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
-
Achieve
earlier diagnosis of diabetes and earlier initiation of secondary
prevention measures
-
Improve
the quality and effectiveness of clinical diabetes care, particularly
at community and district level
-
Improve
the quality and effectiveness of the management of existing diabetes
complications, i.e. rehabilitation services and palliative care
-
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
:
-
Develop
and introduce national diabetes plans or integrated NCD control
plans in which diabetes is identified as a priority component
-
Establish
the baseline burden of diabetes and major NCD risk factors and monitor
the effectiveness of interventions
-
Establish
mechanisms for improving the planning and organization of diabetes
prevention and care
-
Increase
access to affordable, high quality health services, essential medications
and supplies to meet the care requirements of people with diabetes
-
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
Strategies
These overarching strategies underpin all activities aimed at achieving
diabetes and related health improvements -
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
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
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 -
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