Approach

• Decentralization of NCD services to the primary level, incl. development of protocols/guidelines, strengthening of referral system based on WHO-PEN, and implementation of the integrated chronic disease management model.
• Capacity building of nurses and rural extension workers (lay cadre) within targeted primary level facilities and related communities.
• Leveraging lessons from HIV service provision (strengthening patient enrolment and retention in care via differentiated service delivery models).
• Scaling up eye and foot screening and care (based on guidelines and lessons from WDF19-1712) through HCP training and provision of equipment.
• Development of a public sector-wide healthy food procurement policy through multi-sectoral collaborations.
• Strong national awareness campaign to support public food procurement policy, leveraging the national health communication strategy developed with PSI during WDF17-1467.

Expected results

• 400 nurses, 1,008 rural health motivators, and 16 screeners trained in diabetes care and prevention, eye & foot screening, and referral and management
• 175 primary level facilities, and 4 regional hospitals  equipped for diagnostic capacity for diabetes eye & foot complications
• 52,000 people screened for diabetes
• 5,000 people diagnosed with diabetes and 12,140 patients receiving treatment at strengthened health facilities
• National Healthy Public Food Procurement Policy draft developed
• Increased coordination through the appointment of an Integrated Chronic Disease Management group
• Development and roll-out of NCD guidelines and protocols
• Strong baseline and endline outcome measurement