Projects

Integrating diabetes services in tertiary and secondary healthcare facilities in Liberia, WDF20-1743

Integrating diabetes services in tertiary and secondary healthcare facilities in Liberia, WDF20-1743

WDF20-1743
To reduce diabetes related morbidity and mortality by integrating and improving service provision during routine healthcare delivery at secondary and tertiary health facilities across all counties.

Objectives

  • Enhance the leadership capacity of county health teams to deliver diabetes service at selected health facilities
  • Develop policy instruments/documents to govern the delivery of NCD services nationally
  • Provide increased access to quality diabetes services at selected health facilities
  • Create demand for high-quality diabetes services
  • Effectively manage data for diabetes service provision

Approach

This MoH-led project will start by reviewing, harmonising and adopting relevant tools (standard treatment guidelines and protocols, M&E indicators and ledgers, community health forms, IEC materials, drug requisition forms, etc) which will be used to train HCPs. These personnel when trained will be empowered to provide leadership and services related to diabetes care at the selected health facilities.

In this way, the provision of diabetes services will become routine during regular out-patient and in-patient care across the 24 secondary and 2 tertiary health facilities targeted. Diabetes indicators and data collection forms will be integrated in the regular M&E activities of the Ministry. Also, this project will ensure continuous requisition and supply of diabetes commodities at participating health facilities, with the objective of integrating these commodities in drug distribution programmes in the country.

The project also seeks to work with communities to identify cultural, religious, or social barriers to accessing diabetes care. These will be addressed through contextual community awareness programmes that target service users, religious, traditional and influential community leaders, as well as traditional healers. The project will establish patient focus/self-help/support groups in communities as a means of encouraging treatment, diet adherence, and healthy living amongst persons living with diabetes. Religious leaders, traditional healers and influential leaders will serve as ambassadors for communicating behavioural change messages. Social barriers that pose a threat to effective diabetes management will be addressed through relevant community structures.

As a means of bridging healthcare between communities and health facilities, we seek to work with the community health programme to integrate diabetes care into already existing community health tools. CHWs will be trained in diabetes management through other existing community health division programmes. This will enable them to provide the relevant care at the community level and work with these tools during their routine community outreach activities.

Expected results

  • 842 HCPs trained (104 doctors, 390 nurses and 312 physician assistants and midwives) representing 26 diabetes clinics established (combined catchment population of 472,350 persons)
  • 250,000 persons screened for diabetes
  • 7,000 patients treated at established clinics
  • 4,500 women screened for HIP at ANCs
  • 4,350 patients with TB screened for diabetes
    + more 

Project information

Project nr.: 
WDF20-1743
Project Status: 
Ongoing
Interventions and focus areas: 
Primary focus area: 
Region: 
Africa
Country: 
Liberia
Partners: 
Ganta United Methodist Hospital (UMCOR)
Ministry of Health
Project responsible: 
Dr. Fred W. Amegashie
Project period: 
2020 to 2023
Project budget: 
USD 1,100,000
WDF contribution: 
USD 1,100,000

Expected results

  • 842 HCPs trained (104 doctors, 390 nurses and 312 physician assistants and midwives) representing 26 diabetes clinics established (combined catchment population of 472,350 persons)
  • 250,000 persons screened for diabetes
  • 7,000 patients treated at established clinics
  • 4,500 women screened for HIP at ANCs
  • 4,350 patients with TB screened for diabetes
    + more