brazil cris facanha

7/31/2019 Brazil Cris Facanha

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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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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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brazil cris facanha

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