Founded 26 years ago in Benin, Edo State the Diabetes Association of Nigeria (DAN) now has chapters in every State of the federation. R. A study conducted by Dr Anoop Misra, showed that 37% of urban south Asian Indians suffer from Diabetes and pre-Diabetes. The Ministry of Public Health and Sanitation will be the leading implementing partner and thus will be responsible for the overall implementation of the project with support from the Kenya Diabetes Management and Information Centre. Their World Diabetes Day Celebrations are marked annually in every state of the Federation with the general public, which include the Federal Ministry of Health and the various state ministries of health, prominent members of the society, traditional rulers, medical/health practitioners and people living with diabetes turning out en mass. Sharma added that all efforts would be made to replicate PAU-Mansuran model in all the states to make the country free of this weed. To conduct research on the problem of Diabetes in India; To provide comprehensive clinical care for diabetics; To evolve a data bank on research and literature relating to Diabetes in India; To create awareness about correct nutrition and exercise in adults and children; To raise funds through grants, donations and collaborations for our on going nutrition and awareness programs; To raise funds through grants, donations and collaborations for construction of a Day Care Centre in New Delhi, India.
The first phase will focus on advocating for diabetes service delivery and the need to strengthen diabetes care in Kenya. As mentioned, the activities will all take place at national level and will include the development and adaptation of national diabetes strategy and diabetes guidelines, building institutional capacity at the Division of Non-Communicable Diseases and the Kenya Diabetes Management and Information Centre, development of a monitoring and evaluation tool and a one day meeting with key stakeholders to solicit support and advocate fro the diabetes programme. Sharma also stated that Mansuran could be designated as the ‘First Parthenium-Free Village of India’ among Parthenium infested areas in the country. Subsequently, 90 health care providers from nine provincial hospitals will be trained on the diabetes comprehensive care concept during a two day training course. The training will be followed by a one day refresher course on basic care diabetes patients. The health care providers will mainly be drawn from the personnel that were trained as part of the WDF funded project “Diabetes education programme” (WDF04-085). The trained health care providers from the provincial hospitals will be used as trainers in the training of 400 health care providers from district hospitals.
After the training the health facilities of all the 490 health care providers will receive the necessary tools and equipments e.g. glucometers, weighing scales etc. In order to strengthen the nutrition service delivery in all hospitals, 300 nutritionists and nurses will be trained on various topics like food and diabetes, diet assessment and dietary goals and nutritional counselling. Management of gestational diabetes will be improved by the training of 200 health care providers from 40 maternal and child health clinics. The training will focus on detection, management and referral of gestational diabetes and it envisions integrating blood sugar levels in the antenatal profiles of all mothers attending the clinics. IEC materials will also be developed to be used by both the health care providers and the mothers. During the second phase of the project a number of activities will also take place at community level.
Hence, first of all as the current community health strategy does not address the management of diabetes, this project will harmonise the community health strategy and the national diabetes strategy in order to improve service delivery at community level. It will also include the training of 1,200 community health workers and health facility committee members on community approach to diabetes care. They will subsequently carry out advocacy and raise awareness in the community, strengthen the community referral system and help those living with diabetes to lead a normal life. Another way of raising awareness envisioned in this project is the training of 400 teachers at primary and secondary schools. The teachers will be expected to incorporate diabetes education in the schools’ health club and strengthen advocacy and diabetes education in their communities in the long run. Finally, as the majority of people living with diabetes in Kenya are oblivious to the fact they have the disease, mass screening at community level will also be conducted. The plan is to screen at least 10,000 people for diabetes.