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Diabetes in Sudan is a growing health problem with a major impact and an increasing incidence among all socio-economic classes. It is associated with a high prevalence of complications and a low quality of life.
The National Diabetes Programme and the regional programmes of the central and northern states in Sudan have identified priorities and agreed on the approach towards an optimum level of diabetes care delivery implemented in this project.
Objective
The project aims to improve the capacity of the Sudanese health care system to deliver, manage and monitor services for the prevention and treatment of diabetes.
Approach
The project focuses on the central and northern parts of Sudan (Khartoum, Gezeira, River Nile and Northern States). An estimated 800,000 people have diabetes in the project area. Approximately 300,000 of these people mainly receive diabetes care through the public sector facilities.
The project seeks to improve the capacity of the public health care system by establishing a network of diabetes care facilities in Sudan. 20 diabetes mini-clinics and 8 diabetes units will be set-up and the facilities of 2 existing diabetes centres will be enhanced.
The mini-clinics will be staffed by a general practitioner and a diabetes educator, which is the agreed basic configuration for primary level diabetes care in Sudan. The diabetes units and centres will be developed to have greater resources and provide secondary and tertiary treatment services.
In order to build the necessary human resource capacity, it is envisaged that 47 doctors and 60 diabetes educators will undergo a 12 week training programme in diabetes prevention and management.
As Sudan has limited public health tradition for chronic disease control, the project will advocate and seek to build partnerships with different sectors and individuals who are involved in diabetes care. A workshop will be held to advocate the partnership concept; to achieve commitment and to agree on policies and strategies for the partnerships among the various stakeholders.
Expected impact
- Around 90,000 people with diabetes will have access to good diabetes care
- 47 doctors and 60 diabetes educators will be trained in diabetes prevention and treatment
- 20 diabetes mini-clinics at local level and 8 diabetes units at general hospitals will be established
Results at completion
- More than 50,000 patient have received optimum diabetes care
- Establishment of health facilities: 25 diabetes mini-clinics: 6 in Gezeira, 6 in Khartoum, 3 in Northern State and 10 in the River Nile State. A total of 4 diabetes units and 2 diabetes centres have been created covering the 4 participating states
- Training courses were conducted in collaboration with WHO, training 80 doctors and 76 educators
- A national workshop attended by more than 20 participants, representing the private sector, pharmaceutical companies, public corporation groups, social sectors and NGOs has been held
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