Aim
To set up Diabetes Clinics
and Infrastructure in various parts of India, particularly rural
India and areas with lower GDP and improve Diabetes awareness
amongst the public and health personnel in these areas.
Providing high Quality
Diabetes care services in your Hospital
The Department of Endocrinology,
Diabetes and Metabolism, CMC, Vellore, Schieffelin Leprosy
Research and Training Center (SLR & TC), Karigiri and
have undertaken a project supported by World Diabetes Foundation
(WDF), Danida to help the Christian institutions develop high
quality diabetes care services. This project will train 100
hospitals across the country and in 20 community health centers.
Diabetes is increasingly
being recognized as a public health problem in India. India
today leads the world with the largest number of persons affected
by diabetes. Its prevalence is about 3 % in rural areas and
around 11 % in urban areas is recognized as are the complications
that go with it. The proper management of diabetes can significantly
reduce complications in the long term. One of the common complications
that frequently goes unrecognized is loss of sensation in
the feet, resulting in frequent occurrence of ulcers leading
to amputations. This project therefore, aims to strengthen
four specific aspects of diabetes care:
1.
Medical Management, dietary counseling, exercise and lifestyle
modification.
2.
Patient education and guidance
3.
Foot care including use of orthopedic shoe.
4.
Setting up integrated diabetes clinics with an emphasis on
the close functioning
of
the Diabetes Nurse Educator and Doctor.
Training of the Doctors and Nurse Educator will be done
by the Department of Endocrinology, Diabetes and Metabolism,
CMC, Vellore coordinated by Dr. Nihal Thomas. The training
in community health education, foot care and orthopedic shoe-making
services will be done by Schieffelin Leprosy Research and
Training Center (SLR & TC), Karigiri, about 20 kms form
Vellore, led by Dr. Abraham Joseph.
Participation in the project for the hospital would make a
significant contribution to mission hospitals in the way their
diabetes patients are treated and managed. It would imply:
- Ability of the institution to provide high quality care
to their diabetic patients.
- Availability of standard guidelines for the management
of Diabetes, along with the checklist based screening programmes.
- Smooth flow of patients (relevant investigations before
seeing the physicians, foot care, diabetes education, dietary
counseling).
- Cost-effective management for both the hospital and the
patient.
- Reduction of complications thereby reducing the costs
of the patients.
- Develop a team for quality diabetes management.
Major Achievements
Training Programme
The Doctors and Diabetes Nurse Educators training programme
continues as before, beginning from inviting them to attend
the programme and ending with a final programme to go and
set-up their Diabetes Clinic to manage Diabetes, create awareness
and to prevent the Diabetes in their localities and the regions
close to them. The major achievement till date is that 94
hospitals have been trained and around half of them are functioning.
544 doctors and 121 Diabetes Nurse Educators have been trained
and are providing their services to the people with diabetes
in their Hospitals and the community.
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| Location
– Makunda , Assam |
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| A hospital located in a remote
part of eastern Assam populated by many tribal people |
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| Location
: Presbyterian Hospital,Durtlang- Mizoram |
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| Location:
Shillong - KJP Hospital, Shillong, Meghalaya |
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Foot
care by Diabetic Nurse |
Diet
Counselling |
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| Location –
Paduva Hospital , Trichur , Kerala |
| Catholic mission Hospital |
| 16 km from Thrissur |
| 50 beds rural Hospital |
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| Feet examination |
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| Location
– Gadag , Karnataka |
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B. Monitoring Visit We have visited 14 hopitals
which have set up diabetes clinics, ward settings and laboratories
in an attempt to achieve the World Diabetes Foundation norms.
Continuing Medical Education for both the Doctors and Nurses
of the Hospital were conducted during the site monitoring
visits focusing on the Diabetes prevention and management.
Following the inspection, meeting was organized with the WDF
trained Diabetes team and the senior management of the Hospital.
The evaluation of the inspection report was presented to them
and suggestions were given for further improvements. Educational
CDs on Diabetes, Practical guide to DM, Patient Educational
CDs and Glucometers were given.
If you are willing and interested to participate in the Quality
Care Initiative training programme, please do let us know
through mail or phone contact.
The following are the details of the training programme:
Eligibility Criteria:
Personnel |
Qualification |
No
of persons |
| Doctors |
MBBS or MD possessing adequate
leadership qualities |
1 |
| Diabetes Nurse Educator |
Diploma or B.Sc. Nursing with a
Leadership Quality and a sense of flexibility
and imagination. |
2 |
| Footcare Technician |
BPT or a Nurse |
1 |
| Orthopedic Shoe maker |
8th or 10th pass |
1 |
For details Dr. Nihal Thomas
Professor, Department of Endocrinology, Diabetes and Metabolism
Deputy Medical Superintendent, Christian Medical College Hospital,
Vellore-632004
India.
Email: nihal_thomas@yahoo.com
Ph : 91-416-2282528 / 2282491(work)
91-416-2214780(home) or 416-2282413
98431-11996(Mobile) / Fax No: 91-416-4200844
Email: endowdf@yahoo.com
Ms. Ruth Ruby Murray - 09994746927
Mr. Mohan - 099894250795
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