To enhance accessibility and quality of diabetes and hypertension services by phased integration into primary health care and community levels in Liberia.
This project aims to consolidate and expand on previous WDF support where diabetes and hypertension services were integrated into secondary and tertiary health care levels.This next phase will focus on the following activities:• Consolidation of established diabetes services through healthcare professional (HCP) mentorship and maintenance of service quality at secondary and tertiary levels.• Strategic expansion of diabetes services to 36 primary health care facilities to increase accessibility, including implementation of an abridged version of clinical guidelines, training of HCPs, and provision of basic equipment.• Coordination of services across and within health facilities to leverage existing infrastructure for diabetes complications, ensure appropriate referral linkages and facilitate communication between departments.• Continued implementation of integrated tools, systems and frameworks developed during WDF20-1743, incl. Community Health Tool for Community Health Workers (CHW) training, Joint Integrated Supportive Supervision for assessment of facility-based health service quality, and NCD data collection in health facilities. • Increased community and patient engagement through the empowerment of diabetes support groups, outreach screening and awareness, CHWs, and involvement of the Liberia Diabetes Association. • Ongoing improvement of the supply chain system.• Advocacy for increased resource mobilisation and NCD coordination through multi-sectoral dialogues, technical working group meetings, and policy briefs.
• 620 HCPs trained (48 doctors, 389 nurses and 183 community health workers, physician assistants and midwives) representing 36 primary health care facilities across all counties.• 1,556 HCPs mentored (incl. 936 HCPs trained during WDF20-1743).• 150,000 persons screened for diabetes and 7,890 pregnant women screened for HIP.• 13,500 new patients treated at strengthened clinics.• 72 data collectors trained on the developed NCD ledgers and effective data entry. • Updated national NCD strategy published.