{"id":439,"date":"2019-07-16T10:15:08","date_gmt":"2019-07-16T08:15:01","guid":{"rendered":"https:\/\/santediabete.labubulle.com\/?page_id=439"},"modified":"2025-09-08T16:33:43","modified_gmt":"2025-09-08T14:33:43","slug":"union-des-comores","status":"publish","type":"page","link":"https:\/\/santediabete.org\/en_en\/sante-diabete-en-action\/union-des-comores\/","title":{"rendered":"Program in Comoros"},"content":{"rendered":"<h1>\n\t\t\t<small>NGO Sant\u00e9 Diab\u00e8te<\/small><br \/>\t<\/h1>\n\t<p>D\u00e9couvrez l&rsquo;action que Sant\u00e9 Diab\u00e8te m\u00e8ne depuis 2015 en Union des Comores pour am\u00e9liorer les conditions de prise en charge, sensibiliser et \u00e9duquer la population.<\/p>\n\t\t\t<a href=\"https:\/\/santediabete.org\/wp-content\/uploads\/2021\/03\/Web-Factsheet-SD-2020-Comores-Vangl-def.pdf\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t\tDownload the factsheet\n\t\t\t\t\t<\/a>\n<h2>\n\t\t\tContext &amp; key figures\t<\/h2>\n\t<p>Situ\u00e9e dans l&rsquo;Oc\u00e9an Indien, ce pays figure parmi les plus pauvres au monde. La densit\u00e9 de professionnels de sant\u00e9 est extr\u00eamement faible, avec seulement 1,9 m\u00e9decins pour 10 000 habitants et \u00e0 peine 2,6 infirmiers pour 5 000 habitants en moyenne.<\/p>\n<p>This shortage severely limits the healthcare system\u2019s ability to meet the population\u2019s needs, particularly regarding non-communicable diseases, which now constitute a major epidemiological burden, notably diabetes.<\/p>\n\t\t\t\t\tHuman <br \/>D\u00e9veloppement Humain (IDH)\n\t\t\t\t\t156<sup>th<\/sup>\t\t\t\t\n\t\t\t\t\tout of 189 countries\n\t<p>Diabetes prevalence<\/p>\n<p>11,7 %<\/p>\n\t\t\t\t\tSurpoids\n\t\t25 %\n\t\t\t\t\tObesit\u00e9\n\t\t12 %\n\t\t\t\t\tAdultes ne pratiquant aucune activit\u00e9 physique\n\t\t62 %\n\t<p>Sant\u00e9 Diab\u00e8te began its field actions in the Union of the Comoros in 2015.<\/p>\n<p>L&rsquo;\u00e9valuation de la situation en 2015 a mis en avant une situation alarmante qui nous a conduit gr\u00e2ce \u00e0 l&rsquo;analyse des besoins \u00e0 d\u00e9finir des priorit\u00e9s d&rsquo;actions pour am\u00e9liorer la prise en charge et l&rsquo;acc\u00e8s au traitement des personnes atteintes de diab\u00e8te dans le pays :<\/p>\n\t<ul>\n<li>\u00a0L&rsquo;accessibilit\u00e9 g\u00e9ographique et financi\u00e8re aux soins du diab\u00e8te<\/li>\n<li>La disponibilit\u00e9 des m\u00e9dicaments, du mat\u00e9riel de consultation et de mat\u00e9riel d&rsquo;analyse<\/li>\n<li>Number of healthcare professionals trained in diabetes management<\/li>\n<li>Actions to prevent diabetes risk factors<\/li>\n<li>L&rsquo;organisation du syst\u00e8me de sant\u00e9 \u00a0 pour l&rsquo;adapter \u00e0 la prise en charge des maladies chroniques<\/li>\n<\/ul>\n<h2>\n\t\t\tOur action\t<\/h2>\n\t<p>En se basant sur l&rsquo;exp\u00e9rience d\u00e9velopp\u00e9e au Mali et au Burkina Faso, Sant\u00e9 Diab\u00e8te a mis en place un programme structurant avec une approche globale incluant tous les axes n\u00e9cessaires \u00e0 la mise en place d&rsquo;une pr\u00e9vention et d&rsquo;une prise en charge de qualit\u00e9 diab\u00e8te.