Change organization of health system in Africa to improve the fight against diabetes

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Change organization of health system in Africa to improve the fight against diabetes

Bamako, Ségou, Kayes, Sikasso, Tombouctou, Gao, Mopti , Maligrenoble, France
Année de fondation:
2001
Type d'organisation: 
le secteur de la société civile
Budget: 
$500,000 - $1 million
Sommaire du Projet
Lancement Important

Bref récapitulatif : Aidez-nous à présenter cette solution ! Fournissez une explication en seulement 3 ou 4 phrases.

Mission of NGO Santé Diabète is to save lives through prevention and management of diabetes. During a chronic disease like diabetes, its role is also to improve the quality of life of people with diabetes by improving the quality of care provided to them.

About Project

Problème : Quel problème ce projet essaie-t-il d'adresser ?

We are working on two major axes: - Prevention of risk factors for diabetes - Development of an adequate supply of care for the management of diabetes and its complications

Solution: Quelle est la solution proposée? S.v.p soyez précis!

The NGO focuses its work on a comprehensive approach including all the axes necessary for the establishment of prevention and care of quality for diabetes in Africa.This innovative approach is realized by the development of 5 components: 1. Investing in primary prevention to reduce the human and economic burden of the disease progression. 2. Investing in the decentralization of care to ensure geographic accessibility to a care of quality. 3. Investing in secondary and tertiary prevention "therapeutic education" to reduce the burden of complications due to diabetes. 4. Investing in the reduction of care costs for geographic accessibility to a care of quality. 5. Investing in an integrated approach including active involvement of patients and their families through their associations
Impact: How does it Work

Exemple : Faites nous découvrir comment cette solution fait la différence en utilisant un ou plusieurs exemples concrets ; en incluant aussi ses activités principales.

While so far, the fight against diabetes was absent from the development policies and action plans of development actors, the founders created an organization specialized in the issues related to diabetes.It is part of a new generation of NGO which develop their activities in the field with institutional partners by positioning itself in technical assistance to support policies of prevention and treatment of diabetes by the states. Its mission is to save lives through prevention and management of diabetes. During a chronic disease like diabetes, its role is also to improve the quality of life of people with diabetes by improving the quality of care provided to them

Impact : Quel est l'impact actuel de ce travail ? Décrivez aussi l'impact désiré dans le futur.

A study done in Mali by the NGO Santé Diabète and the International Insulin Foundation (IIF) has highlighted the fact that diabetes and its complications cost a yearly $ 40 million in state and Malian diabetic patients. A similar study in Tanzania showed that diabetes and its complications already collect 8% of the country's health budget. Another study in Mali found that the annual cost of putting a patient on insulin gangrene 17% of family income. In parallel, it should be noted that the complications of diabetes are extremely debilitating (loss of kidney function, amputations, blindness, etc ...) and strengthening the economic burden of the disease but also the social exclusion of people with these disabilities. Prevention of risk factors of diabetes, as well as access to care, treatment, education and care for complications thus economic and social impact very strong at the state level and that of the cell family. Contributing positively to better diabetes management will avoid a number of complications (amputations, cardiovascular disease, neuropathy, blindness ...) and exclusions impacting negatively on social and economic development of person and countrie levels.
Viabilité

Plan de viabilité financière : Quel est le plan de cette solution qui permet un financement durable à cette initiative ?

We plan to start supporting health system in the 3 countries in few months. This work will permit to open in three countries over 500 diabetes consultations and to support more than 50 000 patients with diabetes (Type 1 and Type 2). NGO Santé Diabète will publish in scientific newspaper and present in international congress the results of this regional approach annually.

Marché : Qui d'autre adresse les problèmes mentionnés ici ? Comment ce projet diffère-t-il de ces approches ?

