Mexico has undertaken significant efforts to improve health care for and the health status of all Mexicans, including comprehensive and targeted actions to address the high rates of non-communicable diseases (NCDs) such as diabetes. In October 2013, the National Strategy for Prevention and Control of Overweight, Obesity, and Diabetes was launched and is currently being implemented in 32 states.
While Mexico has made great strides in developing comprehensive strategies for addressing NCDs, gaps remain. The country also has additional goals related to NCD strategies and the provision of care. For example, Mexico needs proactive mechanisms for prevention and early detection in order to move more decisively from curative to preventive care.
The project aims to strengthen diabetes prevention, early detection and care through implementation of the 'microclinic model' at the primary level of the public health system in two states of Mexico, targeting vulnerable communities in Ciudad del Carmen, Campeche and Cuetzalán, Puebla.
The Microclinic Social Network Program (MSNP) is founded on the assumption that diabetic individuals influence and are influenced by the way their network of family members and friends eat, exercise, monitor their disease, and adhere to medication regimes.
Recent sociological, anthropological, and epidemiological literature highlights the power of human social network interactions as a key to effective and sustained behavioural interventions and lifestyle modifications.
Microclinic International (MCI) will work in close collaboration with PAHO, the Mexican Ministry of Health, General Directorate for Health Promotion (MoH), and state and local health officials in Ciudad del Carmen, Campeche and Cuetzalán, Puebla to train and support health personnel in all project activities.
The first objective is to work with the Mexican government to integrate the Microclinic Social Network Program (MSNP) into the Mexican national System of Social Protection in Health, better known as Seguro Popular in the two states of Campeche, and Puebla.
The second objective is to train 99 health personnel to deliver the MSNP, reaching 21,978 families directly as well as 100,000 members of their social networks.
The microclinic model will be rolled out by the trained HCPs at the involved clinics through enrolment of diabetes patients and family members or relatives. The tuition model for the targeted patient-relative units (‘micro-units’) focuses on diet, physical activity, glucose monitoring and adherence to medication.
The third objective is to facilitate dissemination of lessons learned and best practices to other municipalities and states in Mexico as well as to other PAHO member countries in the region.
- 99 HCPs trained representing 33 primary level health centres
- Microclinic model rolled out from the 33 centres reaching approximately 22,000 families (‘micro-units’)
- 100,000 people from targeted communities reached via networks
- Comprehensive monitoring framework implemented