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 Table of Contents  
ORAL PRESENTATIONS
Year : 2021  |  Volume : 6  |  Issue : 1  |  Page : 76-78

Advocacy for Gestational Diabetes Mellitus (GDM) Prevention & Care: Lessons Learnt From The Medical Women's Association Of Nigeria (MWAN) Rivers State GDM Project; MWAN-WDF Project for Gestational-Diabetes Program in Niger-Delta (WDF16-1347)


MWAN Rivers State

Date of Web Publication30-Jun-2021

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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Ogu R, Maduka O, Obuah P, Agala V, Edewor U, Alamina F, Adebiyi O, Porbeni I, Abam C. Advocacy for Gestational Diabetes Mellitus (GDM) Prevention & Care: Lessons Learnt From The Medical Women's Association Of Nigeria (MWAN) Rivers State GDM Project; MWAN-WDF Project for Gestational-Diabetes Program in Niger-Delta (WDF16-1347). J Med Womens Assoc Niger 2021;6:76-8

How to cite this URL:
Ogu R, Maduka O, Obuah P, Agala V, Edewor U, Alamina F, Adebiyi O, Porbeni I, Abam C. Advocacy for Gestational Diabetes Mellitus (GDM) Prevention & Care: Lessons Learnt From The Medical Women's Association Of Nigeria (MWAN) Rivers State GDM Project; MWAN-WDF Project for Gestational-Diabetes Program in Niger-Delta (WDF16-1347). J Med Womens Assoc Niger [serial online] 2021 [cited 2021 Jul 29];6:76-8. Available from: http://www.jmwan.org/text.asp?2021/6/1/76/319830


  Background Top


With the current epidemiological and demographic transition, the burden of non- communicable diseases has continued to rise. Consequently, morbidity and mortality associated with diseases such as cardiovascular diseases, diabetes mellitus, cancer and chronic obstructive lung disease is on the increase. Gestational diabetes mellitus (GDM), a sub-type of diabetes mellitus which occurs in pregnancy, has steadily been increasing parallel to the increase in the prevalence of overweight, obesity and type II diabetes mellitus among pregnant womenThere are 2 main types of cervical cancers: squamous cell carcinoma and adenocarcinoma. About 80% to 90% of cervical cancers are squamous cell carcinomas. (A. Sreedevi, 2015) and (O. Adegoke, 2012).


  Project Objectives Top


The World Diabetes Foundation (WDF) is supporting MWAN Rivers State with access and advocacy interventions for the control of GDM in Rivers State, Niger Delta Region of Nigeria. The goal of this control program is to prevent and improve GDM outcomes.

The specific objectives are to:

  1. Promote the prevention of GDM through education and awareness campaigns in 42 communities in Rivers State
  2. Build the capacity of health care providers at primary and private health facilities fora


  3. screening and pre-referral care for GDM

  4. Enhance the capacity of secondary and tertiary public and private health facilities for GDM care
  5. Promote GDM intervention activities using evidence based scientific publications, media reports and stakeholders fora



  Methods/Strategy Top


A. Increase awareness and demand for GDM screening among women of reproductive age

1. Sustained mass media campaigns

- Daily jingles on radio (ran for twelve months straight)

- Television talk show programme (weekly for six months)

- 720 mass media activities, 53 radio news items and 8 online posts (announcements/news items) accumulated

2. Production and distribution of Information Education and Communication materials

- Information fliers

- Banners

- Notice board at facilities

3. Community mobilization activities

- Train community mobilizers

- Hold community rallies and road shows

- Hold dialogue meetings

- Media Engagements

- World Diabetes Day Walk

- World Diabetes Day Walk

- Community Town Hall Meetings

- Community Town Hall Meetings

- Community Town Hall Meetings

- Inter-personal Communication (IPC)Exercise

B. Strengthen health systems and personnel to practice universal screening of pregnant women as a policy

1. Health Facility Strengthening

MWAN/WDF-GDM Control Program has strengthened 30 health facilities in 5 LGAs in Rivers State with GDM care. This includes:

- 10 public primary health care facilities

- 11 private primary health care facilities

- 3 public secondary health care facilities

- 4 private secondary health care facilities and

- 2 tertiary health care facilities

2. Equipment and materials support

- Glucose meters and consumables

- HbA1c devices

- IEC materials (500 copies of protocols and job aids produced)

3. Training of HCPs in Tertiary facility (UPTH and RSUTH)

4. Training of HCPs in Primary/Secondary facilities

C. Governance/ Monitoring and Evaluation/Supportive Supervision

1. Project Steering Committee

- Bringing policy makers and implementers together to shape policy

- Identify bottlenecks and implement recommendations

- Meet with stakeholders and engender commitment

2. Monitoring and Evaluation

- Engaged the services of an M&E officer

- Monthly data collection and review

3. Supportive Supervision

- Project Implementation team members interface directly with facility heads

- Supportive supervision and on the job capacity building of health workers

- Prompt identification of bottlenecks and escalation
Table 1: Total Number of Community Mobilizers Trained

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Table 2: Total number of health workers trained

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Figure 1: Outputs from World Diabetes Day Walk

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Figure 2: Outputs from community town hall meetings

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{Figure 3}
Table 3: Screening/Diagnosis of GDM (Aug 2017-August 2019)

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  Key Results Top



  Conclusion Top


We are making the paradigm shift from risk-based screening to universal screening. A combination of demand and supply side interventions are effective in reducing adverse outcomes. There is need to put strategies in place to follow up women with GDM to delivery and post-partum. There is a need to scale up these interventions within Nigeria and Africa. MWAN is making a difference…thanks to the collaboration with the World Diabetes Foundation.


    Figures

  [Figure 1], [Figure 2]
 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

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  In this article
Background
Project Objectives
Methods/Strategy
Key Results
Conclusion
Article Figures
Article Tables

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