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DIABETES MELLITUS AS A PANDEMIC

DIABETES MELLITUS AS A PANDEMIC. Continuing rise in prevalence worldwide despite Available effective treatment Cost, safety concerns and compliance issues Solid evidence that prevention works Difficulty in fostering compliance and acceptability of lifestyle modification among patients.

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DIABETES MELLITUS AS A PANDEMIC

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  1. DIABETES MELLITUS AS A PANDEMIC • Continuing rise in prevalence worldwide despite • Available effective treatment • Cost, safety concerns and compliance issues • Solid evidence that prevention works • Difficulty in fostering compliance and acceptability of lifestyle modification among patients

  2. 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

  3. DIABETES PREVENTION • A logical response to the current situation • Diabetes 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

  4. 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

  5. ENDOCRINOLOGISTS IN THE PHILIPPINES 177 MEMBERS NATIONWIDE

  6. PSEM ADVOCACY PROGRAMS • Goals • To 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

  7. 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

  8. 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!

  9. “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

  10. “HAWAK KAMAY LABAN SA DIABETES”PSEM Diabetes Advocacy 2007 • PSEM DIABETES WARRIOR PROGRAM • Centerpiece of PSEM Diabetes Advocacy Program • Commitment to the promotion of diabetes awareness and prevention • Realization of our objective of broadening our network of alliances

  11. “HAWAK KAMAY LABAN SA DIABETES”PSEM Diabetes Advocacy 2007 • PSEM DIABETES WARRIOR PROGRAM • Centerpiece of PSEM Diabetes Advocacy Program • Commitment to the promotion of diabetes awareness and prevention • Realization of our objective of broadening our network of alliances

  12. LIGA NG MGA BARANGAY SA PILIPINAS • Represents the 42,000 barangay units throughout the country • Organized 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

  13. 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

  14. PSEM DIABETES WARRIOR PROGRAM “HAWAK KAMAY LABAN SA DIABETES” 42,000 BARANGAY UNITS 120 CHAPTERS 177 PSEM MEMBERS

  15. “HAWAK KAMAY LABAN SA DIABETES”PSEM Diabetes Advocacy 2007 • PSEM DIABETES WARRIOR PROGRAM • Main 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

  16. PSEM DIABETES WARRIOR PROGRAM“Hawak Kamay Laban sa Diabetes” • Terms of Collaboration • PSEM: • 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

  17. PSEM DIABETES WARRIOR PROGRAM“Hawak Kamay Laban sa Diabetes” • 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

  18. PSEM DIABETES WARRIOR PROGRAM“Hawak Kamay Laban sa Diabetes” • 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

  19. PSEM DIABETES WARRIOR PROGRAM“Hawak Kamay Laban sa Diabetes” • 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

  20. PSEM DIABETES WARRIOR PROGRAM“Hawak Kamay Laban sa Diabetes” • 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

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