Seychelles Primary Health Care Package
Diabetes Prevention and Control Programme
Supporting diabetes prevention, early detection, treatment, rehabilitation and self-care for people with Type 1 diabetes, Type 2 diabetes, gestational diabetes and prediabetes.
Programme Overview
A structured primary healthcare programme supporting prevention, screening, treatment, rehabilitation, monitoring and long-term diabetes self-management.
What Is The Programme?
The programme oversees activities for diabetes prevention and control. It provides health promotion, prevention, treatment and rehabilitation services for persons with Type 1 and Type 2 diabetes, gestational diabetes, impaired glucose tolerance and impaired fasting glycaemia.
Why Implement It?
- Diabetes is a major non-communicable disease burden in Seychelles.
- An estimated 10% of men and 11% of women had diabetes in 2013.
- Type 2 diabetes is largely preventable through lifestyle interventions.
- Diabetes can lead to amputation, blindness, kidney failure, heart attack, stroke and premature mortality.
Aims
- Reduce the incidence of Type 2 diabetes.
- Reduce premature mortality associated with diabetes.
- Improve glycaemic control.
- Reduce diabetes-related complications.
- Integrate diabetes prevention and control into existing programmes.
- Establish quality assurance and continuous quality improvement systems.
Key Interventions
The programme focuses on health promotion, prevention, early detection, routine care, monitoring and patient self-care support.
1 Health Promotion
- Increase community awareness of diabetes.
- Provide education and information about diabetes to the general population.
2 Primary Prevention
- Promote physical activity.
- Promote healthy eating.
- Support weight reduction.
- Encourage smoking cessation.
- Reduce harmful use of alcohol.
3 Early Detection
- Routine laboratory screening of blood sugar levels.
4 Routine Care
- Pharmacological and non-pharmacological treatment options.
- Adherence support using mHealth and eHealth.
- Annual dental checks.
5 Monitoring
- Blood glucose.
- HbA1c.
- Lipid profile.
- Renal function markers.
- Annual urine testing for microalbuminuria.
6 Patient Self-Care
- Written and visual educational materials.
- Written action plans.
- Training and support for insulin-dependent diabetics.
- Training for self-monitoring of blood glucose levels.
Eligibility
- General population.
- Persons with prediabetes.
- Patients with Type 1 diabetes.
- Patients with Type 2 diabetes.
- Patients with gestational diabetes.
Referral Routes
- Self-referrals.
- Referral by health professionals.
- Referral by non-health professionals.
Who Provides Services?
- Pharmacists
- Podiatrists
- Optometrists
- Dental care professionals
- Primary care physicians
- Nurses
- Nursing assistants
- Dietitians
- Diabetes educators
- Mental health professionals
- NGOs
- Support groups
- Family members