New Frontiers in NCDs_Block_5.1.12

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!