Overall goal

To contribute to the prevention of hyperglycaemia in pregnancy (HIP) in Dasmariñas City and Quezon City, the Philippines

Objectives

1. Pilot an electronic referral system in local health facilities

2. Promote HIP guidelines to health care professionals, facilities and pertinent professional organisations.

3. Develop a telereporting system for postpartum follow up on HIP cases.

4. Conduct a localised cost-benefit analysis to support the implementation of HIP initiatives at the primary care level.

Approach

In the Philippines, initiatives for the prevention and management of HIP need to be institutionalised and accelerated by public and private health sector actors at both national and local level.

Building on the successful outcomes of WDF16-1349, this project scales up integration of HIP prevention and care in the Philippines with guidelines conceived on a strong multi-stakeholder platform with Philippine Society of Endocrinology Diabetes Mellitus (PSEDM), the Philippine Obstetric and Gynaecological Society (POGS) and the Nutritionists-Dietitians Association of the Philippines (NDAP).

The project promotes a people-centred holistic approach as it catalyses coordination of endocrinologists, diabetologists, obstetricians, and nutritionists-dietitians for co-management at different phases of pregnancy, including the postpartum phase.

Driving advocacy processes based on multi-stakeholder consensus and cost-benefit assessments, the project seeks to promote subsequent nation-wide scaling.

Expected results

• 1 local electronic referral system
• 1 tele-reporting system presented for 300 GDM patients for postpartum monitoring, with a minimum compliance rate of 50%
• HIP guidelines promoted to 500 members of implementing partner professional organisations
• Patient nutrition knowledge tool, recipe book of GDM-friendly meals, and 3 cooking demonstration videos to be presented to 300 GDM patients and their families
• 1 localised cost benefit analysis
• 4 program implementation review sessions with government officials at national and local level