Sustainable care for youth living with T1DM in Rwanda

Objectives
Provide support to children and youth with T1DM in Rwanda focusing on quality of care/selfcare and digital health for better patient monitoring and follow up.
Approach
Project activities include two tracks:
Diabetes care for T1DM:
- Specialised diabetes care provided by RDA to all registered children and youth with T1DM in Rwanda, services to be gradually transferred to NCD clinics at district hospitals. Services will include:
- Quarterly visits by RDA mobile team to all 40 district hospitals to provide regular diabetes check-up (including screening for complications), diabetes education and distribution of supplies to T1DM children and youth in need.
- RDA working along-side hospital NCD staff with the purpose of gradual transfer of knowledge, skills and management of the T1DM patients.
- Annual summer camps targeting vulnerable T1DM children and youth and caretakers to enhance diabetes self-management and self-esteem.
Quality monitoring and follow up of patients:
- Monitoring, follow-up and clinical outcomes for T1DM patients will be enhanced through:
- Establishment of an electronic registry of T1DM patients: transferring the paper-based registry to an electronic version, training of data collectors and
continuous, systematic data collection of T1DM patients’ data.
- Liaison and collaboration with PhD research project using the electronic registry to improve monitoring, follow up and care for T1DM patients (PhD to be funded separately).
Results at completion
• Electronic patient registry established
• 40 NCD clinics at district hospitals strengthened to provide quality T1DM care
• Three camps for a total of 300 T1DM children and youth and their parents
• 3,599 T1DM patients and parents trained in self-management
• 838 (79.9%) T1DM patients with regular attendance to clinic (e.g. four times per year)
• 754 (73%) T1DM patients within agreed targets for glucose control
• 49 meetings with health authorities / policy makers to discuss project outcomes
Project information
-
Project Nr.:WDF20-1740
-
Project status:Completed
-
Intervention areas:Access to care
-
Region:Africa
-
Country:Rwanda
-
Partners:Association Rwandaise des Diabetiques
-
Project period:2020 2024
-
Project budget:USD 228,982.68
-
WDF contribution:USD 228,982.68