<\/p>\n<p>Cette approche novatrice s&rsquo;est concr\u00e9tis\u00e9e en pratique par une action \u00e0 5 niveaux ayant pour objectifs :<\/p>\n\t<p>strengthening human resources<\/p>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/santediabete.org\/wp-content\/uploads\/2019\/07\/medicaments.svg\" alt=\"medicaments\" itemprop=\"image\" height=\"32\" width=\"22\" title=\"medicaments\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<p>l&rsquo;acc\u00e8s aux m\u00e9dicaments<\/p>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/santediabete.org\/wp-content\/uploads\/2019\/07\/traitement.svg\" alt=\"traitement\" itemprop=\"image\" height=\"30\" width=\"31\" title=\"traitement\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<p>strengthening of technical platforms and biological diagnostic tools<\/p>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/santediabete.org\/wp-content\/uploads\/2019\/07\/education.svg\" alt=\"education\" itemprop=\"image\" height=\"30\" width=\"28\" title=\"education\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<p>le d\u00e9veloppement de programmes de pr\u00e9vention et d&rsquo;\u00e9ducation th\u00e9rapeutique<\/p>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/santediabete.org\/wp-content\/uploads\/2019\/07\/apprentissages.svg\" alt=\"apprentissages\" itemprop=\"image\" height=\"28\" width=\"32\" title=\"apprentissages\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<p>Support for the development and structuring of diabetes patient associations at the local, regional, and national levels<\/p>\n<h2>\n\t\t\tOur impact\t<\/h2>\n\t<p>Notre appui \u00e0 la strat\u00e9gie nationale de lutte contre le diab\u00e8te en Union des Comores a permis d&rsquo;obtenir entre 2020 et 2023 des r\u00e9sultats importants pour le Minist\u00e8re de la Sant\u00e9 et de la Solidarit\u00e9 ainsi que pour les personnes atteintes de diab\u00e8te des 3 \u00eeles du pays.<\/p>\n\t<h4>Renforcement de l&rsquo;acc\u00e8s aux soins<\/h4>\n<ul>\n<li>Continuation of our <strong>training actions for 3<sup>rd<\/sup> reference and 2<sup>rd<\/sup> r\u00e9f\u00e9rence, notamment d&rsquo;un Enseignement Post Universitaire<\/strong> with 25 health professionals in partnership with the Ministry of Health of the Comoros and the CHU of the Reunion.<\/li>\n<li>Training of 32 health professionals working in <strong>2nd referral<\/strong>structures, with the Non-Communicable Diseases focal point at the Comoros Ministry of Health, and the La R\u00e9union University Hospital.<\/li>\n<li>Training of 12 <strong>health professionals<\/strong>, including 6 <strong>pediatricians<\/strong> and six nurses dedicated to type 1 diabetes care, as well as the implementation of the Life For A Child (LFAC) program in the country.<\/li>\n<li><strong>Intensive online nutrition course :<\/strong> 68 health professionals enrolled in the intensive nutrition course, including 36 doctors, 30 nurses and 2 midwives.<\/li>\n<\/ul>\n\t<h4>Prevention and management of comorbidities Diabetes\/HIV and diabetes\/TB<\/h4>\n<p>Dans le cadre d&rsquo;un projet financ\u00e9 par L&rsquo;Initiative\/Expertise France sur les comorbidit\u00e9s diab\u00e8te\/VIH et diab\u00e8te\/TB dans le but de mieux int\u00e9grer la prise en charge des personnes\u00a0:<\/p>\n<ul>\n<li><strong>Development and revision of prevention tools and training modules <\/strong>for patients and healthcare professionals.<\/li>\n<li>Implementation of <strong>d&rsquo;actions de formation des personnels de sant\u00e9<\/strong> in collaboration with the Ministries of Health and national training teams of: 16 doctors and 17 paramedical diabetes reference staff; 13 doctors and 17 paramedical HIV reference staff; 14 doctors and 17 paramedical tuberculosis (TB) reference staff.<\/li>\n<li>Implementation of <strong>d&rsquo;actions de pr\u00e9vention des patients<\/strong> with the training of 12 peer educators to carry out community-based diabetes prevention for people living with HIV and to prevent HIV\/TB among people with diabetes.<\/li>\n<li>Production of an <strong>d&rsquo;une note de plaidoyer<\/strong> for national stakeholders on issues related to diabetes \/ TB and diabetes \/ HIV comorbidities.