Objectives & approach
With more than 61 million people living with diabetes the burden of diabetes has reached epidemic proportions in India. Despite this high number, diabetes awareness is still extremely low, especially in rural areas, where access to care is also limited.
Uttar Pradesh is the most populous state in India, and while the burden of diabetes may be less pronounced, it is assumed high. The four districts targeted by this project are all characterised by their high levels of poverty, inadequate awareness and limited access to care and information. In rural areas like these, it is estimated that for each known person with diabetes, two people remain undiagnosed. Consequently, people do not seek medical care until severe complications occur; often when it is too late.
The aim of this project is to promote awareness and improve diabetes care – focusing in particular on GDM – in four districts of Uttar Pradesh, India; Lalitpur, Maharajganj, Sitapur and Shahjahanpur.
This project is initiated by the Catholic Health Association of India (CHAI), which is a membership-based NGO with more than 3,300 member institutions throughout India.
Through their eight membership institutions in the four targeted districts, CHAI seeks to use the existing networks in the local community to improve care and awareness
The project has three main components:
1. Capacity building of eight CHAI health facilities
2. General diabetes awareness activities and special GDM awareness activities at community level
3. Community level screening camps
The first component involves implementation of diabetes care services at existing health institutions in the districts. CHAI will deliver capacity building to eight CHAI member health institutions, providing both primary and secondary health services. Besides providing screening equipment, CHAI will train health care staff in basic diabetes and GDM care. Five health care staff (doctors, nurses and paramedics) from each CHAI facility will be trained as trainers. They are supposed to act as trainers for village volunteers, government frontline service providers and other government stakeholders.
The second component involves awareness-raising among the general population as well as among pregnant women as a particular target group. Awareness activities such as street plays and health talks will be conducted once a month in each district. The project is envisioned to sensitise 400,000 people among the general population as well as pregnant women on diabetes and GDM.
The third component comprises community level screening camps and special programmes focusing on pregnant women and their spouses, to be conducted every second month in each district. People identified with diabetes or GDM during these health camps, will be referred to the closest CHAI membership institution.
• 8 CHAI health facilities strengthened
• 40 personnel from 8 CHAI health facilities trained in diabetes prevention and management
• 6,250 people with diabetes referred for treatment at CHAI member hospital
• 48 health camps for the general population conducted
• 24 special awareness programmes conducted
• 400,000 people sensitised on diabetes
• 480 pregnant women sensitised on GDM through 48 health camps for pregnant women