Diabetes Melitus

The Sweet Killer for the rest of us.

It is an epidemic like no other.

that's >> the entire population of the US

1 in 20 people has diabetes 25 – 50% don't knowthey have diabetes

Look around yourself

in India...

we bear the highest burden of diabetes in the world

Diabetics are 25X more likely to develop blindness

30X more likely to get a foot amputated

20X more likely to develop kidney failure

5X more likely to suffer a heart attack (#1 cause of death)

3X more likely to suffer a stroke

But you already knew that...

Consider this: 2 children can live for 2 months for the money we spend eating lunch at a restaurant

Diabetes is preventable.

So are heart attacks, strokes, kidney failure, blindness, and several other diabetes related complications if they are detected early.

Jnana Sanjeevini specializes in diabetes care, and has helped several hundred thousand people manage their diabetes. We've been doing that since 1987.

The journey so far

1987Founded JS

First Adult Diabetes Clinic1990

25 years of service2012

1994First Child

Diabetes Clinic

1999Multidisciplinary

Preventive Care Clinic

2013Patient & Family HealthEducation & Counselling

Madhura Sanjeevini2014

First PregnancyDiabetes Clinic

1996 200K lives impacted

Our projectsChildren & youth

AdultsMedical Professionals

FREE treatment & Insulin | Health education & counselling | Social support | Patient – Parent

support groups | Residential health – recreation camps

Adult Diabetes clinic | FREE medicines |Health awareness & counselling | Health screening & treatment | Continued care – preventive healthcare | Psychosocial & economic support |

Community Diabetes camps

Observerships, Internships & Fellowships | Continuing medical education & training | Human Resource building | Building curriculum – teaching education aids | Physical Education &

Health Educators | Tele-medicine – 24x7 Diabetes helplines | Healthcare IT

The Story of Umme Hanne

Age 15 | Mysore | Daughter of auto-rickshaw driver | Diabetic from age of 5

"मम, ममररा बमटटी उम्मम हनटी कको मरार डरालनम कम ललए, और, बराद मम कक द आत्महत्यरा करनम कम ललएतरायरटी कर लदयरा थरा" - mother in 2004

The Story of Nabila

Age 18 | Mysore | Daughter of auto-rickshaw driver | Diabetic from age of 5

"आरम, ननॉकको ननॉकको. ऐसटी मत करको. दमखको ममररा बमटटी नबटीलरा कको बटी कक छ सराल सम डराइयलबटटीस हह. वको आज लबल्कक ल टटीख हह. आप ममररा सराथ बबेंगलकोरम आजरानरा. उम्मम हनटी कको भटी सब टटीख

हको जमयमजरा" - Nabila's father to Umme's father in 2004

• Dual life saving conversation since the chance meeting between Umme's & Nabila's families 10 yrs ago

Former was struck with poverty, societal apathy, hopelessness & despair

Should a life/death outcome be left to chance?

Random chance is good, but we must do better!

Project DEEPA

"आज, ममररा बमटटी सकब सम जराद उत्पप्रमलरत हह, और कनॉलमज जरानरा चराहतरा हह; दमखको, मगर इसकम सरामनम, ममररा दको बमटम पकररा नरालयक हह" - Umme's mother in 2014

• We did an honest audit in 2008. Dilemma about how to measure true “impact”

Sure, we were doing very well in terms of healthcare, and longevity, but are we prolonging the misery of these children just to let them succumb helplessly few years later? Pseudo-altruism or real justice?

DISHA: how can we measure “impact”?

Corrective action

INSULIN+

EDUCATION

Houston, we need to course-correct!

• Full support for formal school & college education [financial + counselling + monitoring]

Employment placement services through good Samaritans [including employers themselves having T1DM]

Special emphasis on the girl child

Funded by the same anonymous insulin donor of Project DISHA

Are we moving the needle in the right direction?

Professional aspirations of T1DM DISHA children (ind. survey)

~83% want to get into the medical stream. Coincidence?

Using IT as a force multiplierProject Madhura Sanjeevini

Ensure increased awareness, accessibility & affordability to contemporary diabetes prevention & treatment strategies, to the economically underprivileged & socially neglected members of society.

The Project Charter

Our Vector – the Community Health Worker

Madhura Sanjeevini, circa 2013

What we intend to achieve

not this but this

0

not this but this

not this but this

not this but this

Madhura Sanjeevini (today)

How? Using the Power of Internet

Product + mobile app | Mobile devices | Mobile internet

Mobile app demo

web

Web app demo

Are we on the right track? You decide.

Total Number of Community Health Workers (CHWs) trained and deployed

16

Total Number of Families Enrolled in the community 399

Total Number of People screened in the community 752

Diabetes: Newly Diagnosed 75

Known Diabetes Identified 160

Hypertension: Newly Diagnosed 117

Known Hypertension Identified 143

Number of CHW kits distributed 16

Number of Blood glucose strips distributed 1565

Number of Diabetes and/or Hypertension patients from the community who came for follow up at JSMC

96

Blueprint for Medical Census Data

Our approach is bottom-up where people's incentive to be medically screened is aligned perfectly with our project goal (universal health care to all)

• Cloud Hosting credits

Success relies on the availability of mobile devices. We plan to deploy 50 CHW's

Possible collaboration with GA team to help us with health data analytics

Adwords for NGOs

We could use Google's help

Thanks for listening. Questions ?