Implementing national diabetes program | Diabetes Foundation, IIF
“Based on the IIF’s experience, strong political will is necessary in order for a national diabetes program to be established. This political will can be generated through different means, but one of the necessities is data on the size and scope of the problem of diabetes […] Very little primary data exists on Type 1 diabetes in Africa and most information is based on anecdote. It appears, nevertheless, that three-quarters of a century after its discover, insulin is still not available on an uninterrupted basis in many parts of the developing world.”
The International Insulin Foundation was established to study the barriers to access for people with Type 1 diabetes with regards to insulin and care. Through its work in Mali, Mozambique and Zambia it has been able to assess these barriers and propose in-country solutions.
This report was prepared using this field experience, discussions with key opinion leaders, a thorough review of the literature and the proceedings of an International Diabetes Federation Africa Region and a World Health Organization AFRO meeting held in Nairobi (2-3 March 2006) and in Bamako (29-30 June 2006).
The aim of this report is to look at the 11 key elements needed to implement a national diabetes program and propose concrete actions. These 11 elements are:
- Organization of the health system
- Data collection
- Diagnostic tools and infrastructure
- Drug procurement and supply
- Accessibility and affordability of medicines and care
- Healthcare workers
- Adherence issues
- Patient education and empowerment
- Community involvement and diabetes associations
- Positive policy environment
Each section comprises an introduction, different examples and finally recommendations.