This document summarizes a presentation on addressing diabetes in low resource settings through community health systems and health system strengthening. It notes that low resource settings are seeing the largest rises in diabetes, with 80% of cases occurring among the working population, presenting a huge economic burden when awareness and diagnosis are low. It describes a study of a non-invasive screening technique for diabetes using advanced glycation endproduct detection in skin. It also discusses advocacy workshops for policymakers on diabetes, efforts to integrate diabetes care closer to communities, and the need for innovation to engage communities in prevention and detection, maximize current health platforms, expand the reach of health care workers, and ensure consistent supply of affordable medicines and technologies.

1. Diabetes in Global Health
CORE: Global Health Practitioners Conference
Strengthening Community Health Systems through CHWS and Health System Strengthening
Helen McGuire
Director
Noncommunicable Diseases
PATH
October 17, 2014
PATH/Eric Becker

2. Diabetes in low resource settings
Low resource settings are seeing the greatest rise in diabetes and 80% are among the working population. It presents an enormous economic burden but awareness is low and diagnosis comes too late.

3. •Candidate diabetes/CVD technology for LRS: Non-invasive AGE screening
•Detect advanced glycation endproducts (AGEs) in skin.
•Non-invasive, no disposables needed, low cost.
•Tested in 1,000-patient study in Chennai (Dr. Mohan—NIH/NIBIB funded).
Veralight Scout DS® System
Diagnoptics AGE Reader
Study team in Chennai
Innovate: New/adapted screening tools for diabetes

4. Advocate: Three-day advocacy workshop for NCD MoH representatives and thought leaders.
“It was a great opportunity to work with PATH and to learn from their global experience in policy advocacy. It was great as an NCD policymaker to appreciate the critical role this training may have in designing policy change solutions to address diabetes and other NCDs.”
–Dr. Kibachio Joseph, Head of NCD Control Unit, Kenya
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5. Integrate: Bring care closer to home
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Optimize: No Empty Shelves: Diabetes supplies, there when needed.

7. Innovation required to:
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•Engage communities and families in prevention and detection
•Maximize the use of current health platforms
•Expand the reach of health care workers bringing care closer to home
•Offer consistent supply of affordable essential medicines and technologies