Table 6.
Summary of three innovations on NCD tertiary prevention in ASEANa
| Innovation 1. Digital Retinal Photography for Diabetics in Rural Communities, The Center of Excellence (COE) for Retina Diseases, Rajavithi Hospital & Institute of Medical Research and Technology Assessment (IMRTA), Department of Medical Services, Ministry of Public Health, Thailand | |
| Focus | Diabetic retinopathy (DR) |
| Innovation | Alternative solutions are explored to bring DR screening into the villages so that more people could benefit |
| Aim | Bringing eye care to the villagers so that villagers could have DR screening access |
| Strategy | Identify committed village volunteers who are not medically trained to learn and perform the DR screening |
| Key finding | A strong political will is needed to implement the Diabetic Blindness Prevention project to the community |
| Innovation 2. Improving Care of Pediatric Patients with Diabetes, Indonesian Pediatric Endocrinology Chapter, Indonesian Pediatric Society (IDAI) and Indonesian Association of Families with Diabetes Mellitus Children (IKADAR) | |
| Focus | Diabetes |
| Innovation | The project lead skilfully capitalised on data to seek funds and also utilised multi-prong approaches for outreach programmes to create awareness |
| Aim | Establish a comprehensive diabetes management programme for children with type 1 diabetes |
| Strategy | Identifying the childhood diabetes problem with data, reach out to the funding bodies to present the case and seek funding; building capacity among health care providers and engaging stakeholders and family in awareness programmes |
| Key finding | Education and awareness creation for the patients and convincing stakeholders are key to successful programme implementation |
| Innovation 3. Community Diabetes Strengthening, Indonesia | |
| Focus | Diabetes |
| Innovation | Flexibility and stakeholder engagement strategies to introduce the programme were highlights of the initiative |
| Aim | Improve the capacity of preventing, detecting, and treating diabetes to reduce the burden of diabetes in Indonesia |
| Strategy | Establishing diabetes management systems in hospitals and primary health centres in the community |
| Key finding | Results showed a 15% increase in diabetes education provided in the provincial hospitals and over 20% increase in the puskesmas. A total of 1,237 health professions in all were trained in diabetes management; establishment of specific diabetes clinics |
a
Complete case studies can be found at: www.healthspace.asia.