We don’t have money to get [to the facilities] and to get care [i.e. drugs and insulin]. Money is limited when there is little farming happening in the fields. (Patient)I take [medications] when problems present themselves and I stop afterwards [because of the costs]. (Patient)[Communities] are aware of NCDs but [health facilities] are limited [in our response] because we lack medications. Communities become more serious about communicable diseases that kill rapidly than non-communicable diseases which kill slowly. (HCW). This evidence concerns the gene INS and infectious disease.