Changing Diabetes in Children (CDC) - Uganda

Diabetes Care Uganda (DCU) is a diabetes care programme based at the Diabetes Centre of St. Francis Teaching Hospital, Nsambya, Kampala, Uganda. The DCU programme aims to create a Diabetes Centre of Excellence that incorporates patient-centred prevention, treatment, clinical research and education. This perceived Diabetes Centre of Excellence will functions as a “Hub” to accommodate complementary community services including:- patient self- management training programme services; voluntary sector enabling service for patient support groups; staff training; diabetes community researchers; promotion and patient education resources.

Diabetes & Fasting in Lent

Fasting During the Holy month of Ramadan


Our Areas of Focus

Measurable Improvements
Increasing the focus on measurable improvements in the quality of the delivery of diabetes care, where the results will be compared with those from other treatment centres to ensure that each centre within the program offers the best possible treatment.
Health Promotion
Continuing to offer the best possible medical treatment to all patients adding new elements through the activities in “Health Promotion”. This will focus on the lifestyle-related and behavioural and psychological elements in the treatment of patients.
Role Model for Diabetes Care
As a Diabetes Centre of Excellence, the St. Francis Hospital Diabetes Clinic will create an exemplar for effective high quality diabetes care with many parallels for other long term conditions. This will distinguish itself through being an innovator in research, teaching, and clinical practice, thereby establishing it as a leader in the country and beyond and creating opportunities for attracting additional external funding.
Diabetes Hub
As a Diabetes Centre of Excellence, the St. Francis Hospital Diabetes Clinic will function as “Hub” linking other smaller diabetes clinics in the community.
Teaching & Training
This unique vision of a Diabetes Centre of Excellence will bring together the complementary elements of teaching and training of both healthcare professionals and patients, enhancing and facilitating high quality self-care and service provision all underpinned and informed by relevant clinical research. This will deliver measurable improvements in health outcomes for local people with diabetes, as well raising our national and international profile for world class diabetes care and research.
Patient's Quality of Life
As a Diabetes Centre of Excellence, the St. Francis Hospital, Diabetes Clinic will ensure that research within the program is aimed towards preventing diabetes and improving the prognosis and quality of life of patients and their families. Science on a high level remains a core activity of the program. As a Diabetes Centre of Excellence, the St. Francis Hospital Diabetes Clinic will endeavor to establish education centres in the community using high quality treatment concepts in line with international centres of excellence.

CLINICAL VISION

The vision of the DCU is for integrated services provided in appropriate settings by staff with the adequate skills, and that patients are involved in planning their care and trained in self-management to promote healthy life styles and improve diabetes control and increase their life expectancy. The DCU will provide a stimulus for support to upscale primary and community care staff and provide expert support for practices with populations affected by diabetes and least access to appropriate health care.

Culturally appropriate Diabetes Education

  • Provide a pre-diabetes patient education programme to help people at risk achieve healthy life styles and reverse pre-diabetes.
  • Increase uptake of type 1 and type 2 diabetes patient training programme. Provide patient training in locations, at times and in different ways to respond to the needs of different localities and population groups.
  • Provide support for locality patient/peer support groups for people from rural and disadvantaged communities.

STRATEGY

A three-pronged strategy aimed at addressing diabetes and its complications is being implemented at the St. Francis, Nsambya Hospital Diabetes Centre


HOPIET-INS PROJECT

The HOPIET Project is a Collaborative Project of the Ministry of Health Uganda Government and the Isingiro Ntungamo and Sheema Districts and the World Diabetes Foundation.

The programme will be an integrated community-based disease intervention program in the Districts of Isingiro, Ntungamo and Sheema, in Western Uganda, that will seek to understand the health of the population in epidemiological transition by using large data sets that will be collected overtime.

GOAL: To improve the health of the Ugandan population.

AIM: To establish a longitudinal demographic surveillance that will provide data on cultural, social and behavioural determinants of health of a pop-ulation transitioning from malnutrition and infectious diseases to non-communicable diseases and collectively the policy makers, tax payers and planners change the ecosystem, build capacity and improve the clini-cal practice enviroment with the ultimate goal of improving the health of the population.

