Global Health

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GlobalHealth: An intervention to address diabetes in Sierra Leone


Increasingincidences of diabetes in Sierra Leone have raised concerns amongmedical practitioners and the government, resulting in abrupt medicalmeasures to prevent the skyrocketing incidence rate. In this regard,doctors have activated emergency diabetes clinics in Freetown and itsvicinity to aid in the screening of the disease. Frequent checks arecrucial for the population to ensure early detection and control ofthe illness by administering treatment[ CITATION Hol15 l 1033 ].Besides Ebola and malaria, health professionals are now worried abouthow diabetes has taken center stage, being more prevalent inFreetown. Diabetes is a chronic disease that once acquired could leadto severe health complications[ CITATION Hil13 l 1033 ].

Relationof MDGs to the formulation of interventions

Themillennium development goals have put emphasis on the significance ofhealth to economy[ CITATION Dod13 l 1033 ].Health has a significant implicationon the economic growth and development [ CITATION Hil13 l 1033 ]hence the government has joined hands with primary health careproviders to ensure the affordability of medication and supplies.


Diabetesawareness programs

Thegovernment ought to instigate diabetes awareness programs throughoutthe country and in both public and private health care facilities.Awareness programs play a significant role in educating anddisseminating vital information to the masses.

Healthsystems improved

Moreover,the government should invest heavily in health care sector to ensureimproved health care delivery and enhanced medical practices.Opportunistic screening in health care facilities must be encouragedwhen people visit hospitals for other conditions as early detectionof the disease provides an opportunity for its treatment.

Researchand development

Thereis a lot needed regarding investigation and development of diabetesprevalence, complications, and necessary intervention measures.Sierra Leone government in collaboration with the research centersneed to undertake studies to provide and evidence-based data crucialfor the implementation of appropriate policies.

Socialand cultural issues

Theimplementation of the plan has put into consideration the social andcultural aspects of the community as a whole. The prevalence ofdiabetes in the country does not choose the affluent or the poor butaffects the entire community. Initiation of such a plan will work tothe benefit of the whole society.

Implementationof the plan

Thegovernment is the primary stakeholder in the project since most ofthe steps to be taken involve authority from the policy maker. Also,health care institutions and research centers across the country mustbe deeply involved in the provision of medication and supplies andinvestigation of the diabetes incidence, respectively. The governmentis expected to inject its resources in the health care sector toensure quality provision of services[ CITATION Hil13 l 1033 ].Medicalprofessionals are supposed to carry out the plan within three monthsto guarantee effective results.

Evaluationof the structure

Theintervention plan involves activation of emergency medical camps inhealth care centers around the country. Therefore, the establishedcenters will suitably provide the evaluation of the program as theydirectly interact with people.


Theappropriate evaluation strategies would be conducting a survey of thepatients visiting health care emergency camps. Surveys are suitableas they provide a personal and direct interaction with the people.

Disseminationof the evaluation results

Theresult of the evaluation would be shared through health careinstitutions and also the media to ensure full coverage. The spreadof this information is crucial to the plan as it provides insightsinto the disease in the community.


Dods, R. F. (2013). Understanding Diabetes: A Biochemical Perspective. London: John Wiley &amp Sons.

Hilawe et al, E. (2013). Differences by sex in the prevalence of diabetes mellitus, impaired fasting glycaemia and impaired glucose tolerance in sub-Saharan Africa: a systematic review and meta-analysis. Bulletin of the World Health Organization, 91 (9), 671-682.

Holt, T., &amp Kumar, S. (2015). ABC of Diabetes. London: John Wiley &amp Sons.

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