Since its creation, the NGO Santé Diabète has focused on the strengthening of health systems to improve prevention and management of diabetes, by supporting the development of field projects in the long term, the development of research projects or short-term expertise in many African countries.
More recently the NGO Santé Diabète has also began to work in France in the development of education projects for development, but also by bringing the expertise gained in the field in order to bring new skills in the French health system in partnership with various actors of this system.
Through its extensive network (NGOs, research centers, universities, health facilities, hospitals etc ....) Santé Diabète creates linkages and synergies between these different types of actors to improve the quality of care for people with diabetes while strengthening health systems.
Santé Diabète has developed specific expertise in different areas of the prevention and treatment of diabetes while strengthening health systems
Santé Diabète focuses its work on a comprehensive approach including all axes necessary for the establishment of a prevention and treatment of quality for diabetes. This comprehensive and innovative multi-partner approach is realized in practice by the development of five components:
1. Investing in primary prevention to reduce the human and economic burden of the disease progression
Primary prevention actions allows to inform the population about diabetes, its risk factors, consequences and screening opportunities by using 4 channels:
- Peer educators conduct sessions of prevention in their communities
- prevention sessions in schools
- prevention sessions in the media (radio and television)
- prevention sessions during mass screening of diabetes
2. Investing in the decentralization of care to ensure geographic accessibility of people to care of quality
Diabetes referral doctors are trained in regional hospitals and health centers after school to develop specific training modules with specialists and the National Directorate of Health.
These trainings then extend to the staffs of other secondary structures and primary structures. After each training, Santé Diabète accompanies the decentralization of management by structuring care (equipment of the consultations, organization of diabetes units). After the initial cycle of training, the Continuing Medical Education (CME) will focus on the reinforcement of capacity for the detection and treatment of diabetic foot, gestational diabetes and diabetic retinopathy.
3. Investing in secondary and tertiary prevention "therapeutic education" to reduce the burden of complications of diabetes
The work focuses primarily on the development of general tools for therapeutic education before the establishment of the sessions during diabetes consultations. In parallel, a specific program of patient education using the methodology of learning nests specifically targeting the cardiovascular risk, the management of dietary fat and the management of physical activity strengthens the more developed diabetes consultations.
4. Investing in the reduction of care costs for a geographic accessibility of people to care of quality
A technical assistance is provided to the Central Pharmacy of the country, which is in charge of the procurement and distribution of the drugs, to get high availability, accessibility and reduced cost of drugs and testing equipment necessary for diabetic people.
5. Investing in an integrated approach including active involvement of patients and their families through their associations by promoting self-management mechanisms and advocacy allowing them to defend their rights
In the current context of changing of health systems, the patient tends to play a more active and responsible role, both at the individual level and at the associative level. The creation of associations of diabetic patients will therefore enable them to fully play their role to provide moral help, practical, financial, social or legal assistance to patients and their families, through individual or collective actions. It will also enable them to fully play their role in the health system.
Research is a very important activity for the NGO Santé Diabète because it improves the actions and develops new approaches by linking directly the results of the research actions to the programs implemented.
Research projects launched in Africa or in France are conducted in collaboration with universities, health facilities or research centers.
Santé Diabète delivers technical advice and formulation or evaluation missions in the field of prevention and treatment of diabetes
- drafting of national policies of fight against diabetes
- drafting of standards and procedures composing these policy documents
- development of the various operational documents for the implementation of these policies
- formulation of the process of monitoring and evaluation of these policies
For example, Santé Diabète has:
Santé Diabète is currently part of the group of experts working on a tool of international advocacy on diabetes in the project on the Nutritional Double Burden led by Professor Delisle (University of Montreal - Collaborating Centre of the WHO on the nutrition transition and the development - Department of Nutrition, Faculty of Medicine).
More recently the NGO Santé Diabète also began working in France, in the development of :