encuentra en permanente atención por sus consecuencias negativas, debiendo transformar todo su sistema, que incluye desde las materias primas que extrae de la naturaleza, al ritmo que lo hace, su proceso productivo, los productos tóxicos que utiliza, sus efectos contaminantes, las condiciones laborales no responsables, los comportamientos irracionales de los consumidores de sus productos y la acumulación de desechos.

Resumo O conteúdo dessa agenda inclui questões muito sensíveis, principalmente para países de economia emergente, como a redução das desigualdades em suas diversas dimensões, a geração de desenvolvimento econômico inclusivo, a incorporação dos princípios do trabalho responsável para todos, a construção de cidades sustentáveis. , com sistemas de produção em harmonia com o meio ambiente, buscando alianças entre atores públicos e privados em prol do desenvolvimento sustentado. Neste artigo iremos analisar alguns dos ODS criados na referida Agenda, e como o cumprimento dos mesmos e seus objetivos influenciaram positivamente tanto econômica, socialmente e ambientalmente, em setores como o têxtil e da moda, que Hoje está em permanente atenção pelas suas consequências negativas, tendo que transformar todo o seu sistema, que inclui desde as matérias-primas que extrai da natureza, ao ritmo que o faz, o seu processo de produção, os produtos tóxicos que utiliza, os seus efeitos poluentes, Condições de trabalho não responsáveis, comportamento irracional dos consumidores de seus produtos e acúmulo de resíduos.

ABSTRACT Education for Sustainable Development (ESD) is a goal to be achieved for the next 2030 Agenda. The achievement of the 17 Sustainable Development Goals (SDG) will be through education. Educational policies and curricular development will be the ones that respond to this need by defining in their principles new practices and attitudes that lead towards more sustainable societies. This research is based on following a comparative methodology, where a descriptive-analytical analysis of educational policies on sustainability in the curricula of Spain and Ireland is carried out, how their educational systems are structured and how ESD is integrated in the stages early childhood, primary and secondary education. The new Organic Law that Modifies the Organic Law of Education (LOMLOE) makes education for sustainability visible in the school curriculum for the first time, thus responding to the problems that society needs around the SDGs.

RESUMEN La Educación para el Desarrollo Sostenible (EDS) es una meta a alcanzar para la próxima Agenda 2030. El logro de los 17 Objetivos de Desarrollo Sostenible (ODS) será por medio de la educación. Las políticas educativas y el desarrollo curricular serán quienes respondan a esta necesidad definiendo en sus principios nuevas prácticas y actitudes que encaminen hacia sociedades más sostenibles. La presente investigación se basa en seguir una metodología comparada, donde se realiza un análisis descriptivo-analítico de las políticas educativas en materia de sostenibilidad en los currículos de España e Irlanda, cómo se estructuran sus sistemas educativos y cómo se integra la EDS en las etapas de educación infantil, primaria y secundaria. La nueva Ley Orgánica que Modifica la Ley Orgánica de Educación (LOMLOE, 2020) visibiliza por primera vez la educación para la sostenibilidad en el currículo escolar respondiendo así a los problemas que la sociedad precisa en torno a los ODS.

Abstract This paper testifies to the experience of a design school conducting design workshops aimed at promoting sustainable development goals (SDG), as well as proposing product-service systems to achieve these goals. At the same time that the participants become familiar with the SDGs, they learn to use new tools that promote creativity to design product-service systems. The experience of four years organizing this type of experience has led to the proposal of the design of a new course that is integrated into the curriculum of the bachelor’s degrees offered by the school in question.

Resumen El presente trabajo da testimonio de la experiencia de una escuela de diseño realizando talleres de diseño orientados a promover los objetivos de desarrollo sostenible (ODS), así como proponer sistemas de producto-servicio para alcanzar dichos objetivos. Al mismo tiempo que los participantes se familiarizan con los ODS, aprenden a usar nuevas herramientas que favorecen la creatividad para diseñar sistemas de producto-servicio. La experiencia de cuatro años organizando este tipo de experiencias ha conducido a proponer el diseño de un nuevo curso que se integra al plan de estudios de las licenciaturas que ofrece la escuela en cuestión.

