new frontiers in ncds_block_5.1.12
TRANSCRIPT
Charlotte Block, MS, RDGlobal Health Program Officer NCDs/Nutrition [email protected]
Measuring NCD IndicatorsCORE Group Spring Meeting
May 1st, 2012
Project HOPE Programs
Mexico2001-present
India2007-present
China1996-present
S. Africa 2011-present
Nicaragua2010 - 2011
New Mexico, USA2010- present
NCDs 101
4 x 4
X
Diseases Risk Factors
(80% of 4 main NCDs prevented by eliminating the 4 shared risk factors.)
Changing Burden of Disease
Diabetes Medical Training - China
Qingdao
Chengdu
Xi’an
Beijing
Guangzhou
Hangzhou
Shanghai Ruijin
Shanghai Huashan
Harbin
Nanjing
• Rural and Urban Training Centers
• Trained >40,000 health care providers
• Reaching >170,000 patients and families
• MoH partnership -> National Standards
China NCD Management Program
Diabetes Education - Mexico
• Curriculum development:
• 5 Steps for Self-Care Patient Course
• Lend a Hand in Self-Care TOT Course
• Adopted by government and community health centers
• Peer support training model
• School Based “Diabesity” Prevention
HABITS for LIFE – New Mexico, USA
• Targeting health disparities using mobile health unit
• New Mexico rural, underserved communities
• Prevention, screening, education and access to care
• Health worker training
Gestational Diabetes – Latin America
• Pilot project in Nicaragua & Mexico
• Training government health workers
• Trainees screen and educate pregnant patient groups at health centers.
Diabetes Educators - India
• National Diabetes Education Program• Master Trainer/ToT model
• Distance learning
• Launching DE profession
• 12 Diabetes Centers
• School based Healthy Habits
• Workplace Wellness
• CHW training
HOPE Center – Johannesburg, SA
• CHWs training in diabetes focused screening/referrals
• Peer education groups to empower patients with diabetes prevention and management activities
• Screening services including: HbA1c, cholesterol, retinal scan, and foot screening
Diabetes Indicators
• Glycosylated Hemoglobin A1c- 3 month blood sugar average
• Fasting Blood Glucose• Oral Glucose Tolerance Test
Risk Factor Indicators
• Total Cholesterol• Fasting vs. random• LDL/HDL, Triglycerides
• Blood Pressure• <120/80
• BMI kg/m2
• >30 obese; > 25 overweight• Waist circumference
Lifestyle Indicators
• WHO-5 Quality of Life
• Self-Efficacy
• Healthy Habits
• Fruits & Vegetables
• Clean Water
• Physical Activity
Other measures
• Knowledge/Awareness
• Pre/Post tests• Complications
• Neuropathy• Nephropathy• Retinopathy
• Integrated screening • TB, HIV, GDM
• Access to Healthcare (medical home)
• Clinical Labs• Self-Reporting
Questionnaires• Tests Pre-Post• Anthropometrics
THANK YOU!