As in many developing countries, the health situation in Colombia reveals an epidemiological and demographic transition due to the ageing population. This leads to a growing prevalence of chronic non-communicable diseases, such as diabetes and hypertension. Prevalence in the Department of Córdoba is the same as the national rate (7%), the population with DM2 estimated at around 25 000 patients. Nevertheless, the low quality of primary health care and the lack of education about comprehensive management of diabetes mean there are few or no comprehensive programmes for the prevention and treatment of the disease.
• To implement guidelines for prevention, diagnosis and treatment of blindness due to diabetes.
• To train health care professionals in the prevention, diagnosis and treatment of diabetic retinopathy.
• To establish a mobile unit for screening, treatment and intervention of patients with diabetic retinopathy.
• Screening of 3 000 patients with diabetes and laser treatment of 20% of patients in whom diabetic retinopathy was detected during screening.
• Development of guidelines for prevention, diagnosis and treatment of diabetic retinopathy by Oculaser in close coordination with MoH.
• Training of health care providers at government primary health level facilities in prevention, diagnosis and treatment of diabetic retinopathy; training by experienced ophthalmologist.
• Establishment and equipping of a mobile unit for diabetic retinopathy screening and care; incl. surgical laser and telemedicine tools to reach marginalized diabetes patients; to be managed by ophthalmologist and a multidisciplinary team.
• Screening of diabetes patients and follow-up treatment (incl. surgical laser) of diagnosed patients within 30 municipalities through the deployment of mobile unit and preparation of health facilities.
• Roll out of awareness sessions at government primary health facilities to facilitate prevention of diabetes related eye conditions and other complications; facilitation of access to general diabetes management.
• Development of a web based patient registry and M&E system; established and functioning at 30 government primary health facilities with clinical indicators to demonstrate impact of treatment.
• Guidelines for diabetic retinopathy prevention, diagnosis and treatment developed and implemented in 30 municipalities (total population of 1.7 million).
• 30 doctors, 30 nurses and 30 health promotors from 30 government primary health facilities in all 30 municipalities of Córdoba trained in prevention, detection and early treatment of diabetic retinopathy.
• 1 mobile unit for comprehensive care for patients with diabetic retinopathy established. • 3,000 diabetes patients at risk for DR screened for diabetic retinopathy.
• 600 patients with DM related eye condition provided advanced eye care.
• 10,000 registered diabetes patients sensitized on diabetic retinopathy prevention.
• Web based patient registries and M&E system established (incl. clinical indicators).