Projects

Reaching the unreached through diabetes prevention and care, WDF15-1241

WDF15-1241
A diabetes clinic on a boat will be one of several methods to offer diabetes care and educate a group of underserved people living on far off islands in West Bengal, India.
Background
 
The fishermen, honey hunters and other marginalised people of West Bengal’s Sunderban area are a vulnerable population out of the reach of any Indian health care programme. 94% have no awareness about health and diabetes. Their food is rich in carbohydrates, exercise sporadic, and diabetes rates are high. 
 
Yet state and district hospitals are inaccessible to many who live here, and there is no government diabetes programme at the village level. Medical care requires a boat trip to a district hospital and the loss of a day’s earnings. All too often, diabetes in this population is detected at a late stage, after complications have become advanced.
 
Objectives
 
To bring awareness, prevention, and care of diabetes to the poor and marginalised people of the  Sundarban islands, India. The project will achieve this by training health educators, holding awareness camps, launching a mobile diabetes boat clinic, and monitoring and referring those with a need for further care.
 
Approach 
 
The project targets traditional fishermen and indigenous honey hunters living in river-locked, remote and inaccessible areas in West Bengal, where there are presently no facilities for diabetes prevention and care.
 
Community health workers from both public and private health facilities will be trained as diabetes educators and counsellors. The training will be conducted by already identified diabetes experts. Awareness and screening camps will be rolled out in public settings.
 
A mobile diabetes clinic on a boat including staff and equipment will be deployed to reach the targeted areas; remote islands. Activities include monitoring of clinical indicators and check-up for foot complications. The boat-based mobile clinic will be staffed by one assigned doctor and two community health workers.
 
Through home visits by community health workers and through an SMS alert system, the project will ensure follow-up counselling, care, and referral of detected patients.Referral services for patients with complications will be offered through regular meetings and coordination with the authorities of district and state general hospitals.
 
Expected results 
 
100 CHWs trained
54,000 people reached through awareness camps
21,600 at-risk people screened through blood glucose tests
6,000 people diagnosed and receiving regular care from the boat clinic
6,000 people detected and followed up, patients with complications referred

Project information

Project nr.: 
WDF15-1241
Project Status: 
Ongoing
Interventions and focus areas: 
Primary focus area: 
Region: 
South East Asia
Address of head office: 
India
Partners: 
Jujersa Women and Child Welfare Organization (JWCWO)
Project responsible: 
Ms Archana Mandal
Project start date: 
2016 to 2018
Project budget: 
110,815 USD
WDF contribution: 
89,975 USD
Expected results 
 
- 100 CHWs trained
- 54,000 people reached through awareness camps
- 21,600 at-risk people screened through blood glucose tests
- 6,000 people diagnosed and receiving regular care from the boat clinic
- 6,000 people detected and followed up, patients with complications referred