Accelerating Best Practices in Peer Support Around the World

diabetes

4.17.15

Community Health Workers in Action: Mingo County, West Virginia

Clayton Velicer, MPH

In our recent two part blog, we discussed the Institute of Medicine’s recent position paper on Community Health Workers (CHWs) that outlined some of the current challenges facing the CHW workforce and recommendations for steps moving forward. In this blog, we zoom in to the ground level in Mingo County, West Virginia, which has a great CHW program recently featured in AADE In Practice (American Association of Diabetes Educators).
The Mingo County Diabetes Coalition
Mingo County, in rural Appalachia, is categorized by many generations of family living in the same area, resulting in a strong bond with the land as well as the extended family. Diabetes is a major health concern in Mingo County where 13.1% of adults are living with the disease.

To address this problem, the county received supported from the CDC and the Appalachian Regional Commission to organize physical activity and healthy eating programs. The project received additional funding from the…

12.1.14

Dulce Mothers: Promotoras and Mothers with Gestational Diabetes

Clayton Velicer, MPH

For a long time, promotoras have helped improve access to healthcare and self-management of chronic diseases. See our previous coverage of the great work done by promotoras in mental health, improving mother’s dietary intake and improving hypertension outcomes.

In this week’s blog we highlight a recent article by Athena Philis-Tsimikas that examined the effectiveness of the Dulce Mothers program, a promotora intervention designed to lower diabetes and cardiovascular risk in Latinas following gestational diabetes.

All women with a history of gestational diabetes mellitus have a sevenfold higher likelihood of future type 2 diabetes and also have a higher risk for developing cardiovascular disease (CVD) compared to mothers that do not have gestational diabetes. Latinas, in particular, are at higher risk for both gestational diabetes and type 2 diabetes compared to non-Latino whites.
Training and Intervention
The Dulce Mothers intervention adopted the…

10.30.14

Comparing Diabetes Support in 3 Countries

Clayton Velicer, MPH

Our website has frequently promoted peer support and community health worker programs around the world including programs in Afghanistan, China, Australia, and India.

In this week’s blog, we discuss the findings from a recent article that compares the peer-led MoPoTsyo program in Cambodia with diabetes support programs in two other low- and medium- income countries (DR Congo and Philippines).
DR Congo
The program in Kinshasa, DR Congo includes 80 primary care centers (called Kin-Reseau) that deliver diabetes care as part of its basic package. The program was founded 40 years ago by a missionary doctor that trained the health center staff to decentralize care. The centers offer a weekly health center visit and bi-monthly medical consultation by a trained doctor that includes glucose and blood pressure measurements and foot care. Medicines are offered at subsidized rates and patients on insulin receive their injections at the health center with a nurse’s…

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