Public - Private partnership: a collaborative State - NGOs to improve the prevention and management of diabetes in Mali

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Public - Private partnership: a collaborative State - NGOs to improve the prevention and management of diabetes in Mali

All the country, MaliGrenoble, France
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
Scaling
Budget: 
$250,000 - $500,000
Website:
http://www.santediabete.org
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Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

The mission of the NGO "Santé Diabète" is to save lives through prevention and management of diabetes.

About Project

Problem: What problem is this project trying to address?

In 2030, diabetes will affect over 550 million people, making it one of the leading causes of disability and death worldwide. In West Africa, the alarming increase of diabetes (+98% in 30 years) will affect social and economic strong, disease affecting people during their years of life more productive. The cost of diabetes care, the lack of human resources to handle the increased number of patients will be a major obstacle to the achievement of the Millennium Development Goal (MDG). Prevention of risk factors for the disease, as well as access to care, treatment, education and care of diabetes complications is the key challenge addressed by the approach developed in Mali.

Solution: What is the proposed solution? Please be specific!

For this challenge to improve the quality of life of people with diabetes by improving the quality of care provided to them, the NGO "Santé Diabète" focuses its work on a comprehensive approach including all the axes necessary for the establishment of prevention and care of quality for diabetes.This innovative approach is realized in practice 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 by promo
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

1 Strengthening human resources for diabetes management - Ensure reference to the highest level: creation of a specialization on endocrinology (4 years) and on diabetes (1 year) - Provide referral management at secondary level: annual program of training for referring doctors in diabetes management and its complications in regional hospitals and health centers but also for doctors in the sanitary districts 2 Analysis and biological measures - Capacity building at different levels : national and Regional hospitals-health centers: technical support for screening and treatment of diabetes and some complications (diabetic foot, retinopathy …) Comminatory health center: screening and management of uncomplicated diabetes 3 Drugs Accessibility: is divided into geographical and financial accessibility. Work on two fronts: the negotiation of price initiative differentiated with pharmaceutical companies and work with manufacturers of generic Support the national pharmacy in Mali for the expression of needs and respect for the master plan of supply at different levels of the health pyramid 4 primary prevention and therapeutic education Once the system of management of diabetes is in place : Increased knowledge of risk factors for diabetes and other NCDs common risk factors and screening with referral of positive cases Establishment specific therapeutic education program in the health structures with diabetes consultations 5 Civil society Training patient associations to know how to play their role in this system of prevention and treatment of diabetes
Sustainability

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

There are no other experiences on global structuring health systems in Africa for the treatment of diabetes The success of this approach is evident from the presentations in the largest international conferences related to access to care (Geneva Health Forum, global health forum ... etc) but also by the choice of WHO to present this approach for the adoption of the Brazzaville Declaration on Africa in preparation of the high-level summit on NCD at the United Nations (September 2011)
Team

Founding Story

We have gradually developed this approach by offering to various financial partners this approach as an axis of their strategy to support health systems. This approach was supported and then integrated by the European Commission, the French Development Agency, the Swiss Cooperation, the French Ministry of Foreign Affairs and different universities (Geneva, sidney, grenoble etc ...)
About You
Organization:
NGO Santé Diabète
About You
First Name

Stéphane

Last Name

Besançon

About Your Organization
Organization Name

NGO Santé Diabète

Organization Country

, Grenoble

Country where this project is creating social impact

, All the country

How long has your organization been operating?

More than 5 years

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Innovation
How long have you been in operation?

Operating for 1‐5 years

Which of the following best describes the barrier(s) your innovation addresses? Choose up to two

Access, Cost, Quality, Equity.

Social Impact
Please describe the goal of your initiative; outline what you are trying to achieve

The main goal of this approach is to save lives through prevention and management of diabetes but also to improve the quality of life of people with diabetes by improving the quality of care provided to them

What has been the impact of your solution to date?

Situation of Mali in 2004
Only 2 specialized doctors, consulting in 3 national structures in Bamako
Lack of adequate material (glycaemia readers, control strips…)
Medication are often lacking in the central medical stores and very expensive
12$ for his insulin vial - 6$ for OAA, 3 $ for glycaemia controls
No specific program of prevention
Less than 10 patients with type 1 diabetes followed (with a life expectancy of 1 year at the testing time)

Situation in 2011
Training of 10 doctors and 20 nurses in specialized services;18 diabetes referral doctors for the different regions;557 doctors and paramedical staff
Complete consultation for over 10000 patients in 7 regions of Mali. Lowering of the prices of insulin by 48% and by 10 of oral diabetes pills
Establishment of a specific program for the management of diabetic foot
Establishment prevention program that affected over 120 000 people and 4000 students
115 childrens with type 1 in the consultations (good quality of life)

What is your projected impact over the next five years?

For next years, the challenge for our organization is now to replicate this methodology in two countries wishing to reproduce (Burkina Faso and Senegal) through the development of a subregional program (Mali, Burkina Faso and Senegal)

What barriers might hinder the success of your project? How do you plan to overcome them?

The barriers were lifted gradually and at this stage methodology is replicable to avoid barriers

Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
Identify three major tasks you will have to complete to reach your six-month milestone
Task 1

Writing the complete methodology document for replication

Task 2

Final agreement with the ministry of health of Burkina Faso

Task 3

Final agreement with the ministry of health of Senegal

Now think bigger! Identify your 12-month impact milestone
Identify three major tasks you will have to complete to reach your 12-month milestone
Task 1

Diffusion of the complete methodology document in the 2 countries

Task 2

Starting the global approach with partner in Burkina Faso

Task 3

Starting the global approach with partner in Senegal

Sustainability
Tell us about your partnerships

The financial partners mentioned in the document will support the project to show that sub-regional approach developed and funded in Mali can be replicated at regional level. This sub-regional approach will be increasingly conducted in partnership with WHO and The West African Health organisation

Are you currently targeting other specific populations, locations, or markets for your innovation? If so, where and why?

Replication in 2 countries to replicate and develop a regional approach

What type of operating environment and internal organizational factors make your innovation successful?

This true and close cooperation between the state and NGOs for the implementation of actions has:
- Strengthening the mobilization of local authorities against diabetes
- Strengthening the mobilization of many donors
- To mobilize a large network of international partners to support the fight against diabetes
- France: Halimi Pr, Pr Vialettes Dr. Debussche, Prof. JJ Robert, Professor Hartman, Grimaldi Pr ...
- World: Pr Bruysschard and Lefevre (Belgium), Prof Yudkin (Uk), Prof Dr Silink and oogle (Australia), Professor Delisle (Canada), Professor Jonathan Brown (United States - Kaiser Permanente and Harvard), Pr Belhadj (Oran - Algeria) etc ...

Please elaborate on any needs or offers you have mentioned above and/or suggest categories of support that aren't specified within the list