Plan of Action

Goals

Goal 1 : Primary Prevention
Prevent or delay the onset of diabetes in susceptible communities and individuals

Objective : Reduce the prevalence of modifiable risk factors for Type 2 diabetes

Expected Result by 2005 : A significant majority (75%) of countries in the Region with active integrated prevention plans of which diabetes is a key component or demontrating evidence of putting structures and processes in place to achieve this

Goal 2 : Secondary Prevention
Prevent or delay the development and progression of diabetes complications

Objectives :
    1. Achieve earlier diagnosis of diabetes and earlier initiation of secondary prevention measures
    2. Improve the quality and effectiveness of clinical diabetes care, particularly at community and district level
    3. Improve the quality and effectiveness of the management of existing diabetes complications, i.e. rehabilitation services and palliative care
    4. Improve the quality and effectiveness of diabetes education

Expected Result by 2005 : A reduction in surrogate endpoints such as HbA1c in flagship centres in at least 10% of countries

Goal 3 : Systems
Strengthen the capacity of national health systems to deliver and monitor equitable, affordable, and effective services for the prevention and care of diabetes and its complications

Objectives :

    1. Develop and introduce national diabetes plans or integrated NCD control plans in which diabetes is identified as a priority component
    2. Establish the baseline burden of diabetes and major NCD risk factors and monitor the effectiveness of interventions
    3. Establish mechanisms for improving the planning and organization of diabetes prevention and care
    4. Increase access to affordable, high quality health services, essential medications and supplies to meet the care requirements of people with diabetes
    5. Resources permitting, undertake research to advance and apply knowledge about effective prevention, delivery of care, and management of diabetes

Expected Results by 2005 : 30% of countries with active national diabetes plans or integrated health plans that are addressing and improving the planning, organization, integration, delivery and monitoring of diabetes prevention and care ; 60% of countries with national diabetes associations

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Strategies
These overarching strategies underpin all activities aimed at achieving diabetes and related health improvements -

  • action based on evidence
  • integration
  • information and community education
  • capacity building - making the available mechanism
  • work better

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Principles
Attitudes and approaches which are crucial to the successful implementation of programs and activites are guided by these principles -

  • a spirit of collaboration - getting the job done together
  • an intersectoral approach
  • access and equity
  • focusing on results
  • family orientation
  • a top down-bottom up approach

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Focus
The Declaration and its associated Plan of Action focus on the following to achieve improved health outcomes for diabetes and related noncommunicable diseases -

  • people
  • providers
  • places
  • policy and programs

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Plan of Action
WPDD recognizes that action at all levels is important in reducing the burden of diabetes and related diseases in the Region. It considers these levels separately while ensuring that communication and coordinating mechanisms are integral to implementation at all three levels -

  • the regional level
  • the country level
  • the local (within-country) level
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