Hyperglycemia in pregnancy: Building capacity

Objectives

The project seeks to strengthen hyperglycaemia in pregnancy modalities of the Indian health care system through implementation of a pilot model in three states.

Approach

The Federation of Obstetrics and Gynaecological Societies of India (FOGSI) will develop a special training modality and provide training to healthcare professionals (HCPs) at three large public hospitals and three private health facilities, one of each category in three different states of India (Uttar Pradesh, Maharashtra and Karnataka) . Project activities will be implemented together with the hospitals and health facilities and through collaboration with the AVNI Foundation India, and supported by the health authorities at federal and state level, and by FIGO International.

Special emphasis will be given to the development of a comprehensive learning resource tool on hyperglycaemia in pregnancy, based on existing FOGSI/FIGO material, and the tool will be piloted before larger-scale roll out of trainings. This roll out will be facilitated by 40 ‘master trainers’ who are clinical experts from each hospital/health facility.

One main goal is to introduce universal screening for hyperglycaemia in pregnancy to all women receiving the services and to maintain regular contact with the women before and after birth.

Another main target is to provide necessary care to women detected with hyperglycaemia (gestational diabetes) and to ensure satisfactory fetal outcomes and avoid complications during birth and post-partum.

The approach is considered a pilot given that capacity to screen and provide care will be established at a level hitherto unseen in an Indian context.

Moreover, through the project FOGSI will mobilise ‘hyperglycaemia in pregnancy champions’ from within the targeted hospitals/facilities, who shall promote the new modality across states with authorities and other health care facilities, etc.

Results at completion

A comprehensive evidence-based learning resource package
Record keeping, reporting, monitoring and program achievement software
Six HIP service delivery centres (DIP clinics) operational
One Media interaction completed. 40 media teams were present, and 15 publications and 6 television news pieces carried our message on GDM
Participation in major conferences/webinars completed. 63rd All India Congress of Obstetrics and Gynaecology (AICOG 2020), ORIGYN1.0 2020, SAIDIP and IHW council meeting
Robsons classification criteria and additional reporting modules implemented in the software
Three OBGYN society members engaged and oriented to GDM. FOGSI FIGO guidelines disseminated in the webinars in 6 cities (Pune, Ratlam, Gwalior, Chennai, Trichy, Lucknow) an Pan India event FIGO NCD session at the ICOG special event in Feb 2021
Trainee and Trainer comprehensive books released in 2019 and updated version in 2020
681 healthcare providers trained
34,519 pregnant women screened
2985 pregnant women put on treatment

Project information

  • Project Nr.:
    WDF16-1358
  • Project status:
    Completed
  • Intervention areas:
    Access to care
    Advocacy and stakeholder engagement
  • Region:
    South East Asia
  • Country:
    India
  • Partners:
    Federation of Obstetrics & Gynaecological Societies of India (FOGSI)
    International Federation of Gynecology and Obstetrics (FIGO)
  • Project period:
    2018 2021
  • Project budget:
    USD 228,700.00
  • WDF contribution:
    USD 228,700.00