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October 2016

Enhancing Diabetes Education and Care in Ogun State-WDF-1527: a project initiated by the Center; co-funded by the World Diabetes Federation and executed in collaboration with the Ogun State Local Government Service Commission.


  • The Spirit Behind the Project:


Primary Health Care is the first level of contact of individuals, the family and community within the national health system, bringing health care as close as possible to where people live and work. It is expected to provide promotive, preventive, curative and rehabilitative services. To fulfil these responsibilities, the healthcare giver must not only be proficient in the management of the condition; she must be empowered with tools and equipment to deliver the services.

Diabetes care is presently virtually non-existent at the Primary care level in Ogun State: Care is currently majorly focused on infectious diseases and immunizations.


The Center, through its programed Update Courses on Diabetes for primary healthcare workers in conjunction with the Ogun State Local Government Service Commission, has over the years been gradually building the capacity of primary healthcare workers of the State to enable them give enhanced care to individuals living with diabetes in their communities. However, these Health Centers lack the tools and equipment to efficiently use the gains of these courses.  This informed TDC to seek funds from the World Diabetes Federation—[] to assist in equipping the Health Centers with the basic necessary tools and equipment of diabetes management and ensure that all the staff are trained in the management of the condition.


  • The Project:

Goal: Improve knowledge and strengthen the skill of Primary Healthcare Workers in Ogun State to deliver basic diabetes care.


The co-funded project will be executed in 5phases and it will cover all the 20 Local Government Areas of the State. It will run for two years—2016-2018; and will provide all the Health Centers of the State with diabetes management tools and equipment. The project is structured to aid and support those least able to withstand the burden of diabetes. It will among other things:

  1. Improve the knowledge base/ability of 1,000 primary healthcare workers on diabetes, empowering them to deliver meaningful, friendly diabetes education and care to people living with diabetes in their communities.
  2. Furnish all the participating 100 Primary Healthcare Centers in the State with glucose monitors:(2/health center); strips (250/health center); blood pressure monitors:(1/health center) and monofilaments:(100/health center).
  3. Produce 2,000 copies of Training Manual (a compilation of the lectures delivered during the project) for distribution to all participants and usage in the Health Centers.
  4. Screen 25,000 individuals who present to the various primary healthcare centers for diabetes.


Planned activities to reach objectives:

  1. 3-day Update Courses on Diabetes:2 cycles per zone will be organized in the 4 zones of the 20 Local Government Areas of the State.
  2. 125 Primary Healthcare workers will attend the course per zone per cycle during which 20 lectures on the various aspects of diabetes will be delivered by various lecturers.
  3. All the lectures delivered will be compiled into a training manual for distribution to participants - 2,000 copies of manuals will be produced.
  4. Monofilaments, Glucose monitors and strips will be distributed at the end of the 3- day program to the various Primary Care Centers represented at the course.
  5. All the Health Centers will be encouraged to actively screen individuals who come to the Centers for routine care for diabetes.



  • Topics to discuss:

20 diabetes related lectures listed below will be delivered: 

-Definition, Classification, Risk factors and Diagnosis of Diabetes.

-Role of diet in prevention and management of diabetes

-Foot care in Diabetes (with practical session using the WDF Sponsored Clinical Practice Guidelines on Diabetes Mellitus Foot syndrome for Health Professionals Manual developed by WDF 13-806)

-Hypertension -  Definition, Classification, Risk factors, Diagnosis and prevention

-Supporting people with Diabetes

-Treatment of Diabetes/Oral Glucose Lowering Medications

-Hypertension – Complications

-Hypertension – Treatment / Managing Hypertension at the Primary care level                

-Glucometer use demonstration (practical session)

-Diabetes and the primary Healthcare Worker (stressing the importance of self-management education).

-Diabetes complications and how to prevent them.

-Nursing care for individuals with Diabetes

-Oral manifestations of Diabetes

-Diabetes and the Eye.

-Effect of Diabetes on Fertility and Pregnancy

-The Role of Lifestyle in prevention and Management of Diabetes

-My experience with Diabetes

-The Diabetes Conversation Map


-Prevention strategies for diabetes

All these lectures will be compiled and printed as the Training Manual which will be distributed to all participants and all the Health Centers in the State.

The training faculty is from Talabi Diabetes Centre, Ogun State Chapter of Diabetes Association of Nigeria, Federal Medical Centre, Abeokuta, Olabisi Onabanjo University Teaching Hospital, Sagamu, State Hospital, Abeokuta among others. The resources comprise of diabetologists, cardiologists, lifestyle consultants, diabetes nurse educators, dietitians and individuals living with diabetes.


  • Expected gains of the project:



  1. Early detection of those at risk of diabetes at the primary care level. This is a cost saving measure which helps to reduce the risk of the development of the costly complications.
  2. Increased preventive activities at the primary care level
  3. Early diagnosis of diabetes
  4. Ability to deliver at least basic diabetes care at primary care level and improve self-management capacity of those with diabetes
  5. Initial management of Type 2 diabetes including dietary counselling
  6. Access of patients to diabetes education
  7. Improved knowledge of need for and ability/empowerment to assess the foot of persons with diabetes
  8. Improved/increased referral of diabetes cases to higher tiers of care.



Diabetes is a condition in which education plays a major role not only in its prevention but also in its care. In the absence of a universal health insurance in the country, this project will:

  1. Give diabetics hope of a meaningful life without being a burden to others
  2. Help to reduce the current inequity in the healthcare system and will give those in the low socio-economic class access to meaningful diabetes education and care. 
  3. To a large extent, break the existing vicious cycle between diabetes, its complications and poverty.