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The Republic of Uganda, National Health Facility Master List 2018 as referenced below. Some of these health facilities now fall under new districts (Ministry of Health Uganda Government. (2018) National Health Facility Master List 2018 Accessed on 10 July 2021 at https://www.health.go.ug/cause/nkwanzi-rakai-lwengo-kalangala-mukono-buikwe-mpigi-butambala-butam-butamba-wakiso-mubende-lyantonde-n-n-n-sembabule-buvuma-kampala-m-m-a-complete-list-of-all-health-facilities-in-uganda/)


Gov’t: Public Health Facility; no user fees

PNFP: Private Not For Profit; usually a minimal user fee is paid. The T1D Specialised Clinics do not have user fees on the outpatient care, and therefore are accessed as freely as Gov’t.: Highly subsidised user fees apply on admission; in a few this is waved.

Active: Refers that the Clinic has been running for over 2 years as of January 2021

New Site: Refers that the Clinic has been affected by COVID-19 pandemic and therefore not had adequate training since it had not been in existence to complete our training module which is at least one year.

Co-Ordinating Centre is in St. Francis Hospital, Nsambya, Nsambya Hill, Kampala Uganda. All clinics are utilise the Electronic Health Records and Management Tool (UT1D-HIMAS) - As of 1st August 2021 there are 2013 patients on follow up in the register.

Health facilities with established type 1 diabetes clinics - The Type 1 Diabetes Program in Uganda

NOTES

Number

Health Facility

Location: Town / District

Designation

Extra Support

Status

 

1

Arua Regional Referral Hospital

Arua

Gov't

CDiC

Active

Teaching Hospital

2

Gulu Regional Referral Hospital

Gulu

Gov't

CDiC

Active

Near Teaching Hospital

3

St. Mary’s Hospital Lacor

Gulu

PNFP

CDiC

Active

 

4

Kitgum Hospital

Kitgum

Gov't

CDiC

Active

Teaching Hospital

5

Lira Regional Referral Hospital

Lira

Gov't

CDiC

Active

 

6

St. Kizito Hospital Matany

Moroto

PNFP

CDiC

Active

 

7

Pope John XIII Hospital Aber

Oyam

Gov't

CDiC

Active

 

8

Apac General Hospital

Apac

Gov't

CDiC

Active

 

9

Soroti Regional Referral Hospital

Soroti

Gov't

CDiC

Active

 

10

Kiboga General Hospital

Kiboga

Gov't

CDiC

Active

 

11

Mbale Regional Referral Hospital

Mbale

Gov't

CDiC

Active

 

12

St. Anthony’s Hospital Tororo

Tororo

PNFP

CDiC

Active

 

13

Jinja Regional Referral Hospital

Jinja

Gov't

CDiC

Active

 

14

Holy Family Hospital Virika

Kabarole

PNFP

CDiC

Active

 

15

Mubende Regional Referral Hospital

Mubende

Gov't

CDiC

Active

 

16

Wakiso Health Centre IV

Wakiso

Gov't

CDiC

Active

Teaching Hospital

17

Mulago National Referral Hospital

Kampala

Gov't

CDiC

Active

 

18

Uganda Martyrs Hospital Lubaga

Kampala

PNFP

CDiC

Active

Teaching Hospital

19

St. Francis Hospital Nsambya

Kampala

PNFP

CDiC

Active

 

20

St. Joseph’s Hospital Kitovu

Masaka

PNFP

CDiC

Active

Affected by floods

21

Kilembe Mines Hospital

Kasese

PNFP

CDiC

Active

 

22

Masaka Regional Referral Hospital

Masaka

Gov't

CDiC

Active

 

23

Kabwohe Health Centre IV

Sheema

Gov't

CDiC

Active

Near Teaching Hospital

24

Holy Innocents Children Hospital

Mbarara

PNFP

CDiC

Active

 