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2023\/04\/comorbiditesdiabete_comores.png?ssl=1\"><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2023\/04\/comorbiditesdiabete_comores.png?resize=256%2C360&#038;ssl=1\" alt=\"\" width=\"256\" height=\"360\" \/><\/a><\/p>\n\t<h4>Strengthening national policy frameworks<\/h4>\n<p>Sant\u00e9 Diab\u00e8te supported the Ministry of Health in the graphic design of <strong>national policy documents<\/strong> on <strong>the fight against non-communicable diseases and national strategies for the fight against diabetes.<\/strong>These documents were disseminated by the Ministry of Health.<\/p>\n\t<h4>Prevention<\/h4>\n<p><strong>Opening of houses for the prevention of diabetes and its risk factors : <\/strong><\/p>\n<ul>\n<li>Lancement en 2021 d&rsquo;une maison de la pr\u00e9vention du diab\u00e8te, en lien avec l&rsquo;association comorienne de lutte contre le diab\u00e8te (ACLD), et lancement des ateliers de pr\u00e9vention et d&rsquo;accompagnement des personnes au sein et en dehors de la maison.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2023\/02\/flyer-MP-programme-copie.png?ssl=1\"><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2023\/02\/flyer-MP-programme-copie.png?resize=2220%2C1555&#038;ssl=1\" alt=\"\" width=\"2220\" height=\"1555\" \/><\/a><\/p>\n<ul>\n<li>Training of 16 patient peer educators and adaptation to the local context of the prevention tools developed in Mali and used by the PPE, with the CHU de la R\u00e9union.<\/li>\n<li>Carried out by peer educators (PE), within the walls of the prevention houses, in the community and in health facilities and prenatal clinics, in Moroni, Anjouan and Moh\u00e9li: 733 events reaching 9,465 people.<\/li>\n<li><strong>Celebration of World Diabetes Day (WDD)<\/strong>\u00a0avec les autorit\u00e9s. Diffusion de bande-annonces TV, de microprogramme radio et d&rsquo;une conf\u00e9rence de presse.<\/li>\n<li><strong>Formation d&rsquo;un r\u00e9seau de 25 journalistes<\/strong> on issues related to diabetes, with awards presented for the best contributions across various media.<\/li>\n<li><strong>Journ\u00e9es de d\u00e9pistage\u00a0et de l&rsquo;hypertension.<\/strong> 60, including 12 on the sidelines of World Diabetes Day. In total, 7,987 people were screened.<\/li>\n<li><strong>Actions in schools in the Union of the Comoros :<\/strong> 3 formations, de 29 personnels de l&rsquo;\u00e9ducation sur les 3 \u00eeles, qui ont conduit \u00e0 la r\u00e9alisation de 60 animations dans 20 classes et ont touch\u00e9 631 \u00e9l\u00e8ves.<\/li>\n<li><strong>Strengthening of patient associations :<\/strong> Capacity building on prevention activities for 35 people from partner associations across the three islands.<\/li>\n<\/ul>\n\t<h4>Renforcement des cadres de dialogue nationaux et l&rsquo;acc\u00e8s aux m\u00e9dicaments<\/h4>\n<p>Mise en place validation d&rsquo;un <strong>framework for dialogue on antidiabetic drugs<\/strong> copilot\u00e9e par le Minist\u00e8re de la Sante\u0301 et notre ONG et validation d&rsquo;une importante dotation de m\u00e9dicaments antidiab\u00e9tiques remise au gouvernement des Comores par Sante\u0301 Diab\u00e8te. La deuxi\u00e8me r\u00e9union\u00a0a permis de r\u00e9aliser un suivi complet de ces dotations et de leur utilisation notamment avec la centrale d&rsquo;achat.