Projects

Community based accompaniment for diabetes, WDF15-1236

WDF15-1236
The project aims to improve the quality of life of patients with diabetes in rural Haiti through focused and integrated community-based care and detection.

Haiti is a low-income country that faces several challenges in providing quality health care to its 10 million people.
80 percent of Haitians live below the poverty line. Furthermore, the limited public health care system has been weakened by the January 2010 earthquake and the subsequent cholera epidemic.  

According to WHO, NCDs, including diabetes, account for an estimated 48 percent of all deaths in the country. There are few trained health professionals to cope with the scale of health challenges. In 2013, there were just 25 physicians and 11 nurses for every 100,000 people.

Diabetes affects a significant percentage of people, who have very limited access to care and aren't able to afford the care that is available. 

Objectives
The goal of this project is to promote improved diabetes and NCD care in rural Haiti, through focused and integrated community-based care and detection.

Approach
The project targets vulnerable and hard-to-reach populations in rural Haiti. The target area is populated by 1,3 million people, of which an estimated 300,000 suffer from a non-communicable disease, including diabetes.

Many activities consist of capacity building of primary level health workers. In a three day course, community health workers will be trained to be trainers in diabetes, chronic care management and related NCDs (ToT model).

Community health workers (CHWs) and nurse auxiliaries will be trained for four days in diabetes awareness, diabetes care and detection, and related NCDs.  
Community members will benefit from disseminated knowledge, as trained community educators will provide them with knowledge about diabetes management.

To support these activities, the primary level health centre nurses and physicians will be trained to support care integration between health centres and community health workers, including knowledge of referral path-ways.

Finally, health centre nurses and CHWs will also be provided with capacity and basic equipment for diabetes care, risk assessment and prevention of complications.

Expected results

  • 41 community health workers trained as trainers
  • 80 community health workers, nurse auxiliaries, CHWs and educators trained in diabetes care and self-management
  • 44 nurses and physicians trained in diabetes, chronic care management and referral
  • At least 3,200 households reached by CHWs

Results at completion

  • 26 frontline providers (community educators, community health nurses, nurse educators…) from all PIH/ZL sites trained as trainers in diabetes, chronic care management and related NCDs (3-day session)
  • 467 staff (mainly CHWs) trained on diabetes, chronic care management and hypertension; 269 CHWs received refresher training
  • 12 doctors and 32 nurses (hospital-level) trained on diabetes care and diabetes-related complications
  • 6,634 home visits for diabetes patients conducted by CHWs
  • 11 facilities strengthened for diabetes care
  • 10,799 patients received diabetes treatment
  • 8,667 people reached by awareness raising campaigns conducted by CHWs

Project information

Project nr.: 
WDF15-1236
Project Status: 
Completed
Interventions and focus areas: 
Primary focus area: 
Region: 
North America and Caribbean
Country: 
Haiti
Partners: 
Partners in Health
Project responsible: 
Dr Gene Kwan
Project period: 
2015 to 2016
Project budget: 
USD 353,697
WDF contribution: 
USD 109,576

Results at completion

  • 26 frontline providers  from all PIH/ZL sites trained as trainers 
  • 467 staff trained; 269 CHWs received refresher training
  • 12 doctors and 32 nurses (hospital-level) trained
  • 6,634 home visits for diabetes patients conducted by CHWs
  • 11 facilities strengthened for diabetes care
  • 10,799 patients received diabetes treatment
  • 8,667 people reached by awareness raising campaigns conducted by CHWs