To goal of this project is to improve diabetes care and prevention through piloting of an HIV-integrated approach.
PSI/Swaziland will support the Ministry of Health of Swaziland in the implementation of its new NCD strategy of expanded and decentralised DM screening, diagnosis, and treatment by addressing barriers that low-income Swazis currently face in accessing timely and high-quality DM care and treatment. This will be done through integrating DM screening into PSI/Swaziland’s existing community-based HIV and reproductive health services and adapting PSI/Swaziland’s highly successful HIV referrals and linkages strategy to link potential DM patients to diagnosis and care. In addition, through collaboration with Diabetes Swaziland, DM patients will be linked to existing diabetes support groups. PSI/Swaziland will also increase access to information on the importance of DM screening and prevention through training healthcare workers on counselling related to DM risk factors, nutrition, and lifestyle modification, and by adapting and rolling out DM education materials. To strengthen local capacity and ensure sustainability of high-quality DM screening and treatment services, PSI/Swaziland will work with Diabetes Swaziland and the Ministry of Health to develop and implement a DM management training package for government healthcare workers.
- Five existing PSI mobile units and two clinics strengthened covering all four regions of Swaziland (total Swaziland population is 1.3 million)
- 54 PSI/Swaziland nurses and counsellors trained in diabetes screening, counselling and referral; an additional 60 government nurses trained
- 1,260 community outreach screening sessions conducted, and two awareness raising roadshows conducted per quarter per region
- Almost 100,000 people screened for diabetes/hypertension (i.e. 15% of total adult population), with approx 7,000 patients with elevated RBG referred for further diagnosis and more than 1,700 patients diagnosed and treated; targeted group would include both existing HIV caseload and new patients