<\/p>\n\t\t\t\t<img data-recalc-dims=\"1\" height=\"338\" width=\"600\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2019\/08\/20180921_Seance-de-travail-Ocopharma.jpg?resize=600%2C338&#038;ssl=1\" alt=\"20180921_Seance de travail Ocopharma\" itemprop=\"image\" title=\"20180921_Seance de travail Ocopharma\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n<p>Se\u0301ance de travail avec les responsables de la pharmacie centrale d&rsquo;approvisionnement en me\u0301dicaments des Comores (Ocopharma).<\/p>\n\t\t\t\t<img data-recalc-dims=\"1\" height=\"338\" width=\"600\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2019\/08\/20180918_Formation_APAD-1.jpg?resize=600%2C338&#038;ssl=1\" alt=\"20180918_Formation_APAD\" itemprop=\"image\" title=\"20180918_Formation_APAD\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n<p>Formation des Associations de Patients Atteints de Diabe\u0300te (APAD) organise\u0301e par Sante\u0301 Diabe\u0300te avec le soutien de l&rsquo;ONG Wale\u0301 en collaboration avec le Ministe\u0300re de la Sante\u0301, de la Solidarite\u0301, de la Protection Sociale et de la Promotion du Genre (Moroni).<\/p>\n\n<h2>\n\t\t\tTestimony\t<\/h2>\n\t<h4>Mariatou Assane<\/h4>\n<p><strong>\u00ab\u00a0Gr\u00e2ce aux lecteurs d&rsquo;analyse d&rsquo;h\u00e9moglobine glyqu\u00e9e fournis par Sant\u00e9 Diab\u00e8te \u00e0 l&rsquo;h\u00f4pital de Fomboni, je peux mieux soigner mon diab\u00e8te et je n&rsquo;ai plus \u00e0 me d\u00e9placer jusqu&rsquo;\u00e0 Mayotte ou en Tanzanie pour r\u00e9aliser ces analyses.\u00a0\u00bb<\/strong><\/p>\n<p>Mariatou Assane is 50 years old and lives with type 2 diabetes. She previously had to travel every year, accompanied by her husband, either to Mayotte or Dar Es-Salam to undergo this test, incurring significant financial costs that affected her entire family.<\/p>\n\t\t\t\t<img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/santediabete.org\/wp-content\/uploads\/2019\/08\/portrait-Dr-A.S.-Anli-Comores.jpg?resize=304%2C325&#038;ssl=1\" alt=\"portrait Dr A.S. Anli Comores\" itemprop=\"image\" height=\"325\" width=\"304\" title=\"portrait Dr A.S. Anli Comores\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<h4>Dr Aboubacar Said Anli<\/h4>\n<p><em>Secretary General of the Comoros Ministry of Health<\/em><\/p>\n<p><strong>\u00ab\u00a0Vers une nouvelle collaboration Sud-Sud renforc\u00e9e entre le Mali et les Comores\u00a0\u00bb<\/strong><\/p>\n<p>En novembre 2018, Sant\u00e9 Diab\u00e8te a organis\u00e9 une visite d&rsquo;\u00e9tude au Mali afin que l&rsquo;on puisse \u00e9changer nos exp\u00e9riences avec leurs partenaires de la lutte contre le diab\u00e8te. Cette visite d&rsquo;\u00e9tude nous a permis d&rsquo;avoir une vision tr\u00e8s concr\u00e8te des actions men\u00e9es et de la mani\u00e8re dont est mis en oeuvre la politique nationale de lutte contre le diab\u00e8te au Mali.<\/p>\n<p>Nous avons d&rsquo;abord pu \u00e9changer longuement avec le secr\u00e9taire g\u00e9n\u00e9ral du Minist\u00e8re de la Sant\u00e9 et le responsable des MNTs afin d&rsquo;analyser \u00e0 la fois leur positionnement strat\u00e9gique, la mise en place de leur programme de lutte contre les MNTs et le diab\u00e8te ainsi que la fa\u00e7on dont le minist\u00e8re coordonne cette r\u00e9ponse avec l&rsquo;ensemble des intervenants (ONG, associations de patients, cliniciens&#8230;).<\/p>\n<p>Nous avons ensuite \u00e9t\u00e9 sur le terrain \u00e0 la rencontre des \u00e9quipes et des nombreuses actions men\u00e9es par Sant\u00e9 Diab\u00e8te, le Minist\u00e8re de la Sant\u00e9 et les associations de patients. \u00c0 l&rsquo;issue de cette premi\u00e8re visite tr\u00e8s constructive, nous allons instaurer, avec l&rsquo;appui de Sant\u00e9 Diab\u00e8te, une collaboration Sud-Sud renforc\u00e9e entre le Mali et les Comores.