12 Aug 2008

Strategies for improving diabetes care, Nigeria

Increased urban migration in Nigeria has brought about a change of life style in terms of unhealthy diet and decreased physical activity. As a consequence, the incidence of diabetes is increasing.
Unfortunately, knowledge of diabetes prevention and care is generally poor among health care workers and as a result many people with diabetes do not receive adequate care.

 

Objective

The project seeks to improve prevention and control of diabetes in Ogun State, Nigeria.

Approach

The project has a two-pronged approach, aiming at 1) improving the overall diabetes care delivery and thereby preventing or delaying the onset of complications and 2) enhancing primary prevention of diabetes through awareness and education programmes.
Initially, guidelines for diabetes management will be developed. The information contained in the guidelines will mainly be derived from the IDF Africa diabetes guidelines and will contain information on how to promptly recognise diabetes and what initial steps to take including reasons for referral. The guidelines should later serve as a prototype for the entire country.
In order to improve health care workers’ knowledge on diabetes care, a training programme will be conducted. 120 health care workers comprising of 40 doctors, 60 nurses and 20 laboratory staff will benefit from the training. The participants will be selected from 20 existing health facilities in 20 local governments in Ogun State.
Senior cadre health care workers will receive five days training on basic diabetes management. Middle cadre health care workers will also receive a five-day basic course on diabetes management, but since they – as opposed to the senior staff – are often the ones who are directly involved in the day to day care of people with diabetes, they will also receive a subsequent three-day advanced course on the subject.
Subsequently, the trained health care workers will establish 20 non-communicable disease clinics in their respective health care facilities throughout Ogun State. The health care workers will constitute the core staff at these clinics, which will be provided with equipment and newly developed education materials on diabetes and hypertension. Staff and other running costs for the clinics are covered by the respective health facilities.
Apart from offering regular diabetes care, the non-communicable disease clinics will also form the basis for awareness raising. Community awareness activities including screenings for diabetes and its complications, workshops and public information meetings will be organised from the clinics on a regular basis.
Awareness will also be raised through poster and leaflet campaigns, newspaper articles, walks and events for children and adolescents. It is expected that approximately 500,000 people will be exposed to the activities carried out by the non-communicable disease clinics.

Expected impact

•    120 health care workers trained
•    20 non-communicable disease clinics established
•    An estimated 500,000 people screened for diabetes and exposed to awareness activities

Results to date

•    Letters of commitment have been obtained from the State Minister of Health nominating 20 state hospitals to establish NCD clinics. Visitations to all hospitals have been conducted.
•    377 health care providers have attended the 5-day general training programme and 176 the advanced programme on diabetes.
•    14 different educational flyers have been produced and are to be used in the established NCD clinics.
•    A questionnaire on knowledge of diabetes and hypertension among health workers in all selected hospitals has been distributed and data is being analysed.
•    T-shirts, caps and notebooks with logos have been produced and distributed to health care providers at the NCD clinics.
•    The project has established an office located in Sagamu town.
•    World Diabetes Day was celebrated on 14 November including screening of 597 participants. The event got wide media coverage.    

Project data

Country                                                         Nigeria
Sponsor                                                         World Diabetes Foundation
University                                                       Olabisi Onabanjo University
Project responsible                                          Dr. C. O. Alebiosu
Duration                                                        November 2008 – October 2011                                                          
Project number                                              WDF08-321

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