On the theme of the fight against diabetes in Africa, our peers are health professionals interested and involved in access to health care for diabetes in Africa. We do not currently competitions with other international NGOs who do not work on this topic.
Equipe

Histoire de votre fondation

I realized in 2000 an internship of diabetes research in Mali. I realized there was, like everywhere in Africa, thousands of patients with diabetes but no attention was made on them by the authorities and donors. I thought we should do something to give care to theses thousands of patients !
Nom

NGO Santé Diabète

A propos de vous
Organisation:
Besançon
A propos de vous
Prénom

Stéphane

Nom

Besançon

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Innovation
Expliquez en quoi consiste l '«innovation», par exemple, est-ce que c’est l'idée et / ou le modèle que vous utilisez pour accomplir votre projet, ou la compréhension de la population cible, etc.?

Diabetes is a chronic condition in explosion. According to the latest estimates from the International Diabetes Federation (IDF), more than 366 million people, or 8.3% of the adult population are affected worldwide. More than 50% are unaware of their condition. Diabetes is responsible for nearly 4 million deaths annually, 1 million amputations (85% of total amputations) and multiple disabling complications. According to the projections of the IDF, the number of people affected by diabetes is expected to exceed 550 million by 2030, 76% in the in Developing Countries (DCs), making this condition one of leading causes of disability and death worldwide. Unfortunately Africa is not left as it is estimated that it will know the largest increase with a doubling of the prevalence of diabetes (3.5% to 7%) in the next 20 years.
Faced with this major public health for Africa the methodology that we have implemented is the first of its kind. This is a real innovation that makes a high added value because it brings innovation by its basic idea but also the methodology developed and finally the analysis and taking into account the needs of target populations.

Décrivez comment votre modèle d'innovation est différent de toute autre organisation dans votre domaine?

This innovation model is unique because it is the first to address the problem of diabetes and more broadly the issue of Non-Communicable Diseases in African health systems. Indeed, our NGO is the only international NGO to develop a program to strengthen the health system in the fight against diabetes in Africa. Almost all NGOs centralize their actions in Africa on 2 issues:
- The fight against HIV, malaria, tuberculosis
- Maternal and child health

It is the same for donors. For example, although the World Bank recognizes the growing burden of NCDs in the last 5 years, it has provided $ 4.25 billion to help countries in the health sector. Approximately 2.5% of this was allocated to prevention and management of NCDs. These 2.5% were fully allocated to the countrie of Eastern Europe.

Quel environnement et quels facteurs organisationnels internes font la réussite de votre projet ?

The success of this methodology was created because it proposes to work on a global environment. It does not approach disease but patient approach to strengthen the health system and create a support horizontal and more vertical.
This approach allows to integrate a complex environment that will provide a sustainable solution for the patient and the health care system.

To promote the sustainability team that supports this program is organized to provide technical assistance and let an important local teams from the health system to promote the approach.

Comment vous assurez-vous d’innover sans cesse à la lumière des défis externes (potentiels), ou de votre plan de croissance?

The quality of the approach but also the ability to constantly innovate by taking into account the challenges created by the action are guaranteed by our NGO methodology. Our NGO works with a very scientific methodology starting with pilot approaches developed on the model action research are evaluated by randomized trials before being passed to scale. This also helps to constantly analyze new challenges produced by the previously obtained results and propose a new response.

Pays

, XX, grenoble

Modèle d'Entreprise
Le défi systémique que vous essayez de surmonter [sélectionner une seule réponse]

Apporter des soins de santé accessibles aux communautés dans les marchés émergents

Domaine de la Santé (marché cible) où le besoin est [sélectionnez une seule réponse]

Soins aux malades chroniques

Catégories de santé au long du continuum que vous couvrez [cochez toutes les cases appropriées]

Prévention, Détection, Intervention, Suivi, Soins de longue durée, Intégration sociale.

Étape qui correspond le mieux à votre solution [sélectionnez une seule réponse]

Mise à l'échelle (impact croissant sur une échelle régionale ou mondiale)

Stratégies de base de votre modèle d'entreprise [cochez toutes les cases appropriées]

Conception centrée sur le patient, Refonte du système de santé publique pour plus d'efficacité (en termes de processus, de structure etc.), Rôles nouveaux/redéfinis de prestation de services pour les soins de santé.

