Projects

Strengthening Diabetes Efforts in Herat, WDF16-1365

WDF16-1365
Project will provide an upgraded and well-equipped Diabetes Centre with competent personnel and an increased awareness on diabetes prevention among the population in Herat City.
There is a variation in the official estimates on the number and percentage diabetics living in Afghanistan. However, estimates from the International Diabetes Foundation (IDF) claim that 6.6% of the population has diabetes, but the older generation is much more at risk of developing diabetes. It is estimated by IDF that the diabetes prevalence will triple by 2030. The MoPH estimates a higher percentage than IDF and estimates that 8.2% of the population may develop diabetes. Moreover, 7.6% of the population is in the group Impaired Glucose Tolerance (IGT) who is in high risk of developing diabetes.
 
Objectives
• To strengthen the capacity on Diabetes among health care personel 
• To strengthen technical resources and equipment at the Diabetes Centre at the Regional Hospital in Herat City
• To create digitalised patient registration system
• To raise awareness on Type 2 diabetes and Gestational Diabetes Mellitus among the general population of Herat City
 
Approach
Project activities include:
• Capacity building of local health care providers; trainers of trainers to be trained in nearby city of Mashhad in Iran through a two months course to ensure appropriate training quality; 
• Capacity building of local medical assistants from all districts in the Province of Herat; Development of local training material by trainers of trainers
• Strengthening of Diabetes Centre at the regional hospital in Herat City → develop the centre as a leading center for diabetes in West region of Afghanistan.
• Screenings of at risk patients at regional hospital and local health facilities including health education, potential insulin therapy and referral of complicated cases to Mashhad.
• Establishment of an electronic patient registration system with various clinical indicators to enhance management and follow-up of patients diagnosed with diabetes as well as to provide an estimate of diabetes prevalence in the Western region of Afghanistan. 
• Roll out of awareness campaign on diabetes with focus on T2DM and GDM through tv, social media and leaflets distributed at diabetes centre, rural health facilities and mosques.
 
Expected results
• 200,000 people to be provided increased awareness about diabetes
• Training material and curriculum for local training in Herat developed
• 4 doctors and 4 nurses trained in diabetes detection, care and management; to act as trainers of trainers
• 90 medical assistants trained in general knowledge about diabetes
• 20,000 at risk patients screened for diabetes
• 6,000 patients detected and registered with diabetes (incl. clinical indicators) at the Diabetes Centre
 

 

Project information

Project nr.: 
WDF16-1365
Project Status: 
Ongoing
Primary focus area: 
Region: 
Middle East and North Africa
Country: 
Afghanistan
Partners: 
Danish Afghanistan Committee
Ministry of Public Health (MoPH) in Kabul
Regional Hospital in Herat
Regional Ministry of Public Health in Herat
Project responsible: 
Lene Ingvartsen
Project period: 
2017 to 2019
Project budget: 
USD 295,780
WDF contribution: 
USD 151,908
Expected results
• 200,000 people to be provided increased awareness about diabetes
• Training material and curriculum for local training in Herat developed
• 4 doctors and 4 nurses trained in diabetes detection, care and management; to act as trainers of trainers
• 90 medical assistants trained in general knowledge about diabetes
  • + more