Charlotte Block presented on measuring indicators for non-communicable diseases (NCDs) at the CORE Group Spring Meeting. She discussed Project HOPE's work in multiple countries to prevent and manage NCDs like diabetes through health worker training, education programs, and mobile health clinics. Key indicators measured include glycosylated hemoglobin A1c, fasting blood glucose, total cholesterol, blood pressure, BMI, waist circumference, quality of life surveys, and lifestyle factors. Integrated screening also tracks complications, co-infections, and access to healthcare. Project HOPE uses clinical labs, questionnaires, and anthropometric tests to monitor pre- and post-intervention outcomes.

1. Charlotte Block, MS, RD
Global Health Program Officer
NCDs/Nutrition
cblock@projecthope.org
Measuring NCD Indicators
CORE Group Spring Meeting
May 1st, 2012

2. Project HOPE Programs
New Mexico, USA China
Mexico 2010- present 1996-present
2001-present
Nicaragua India
2010 - 2011 2007-present
S. Africa
2011-present

3. NCDs 101
4
Diseases
x 4
Risk Factors
X
(80% of 4 main NCDs prevented by eliminating the 4 shared risk factors.)

4. Changing Burden of Disease

5. Diabetes Medical Training - China
Harbin
Beijing
Qingdao
Xi’an
Nanjing
Shanghai Huashan
Shanghai Ruijin
Chengdu
Hangzhou
• Rural and Urban Training Centers
• Trained >40,000 health care providers Guangzhou
• Reaching >170,000 patients and families
• MoH partnership -> National Standards

6. China NCD Management Program

7. Diabetes Education - Mexico
• Curriculum development:
• 5 Steps for Self-Care Patient Course
• Lend a Hand in Self-Care TOT Course
• Adopted by government and community
health centers
• Peer support training model
• School Based “Diabesity” Prevention

8. HABITS for LIFE – New Mexico, USA
• Targeting health disparities using mobile health unit
• New Mexico rural, underserved communities
• Prevention, screening, education and access to care
• Health worker training

9. Gestational Diabetes – Latin America
• Pilot project in Nicaragua & Mexico
• Training government health workers
• Trainees screen and educate pregnant
patient groups at health centers.

10. Diabetes Educators - India
• National Diabetes Education Program
• Master Trainer/ToT model
• Distance learning
• Launching DE profession
• 12 Diabetes Centers
• School based Healthy Habits
• Workplace Wellness
• CHW training

11. HOPE Center – Johannesburg, SA
• CHWs training in diabetes
focused screening/referrals
• Peer education groups to
empower patients with diabetes
prevention and management
activities
• Screening services including:
HbA1c, cholesterol, retinal scan,
and foot screening

12. Diabetes Indicators
• Glycosylated Hemoglobin A1c
- 3 month blood sugar average
• Fasting Blood Glucose
• Oral Glucose Tolerance Test

13. Risk Factor Indicators
• Total Cholesterol
• Fasting vs. random
• LDL/HDL, Triglycerides
• Blood Pressure
• <120/80
• BMI kg/m2
• >30 obese; > 25 overweight
• Waist circumference

14. Lifestyle Indicators
• WHO-5 Quality of Life
• Self-Efficacy
• Healthy Habits
• Fruits & Vegetables
• Clean Water
• Physical Activity

15. Other measures
• Knowledge/Awareness
• Pre/Post tests
• Complications
• Neuropathy
• Nephropathy
• Retinopathy
• Integrated screening
• TB, HIV, GDM
• Access to Healthcare (medical home)

16. THANK YOU!
• Clinical Labs
• Self-Reporting
Questionnaires
• Tests Pre-Post
• Anthropometrics