21 Oct 2010

Strategies for providing quality diabetes care in Nigeria

Summary

Project data
State: Oyo State
Sponsor: World Diabetes Foundation
Duration: October 2010 – September 2013

Introduction
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 Oyo 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. 264 health care workers comprising of 66 doctors, 99 nurses and 33 laboratory staff, 33 pharmacists and 33 dieticians will benefit from the training. The participants will be selected from 33 existing health facilities in 33 local governments in Oyo 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 33 non-communicable disease clinics in their respective health care facilities throughout Oyo 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 800,000 people will be exposed to the activities carried out by the non-communicable disease clinics.
Community awareness and education programs about diabetes (and hypertension) and its implications / complications shall be created amongst 66 secondary schools in Oyo State, distributed as 2 selected schools per local government (one government and another private). Formation of 40 SIDCAIN Eaglets Health Clubs shall be encouraged in secondary schools located nearest to the established NCD clinics.

Expected impact
– 264 health care workers will be trained
– 33 non-communicable disease clinics will be established
– An estimated 800,000 people will be screened for diabetes and exposed to awareness activities.

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