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![Page 1: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/1.jpg)
International Diabetes Federation
![Page 2: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/2.jpg)
Capacity Building Capacity Building Diabetes Project
(2007-2009)
Cardiovascular Disease Project (2010-2013)
Davao City, Philippines
Capacity Building Capacity Building Diabetes Project
(2007-2009)
Cardiovascular Disease Project (2010-2013)
Davao City, Philippines
![Page 3: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/3.jpg)
Contents
• Handicap International• Philippine Context• The Diabetes Project• The Cardiovascular Disease Project• Challenges• Key Results• Lessons Learned
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Handicap International (HI)
AssociationAssociations worldwide s worldwide form the form the Handicap Handicap International International FederationFederation
France France Switzerland Switzerland Luxemburg Luxemburg Germany Germany United Kingdom United Kingdom Canada Canada United United States States Belgium Belgium
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Why is HI involved in the fight against diabetes?
• Because every 30 seconds, a leg is amputated somewhere in the world because of diabetes.
• Because diabetes is a disabling disease for 20-50% of diabetics.
• Because countries with limited resources are the worst affected by the diabetes “epidemic”, and the poorest communities in particular.
![Page 6: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/6.jpg)
HI and its Partners Can……..
1. Strengthen local associations of persons with diabetes
2. Strengthen health facilities with training, equipment and networking
3. Improve therapeutic patient education
4. Facilitate access to drugs and biological examinations for all
5. Encourage primary prevention in partnership with the state and local organisations
6. Prevent diabetic foot by:
a) educating on foot care, b) adapted footwear, c) orthoses or prothesis, d) foot care by health care providers
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HI and its Partners Can……..
7. Support rehabilitation for diabetic persons with disabilities
8. Promote inclusion of persons with diabetes in:
a) Society and family, b) The world of work, c) Education, d) Sports and leisure activities
9. Engage in advocacy directed at the international community and the governments of countries with limited resources to make diabetes a public health priority.
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Philippines
Population in 2010 : 94 million Barangays – smallest unit of government
with a highest population of 222,000.
DIABETES AND CVD Diseases of the heart (1), vascular system (2) and
diabetes (8) leading causes of mortality. Diabetes prevalence: 7.6% (2007) and 9.3% (2025) Among the top 10 countries with highest number
of diabetes cases by 2030. Leading risk factors by rank :
• Smoking (35%)• Hypertension, • Obesity, • Hypercholesterolemia • Diabetes
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Davao City
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Davao City
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Davao City before the Diabetes Project
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The Diabetes Project
Aims to increase access to multidisciplinary, integrated diabetes management at the level of communities.
Using a Local Inclusive Development Approach
Capacity building of: Service providers Self-help groups Policy makers
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The Diabetes Project
Capacity building of health and rehabilitation service providers by:
1.Training of primary health care professionals and community health workers
2.Develop systems and tools for General information Patient education Health service provision
and referral
3.Skills upgrading of prosthesis and orthotics technicians
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The Diabetes Project
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The Diabetes Project
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The CVD Project
TITLECapacity Building Project for the Prevention of Complications and Disabilities Linked to Cardiovascular Disease.