Resumo Este artigo atesta a experiência de uma escola de design conduzindo workshops de design com o objetivo de promover objetivos de desenvolvimento sustentável (ODS), bem como propor sistemas de produto-serviço para atingir esses objetivos. Ao mesmo tempo que os participantes se familiarizam com os ODS, eles aprendem a usar novas ferramentas que promovem a criatividade para projetar sistemas produto-serviço. A experiência de quatro anos organizando este tipo de experiência levou à proposta de desenho de um novo curso que se integre no currículo dos cursos de licenciatura oferecidos pela escola em questão.

Abstract This study reviews the current state of the good health and well-being indicators included in the Sustainable Development Goals (SDG), identifying the most significant challenges faced by countries in the world and in the Americas region. The HJ-Biplot multivariate technique is used to represent variances and covariances between 16 SDG 3 indicators, reported as of 2022, based on data from 176 countries, including 31 countries of the American continent. The findings show that indicators such as life expectancy at birth, universal health coverage and satisfied demand for family planning are key characteristics of developed countries. In contrast, developing countries still face significant challenges in terms of promoting maternal health, the well-being of children and the control of communicable and chronic diseases. For this reason, in the framework of the 2030 Agenda, it is necessary to continue working on public policy actions that enable making progress in the implementation of programs to improve the health and well-being of the population, especially in lower-income countries.

Resumen En este estudio se analiza el estado actual de los indicadores de salud y bienestar pertenecientes a los objetivos de desarrollo sostenible (ODS), identificando los desafíos más significativos que se presentan entre los países del mundo y en la región de las Américas. Se utiliza la técnica multivariante HJ-Biplot para representar las variaciones y covariaciones existentes entre 16 indicadores del ODS 3, reportados al año 2022, según datos de 176 países, entre ellos, 31 del continente americano. Los resultados obtenidos muestran que indicadores como la esperanza de vida al nacer, la cobertura sanitaria universal y la demanda de planificación familiar satisfecha, caracterizan a los países desarrollados. En contraste, los países en vía de desarrollo aún registran retos importantes para favorecer la salud materna, el bienestar de los niños y en el control de enfermedades trasmisibles y crónicas. Por ello, en el marco de la Agenda 2030, es necesario continuar trabajando en acciones de política pública que permitan avanzar en la implementación de programas para mejorar la salud y el bienestar de la población, en especial entre las naciones de menores ingresos.

Water is at the very core of sustainable development, as it is critical for a thriving people and planet. However, limited water access has for long plagued many parts of the world, South Africa included. In recent years, there have been increasingly urgent warnings of a global water crisis because humanity consistently uses more safe water than is sustainably available. From an international perspective, the most recent development dealing with water access, conservation and management is Sustainable Development Goal 6 (SDG 6), which forms part of the 2030 Agenda for Sustainable Development. SDG 6 covers the entire water cycle, including the management of water, wastewater and ecosystem resources, and places water at the centre of sustainable development. This critical goal can be achieved if it is properly pursued in national settings. Thus, this article focuses on the domestic implementation of SDG 6.1 against the backdrop of current South African legislation dealing with water access and management. The aim of the article is to analyse SDG 6.1 and determine if and how it can be incorporated into South African water legislation in order to give effect to it and grant it legal legitimacy in the domestic context.

Resumo A insegurança alimentar piorou nos últimos anos, apesar de décadas de progresso. Para lidar com a crescente população e as mudanças climáticas, os sistemas agroalimentares precisam mudar. Exige o desenvolvimento de tecnologias que, ao mesmo tempo, aumentem a produção de alimentos (nutritivos) e protejam o meio ambiente. Com base em uma análise de diagrama do modelo econômico de mudança tecnológica, este artigo examina vários caminhos tecnológicos que podem surgir em resposta ao aumento dos preços dos alimentos e à necessidade de preservar a terra. Este artigo indica, por meio do uso de literatura especializada, que as hipóteses derivadas da análise do modelo de mudança tecnológica já existem. Além disso, examinamos os potenciais impactos geopolíticos dessas mudanças no setor agroalimentar em todo o mundo. As mudanças que visam à conservação da terra devem incentivar a produção urbana de alimentos, a otimização sistemática de recursos em terras abundantes de alta qualidade e as práticas regenerativas. Esses desenvolvimentos devem ser impulsionados pela crescente importância dos consumidores urbanos e a internalização dos valores ambientais e o aumento dos preços dos alimentos. anos progresso climáticas mudar tempo nutritivos (nutritivos ambiente indica especializada existem disso mundo regenerativas