<\/p>\n<h2>\n\t\t\tFOCUS: TRAINING OF HEALTH PROFESSIONALS IN COMOROS SUPPORTED BY THE HOSPITAL OF THE R\u00c9UNION AND SANT\u00c9 DIAB\u00c8TE\t<\/h2>\n\t<p>Sant\u00e9 Diab\u00e8te a poursuivi, avec le minist\u00e8re de la Sant\u00e9, la formation des professionnels de sant\u00e9 exer\u00e7ant dans les structures hospitali\u00e8res des 3 \u00eeles du pays. Ce programme a touch\u00e9 69 professionnels de sant\u00e9 des 3 \u00eeles qui ont \u00e9t\u00e9 form\u00e9s sur la prise en charge du diab\u00e8te (type 1, type 2, diab\u00e8te gestationnel) et de ses complications. Douze d&rsquo;entre eux, ont \u00e9t\u00e9 form\u00e9s (6 p\u00e9diatres et 6 IDE) \u00e0 la prise en charge du DT1 avec la mise en place du programme Life For A Child (LFAC) dans le pays.<\/p>\n<p>Les contenus des formations et l&rsquo;enseignement ont \u00e9t\u00e9 r\u00e9alis\u00e9s avec le soutien des \u00e9quipes de l&rsquo;ONG Sant\u00e9 Diab\u00e8te ainsi qu&rsquo;avec la cheffe de service d&rsquo;endocrinologie et diab\u00e9tologie du Centre Hospitalier Universitaire de la R\u00e9union : Dr Nathalie Le Moullec.<\/p>\n<h2  id=\"objectifs-comores\">\n\t\t<a href=\"#objectifs-comores\" title=\"La programmation  2023 - 2026\"  target=\"_self\">\n\t\t\t2023 - 2026 program <br \/> 2023 &#8211; 2026\t\t<\/a>\n\t<\/h2>\n\t<p>Cette nouvelle programmation aura pour objectif d&rsquo;am\u00e9liorer la qualit\u00e9 de vie et la sant\u00e9 des populations des pays cibl\u00e9s (Burkina Faso, Mali et Union des Comores) en consolidant la place et le r\u00f4le de la soci\u00e9t\u00e9 civile (associations de patients et associations de professionnels de sant\u00e9) dans un r\u00e9seau multi acteurs autour du diab\u00e8te pour am\u00e9liorer la pr\u00e9vention, la prise en charge et l&rsquo;accompagnement des personnes atteintes par cette maladie. Elle aura aussi pour objectif de renforcer l&rsquo;utilisation au nord de l&rsquo;expertise d\u00e9velopp\u00e9e au sud. Enfin, elle permettra de poursuivre le renforcement de la gouvernance et l&rsquo;organisation de l&rsquo;ONG Sant\u00e9 Diab\u00e8te.<\/p>\n<p>L&rsquo;enjeu de cette nouvelle programmation triennale est de poursuivre le renforcement des cadres politiques et strat\u00e9giques incluant la lutte contre le diab\u00e8te et le syst\u00e8me de sant\u00e9 afin de former encore plus de sp\u00e9cialistes et de professionnels g\u00e9n\u00e9ralistes pour pouvoir accroitre la prise en charge des patients atteints de diab\u00e8te mais aussi de poursuivre l&rsquo;accessibilit\u00e9 g\u00e9ographique et financi\u00e8re aux traitements antidiab\u00e9tiques notamment l&rsquo;insuline. En plus, via l&rsquo;appui \u00e0 la structuration d&rsquo;une maison de la pr\u00e9vention du diab\u00e8te dans chaque pays d&rsquo;intervention Sant\u00e9 Diab\u00e8te permettra le renforcement des actions de pr\u00e9vention, de prise en charge et d&rsquo;accompagnement des personnes atteintes de diab\u00e8te et des personnes pr\u00e9sentant des facteurs de risques li\u00e9s \u00e0 cette maladie tout en guidant la soci\u00e9t\u00e9 civile vers son autonomisation.<\/p>\n<p>Although this program is being implemented in Burkina Faso, the Union of Comoros, and Mali, specific objectives have been defined for each country based on needs identified in collaboration with the various national implementation partners.<\/p>\n<h3>L&rsquo;atteinte de ces objectifs aux Comores passera par :<\/h3>\n<ul>\n<li>The celebration of 3<strong> world diabetes days<\/strong> et l&rsquo;organisation de\u00a0<strong>150 free screening events<\/strong>\u00a0for diabetes and its risk factors, offered at no cost to participants.