A préciser
La plupart des outils pertinents que vous utilisez pour mettre en œuvre les stratégies décrites ci-dessus [ne sélectionnez que deux réponses]

Nouvelles compétences, Éducation / formation.

A préciser
Quelle est votre proposition de valeur?

NGO Santé Diabète is part of a new generation of NGO which develop their activities in the field with institutional partners by positioning itself in technical assistance to support policies of prevention and treatment of diabetes implemented by the states.

NGO Santé Diabète is supporting local health systems in developing the management of diabetes. Consultations diabetes that result are able to offer support for diabetes and its complications but also to allow people to offer preventive measures risk factors of diabete

Qui est votre client/quels sont vos clients?

Our clients are hospitals and local health centers but also governments wishing to develop prevention and management of diabetes in their countries. At the end of the chain, customers of our services are people with diabetes (type 1 and type 2 diabetes) but also people who are not ill but with risk factors for diabetes.

NGO Santé Diabète works directly with local health structures to support them in developing their fight against diabetes réponsant and the growing needs of local populations.

Working with governments permits to put results of the action in the national health policies.

Quelles approches utilisez-vous pour atteindre vos clients?

A close working with governments can target health facilities and areas where the prevalence of diabetes but also the prevalence of risk factors for diabetes are highest

Quelles sont vos principales activités?

We are developing 5 types of activities :
1. Primary prevention actions to reduce the human and economic burden of the disease progression.
2. Decentralization of diabetes care to ensure geographic accessibility to a diabetes care of quality.
3. Development of "therapeutic education" programs to reduce the burden of complications due to diabetes.
4. Collaboration with central pharmacy to reduce drug costs for geographic accessibility to a care of quality.
5. collaboration with diabetes patient associations to have an active involvement of patients and their families

Quels autres défis - individuel, organisationnel, ou de l'environnement - faîtes-vous actuellement face ou pourraient nuire à la réussite future de votre entreprise, et comment comptez-vous les surmonter?

The two main challenges for the NGO Santé Diabète are:
- Seeking funds to continue the activities implemented
- Strengthening the staff to better monitor implementation of actions

These obstacles can be overcome without difficulty. Indeed, the quality of work done on the ground, many governments wish to work with NGOs to improve our health care system in the fight against diabetes. For the staff, building work teams already programmed.

Finally, it should be noted that the environment is very favorable. Since September 2011 he has held a high-level summit on non-communicable diseases including diabetes during the General Assembly of the United Nations. The summit encourages governments to build health systems to improve access to care for patients with Non-Communicable Diseases

Décrivez brièvement votre stratégie de croissance à l'avenir

The methodology developed by our NGO has been developed in one country at a time. We wish, in the growth phase, of developing a multi country project in 3 countries. This will permit actions at national level but also to have a sharing platform at regional level.

Vers quelles dimensions de croissance vous orientez-vous actuellement pour votre innovation [cochez toutes les cases appropriées]

Nouvelle(s) région (s).

Qu’est-ce qui rend votre entreprise "prête" pour la croissance?

The approach was tested in Mali and was also tested in Burkina Faso. In both countries, the results were very good. So we are ready to develop a concerted approach in three countries with a regional steering level.

Quels sont vos objectifs clés de croissance?

The main objectives of growth for our NGO are:

- the development of the methodology in three countries (Mali, Burkina Faso and Senegal)
- the development of a regional steering committee
- publication of results

Pays dans lequel /lesquels ce projet à un impact social

, XX, Bamako, Ségou, Kayes, Sikasso, Tombouctou, Gao, Mopti

Impact social
Quelles méthodes pour la quantification de l'impact social demandez-vous (le cas échéant)?

