Projects

Diabetes prevention and management by lay health workers in Nepal, WDF16-1441

WDF16-1441
The project aims to introduce diabetes and NCD prevention and care in Western Nepal through a community-based pilot model targeting one district.
Female community health volunteers of Nepal.
Female community health volunteers of Nepal, photo courtesy of Bishal Gyawali.
Objectives
To raise awareness in the general population about pre-diabetes, diabetes and its complications 
To identify undiagnosed people with type 2 diabetes and prediabetes through screening
To train Female Community Health Volunteers in blood sugar screening and empower them to disseminate family-based home health education at community level. 
 
Approach

Female community health volunteers  from the villages in the target area will be trained on diabetes care and prevention through a five-day training program. They will be trained on risk factor identification and screening methodologies. Yearly refresher trainings will be carried out. The trained female community health volunteers will be provided with basic equipment such as screening kits which includes glucometers, blood pressure meter, height and weight scales to be able to do screening at the community level. Training workshops with health care providers working at primary level will also be conducted to strengthen diabetes and NCD capacity. A referral mechanism will be established between the trained female community health volunteers and the trained health care providers. 

Community-based diabetes and NCD services will be provided by the trained community health workers who will do household-level risk factor assessments and risk based screenings. They will provide health education at the household level and target the whole family. People identified to be at risk will be referred to the involved primary clinics or to screening camps. The community health workers are responsible for maintaining patient registers and to do follow-up of the patients. 
 
An extensive community awareness program will be rolled out which includes a school health program, awareness and screening camps and public awareness campaigns including media. 
 
Expected results
134 CHWs trained 
At least 5,000 people at risk screened by female community health volunteers
At least 2,500 people referred
At least 50 teachers trained in prevention and healthy lifestyle 
At least 7,000 students sensitised.
25 schools strengthened with primary prevention

Project information

Project nr.: 
WDF16-1441
Project Status: 
Ongoing
Interventions and focus areas: 
Primary focus area: 
Region: 
South East Asia
Address of head office: 
Nepal
Partners: 
Nepal Development Society
Project responsible: 
Dinesh Neupane and Bishal Gyawali
Project start date: 
2017 to 2021
Project budget: 
USD 282,500
WDF contribution: 
USD 225,000
Expected results

134 CHWs trained 

At least 5,000 people at risk screened by female community health volunteers

At least 2,500 people referred

At least 50 teachers trained in prevention and healthy lifestyle 

At least 7,000 students sensitised.

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