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.
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—[www.worlddiabetesfoundation.org] 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.
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:
Planned activities to reach objectives:
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.
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: