Objectives

• Strengthen the prevention of risk factors for diabetes
• Strengthen national policy and strategic frameworks in the fight against diabetes while increasing on-the-ground access to care, treatment and education for patients and the population
• Strengthen the place of patients through their associations
• Ensure full involvement of all partners and optimal governance of the project

Approach

This project will adopt an institutional and operational approach. In order to strengthen the fight against diabetes and its risk factors in Mali, the partner will ensure that all policy documents related to the disease (NCD, diabetes, nutrition, maternal and child health, ...) are strengthened. To promote a more favourable policy environment and to further improve access to care at the peripheral level, the project will significantly increase the number of health professionals trained in diabetes, gestational diabetes and type 1 diabetes at the different levels of the health pyramid. This will lead to a further decentralisation of diabetes services.

To ensure better quality of care and better financial access to care for people with diabetes, social protection will be extended by including diabetes in the UHC system in addition to the AMO (Obligatory Medical Aid).

At the end of the project, Mali will have an efficient and sustainable policy environment and a decentralised and strengthened diabetes care system. Support to the data monitoring system and the health information system will enable better political and strategic planning for the fight against diabetes in Mali. People with diabetes will benefit from quality care throughout the country leading to better prevention and management of diabetes and a reduction in the number of serious complications and premature deaths.

To ensure effectiveness and long-term sustainability, all the main health actors in Mali will be involved from the beginning of the project: Ministry of Health, National and Regional Health Directorates, National and Regional Hospitals and health structures; specialist doctors and health professionals as well as patients' associations and health professionals' associations. Local ownership will also be strengthened through the involvement of strong national NGOs such as the NGO Walé.

Expected results

• 20 doctors trained as endocrinologists and 40 as diabetologists
• 736 physicians, 579 nurses and 23 health professionals trained in the care and prevention of T2DM and gestional diabetes
• 25,000 patients with type 2 diabetes treated
• 900 patients with T2DM trained in self-care
• 29 Patient Peer Educators (PPE) trained and 675 directly accompanied by PPEs
• + More