To reduce morbidity and mortality from Gestational Diabetes Mellitus (GDM) as well as ensuring better outcome of pregnancy

Objectives & approach

The International Diabetes Federation has in 2011estimated in the diabetes prevalence  in Nigeria to be 4.04 % but a study conducted in recent finalized WDF project found a prevalence of 5.05 %. Furthermore, Nigeria has a huge burden of maternal mortality with a rate of 800 deaths per 100,000 live births. There is no national strategy, policy or action plan for diabetes and not least for GDM in Nigeria.
Objectives
To reduce morbidity and mortality from Gestational Diabetes Mellitus (GDM) as well as ensuring better outcome of pregnancy
Approach
The project activities will take place within the primary and secondary health care facilities in the 30 local government areas.
A baseline assessment of knowledge and attitude of maternal and child health care givers and on management of GDM will be conducted through a structured questionnaire survey to be administered during training workshops. The purpose is to document the baseline knowledge against which the project achievements can be measured.
Training workshops on management of GDM for maternal and child health care givers will be organized at a central venue in each of the zones. There will be three workshops per zones and each session will last three days. Participants will be selected from a number of public health care institutions in the state.
Provision of free screening tests will be provided in antenatal facilities within the primary and secondary healthcare facilities in the state for all women at the antenatal care clinics. The clinics will be equipped  to execute the screenings.
Standardized protocol in GDM care will be developed to use in the clinics and also encouraged to be used  within the health facilities. The clinics should by the end of the project also be able to determine the blood glucose of babies delivered by GDM mothers at birth.
Throughout the project a continuous awareness campaign will be organized at antenatal clinics. Through educational talk by trained nurses and educational materials developed to use in the antenatal facilities health education will be given to pregnant women

Expected results
•  675 health care providers trained
•  100,064 pregnant women screened
•  1,000,000 women of child bearing age sensitised
•  Routine antenatal GDM Screening established
•  Locally developed GDM management protocol

Results upon completion
•  116 antenatal clinics strengthened with GDM care
•  2,976 health care providers trained on GDM care
•  86,114 pregnant women have been screened for GDM
•  8,180 women with GDM diagnosed and provided with care
•  880,450 people reached through awareness on GDM
•  Locally developed GDM management protocol developed and distributed to target clinics