Projects

Improving diabetic quality care through strengthening retinopathy and foot screening WDF19-1712

WDF19-1712
Piloting a system for identification and referral of diabetic complications linked to HIV and NCD services.

Objectives
To pilot a system for identification and referral of diabetic complications (retinal and foot) linked to HIV and NCD services.
 
Approach

There are currently limited diabetic retinopathy screening and foot screening services in Eswatini. The incidence of diabetic foot complications is presently unknown; however, diabetes is the leading cause of leg amputations in Eswatini, and leads to great disability, especially for rural people who have no access to assistive devices. Increased coverage, screening and grading quality, and uptake of preventive therapy will lead to fewer disabilities amongst vulnerable diabetic patients.    

Good Shepherd Hospital Eye Clinic (GSHEC) aims to develop links between community and hospital services by building capacity in each setting and ensuring clear referral pathways, including outreach services to remote communities. By improving diagnostic and treatment capacity through the development of a training system for both retinal camera screening and foot screening, NCD services will be strenghenend with regular screening of patients at the NCD clinics.    

The project represents a pilot model for a national diabetes/NCD response to establish integrated and comprehensive diabetic retinopathy and foot care services in Eswatini with involvement of the Ministry of Health.
 
Expected results

  • 25 primary level clinics, 4 secondary and 2 tertiary level clinics strengthened in three regions of Eswatini 
  • A total of 40 nurses, 20 doctors and 50 rural health motivators trained in diabetes screening, counselling and referral incl. 6 technicians trained in DR and foot prevention.
  • 4,000 people screened for foot complications, approximately 300 diagnosed with foot ulcers and referred for treatment.
  • 13,000 people screened for DR and 2,000 diagnosed with proliferative DR, 400 referred and treated with laser, 100 with OCT and 120 treated with Avastin injections. 
  • At least 120,000 people in three health regions (Lubombo, Manzini and Hhohho regions) reached through an awareness campaign.
     

Project information

Project nr.: 
WDF19-1712
Project Status: 
Ongoing
Primary focus area: 
Region: 
Africa
Country: 
Swaziland
Partners: 
Good Shepherd Hospital Eye Clinic
Project responsible: 
Angela Warbreck
Project period: 
2020 to 2022
Project budget: 
USD 246,950
WDF contribution: 
USD 176,838

Expected results

  • 25 primary level clinics, 4 secondary and 2 tertiary level clinics strengthened in three regions of Eswatini 
  • A total of 40 nurses, 20 doctors and 50 rural health motivators trained in diabetes screening, counselling and referral incl. 6 technicians trained in DR and foot prevention.
  • 4,000 people screened for foot complications, approximately 300 diagnosed with foot ulcers and referred for treatment.
  • 13,000 people screened for DR and 2,000 diagnosed with proliferative DR, 400 referred and treated with laser, 100 with OCT and 120 treated with Avastin injections. 
  • At least 120,000 people in three health regions (Lubombo, Manzini and Hhohho regions) reached through an awareness campaign.