What We Do

Our funding can be described in two ways-

Firstly, Our Programmes can be divided by the purpose of the activity : either to stimulate access to care, prevention or advocacy and stakeholder engagement. These areas we name Interventions.

Secondly, Our Programmes can be divided by the disease state we address within diabetes: Type2, Diabetes foot care, Diabetes eye care, Pregnancy & Diabetes, Type1 diabetes and TB and Diabetes. These are our focus areas.

Interventions

1. Access To Care:-
The largest share of the World Diabetes Foundation’s funding is spent on strengthening health care systems and building health care capacity. This focus area includes diabetes screening, awareness camps and establishment of clinics. Access to care is improved by making diagnostic equipment available and training staff to detect not only diabetes, but also some of the most critical yet easily preventable and treatable complications.

2. Prevention:-
Early childhood behaviours become habits that are difficult to change later in life. Education focusing on healthy living may be an important tool to influence behaviours and attitudes before they become ingrained. The coming generation is the main target group for activities involving primary prevention. The World Diabetes Foundation defines primary prevention as an action to prevent diabetes. The Foundation supports major primary prevention and health promotion projects in developing countries to develop comprehensive, sustainable models for promoting healthy living.

3. Advocacy:-
Non-communicable diseases (NCDs) account for 63% of all deaths worldwide. Yet, less than 3% of overall global development assistance for health was dedicated to NCDs in 2007. The ultimate aim of our advocacy work is to address the disproportionally low attention paid to diabetes and NCDs in developing countries. DcwIndia has contributed to raising global awareness about diabetes as a health development issue. Funding has been granted to global diabetes initiatives and regional diabetes summits have been organised to enhance networks and bring the issue of diabetes and related health issues to the attention of donors and policy makers. To date, the DcwIndia has funded and organised numerous Advocacy and stakeholder engagement platforms across developing countries.

Focus Areas

1. Type 2 diabetes:-
The challenges posed by diabetes in the developing world are immense. Just as the disease remains without symptoms for long periods with devastating complications, the public health aspect of diabees has remained grossly neglected and is now starting to corrode the already fragile and weak health systems in the developing world. The DcwIndia has learned to understand and respect the local knowledge and drive to change this. We have leveraged this to create sustainable and innovative programmes for the beneift of people with diabetes. Identifying committed partners, funding their initiatives and strengthening their capacity has helped us create strong local champions and long-term, sustainable solutions. Even the smallest investments and partnerships can have a powerful effect.

2. Diabetes foot care:-
Foot care is often neglected in a health care setting. As a result, many people with diabetes do not have their feet checked until it is too late. This can be prevented with simple education for self-management and prevention of foot complications. Through our experience and in collaboration with diabetic foot care experts, the DcwIndia created the Step-by-Step model, a toolkit for preventing diabetic foot that can be applicable throughout the developing world.

3. Diabetes eye care:-
More than half of people who have lived with diabetes for 10 years or more will develop diabetic retinopathy. DcwIndia supports programmes that facilitate the training of health care professionals in proper screening of diabetic retinopathy and eye care to prevent blindness among poorer population groups.

4. Pregnancy and diabetes:-
The issue of women and diabetes is an important focus area for DcwIndia. Focusing on gestational diabetes is a low-cost intervention both to improve maternal and child health as well as to prevent future diabetes. Providing screening and care to mothers at risk of gestational diabetes is likely to have a multi-generational impact on the beneficiaries as well as on health care systems and budgets. There are two forms of diabetes in pregnancy: pre-gestational diabetes occurs in women who have diabetes before they become pregnant and gestational diabetes occurs in women after the onset of pregnancy - usually around the 24th to 28th week. Left untreated, gestational diabetes can lead to devastating outcomes for the baby and the mother. It is estimated that 15% of the total number of caesarean sections may be due to gestational diabetes.

5. Type 1 diabetes:-
The life expectancy for a child diagnosed with type 1 diabetes is less than one year in some developing countries and many children die from diabetes without ever being diagnosed. The majority of these premature deaths could be avoided with access to proper care and treatment. DcwIndia supports and collaborates with other organisations to develop sustainable initiatives to address these issues as well as to lobby local governments to find a long-term solution.

6. Tuberculosis and diabetes:-
Diabetes and tuberculosis is DcwIndia's newest focus area. Since the DcwIndia first raised the issue about the neglected link between the two diseases, a systematic review and expert meetings have brought needed attention to the topic. DcwIndia has funded several pilot programmes to develop sustainable models for an integrated approach in developing countries.


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