The overall objective of the project is to improve diabetes care in poor urban communities in Lagos City.
The specific objectives of the project focus on increasing awareness of diabetes and access to care for diabetes patients. Diabetes services for patients will be strengthened through the provision of quality and affordable services and strengthening of diabetes care and management in 35 Primary Health Clinics located in hard-to-reach slum areas in Lagos state. Finally the project will seek to increase awareness about diabetes through awareness and screening camps in 150 communities and through radio campaigns.
The project will improve access to diabetes care through the development and review of training and referral guidelines for healthcare professionals for the management of diabetes in consultation with health authorities, the Diabetes Association of Nigeria and other key stakeholders.
Access to diabetes care will be strengthened at 35 Primary Health Clinics through an assessment of the awareness of their staff, services available and patient data and strengthening of the gaps in these areas in terms of a) provision of screening equipment for diabetes and diabetic foot, b) enhancement of the referral system for cases with complications and c) training of doctors, nurses and community health workers in diabetes screening, prevention and care.
Extensive community awareness campaigns will be rolled out incl. community screening camps through the deployment of a mobile clinic that will screen and refer detected cases to the nearest clinic.
The project will establish diabetes self-support groups for detected diabetes patients based on collaboration with the Diabetes Association of Nigeria and facilitated by the trained Community Health Workers. Links will be made between the groups and the primary health care facilities.
State and local level (Local Government Authorities LGAs) and local key opinion leaders will be sensitised on diabetes in order to advocate for better access to health services and care for diabetes patients.
- 200 LGA staff, grassroot stakeholders and community leaders in 10 LGAs sensitised; 3 workshops held for 120 key stakeholders incl. state health officials, teaching hospitals, private sector and CSO representatives to mobilise their commitment towards improved diabetes detection and care
- 280 Health Care Personnel (doctors, nurses and community health workers) trained in diabetes prevention and care
- 35 PHC units have established diabetes clinics/foot care services and improved referral systems
- Risk assessment/screening provided to 150,000 people across targeted communities, and additional 52,000 people at clinic level, with detected diabetes patients provided care at targeted PHC clinics
- 35 patients support groups established and linked to targeted clinics
- 250,000 people/150 communities reached through awareness raising activities
- Baseline and endline assessment conducted in 20 communities across 10 LGAs with specific focus on monitoring of 350 patients