MOTTO
Building Partnerships, Improving LivesLocal Inclusive development Replication of good practices now covering the entire city Emphasis on partnership building Sustainability
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The CVD Project
Capacity Building of Health and Rehabilitation
Service Providers
Organisational Development of Local Diabetes Support Groups
Awareness Raising
AdvocacyEstablishing Peer
Education
Availability of Health Services
Increasing the demand for the
services
Policy Development for institutionalization
and funding among others
ENABLING ENVIRONMENT FOR: •Lifestyle change•Delivery of Quality, sustainable service
Prevent Complications, Reduce Disabilities, Improve Lives
Building Partnerships
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1. City Government / City Health Office – primary implementer, policies, budget
2. Department of Health – Healthy Lifestyle Campaign, Technical Support
3. Southern Philippines Medical Center – technical support, referral institution
4. Davao Jubilee Foundation –technical support, referral institution
5. Handicap International – coordination, technical support, funding
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Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
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Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
![Page 22: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/22.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
![Page 23: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/23.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
![Page 24: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/24.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
![Page 25: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/25.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
![Page 26: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/26.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools adaptation and development3. Setting up laboratory services
![Page 27: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/27.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools adaptation and development3. Setting up laboratory services
![Page 28: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/28.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools adaptation and development3. Setting up laboratory services
![Page 29: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/29.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools adaptation and development3. Setting up laboratory services
![Page 30: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/30.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools adaptation and development3. Setting up laboratory services
![Page 31: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/31.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools adaptation and development3. Setting up laboratory services
![Page 32: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/32.jpg)
Building the Capacity for Service Provision:
Strengthen and build on existing Primary Health Care Services through:1. Training for service providers and trainers of service providers2. Processes and tools development3. Setting up laboratory services
![Page 33: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/33.jpg)
Organizational Development :
Strengthen and build on existing Local Diabetes Support Groups (LDSG):1. Organization development and project development trainings2. Establishment of Peer Support3. Support the formation of an LDSG federation
![Page 34: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/34.jpg)
Organizational Development :
Strengthen and build on existing Local Diabetes Support Groups (LDSG):1. Organization development and project development trainings2. Establishment of Peer Support3. Support the formation of an LDSG federation
![Page 35: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/35.jpg)
Organizational Development :
Strengthen and build on existing Local Diabetes Support Groups (LDSG):1. Organization development and project development trainings2. Establishment of Peer Support3. Support the formation of an LDSG federation
![Page 36: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/36.jpg)
Organizational Development :
Strengthen and build on existing Local Diabetes Support Groups (LDSG):1. Organization development and project development trainings2. Establishment of Peer Support3. Support the formation of an LDSG federation
![Page 37: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/37.jpg)
Organizational Development :
Strengthen and build on existing Local Diabetes Support Groups (LDSG):1. Organization development and project development trainings2. Establishment of Peer Support3. Support the formation of an LDSG federation
![Page 38: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/38.jpg)
Organizational Development :
Strengthen and build on existing Local Diabetes Support Groups (LDSG):1. Organization development and project development trainings2. Establishment of Peer Support3. Support the formation of an LDSG federation
![Page 39: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/39.jpg)
Awareness Raising:
![Page 40: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/40.jpg)
Awareness Raising:
![Page 41: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/41.jpg)
Awareness Raising:
![Page 42: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/42.jpg)
Advocacy:
![Page 43: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/43.jpg)
Advocacy:
![Page 44: International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649da05503460f94a8c63a/html5/thumbnails/44.jpg)
Challenges:
1.Charity mindset2.Building a participatory environment3.The politics of health4.Task shifting5.Public’s lack or urgency
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Davao City Today:
Health Services:
Services institutionalized with 178 Barangay Health Centers offering services for diabetes and CVD
Laboratory services established in the 14 District Health Center and the City Health Office main laboratory
3,845 screened for diabetes and other risk factors 2,312 registered / enrolled in the CVD program
26 Diabetes Educators (CVD Program Trainers) 252 Trained Primary Health Care Professionals 1641 Trained Community Health Workers
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Davao City Today:
Organisations 4 organisations with legal identities 374 organisation members 2 organisations with peer support committees with 19 peer support
volunteers Federation of 6 Local support groups formed
Policies developed: CVD Program Partnership World Diabetes Day every November 14 World Heart Day every September 29 Revision of the City Tax Code to include laboratory services
Proposed budget of 20 million for 5 years
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At least 1 year is needed to:1)Establish name and credibility
2)Introduce the project and the approach
3)Develop relations with stakeholders and establish trust
4)Define stakeholder roles
5)Formalize partnerships
6)Define strategies and activities with project partners
7)Organise and capacitate the project team
8)Conduct a proper baseline study
During project development give time for building solid foundations
Lessons Learned:
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1. Consistency of approach
2. Look for a champion/s
3. Define next steps with relevant stakeholders
4. Participatory definition of stakeholder roles
5. Institutionalise the partnership
6. Create a working structure
Lessons Learned:
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Looking Ahead:
Manual of Operations forNon Communicable Disease Prevention and Control
Federation of Local Diabetes Support Groups
Health and Rehabilitation
Service Providers
Academe
City Social Services
City Engineers
Office
MULTISECTORAL APPROACH
MAINSTREAMING NCD INTERVENTIONS
City Sports Office
City Information
Office
City Agriculture
Office
Association of Barangay
Captains
Student Organizations
Professional Medical
Organizations
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DAVAO CITY