Approach

The project builds on the foundation laid by project WDF18-1619 with an increased focus on strengthening primary care, patient education and community interventions in the districts of Saint-Louis and Dagana (total population: 475,000).

To roll out comprehensive integrated diabetes care in these two districts, project activities include:

• Capacity building of HCPs using nationally approved training materials:
  • Training of doctors and HCPs (nurses, nursing assistants and midwives) in diabetes prevention and care, including screening and management of HIP.
  • Training of nurses in diabetes footcare.
  • Practical training of surgeons in diabetic foot revascularization surgery

• Primary-level health facilities in the two districts strengthened:
  • Provision of basic equipment (glucometer, blood pressure monitor, stethoscopes, scale).
  • Clinical mentorship through monitoring visits led by health authorities to assess quality of diabetes care provided, effectiveness of referral system and NCD data collection.
• Patient education:
  • Training of peer educators, including a practical training in Senegal’s national reference centre for diabetes.
• Surveillance system for NCDs:
  • Training of HCPs on the collection and reporting of DHIS2 diabetes indicators recently introduced by MoH, incl. HIP, complications etc.
  • Screening campaigns and community mobilization through the training of CHWs, religious leaders and traditional healers.

Expected results

• 64 primary-level health centres and 1 provincial hospital strengthened through the training of 17 doctors and 30 nurses in diabetes footcare, 120 HCPs in diabetes care and DHIS2 reporting and 35 HCPs in comprehensive patient education
• 150 CHWs trained in diabetes prevention and early diagnosis
• 6,000 diabetes patients provided with improved care and trained in self-care (out of which 1,500 new patients)
• 20 religious and traditional leaders and 15 traditional healers trained in diabetes prevention
• 3,000 persons screened for diabetes and hypertension
• 15,800 people sensitized about diabetes through awareness activities
• Baseline and endline conducted to measure change in patients’ ability to self-manage diabetes and in health workers’ skills and competencies
• External evaluation conducted