At pilot results and therefore the social impacts of development of this methodology has been validated by a rigorous scientific approach. During development of the actions, they received a methodology for evaluation by Randomized controlled trial. Once the methodology validated at pilot, a series of studies was conducted to validate the possibility of extension thereof.

Est-ce que votre solution peut fonctionner dans d'autres zones géographiques ou régions? Si oui, où?

This methodology can interested all African countries wishing to develop their policy of prevention and management of diabetes by strengthening their health systems.

Quelles sont vos prévisions en termes d'impact au cours des trois prochaines années?

Over the next 3 years, we are going to scale our pilot approach originally developed in Mali by developing a regional approach involving three countries (Mali, Burkina Faso and Senegal). If this passage to scale successful, the methodology can be extended to the whole continent.

Viabilité
Élaborer votre stratégie de financement actuelle.

Currently, our financing strategy is based on partnerships with various technical and financial partners (institutional cooperation, foundations, international organizations ...).

Part de la production de revenus dans le revenu total de l'organisation (en pourcentage)

80%

Les ventes directes aux patients ou aux autres bénéficiaires (en pourcentage)

70%

Parmi les sources possibles de ces ventes énumérées ci-dessous, cochez toutes les cases qui s'appliquent à votre stratégie actuelle

Le personnel soignant, Les entreprises privées, Autres bénéficiaires.

Les frais de licence, par exemple pour la technologie / modèle de franchise (en pourcentage)
Parmi les sources possibles de ces opportunités de licences énumérées ci-dessous, cochez toutes les cases qui s'appliquent à votre stratégie actuelle

Fondations, ONG, Les entreprises privées, Gouvernement régional, Gouvernement national.

Contrat de service avec les organisations, par exemple, le gouvernement, les ONG (en pourcentage)

Un contrat de service sera établit avec des fondations d'entreprise, des ONG et surtout les gouvernements

Parmi les sources possibles des marchés de services énumérées ci-dessous, cochez toutes les cases qui s'appliquent à votre stratégie actuelle

Fondations, ONG, Les entreprises privées, Gouvernement régional, Gouvernement national.

Expliquez votre stratégie de génération de revenus de manière plus détaillée

Increasingly, we develop a model or support made ​​contracts will be signed and paid by the actors at 3 levels:
- Support for the ministries of health - funding by state funds
- Support for local authorities for action at local - funding by local authorities
- Support for prevention programs in the private - funding foundations of these companies

Part de la production de revenus dans le revenu total de l'organisation (en pourcentage)

70%

Stratégies de philanthropie que vous utilisez

Stratégie diversifiée .

Expliquez votre démarche philanthropique plus en détail

We have a variety of strategies related to:
- The national and local authorities
- The institutional donors
- Corporate foundations
- Individuals

Développer vos sélections; expliquer comment vous allez maintenir le financement au cours des 1 à 3 prochaines années.

We will develop a model where contracts will be signed and made ​​by paid actors at 3 levels:
- Support the ministries of health funding by state funds
- Support for local authorities for action at local fund financing of local authorities
- Support for prevention programs in the private fund financing foundations of these companies

Années de fonctionnement

En place depuis plus de 5 ans

Votre organisation a-t-elle reçu des récompenses ou des prix ? Si oui, indiquez-nous lesquels.

The NGO received numerous support from donors to support this new approach on diabetes in Africa :
French agency of development
European union
Swiss cooperation
Ministry of foreign affairs
etc...
We win 2 importants researchs grants :
International Diabetes Federation Bridges grant
French society of diabetes grant
We win different awards :
Prix écureuil association 2002 - Fondation de la banque caisse d’épargne (France)
Pris défi jeune 2003 – Ministère de la jeunesse et des sports (France)
Prix de la guilde européenne du raid 2003 et 2006 – Ministère des affaires étrangères (France)
Prix mutualiste du monde – Mutualité Française (France)
Prix envie d’agir 2005 - Ministère de la jeunesse et des sports (France)