Objectives

1. Raise awareness on T2DM and hypertension, their risk factors and prevention in targeted communities
2. Improve quality of care through training and mentoring of  Primary Health Care workers and CBOs.
3. Improve State coordination for diabetes and hypertension programmes
4. Improve the availability, quality and use of T2DM and Hypertension data for decision making

Approach

This second phase comprehensive national programme builds on outcomes, structures and procedures successfully established under WDF17-1474 (first phase national diabetes programme support). The second phase targets four states in Nigeria, expanding initiatives in the states targeted in phase one (Imo and FCT States) while also including Kano and Lagos States.

The second phase programme will include advocacy at community level through distribution of IEC materials developed in first phase and drawing on previous experience of partners. Advocacy furthermore supported by social media campaigns, media engagement, webinars and targeted text messages. Multi-tiered advocacy will also be convened by project partners towards government and national assembly, including health committees convened at national level and towards house of assembly, health committees and key politicians and stakeholders at state level.

Trained CBOs and CHWs will conduct sensitisation and screening outreach activities in communities, including screening of pregnant women. Screenings in Kano State to be aligned with activities in the ‘Resolve to Save lives’ WHO funded hypertension control initiative. Project will pilot a 12-week prevention peer support initiative to address life-style modifications among a cohort of persons with high risk factors for diabetes and hypertension.

Capacity will be enhanced at targeted health facilities in diagnosis and management of diabetes, gestational diabetes and hypertension, through provision of 5-day training of HCPs and distribution of basic equipment for diabetes care. Support is provided through mentoring visits to all facilities and through learning platform for distance mentoring developed during COVID-19 response.

A national steering committee chaired by FMoH and including representative of all four targeted State MoH will coordinate project stakeholders with Technical Working Groups (TWG) for NCDs at both national and state level. Monitoring will be based on improved data quality and monitoring of NCDs through expansion and inclusion of diabetes indicators into the National Health Management Information System.

Expected results

• 2,000,000 people reached with increased awareness of NCD risk factors
• 50 doctors, 100 nurses and 150 clinicians trained in diabetes care and prevention, representing 150 health facilities (100 primary, 25 secondary, 25 tertiary)
• 160 community awareness events and 80 screening camps convened
• 210,000 people screened for diabetes and estimated 10,500 patients referred to treatment
• 63,000 people identified with risk factors trained in prevention of diabetes
• 500 CHWs, CBO staff and community leaders trained in diabetes risk factors and prevention
• 32 performance review and 12 partner coordination meetings convened