Cumbre Internacional para la educacin del paciente con diabetes.

Diabetes Education: Brazils Experience

Departamento de Educao Cristina F. Faanha

BRASIL: Continental country

Continental challenge

Population of Brazil: 193.252.604 inhabitants -IBGE-2003 Prevalence of Diabetes : 10% ( National screening 2001) 1311 Heath Professional associated on the Brazilian Diabetes Society

BRASILIAN DIABETES SOCIETY

Government

Pharmaceutical industry

ONGs

Patients associations

Other medical society

BRASILIAN DIABETES SOCIETY

Saving the Diabetic Foot Program

1992 a 2005 Out patients foot clinics 3810 Helth professionals trained 64 Foot centre Brasilia(DF)1th

Major amputation (1992/2000)

Trends towards reduction = 77%

Note: Data - LEAS protocol and guidelines on data collection restricted to the 8/4/11 6 reference hospital (Pedrosa HC et al. Diabetes Monitor, 2004)

Living Education Program DESG model

AIMS: Introducing the concept of Therapeutic Diabetic Education to the Diabetic Specialist

Methods: Metaplan Working group Role playing DESG survival kits

Living Education Program DESG model

Results: 1997 - 2002 28 workshops 2000 Health Professionals Trained

Atualizao para Ateno Bsica

Diabetes mellitus
Clinical Case Presentations
Partnership: SBD Ministry of health Customized program : 8 hours Family Health Care Program Outreach Result: 15.000 heath professionals trained

Projeto Educando Educadores

September 2006: Law N 11.347 approved The need for qualified Diabetes Educators The partnership established: SBD&ADJ Supported by: IDF and RELAD Aims: Training Diabetes Educators and promote the access for high quality of care for all diabetes patients

 4 editions/year around the country 60 students pre selected per edition 40 hours course

Program and Methods

Theoretical interactive exposition review Interactive Case Presentation

Program and Methods Group Practice Workshops

Group dynamics Exhibition Role Playing

..... Educating is much more them just telling

somebody all you know about something...

.......But giving the right tools to promote change in their own behave ......

Avaluation and certification

Final evaluation : Based on the pre and ps test and the conclusion of the educational project analyzed by the scientific board

Program and Methods

5th EDITION

4th EDITION 6th EDITION

3th EDITION 9 EDITION 8th EDITION

2th EDITION 7th EDITION 1th EDITION

RESULTS RESULTADOS

437HEALTH PERSONNEL QUALIFIED 152 EDUCATIONAL PROJECTS APPROVED

Successful Initiatives
1th Ps Graduation Course Lato Sensu for graduation on Diabetes Education - MEC Private companies: investing in health products delivery CAPACITADORES FORMAO DE
EM DIABETES NA REDE SUS

Diabetes Education program with the Action of the Community Lay Health Care Workers 1998-2001

Diabetes Education Program with the Action of the Community Lay Health Care Workers 1998-2001

AIMS: To train the professional of the Family Heath Care Program on Diabetes care and education To evaluate the impact of the action of the community lay health care workers on the quality of care provided by the primary level of heath care

Educational Grant From: Eli Lilly Foundation

Forti, A.C.,Facanha, C.S. 35th annual DIA meeting, Boltmore, 1999 17th IDF meeting, Mexico

Diabetes Education Program

Patients (%) diagnosed in relation to estimated diabetic population.
1998 Diagnosed 22 % 2000 Diagnosed 66 %

Undiagnosed 78 %

Undiagnosed 34 %
Forti, A.C.,Facanha, C.S. 17th IDFmeeting, Mexico

Programa de Educao em Diabetes

12 1998 2000 8,4 10,4 9,4 8,9

HbA1c (mdia)

0 Pacatuba Beberibe
Forti, A.C.,Facanha, C.S. 17th IDFmeeting, Mexico

Payment structure for education

Private companies: investing in health products delivery Public health Not systematic care settings Resources for public health very low government comparing to the delivered:
developed countries

Cooperative system of health delivery:

Spreading in the country but not reimbursing for education

Diabetes education outcomes

Private companies: investing in health products delivery

Measuring the Impact of Education:

Much more than number of professionals trained

Coming Soon: Network Registration Center for all the Educational Programs in the Country

BRASILIAN DIABETES SOCIETY