Projects

Integrating diabetes screening into HIV services in Swaziland, WDF17-1467

WDF17-1467
Improving diabetes care and prevention through piloting of a HIV integrated approach.

Objectives
To goal of this project is to improve diabetes care and prevention through piloting of an HIV-integrated approach.

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.

Expected results

  • 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

Project information

Project nr.: 
WDF17-1467
Project Status: 
Ongoing
Interventions and focus areas: 
Primary focus area: 
Region: 
Africa
Country: 
Swaziland
Partners: 
Population Services International (PSI)
Project responsible: 
Alysha Beyer
Project period: 
2017 to 2019
Project budget: 
USD 378,281
WDF contribution: 
USD 290,281

Expected results

  • 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