Projects

Promoting integrated diabetes and hypertension care in Tauá-Ceará, WDF15-1234

WDF15-1234
This project aims to implement a pilot phase of a state level diabetes and hypertension programme in Cará State, with emphasis on capacity building at the primary care level.

Non-communicable diseases are a major health problem and account for more than 70% of deaths in Brazil.
People with diabetes have a 25% risk of developing ulcers on their feet throughout their lives. This complication is responsible for between 40% and 70% of the non-trauma amputations of the lower limbs.

Another diabetes complication, diabetic retinopathy, is the top cause of blindness acquired after puberty. 20 years after a diabetes diagnosis, more than 60% of people with type 2 diabetes have some form of retinopathy.

Yet another NCD with severe consequences is high blood pressure. Pregnancy-induced hypertension is the most common disorder during pregnancy and is responsible for a significant portion of cases of maternal and perinatal mortality.

Diabetes and hypertension, as chronic conditions, are likely to increase among the population, given changes in lifestyle and eating habits taking place in Brazil.

 

Objectives

This project aims to implement a pilot phase of a state level diabetes and hypertension programme in Cará State, by establishing care for people with diabetes and hypertension, implementing clinical guidelines, training health care professionals, equipping basic units and outpatient hospitals, and designating of a referral centre for retinal assessment.

 

Approach

The total population of Tauá health region is 112,000 with currently 2,200 known cases of diabetes and 11,000 people with hypertension.

The project’s activities to improve access to care and screening for complications include:

Preparation of primary care units within the region via sensitisation and coordination of local municipalities and health authorities.

Capacity building of the targeted primary health care units through comprehensive and differentiated training of different HCP categories. Training will cover screening and provision of care for diabetes and hypertension, foot care and eye care, and include a pregnancy and diabetes/hypertension-oriented component.

All units will be provided with the necessary basic equipment. In this process, two larger units will be selected as specialised units within foot care, two more within eye care, and will be provided with the necessary special equipment.

Awareness, health promotion and screening activities will also be part of the project, and will mobilise the surrounding communities, schools etc.

Finally, a cross-referral system with focus on foot and eye complications will be established between the units, and with the specialised centre in Fortaleza capital.

 

Expected results

  • 375 HCPs trained
  • 42 primary care units equipped and providing screening and comprehensive improved access to care for diabetes and hypertension
  • A 50% increase in new diagnosed patients
  • 1 secondary referral centre for retinal assessment designated and equipped
  • 1 diabetic foot ambulatory care centre implemented
     

Project information

Project nr.: 
WDF15-1234
Project Status: 
Completed
Interventions and focus areas: 
Primary focus area: 
Region: 
South and Central America
Country: 
Brazil
Partners: 
Ministry of Health, Ceará State Health Secretariat
PAHO Brazil Country Office
Project responsible: 
Ana Lucia Ramos Leitão
Project period: 
2016 to 2018
Project budget: 
USD 487.208
WDF contribution: 
USD 280.025,46

Expected results

  • 375 HCPs trained
  • 42 primary care units equipped and providing screening and comprehensive improved access to care for diabetes and hypertension
  • A 50% increase in new diagnosed patients
  • 1 secondary referral centre for retinal assessment designated and equipped
  • 1 diabetic foot ambulatory care centre implemented