Abstract In recent years, food insecurity has worsened despite decades of progress. Agrifood systems must evolve to address population expansion and climate change simultaneously. A problem of this magnitude necessitates the development of technologies that simultaneously increase (nutritious) food production and protect the environment. Based on an a diagram analysis of the economic model of technological change, this article explores various technological paths that can emerge in response to rising food prices and the need to preserve land. This article indicates, through the use of specialized literature, that the hypotheses derived from the analysis of the technological change model already exist. In addition, we investigate the potential geopolitical effects of these technological shifts on the global agri-food industry. Changes aimed at conserving land must encourage urban food production, systematic resource optimization on abundant high-quality land, and regenerative practices. In addition to rising food prices and population growth, the increasing significance of urban consumers and the internalization of environmental values should drive these various developments. years progress nutritious (nutritious environment indicates literature exist agrifood agri industry highquality high quality practices growth developments

RESUMEN Hablar de sostenibilidad en el contexto social, económico y medioambiental global, en general, y latinoamericano, en específico, parece ser actualmente una contradictio in adjecto. El presente artículo contiene algunas reflexiones, y más que nada, una serie razonada de preocupaciones sobre las más acuciantes problemáticas respecto del desarrollo sostenible y del sistema capitalista imperante. En el desarrollo del presente trabajo se toman categorías claves de la teoría social clásica, es decir, de autores como Marx, Durkheim y Weber, para pensar y repensar la relación desarrollo sostenible-capitalismo. En el primer apartado se analiza al capitalismo, tanto sus límites y contradicciones, desde estos tres autores; en el segundo apartado se interpreta el concepto y la posible operativización del desarrollo sostenible; por último, se realiza, de la mano de las categorías previamente desarrolladas, algunas interpretaciones críticas sobre la relación y la compatibilidad del desarrollo sostenible en el marco sistémico del capitalismo.

ABSTRACT Talking about sustainability in the global social, economic and environmental context, in general, and Latin America, specifically, currently seems to be a contradictio in adjecto. This article contains some reflections, and more than anything, a reasoned series of concerns about the most pressing problems regarding sustainable development and the prevailing capitalist system. In the development of this work, key categories are taken from classical social theory, that is, from authors such as Marx, Durkheim and Weber, to think and rethink the relationship between sustainable development and capitalism. In the first section, capitalism is analyzed, both its limits and contradictions, from these three authors; In the second section, the concept and possible operationalization of sustainable development are interpreted; Finally, using the previously developed categories, some critical interpretations are made about the relationship and compatibility of sustainable development in the systemic framework of capitalism.

BACKGROUND: Increasing chronic diseases challenges the health systems of low- and middle-income countries, including Cameroon. Type 1 diabetes (T1D), among the most common chronic diseases in children, poses particular care delivery challenges AIM: We examined social representations of patients' roles and implementation of T1D care among political decision-makers, healthcare providers and patients within families. SETTING: The study was conducted in Yaoundé, Cameroon. METHODS: Eighty-two individuals were included in the study. The authors conducted semi-structured interviews with policy makers (n = 5), healthcare professionals (n = 7) and patients 'parents (n = 20). Questionnaires were administered to paediatric patients with T1D (n = 50). The authors also observed care delivery at a referral hospital and at a T1D-focused non-governmental organisation over 15 days. Data were analysed using thematic content analysis and descriptive statistics. RESULTS: Cameroonian health policy portrays patients with T1D as passive recipients of care. While many practitioners recognised the complex social and economic determinants of adherence to T1D care, in practice interactions focused on specific biomedical issues and offered brief guidance. Cultural barriers and policy implementation challenges prevent patients and their families from being fully active participants in care. Parents and children prefer an ongoing relationship with a single clinician and interactions with other patients and families. CONCLUSION: Patients and families mobilise experience and lay knowledge to complement biomedical knowledge, but top-down policy and clinical practice limit their active engagement in T1D care. CONTRIBUTION: Children with T1D and their families, policy makers, healthcare professionals, and civil society have new opportunities to contribute to person-centred care, as advocated by the Sustainable Development Goals.