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Main targets
The project aims to meet the needs of this particularly vulnerable group of people and has the following targets:
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To support the care of diabetics, in particular the poorest.
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To help patients to live better and longer, teaching them to respect certain rules concerning the taking of medicines, food and personal hygiene.
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To prevent and treat complications related to diabetes (diabetic coma, hypoglycaemia, hypertension, retinopathy, neuropathy, nephritis, skin , urinary and lung infections, etc.).
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To achieve the decreasing of the balance dose and consequently the cost of the disease assistance.
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To produce and distribute health educational and nutritional materials.
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To promote the creation of a cooperative for self-financing the sick.
Training of local health staff in order to decentralise patient care.
Specific targets and actions already achieved
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Screening.
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Contact with different partners.
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Consultations twice a month, at a fixed date.
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Health and nutritional education.
Medication administration and for the more serious cases hospitalisation.
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Home visits.
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Regular supply of materials and medicines.
Completion of the diabetic sick dossier and handing in of the personal health book, indicating the next appointment.
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Preparation of the periodic reporting on activities.
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Production of a health care promotion booklet for the sick.
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Screening.
Characteristics of the project
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Socio-Cultural: the impact was certainly positive on the beneficiaries given that without making a big public awareness campaign, 14 new cases per month from health clinics in the area of Uvira and other health centres areas were presented at the centre.Socio-Culturale:
New Cases:
| Year |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
TOT |
2000
2001
2002
2003
2004 |
74
5
13
9
9 |
12
14
11
9
10 |
18
18
12
11
13 |
8
7
10
5
8 |
11
8
11
11
9 |
12
9
14
14
13 |
15
12
23
23 |
7
9
18
20 |
17
14
21
30 |
13
17
12
27 |
9
15
6
13 |
6
10
19
13 |
202
138
170
185 |
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Socio-economic:
the project is non profit, but for the benefit of the sick.
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Socio-technical:
we guarantee transparency and rigour in the management and use of funds and, preparation and submission of regular reports.
Resources needed
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Human resources: managers, nurses, secretaries and doctors.
Estimated annual cost € 5,000
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Materials: Test strips, insulin syringes, lancets, blood glucose and blood pressure testing equipment, scale, refrigerator, registers, health books and other office materials.
Estimated annual cost: € 7,000
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Medications: slow and fast insulin, Glibenclamide and other oral hypoglycaemic agents, antibiotics and antihypertensives.
Estimated annual cost: € 15,000
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Subsidy to indigent patients.
Estimated Cost € 3,000
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ANNUAL TOTAL € 30,000
Please note:
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We ask for a small contribution from the sick, as much as each one can afford. With this money one helps help poor people with diabetes that can not pay for hospital fees.
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One problem is also the choice of food: many diabetics ask us for help with suitable food for them. We would find it appropriate to give even a little quantity of sorghum flour on the day of consultation, but this would require additional financial resources.
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Our hope is to obtain self-financing for the people with diabetes through cooperatives. However, due to the effects of war, it is more urgent to help the sick in terms of treatment first. Only then we can think of a paid job for the patient that allows them to buy medicines with the dignity that he/she deserves.
The Project Manager
Rosanna Bucci
Missionarie di Maria (Missionaries of Mary)
Uvira (Democratic Republic of Congo)
http://www.saveriane.it/archivio/2005.html
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