To strengthen capacity within diabetes prevention and care through primary health and community level interventions
Establish a project steering group consisting of INPRHU, health authorities and other key stakeholders; steering group to develop training and awareness material incl through active engagement with current WDF project partners in Nicaragua (a leading university and two civil society agencies; WDF15-961) in order to adapt material from these. Also, the PAHO-produced training manual for CHWs (WDF14-914/WDF10-562 in Mexico) will be adapted.
Capacity building of health care system across municipalities targeted through training of primary level HCPs and CHWs, and through provision of basic equipment.
Sensitisation and mobilisation of targeted municipalities through a range of community level and awareness activities, followed by roll-out of screening and education campaigns, integrated with the primary level clinics involved.
Implementation of a ‘community based rehabilitation’ model aligned with existing MoH primary care/community integrated approach, and also aligned with the PAHO/CARMEN initiative, including a series of activities and interventions i.e. self-help groups, diabetes patient clubs, media campaigns, psycho-social support, ‘learning fairs’, etc.
Close on-site community and patient/household level monitoring and evaluation, incl on basis of baseline/endline survey and data collection (with WDF aligned indicators).
- Primary health centres in four municipalities to provide improved diabetes care and education, with 40 HCPs (10 per municipality) and 160 CHWs (40 per municipality) trained.
- At least 10,000 people with risk factors/pre-diabetes reached out of a total direct target population of more than 20,000 (more than 5,000 families)
- At least 2,000 diabetes patients provided care and follow-up; incl cases from indigenous communities.