Community-based detection and surveillance of Gestational Diabetes, 15-962

This project will identify existing gaps and strengthen community based detection and surveillance of gestational diabetes mellitus in order to improve maternal and newborn wellbeing in Mirzapur, Bangladesh.

Bangladesh is one of the top ten countries when it comes to diabetes cases and numbers will only double in the next 20 years. It is estimated that alone in Bangladesh more than seven million people are diagnosed with diabetes and an additional 3.7 million people suffer from diabetes but are yet undiagnosed. This makes diabetes a major public health problem in Bangladesh. 

The prevalence of gestational diabetes (GDM) ranges from 8.2% in rural Bangladesh to 12.9%. Particularly undiagnosed cases of women with diabetes in pregnancy are a key concern in Bangladesh, where the social status of women is low resulting in inequalities regarding healthcare access and nutrition. 
 
Objectives
To promote a model for screening, care and follow-up of HIP at community level, identify challenges, and launch surveillance pilot model in order to improve maternal and neonatal health in Mirzapur Upazila, Tangail, Bangladesh.
 
Approach
This project will set up a comprehensive community-based GDM detection and surveillance model in 7 randomly selected UHFWCs (Union Health & Family Welfare Centres) of Mirzapur Upazila of Tangail District, Bangladesh and corresponding community clinics (35 in total). These will be supported by community sensitisation activities through existing community support groups. 
 
It will evaluate the effectiveness of the model through community healthcare workers based at community clinics in collaboration with family welfare and health assistants (FWA/HA) who will assure linkage of all pregnant mothers with the community clinics for GDM detection and surveillance including identification of pregnant mothers supported by the pregnancy surveillance system. 
 
It will simultaneously sensitise mothers through existing community support groups.
 
Expected results
 
Members of 40.000 households sensitised through community support groups regarding GDM screening and its importance supported by rally and IEC materials.
Members of all households sensitised through community support groups about the importance of detecting and treating GDM
4,000 pregnant mothers screened for GDM in the communities of Mirzapur Upazilla
Min. 400 pregnant mothers with GDM adequately monitored and managed through community based services backed up by specialist care
105 community and sub-district providers trained in detection of GDM and glucose monitoring
Maternal and neonatal outcomes improved of mothers affected by GDM in Mirzapur, Bangladesh
Best practices shared and findings disseminated to national and international stakeholders
Community-based provision of care for pregnant women strengthened.

Project information

  • Project nr.:

    WDF15-962

    Status:

    Ongoing

    Interventions: 

    Focus areas: 

    Area:

    Bangladesh, South East Asia

    Partners:

    Centre for Injury Prevention and Research - CIPRB

    Project responsible:

    Prof. Md. Abdul Halim

    Duration:

    2017 to 2019

    Project budget:

    EUR 228,632

    WDF contribution:

    EUR 160,832

Project impact

Expected results

  • 40.000 households sensitised re GDM screening and its importance
  • All households sensitised re the importance of detecting and treating GDM
  • 4,000 pregnant mothers screened for GDM in the communities of Mirzapur Upazilla
  • Min. 400 pregnant mothers with GDM monitored and managed through community- and specialist care
  • 105 community and sub-district providers trained in detection of GDM and glucose monitoring
  • + more

 

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