Projects

Integrating diabetes screening with ante-natal care in Sierra Leone, WDF16-1375

WDF16-1375
Promoting awareness, screening and care of hyperglycemia in pregnancy (HIP) through capacity building, roll out of universal screening, post-partum care, better patient registries and awareness raising.
Sierra Leone is DAC-1 and ranks 183/188 on UNDP HDI and is hence among the poorest countries worldwide. The country has a fragile health care system, which was even further challenges by the Ebola epidemic. According to WHO, Sierra Leone has among the highest rates worldwide concerning maternal mortality and perinatal complications. There is no data on HIP in Sierra Leone but in the Africa Region there is an estimated percentage of 10.5% HIP.
 
Objectives
To promote the awareness, screening and care of hyperglycemia in pregnancy (HIP) in Sierra Leone
 
Approach
In order to improve care for pregnant women with HIP, the project will introduce universal screening for HIP and referral mechanism for detected cases at Princess Christian Maternity Hospital (PCMH) in Freetown.  PCMH has a catchment area of more than 1,346,771 and the expected deliveries are about 59,258 per year, around 4,4% of population.
 
To improve the quality of care capacity building will be provided to PCMH staff and staff of surrounding primary/secondary ante-natal care facilities and provision of basic equipment and screening material will be provided. 
 
Roll out of 12-month post-partum care of mother and child, incl at primary and secondary level, and through linkages with vaccination and education services will enhance the follow up of women suffered from HIP and their babies.
 
The development of a dedicated a patient record and data collection system at PCHM will assist in quantifying the burden of the disease.
 
In order to enhance HIP care and streamline access to care across Sierra Leone, the project will support the Ministry of Health and the Directorate of Research and NCDs to develop national guidelines on hyperglycemia in pregnancy through the evidence and practice generated at PCMH using an operational research approach.
 
In order to increase the awareness on HIP among women, the project will provide information, education and communication activities on the importance of HIP screening and on seeking appropriate care.
 
Expected results
  • 90 Health Care Personnel (mainly nurses, 10 from PCMH respectively 80 from primary and secondary care units) will enhance their knowledge on HIP
  • PCMH and 16 primary and secondary facilities have implemented HIP screening, care and post-partum services.
  • 10,000 pregnant women has been screened for HIP and provided improved ante-natal care
  • 1,000 pregnant women has been detected with HIP and referred to PCMH for comprehensive care, and followed up post-partum.
  • 59,000 pregnant women across targeted area has been reached through awareness and prevention oriented activities.

Results at completion

  • 184 HCPs trained in GDM
  • PCMH and 17 Peripheral Health Units (PHUs) implement HIP screening in Western Area of Sierra Leone
  • Protocol for Integrated Diabetes Screening developed and reviewed by the MoHS
  • 18,527 pregnant women screened for HIP and provided improved ante-natal care
  • 344 pregnant women detected with HIP and referred for post-partum follow up
  • 76,447 women reached with information on GDM and related services through awareness raising campaigns;
  • First data on GDM in Sierra Leone collected
  • Operational research article written (yet to be published)

 

Project information

Project nr.: 
WDF16-1375
Project Status: 
Completed
Interventions and focus areas: 
Primary focus area: 
Region: 
Africa
Country: 
Sierra Leone
Partners: 
CUAMM Doctors with Africa
Project responsible: 
Mr. Fabio Manenti
Project period: 
2017 to 2019
Project budget: 
EUR 284,039
WDF contribution: 
EUR 225,000

Results at completion

  • 184 HCPs trained in GDM
  • PCMH and 17 Peripheral Health Units (PHUs) implement HIP screening in Western Area of Sierra Leone
  • Protocol for Integrated Diabetes Screening developed and reviewed by the MoHS
  • 18,527 pregnant women screened for HIP and provided improved ante-natal care
  • 344 pregnant women detected with HIP and referred for post-partum follow up

+ more