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Problem Despite free universal healthcare, Copenhagen is challenged by inequality in the prevalence and implications of type 2-diabetes (T2D). To address the problem, the Municipality of Copenhagen has initiated a city action plan including a peer support program for socially vulnerable citizens with T2D. Such programs have shown to be an essential supplement to the established health system to reach groups, who have limited contact with the health system. However, research on the implementation of the programs is generally limited. Description of the problem This 6-months peer support program is based on an initial analysis, showing social vulnerability to be associated with co-morbidity, low level of education, unemployment, living in a disadvantaged district and living alone. The peers are matched with a volunteer peer supporter with T2D, who helps out every 14. day with social-, practical- or bridging activities to health services or the municipality. We aim to evaluate the implementation with focus on contextual factors. We conduct in-depth qualitative interviews with peers (N = 12), peer supporters (N = 12), and relevant stakeholders (N = 6). Further, surveys with the peers and peer supporters (N = 45). Results Our preliminary results indicate how the peer supporters can bridge the gap between socially vulnerable citizens with T2D and the health system. However, contextual factors regarding the recruitment of peers have challenged the implementation process as the municipality has difficulty reaching them. Lessons To ensure a successful implementation, it is important to prioritize resources to ensure good collaboration with local stakeholders, who can be gatekeepers in the recruitment and get in contact with this group of citizens. Key messages The program has potential to bridge the gap between socially vulnerable citizens and the health system. The group is hard to reach without collaboration with local stakeholders.

Peer support for socially vulnerable citizens with diabetes: Bridging the gap to the health system