Projects

Integrating gestational diabetes services in antenatal care in Sierra Leone, WDF19-1698

WDF19-1698
The project builds on successfully completed WDF16-1375 and seeks to address the gaps encountered, such as follow-up of HIP, and to test the approach in a rural setting.

Objectives
•    Promote integration of GDM screening services in urban and rural contexts 
•    Increase adoption of preventive attitudes and practices among pregnant women and communities in the catchment areas of the two targeted hospitals   
•    Support national authorities in integrating GDM prevention, screening and management in government policies and strategies for NCDs

Approach

CUAMM will support the MoH in integrating GDM management. The application of the protocol for diabetes screening will be further enhanced at the referral maternity hospital in Freetown and will be activated in Pujehun Hospital (rural district). The positive cases will be part of a ‘follow-up system’ that will ensure quality care during and after the pregnancy. Collection of data will be useful to analyse the national prevalence of GDM. Capacity building of the health care personnel is expected to contribute to improve the quality of diagnosis and treatment. CUAMM will also carry out a research to have an overview of the nutritional habits of the population and make comparisons between urban and rural areas.
•    Implementation of the diabetes screening protocol in antenatal care
•    Training of health care personnel on GDM screening/treatment, nutrition and data collection.
•    Supervision and training on the job on GDM
•    Follow-up/care of GDM positive patients during antenatal care and postnatal care.
•    Supervision on data collection and set up of a dedicated database for gestational diabetes.
•    Support for the creation of a Technical Working Group on diabetes within the MoH.
•    Development of a research study regarding nutritional habits in Sierra Leone.
•    Development and distribution of IEC materials on GDM/DM and promotion of a healthy lifestyle/diet.
•    Realisation of an awareness raising campaign on prevention of GDM/DM and access to services in the catchment areas of the targeted facilities.
•    Organisation of ‘health talks’ during ANC visits at the targeted health units.


Expected results
•    10,933 screened for GDM
•    30 health care personnel trained and supervised (clinical health officers, midwives and nurses) at hospital level (10) and at the level of peripheral health units (20)
•    1 video on promotion of healthy habits developed
•    1,000 health talks and 30 cooking demonstrations carried out 
•    4 radio campaigns carried out    
•    National protocol on GDM management completed and approved by MoH
•    Research on eating habits, physical exercise and healthy lifestyle conducted 

Project information

Project nr.: 
WDF19-1698
Project Status: 
Ongoing
Interventions and focus areas: 
Primary focus area: 
Region: 
Africa
Country: 
Sierra Leone
Partners: 
Doctors with Africa CUAMM
Project responsible: 
Dr. Fabio Manenti
Project period: 
2020 to 2022
Project budget: 
EUR 269.646
WDF contribution: 
EUR 207.006

Expected results
•    10,933 screened for GDM
•    30 health care personnel trained and supervised (clinical health officers, midwives and nurses) at hospital level (10) and at the level of peripheral health units (20)
•    1 video on promotion of healthy habits developed
•    1,000 health talks and 30 cooking demonstrations carried out 
•    4 radio campaigns carried out