diabetes mellitus as a pandemic

DIABETES MELLITUS AS A PANDEMIC

Continuing rise in prevalence worldwide despiteAvailable effective treatment

• Cost, safety concerns and compliance issues

Solid evidence that prevention works• Difficulty in fostering compliance and

acceptability of lifestyle modification among patients

DIABETES MELLITUS AS A PANDEMIC

Need for public health strategies Leading health organizations have

published guidelines on the diagnosis and management of diabetes mellitus

International Diabetes Federation (IDF) recently published a consensus on Type 2 DM prevention (May 2007) Target people at high risk Target population

HOW TO IMPLEMENT? TRANSLATING RESEARCH TO PRACTICE

DIABETES PREVENTION

A logical response to the current situationDiabetes is a costly disease of many

complications Health resources are scarce

particularly in countries with high prevalence of diabetes

Cooperation and collaboration are a must for prevention programs to work

PHILIPPINE SOCIETY OF ENDOCRINOLOGY AND

METABOLISM

Leading organization of endocrinologists in the Philippines since 1962

Actively involved in patient care, education, research and advocacy in the field of endocrinology, diabetes and metabolism

Actively pursuing alliances with local, national and international organizations and agencies to achieve its Mission and Vision

ENDOCRINOLOGISTS IN THE PHILIPPINES

177 MEMBERSNATIONWIDE

PSEM ADVOCACY PROGRAMS

GoalsTo raise public awareness about

common endocrine problems, particularly diabetes mellitus and thyroid diseases among others

To promote public health strategies aimed at early diagnosis and treatment and importantly, prevention of these diseases

PSEM ADVOCACY PROGRAMS

Lay lectures in different areas of the Philippines, simultaneously with continuing education workshops for physicians and other health care professionals

Screening programs for diabetes mellitus, obesity, thyroid disorders

Publication of patient educational brochures distributed to patients/the public for free

Partnership with the media in dissemination of endocrine-related issues

PSEM DIABETES ADVOCACY PROGRAM

Challenges:Elevating the program from diabetes

awareness to community-based diabetes prevention

Reaching out to a wider population base

Targeting better and lasting patient outcomes

NEED FOR COLLABORATION!

“HAWAK KAMAY LABAN SA DIABETES” PSEM Diabetes Advocacy 2007

Translated as WORKING TOGETHER AGAINST DIABETES

Sums up our battle cry for diabetes prevention to curb the rising tide of diabetes mellitus

Complementary to our programs in previous years Continue lay fora, lectures and updates for MDs

and health professionals Continue health screening programs side by side

with lay activities Continue free distribution of diabetes educational

materials to the public

PSEM DIABETES WARRIOR PROGRAMCenterpiece of PSEM Diabetes Advocacy

Program• Commitment to the promotion of diabetes

awareness and prevention• Realization of our objective of broadening our

network of alliances


LIGA NG MGA BARANGAY SA PILIPINAS

Represents the 42,000 barangay units throughout the countryOrganized into 120 chapters with

functions and responsibilities in 8 key service areas in the community:

• HEALTH CARE & WELL-BEING, food security, water and environmental protection, shelter, livelihood, peace and order, education and literacy, participation in governance

LIGA NG MGA BARANGAY SA PILIPINAS

BARANGAY HEALTH WORKERS (BHWs) Community volunteers in their specific

barangays/communities tasked to carry out health programs through the barangay health units

Represent an organization of individuals already involved in primary health care at the most basic level

A pool of health advocates who can be trained on diabetes screening and prevention

PSEM DIABETES WARRIOR PROGRAM“HAWAK KAMAY LABAN SA DIABETES”

177 PSEMMEMBERS

42,000BARANGAY UNITS

120CHAPTERS

PSEM DIABETES WARRIOR PROGRAMMain Objective

• To promote diabetes awareness and prevention at the community level through the barangay, the basic political unit in Philippine society

Specific Objective• To implement a long-term, self sustaining

diabetes prevention program involving grassroots health workers, the Barangay Health Workers


PSEM DIABETES WARRIOR PROGRAM“Hawak Kamay Laban sa Diabetes”

Terms of CollaborationPSEM:

• Provide logistics for diabetes screening and prevention modules to be cascaded

• Supervise training and certification of the BHWs on these modules

• Obtain funding and support for the activities of the program

• Provide system of patient registry and patient referral


Terms of Collaboration LIGA NG MGA BARANGAY (BHWs)

• Will be responsible for cascading the module from the national to regional to provincial to city/municipal to barangay level

• each BHW will be competent to perform screening and prevention activities in their respective barangay unit

• Undergo training and recertification on the said module

• Maintain an updated log of patients seen as part of the program

• Provide periodic monitoring report and feedback


Expected Outcomes of Partnership Identification of individuals at high risk of

developing diabetes and those who already have diabetes

Early intervention for these identified individuals and potential delay and/or prevention of diabetes mellitus

A veritable source of information that can be utilized for translational research on diabetes prevention


FUTURE DIRECTIONS Team up with other health organizations and

agencies• Continued partnership with PDA, ISDF, PCDE and

cooperation with PMA, PCP• Communication with AMHOP and IMAP in progress• Enhance international alliances with IDF, ISE, AFES

Seek actively sources of funding locally and internationally

Plan on computerization of patient registry Reevaluate program regularly


ACKNOWLEDGEMENT Past Presidents and Leaders of PSEM Past President Dr. Rosa Allyn G. Sy Current President Dr. Josephine C. Raboca Current PSEM Officers and Board of

Directors Members of the PSEM Advocacy Committee Endocrine Fellows in Training NATRAPHARM Patriot Philippines

diabetes mellitus as a pandemic

Documents