Burkina Faso is one of the countries where the density of health professionals is one of the lowest in the world with only 1 doctor and 5 nurses on average per 10 000 inhabitants. This shortage significantly restricts the country's ability to provide its population with sufficient and equitable health services, with very high treatment costs. The fight against NCDs - including diabetes - has become a priority with more than 30% of the adult population affected by a NCD.
Santé Diabète began its field actions in Burkina Faso in 2012.
An analysis of the situation confirmed that the difficulties were close to those analyzed in 2003 in Mali, namely:
- Difficulties in geographic and financial accessibility to diabetes care
- Lack of drugs, consultation and analysis materials
- Lack of trained health professionals to manage diabetes
- Lack of prevention programs
- A health system not adapted to the management of chronic diseases
Based on the experience developed in Mali, Santé Diabète has set up a structuring program with a global approach including all the axes necessary for the implementation of prevention and quality diabetes care.
strengthening human resources
access to drug
strengthening technical platforms and biological assessments
the development of prevention and therapeutic education programs
support for the structuring of diabetic patient associations locally, regionally and nationally.
Our support for the national diabetes control policy in Burkina Faso has made it possible to obtain important results for the Ministry of Health as well as for people with diabetes from different regions of the country.
Strengthening national policy documents
Support for the drafting of a national guide to diabetes management.
Support to civil society
Santé Diabète has developed a close collaboration with two key players in the fight against diabetes in Burkina Faso: the Burkinabé Association for Diabetic Aid (ABAD) and the Association Vivre avec son Diabète.
In connection with the Ministries of Health, the Ministries of Education and patient associations, we have implemented many activities for better prevention and earlier diagnosis of diabetes:
- Organization of 2 World Diabetes Days accompanied by prevention campaigns in the media.
- Establishment of 50 days of screening for diabetes and its risk factors.
- Carrying out of 122 diabetes risk factor prevention sessions in schools and high schools which reached 3,138 students.
Strengthening the skills of health professionals
- Training of 140 health professionals from different regions of Burkina Faso on the management of diabetes.
- Construction and management of a network of referent doctors in charge of diabetes consultations (CHU Yalgado).
- Training of diabetes / HIV and Tuberculosis (TB) focal points to integrate the management of diabetes / TB and diabetes / HIV comorbidities (16 patient peer educators trained).
In 2013, only 3.8% of health districts in Burkina Faso had health professionals trained in the management of diabetes. In 2018, thanks to the action of Santé Diabète, this figure rose to 100%.
Prevention & screening campaign
Type 2 diabetic, founder of the association Vivre Avec Son Diabète (Living With Diabetes)
"Santé Diabète helped me a lot to learn how to live better with my illness on a daily basis and to strengthen my knowledge of diabetes. During workshops on food, I learned how to prepare and eat balanced dishes that are also local dishes. I was also explained how to practice a physical activity - such as walking - adapted to my lifestyle. Thanks to the training of Santé Diabète on animation techniques, I am now accompanying as a peer educator, people in my community to help them live with their diabetes and avoid complications. "
FOCUS: TRAINING ON
HIV / DIABETES / TUBERCULOSIS
In 2018, we set up a cycle of continuous medical training for health professionals, doctors and nurses, on the management of diabetes / tuberculosis and diabetes / HIV comorbidities as well as a network of peer educators from associations of people with diabetes and HIV / AIDS.
Initially, the aim of this action was to include the management of patients with comorbidities. Secondly, it integrated the prevention of risk factors for diabetes in people with HIV / AIDS and the prevention of HIV / AIDS in people with diabetes. This pilot action, essential to strengthen the country's health system, will be continued and reinforced during 2019.
The new action program
2017 - 2019
The challenge of this new three-year program is to train even more specialists and general practitioners to be able to follow the mass of diabetic patients while gradually integrating the prevention and management of diabetes / HIV and Diabetes / TB comorbidities.
This new program will also aim to consolidate the role of patient associations in prevention and therapeutic education actions. santé Diabète is also mobilizing so that the state plays an increasingly strong role in the prevention and management of diabetes, in particular by developing national management guides in Burkina Faso.
Achieving these objectives will involve:
- the organization of 60 days of free screening for diabetes and its risk factors
- awareness :
- 1,000 people with diabetes or at risk through an SMS prevention program
- 3,000 primary and secondary school students through a prevention cycle on good health behavior
- prevention for 7,500 patients suffering from diabetes or having a diabetes / TB or diabetes / HIV comorbidity through activities carried out by a panel of 16 peer educators
- The training of:
- 90 healthcare professionals managing diabetes,tuberculosis and / or HIV
- 350 health professionals to strengthen their skills in the screening and management of uncomplicated diabetes and in the management of comorbidities
- 15 tertiary level health professionals trained to carry out therapeutic education sessions and develop a targeted action plan at the level of 3rd referral hospital services
- Improving the availability and price of essential drugs in the fight against diabetes
- The reinforcement :
- national standards and procedures for the management of diabetes and comorbidities at the level of the Ministry of Health
- of the national diabetes control policy
- other political documents including diabetes (nutrition, maternal health, etc.)
- Consolidation of the role and actions of patient associations
This new triennial program 2017 - 2019 is composed of 2 projects which are consolidated in a program allowing Burkina Faso to build an ambitious national policy of fight against diabetes.
This program is supported by two partners: the French Development Agency (AFD) and Initiative 5% (contribution from France to the Global Fund), for the component on the integrated management of certain Diabetes / TB and Diabetes / HIV co-morbidities .
Donwload the presentation sheet for more information on this program.