To pilot a comprehensive model for strengthening diabetes care and integration with co-morbidities in Timor-Leste, to inform regional NCD policy and guideline development in the South-East Asia Region.
This project is a strategic, phased initiative aimed at demonstrating the efficacy of a comprehensive diabetes care cascade model in Aileu Municipality to rapidly scale up to the entire country. Adopting the WHO PEN and HEARTS-D packages, the project will build capacity for prevention, diagnosis, management, and referral covering all health facilities in Aileu Municipality, including strengthening supply chain management and health information systems. In addition, the model will seek to integrate diabetes care with various health services at primary level, including hypertension, tuberculosis, and Maternal & Child Health (MCH). In the final six months, the model will be expanded to Dili Municipality, which represents one-third of the Timor-Leste population. This expansion is a preparatory step for a rapid scale-up planned for a second phase.The project's objective is not only to improve diabetes and NCD care in Timor-Leste but also to document the process and outcomes to inform and influence national and regional NCD policies and guidelines in the South-East Asia region. As such, the project is designed to have a significant impact on healthcare delivery and policy, starting locally and expanding nationally.
• 20 doctors, 25 nurses, and 100 other HCPs (paramedics, front-line HCP, counsellors, lab technicians, faith healers) trained, representing 1 referral hospital, 1 municipal hospital, 4 Community Health Centres (CHCs), and 22 health posts.• 20 health facility and MoH staff trained in supply chain management, covering 16 facilities → reaching maturity for second phase scale-up. • 15 health facility staff and key MoH staff trained in DHIS-2 and phased adaptation of digital solutions in 14 health facilities.• 13,000 people screened: estimated 800 cases detected, and 700 patients enrolled in care.