25

St. Charles Lwanga Hospital Nyakibale

Rukungiri

PNFP

CDiC

Active

 

26

Bwindi Community Hospital

Kanungu

PNFP

CDiC

Active

 

27

Rugarama Hospital

Kabale

PNFP

CDiC

Active

 

28

Kisoro Hospital

Kisoro

Gov't

CDiC

Active

 

29

Nebbi General Hospital

Nebbi

Gov't

CDiC

Active

 

30

Lyantonde Hospital

Lyantonde

Gov't

CDiC

Active

 

31

Kagando Hospital

Kasese

PNFP

LFAC

Active

 

32

Uganda Martyrs Ibanda hospital

Ibanda

PNFP

CDiC

Active

 

33

Masafu General hospital

Eastern Uganda Busia

Gov't

CDiC

New site

 

34

Nakaseke General Hospital

Nakaseke

Gov't

CDiC

New site

 

35

Amudat Hospital

Eastern Amudat

Gov't

LFAC

New site

 

36

Nakosongola hospital

Nakosogola

Gov't

LFAC

New site

 

37

Rakai hospital

Rakai

Gov't

CDiC

New site

 

38

Buliisa General Hospital

Buliisa 

Gov't

LFAC

New site

 

39

Kiryandongo Hospital

Kiryandongo 

Gov't

LFAC

New site

 

40

Masindi Hospital

Masindi

Gov't

LFAC

New site

 

41

UMSC Hospital

Hoima

PNFP

CDiC

New site

 

42

Bundibungyo Hospital

Bundibungyo

Gov't

LFAC

New site

 

43

Bishop Ceaser Asili Mem. Hospital

Luweero

PNFP

CDiC

New site

 

44

Katakwi Hospital

Katakwi

Gov't

LFAC

New site

 

45

Yumbe District Hospital

Yumbe

Gov't

LFAC

New site

 

46

Holy Family Hospital-Nyapea

Zombo

PNFP

CDiC

New site

 

47

Adjumani Hospital

Adjumani

Gov't

LFAC

New site

 

48

Kalangal Health Centre IV

Kalangala

Gov't

LFAC

New site

 

49

Kalisizo Hospital

Kyotera

Gov't

CDiC

New site

 

50

Kayunga referral Hospital

Kayunga

Gov't

CDiC

New site

 

51

Sembabule Health Centre IV

Sembabule

Gov't

LFAC

New site

 

52

St Charles Lwanga Buikwe Hospital

Buikwe

PNFP

LFAC

New site

 

53

St Lawrence Villa Maria Hosp

Kalungu

PNFP

LFAC

New site

 

54

Nkozi Hospital

Mpigi

PNFP

LFAC

New site

 

55

St Francis Hospital Naggalama

Mukono

PNFP

LFAC

New site

 

56

Kisiizi Hospital

Kabale

PNFP

LFAC

New site

 

57

Anaka Hospital

Nwoya

Gov't

LFAC

New site

 

58

St Joseph's Hospital

Maracha

PNFP

CDiC

New site

 

59

Kamuli Mission Hospital

Kamuli

PNFP

CDiC

New site

 

60

Kapchorwa Hospital

Kapchorwa

Gov't

LFAC

New site

 

61

Bududa Hospital

Bududa

Gov't

LFAC

New site

 

62

Kyenjojo Hospital

Kyenjojo

Gov't

CDiC

New site

 

63

Ngora Freda Carr Hospital

Ngora

PNFP

CDiC

New site

 

64

Dr. Ambroseli Hospital Kalongo

Agago

PNFP

CDiC

New site

 

65

Kyabilikwa health Centre

Isingiro

PNFP

LFAC

New site

 

66

Moroto Regional Referral Hospital

Moroto

Gov’t

CDiC

Active

 

67

Rwashamaire Health Centre IV

Ntungamo

Gov’t

CDiC

New site

 

68

Kiwoko Hospital 

Kiboga

PNFP

CDiC

New site