Strengthening Health Care & Preventing Diabetes in the Dominican Republic
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1 Strengthening Health Care & Preventing Diabetes in the Dominican Republic Project Challenges Outcomes Edgar Castillo - Executive Director Health Horizons International
2 Stakeholders
3 Objectives General Improve knowledge & capacity of health providers and CHWs in Puerto Plata province to provide prevention, timely diagnosis and quality health care in diabetes treatment. Training of Health providers & CHWs Determine Risk factors Empowerment & Lifestyle change
4 Beneficiaries Nurses, lab techs, interns Patients at risk of or living with diabetes Doctors & health providers Community Health Workers (CHWs) All MOH province authorities
5 Project Execution Process Selection of Primary Health Care Centers Training Personnel of Primary Health Care Centers Strengthening of PHCS Units Community Hospital s Service Improvement 14 UNAPS evaluated: functionality & quality of diabetes treatment 12 UNAPS selected for accessibility, presence of CHWs & doctors, population and equipment 54 doctor assistants trained on diagnosis & prevention 60 CHWs and 24 nurses trained on prevention, patient monitoring and support group handling M&E process to supervise patients and collect indicators Supervisory visits to follow up More than 20% improvement on service quality 3 Hb1aC machines installed Lab technician training National M&E system established to collect information
6 Project Execution Process Population Screening form to evaluate 8 parameters to determine risk level 3,826 people screened 57% referred to receive quality health care Health Promotion & Communication Design diabetes prevention handbook for CHWs Flyers & posters to promote a healthy lifestyle World Diabetes Day walk to create awareness Coordination with Health Authorities Monthly sessions to track progress, evaluate achievements & coordinate next steps at both the national and local levels Expansion of Project Actions to Regional Level Support MOH to establish a national M&E for NCDs
7 Outcomes New drug therapy included to treat diagnosed patients (Metformin 500mg). Improvement of Pharmaceutical Supply Management at primary health care centers. Diabetic foot & Dental evaluation included into protocol to serve diabetic patients. Health providers at primary health care centers (doctors, nurses, and doctor assistants) received training on NCDs treatment for the first time.
8 Diabetes & Hypertension in the Dominican Republic (Health Region II) Health Region II 3 provinces / 1.6 M inhabitants 25,500 patients 165 PHCC Objectives & Results B.A.P. baseline study Training health providers at PHCC Identify patients with diabetes & hypert. Deploy an M&E System focused on NCDs Create awareness & promote a healthy life Establish 15 PHCC as models of D&H.
9 Gracias! We want to thank The World Diabetes Foundation for trusting us to lead this effort in the Dominican Republic, and also the Healthy Caribbean Coalition for allowing us to spread the word on how to improve lives. We can bring these outcomes, tools and resources for improving diabetes & hypertension health care to all Caribbean countries. We want to work hand-in-hand with the WDF, SAGICOR and other partners to make it happen. Feel free to reach out to us!
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