The project seeks to improve prevention and control of diabetes in Ogun State, Nigeria.
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
367 health care providers (47 doctors, 219 nurses and 101 paramedics) have been trained.
25 NCD clinics have been established in state hospitals.
Approximately 750,000 people have been reached by awareness activities. 58,657 people have been screened for diabetes using risk score assessments and 13,131 of those with high risk have been tested using blood glucose tests; 1,850 cases of diabetes were detected.
World Diabetes Day was celebrated on 14 November 2009 and 2010.
Conference on Diabetes and hypertension with participation of various Nigerian diabetes experts held in February 2011
Project details
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.
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