<\/li>\n<li><strong>Awareness raising :<\/strong>\n<ul>\n<li><strong>Reach 21,000 people<\/strong> and <strong>2,100 people with risk factors<\/strong> thanks to a prevention programme using peer educators and the media<\/li>\n<li><strong>de 3 300 \u00e9l\u00e8ves d&rsquo;\u00e9coles primaires et de lyc\u00e9es<\/strong>\u00a0through a health behavior prevention cycle.<\/li>\n<li>Train <strong>25 journalists<\/strong> working on health-related topics.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Strengthening the health system through the training of :<\/strong>\n<ul>\n<li>D&rsquo;un r\u00e9seau de 16 m\u00e9decins r\u00e9f\u00e9rents diab\u00e8te et leurs infirmiers<\/li>\n<li>46 healthcare professionals to strengthen their skills in the screening and management of uncomplicated diabetes and co-morbidities<\/li>\n<li>72 tertiary level healthcare professionals<\/li>\n<\/ul>\n<\/li>\n<li>Strengthening <strong>l&rsquo;\u00e9ducation th\u00e9rapeutique <\/strong>for patients with <strong>type 2 diabetes<\/strong> gr\u00e2ce \u00e0 la mise en place d&rsquo;un r\u00e9seau de pairs \u00e9ducateurs<\/li>\n<li>L&rsquo;am\u00e9lioration de la <strong>availability and decrease of the price of essential medicines<\/strong> in the fight against diabetes<\/li>\n<li><strong>Le d\u00e9veloppement d&rsquo;une maison de la pr\u00e9vention par les associations pour renforcer les actions de pr\u00e9vention et d&rsquo;\u00e9ducation th\u00e9rapeutique<\/strong><\/li>\n<li><strong>Strengthening of 6 associations of patients and health professionals<\/strong><\/li>\n<\/ul>\n<ul>\n<li><strong>Consolidation<\/strong>\u00a0of the role and actions of these associations<\/li>\n<li><strong>Reinforcing:<\/strong>\n<ul>\n<li><strong>the national response to diabetes<\/strong><\/li>\n<li><strong>national standards and procedures<\/strong>\u00a0for the management of diabetes at the level of the Ministry of Health<\/li>\n<li><strong>other policy documents<\/strong>\u00a0incluant le diab\u00e8te (nutrition, sant\u00e9 maternelle &#8230;)<\/li>\n<li>the inclusion of <strong>diabetes <\/strong>in the<strong> Universal Health Coverage (UHC)<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Ce programme est accompagn\u00e9 par trois partenaires principaux : l&rsquo;Agence Fran\u00e7aise de D\u00e9veloppement (AFD, la Helmsley Charitable Trust et la World Diabetes Foundation (WDF). Il re\u00e7oit aussi le soutien d&rsquo;autres partenaires internationaux comme la Mairie de Grenoble et le programme Life For A Child.<\/p>\n<h2  id=\"objectifs-comorbidites-comores\">\n\t\t<a href=\"#objectifs-comorbidites-comores\" title=\"2ND PHASE OF THE PROJECT ON PREVENTION AND MANAGEMENT OF DIABETES\/HIV\/TB COMORBIDITIES\"  target=\"_self\">\n\t\t\t2ND PHASE OF THE PROJECT ON PREVENTION AND MANAGEMENT OF DIABETES\/HIV\/TB COMORBIDITIES\t\t<\/a>\n\t<\/h2>\n\t<p>Ce projet fait suite \u00e0 un premier projet innovant de trois ans visant \u00e0 int\u00e9grer la pr\u00e9vention et la prise en charge des comorbidit\u00e9s Diab\u00e8te \/ VIH et Diab\u00e8te \/ tuberculose (TB) au Burkina Faso et au Mali. Ce nouveau projet intervient dans les deux pays d&rsquo;Afrique Sub-Saharienne d\u00e9j\u00e0 cibl\u00e9s par le pr\u00e9c\u00e9dent projet et est \u00e9largi \u00e0 l&rsquo;Union des Comores dans l&rsquo;Oc\u00e9an Indien.<\/p>\n<p>Le projet s&rsquo;est cl\u00f4tur\u00e9 en mars 2025 au Burkina Faso et en Union des Comores. Il s&rsquo;est cl\u00f4tur\u00e9 le 31 d\u00e9cembre 2023 au Mali.<\/p>\n<p>This new project makes it possible to:<\/p>\n<ul>\n<li>At the level of public policies and national strategies: the development of detailed standards and procedures based on the established health professionals\u2019 curricula, along with the related technical documents; the inclusion of comorbidities in upcoming country concept notes; and finally, the strengthening of knowledge and capacity of the Country Coordination Mechanisms (CCM) on these issues.