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BRASIL: Continental countryContinental challenge
Population of Brazil: 193.252.604inhabitants -IBGE-2003
Prevalence of Diabetes : 10%( National screening 2001)
1311 Heath Professional associatedon the Brazilian Diabetes Society
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BRASILIAN DIABETES SOCIETY
Government
Pharmaceutical
industry
ONGsPatients
associations
Other medicalsociety
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BRASILIAN DIABETES SOCIETY
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1992 a 2005Out patients foot clinics3810 Helth professionals trained64 Foot centreBrasilia(DF)1th
Saving the Diabetic Foot Program
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8/4/11 6
Major amputation (1992/2000)
Trends towardsreduction = 77%
Note: Data - LEAS protocol and guidelines on data collection restricted to the
reference hospital (Pedrosa HC et al. Diabetes Monitor, 2004)
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Living Education Program
DESG model
Methods:
MetaplanWorking group
Role playingDESG survival kits
AIMS:Introducing the concept of
Therapeutic Diabetic Educationto the Diabetic Specialist
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Results:1997 - 2002
28 workshops2000 Health Professionals
Trained
Living Education Program
DESG model
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Atualizao para Ateno BsicaDiabetes mellitus
Clinical Case Presentations
Partnership: SBD Ministry of healthCustomized program : 8 hours
Family Health Care ProgramOutreach
Result: 15.000 heath professionals trained
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Projeto EducandoEducadores
September 2006: Law N 11.347 approvedThe need for qualified Diabetes EducatorsThe partnership established: SBD&ADJSupported by: IDF and RELADAims: Training Diabetes Educators andpromote the access for high quality of carefor all diabetes patients
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Program and Methods
4 editions/year around the country 60 students pre selected per edition 40 hours course
Theoretical interactive exposition review Interactive Case Presentation
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Group Practice Workshops
Group dynamicsExhibition
Role Playing
Program and Methods
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.....Educating is much more them just tellingsomebody all you know about something...
.......But giving the right tools to
promote change in their own behave .....
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Program and Methods
Avaluation and certificationFinal evaluation : Based on the pre and ps test and the conclusionof the educational project analyzed by the scientific board
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1th EDITION
2th EDITION
3th EDITION
4th EDITION5th EDITION
6th EDITION
7th EDITION
9 EDITION8th EDITION
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RESULTADOS
437HEALTH PERSONNEL
QUALIFIED152 EDUCATIONAL
PROJECTS APPROVED
RESULTS
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Successful Initiatives
Private companies: investing inhealth products delivery
1th Ps Graduation CourseLato Sensu for graduation onDiabetes Education - MEC
FORMAO DE CAPACITADORESEM DIABETES NA REDE SUS
Diabetes Education program with theAction of the Community Lay Health Care
Workers1998-2001
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Diabetes Education Program
with the Action of the Community
Lay Health Care Workers
1998-2001
Educational Grant From: Eli Lilly FoundationForti, A.C.,Facanha, C.S.
35th annual DIA meeting, Boltmore, 1999
17th IDF meeting, Mexico
AIMS:
To train the professional of the Family Heath CareProgram on Diabetes care and education
To evaluate the impact of the action of the community layhealth care workers on the quality of care provided by theprimary level of heath care
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Patients (%) diagnosed in relation to
estimated diabetic population.
Diabetes Education Program
Forti, A.C.,Facanha, C.S.
17th IDFmeeting, Mexico
Diagnosed22 %
Undiagnosed78 %
1998 2000
Diagnosed66 %
Undiagnosed34 %
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HbA1c (mdia)
Programa de Educao em
Diabetes
10,4
9,4
8,48,9
Pacatuba Beberibe0
6
1219982000
Forti, A.C.,Facanha, C.S.
17th
IDFmeeting, Mexico
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Payment structure for educationPrivate companies: investing in health productsdelivery
Not systematic Resources for public
health very lowcomparing to the
developed countries
Public healthcare settingsgovernmentdelivered:
Spreading in thecountry but notreimbursing foreducation
Cooperativesystem of
healthdelivery:
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Diabetes education outcomesPrivate companies: investing in health productsdelivery
Measuring the Impact of Education:Much more than number of professionals
trained
Coming Soon: Network RegistrationCenter for all the Educational Programs in
the Country
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BRASILIAN DIABETES SOCIETY