Conference abstract

Bringing proximity diabetes care in Cameroun

Pan African Medical Journal - Conference Proceedings. 2021:11(22).30 Dec 2021.
doi: 10.11604/pamj-cp.2021.11.22.1027

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Keywords: Diabetes, proximity care, clinics, patients care
Oral presentation

Bringing proximity diabetes care in Cameroun

St├ęphanie Sitchie Teguia1, Jean Claude Mbanya2, Felix Kembe Assah3, Edwin Ngwa4

1Catholic University of Central Africa (UCAC), HOPIT Cameroon, 2National Obesity Center, Yaoundé Central Hospital, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Laboratory of Molecular Medicine and Metabolism, Biotechnology Center, University of Yaoundé 1, HOPIT, Cameroun, 3Department of public health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, PO Box 1364, Yaoundé, HOPIT, Cameroon, 4HOPIT, Cameroon

&Corresponding author

Introduction: The National Diabetes and Hypertension Program (2017-2019), a project intricately linked with the National Integrated and Multi Sector Strategic Plan for the Control of Chronic Non-Communicable Diseases (NIMSPC-CNCD), is a pilot project funded by WDF and implemented by HoPiT (Health of Populations In Transition Research Group) and MOH, in Cameroon following alarming data on the prevalence of these two non-communicable diseases. The general objective of this program is to set up and maintain healthcare infrastructures, equitable access to comprehensive and quality health services for the prevention, early diagnosis and optimal management of diabetes and its complications at the level of primary health care, and eventually other NCDs.

Activities: Activities planned include the strengthening of the national diabetes reference center, pre-existing regional diabetes centers and the creation of new diabetes clinics; strengthening the management and control of diabetes through training of health staff in the management of diabetes, its risk factors and its complications; and finally, education and health promotion this in order to bring people closer to health care related to diabetes and high blood pressure.

Results: Diabetes clinics were initially rehabilitated (NOC and regional hospital) or set up in 2 of the 10 regions and will be extended to the entire national territory. In response to the decentralization concerns of these clinics, 22 of the 25 (15 in the Center region and 10 in the North West region) were opened in the district hospital and the medicalized health center. The second step, which consist in the medical staff training, considered the various clinics established to harmonize and strengthen the management of diabetes (70 doctors, 120 nurses). Each clinic has been equipped with equipment necessary for patient´s care. Since health promotion is one of the key objectives, several screening campaigns have been organized.

Conclusion: Nowadays, more than 4654 patients has been screened for T2DM and 3769 patients are followed in the various clinics and we intend to continue the monitoring and evaluation to sustain the functioning of the clinics and improve the quality of life of diabetic and hypertensive patients. Health care can therefore be closer to the population than people think.