<\/li>\n<li>Au niveau op\u00e9rationnel : la poursuite du renforcement des capacit\u00e9s des professionnels de sant\u00e9 impliqu\u00e9s dans la gestion de personnes atteints par le diab\u00e8te, la TB et le VIH avec le d\u00e9veloppement d&rsquo;un volet de compagnonnage clinique compl\u00e9mentaire aux formations th\u00e9oriques ; l&rsquo;extension des actions de pr\u00e9vention communautaires men\u00e9es par les r\u00e9seaux de PPE form\u00e9s dans les deux pays avec une mobilisation plus forte des organisations de la soci\u00e9t\u00e9 civile (OSC) et des organisations de patients ; le renforcement des strat\u00e9gies d&rsquo;\u00e9ducation th\u00e9rapeutique adapt\u00e9es aux comorbidit\u00e9s d\u00e9velopp\u00e9es au cours du projet pr\u00e9c\u00e9dent.<\/li>\n<\/ul>\n<p>Even though this program agreement is implemented in Burkina Faso, the Union of the Comoros and Mali, specific objectives have been defined for each country according to the needs identified with the various national implementing partners.<\/p>\n<h3>L&rsquo;atteinte de ces objectifs aux Comores passe par :<\/h3>\n<ul>\n<li>Strengthening of 3 national diabetes programs on the prevention and management of HIV and tuberculosis co-morbidities<\/li>\n<li>Strengthening the Country Coordinating Mechanis on the prevention and management of co-morbidities<\/li>\n<li>Strengthening the skills of 4 patient associations and CSOs<\/li>\n<li>La mise en place d&rsquo;un r\u00e9seau communautaire de 8 PPE communautaires form\u00e9s<\/li>\n<li>Training on the management of comorbidities of :\n<ul>\n<li>24 healthcare professionals working in 3rd referral structures<\/li>\n<li>32 healthcare professionals working in 2nd referral structures<\/li>\n<\/ul>\n<\/li>\n<li>500 patients in total with diabetes and TB or diabetes and HIV who will have access to better quality care<\/li>\n<li>1,000 people with diabetes will have access to HIV and TB awareness<\/li>\n<li>1,000 PLWHIV will have access to awareness raising on the risk factors for diabetes and TB.<\/li>\n<\/ul>\n<p>Ce programme est accompagn\u00e9 par l&rsquo;Initiative.<\/p>","protected":false},"excerpt":{"rendered":"<p>ONG sant\u00e9 diab\u00e8te D\u00e9couvrez l&rsquo;action que Sant\u00e9 Diab\u00e8te m\u00e8ne depuis 2015 en Union des Comores pour am\u00e9liorer les conditions de prise en charge, sensibiliser et \u00e9duquer la population. T\u00e9l\u00e9charger le factsheet Contexte Situ\u00e9e dans l&rsquo;Oc\u00e9an Indien, ce pays figure parmi les plus pauvres au monde. La densit\u00e9 de professionnels de sant\u00e9 est extr\u00eamement faible, avec&hellip;<\/p>","protected":false},"author":3,"featured_media":746,"parent":57,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-439","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Programme Union des Comores &#8211; Sant\u00e9 Diab\u00e8te<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/santediabete.org\/en_en\/sante-diabete-en-action\/union-des-comores\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Programme Union des Comores &#8211; Sant\u00e9 Diab\u00e8te\" \/>\n<meta property=\"og:description\" content=\"ONG sant\u00e9 diab\u00e8te D\u00e9couvrez l&rsquo;action que Sant\u00e9 Diab\u00e8te m\u00e8ne depuis 2015 en Union des Comores pour am\u00e9liorer les conditions de prise en charge, sensibiliser et \u00e9duquer la population. 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