The power of Engaging Civil Society Organization in the screening and management of chronic diseases: Evidence from Tunisia (Preprint)

BACKGROUND Type 2 diabetes (T2D) and high blood pressure (HBP) are major public health challenges worldwide, leading to serious complications, disability, and mortality. In Tunisia, the contribution of civil society organizations (CSOs) to the prevention and management of these non-communicable diseases (NCDs) remains limited. OBJECTIVE This study aimed to assess the epidemiological situation of T2D and HBP in North-East Tunisia and to examine the added value of CSO involvement in research and advocacy. METHODS A community-based participatory research approach was implemented, coordinated by the Science Shop at the Institut Pasteur de Tunis, in partnership with the Regional Association of Diabetics in Zaghouan. Epidemiological data were collected from 420 volunteer participants to estimate the prevalence of T2D and HBP in northeastern Tunisia (Zaghouan region) and to identify associated risk factors. In parallel, members of civil society organizations (CSOs) actively contributed to identifying community priorities, awareness gaps, and barriers to effective disease management RESULTS Findings revealed a concerning increase in the prevalence of T2D and HBP in the region, emphasizing the urgent need for targeted interventions. The engagement of CSOs strengthened the relevance and impact of research, improved community participation, and facilitated dialogue with policymakers. CONCLUSIONS In conclusion, this study underscores the pivotal role of CSO–research partnerships in bridging science and society, promoting evidence-based health actions, and enhancing policy responses to NCDs in Tunisia