A private donation: Mrs Ruud van Dam, from the Netherlands, visited the slum area downtown in Phnom Penh Boeungkak 2 where Peer Educator Taet Touch is working with the people living with diabetes. She donated €2500 to MoPoTsyo and we are using this money to pay for some of the important things that we can do for the poor people with diabetes or hypertension in two of Phnom Penh’s urban slums, Boeungkak 2 and Sras Chork. This type of donation remains particularly welcome because very poor people cannot always afford the costs of living with diabetes. With a little bit of support, it makes a big difference.
MoPoTsyo charges: Now that our members in urban slum areas are familiar with the program, we are adapting to make it more sustainable. Beginning 2009, we started to recover the costs of the blood glucose strips and needles from “our people” who have been with MoPoTsyo for more than 3 years. They already understand the need for controlling blood glucose regularly. We plan to still give them 4 free tests per year (once per 3 months), but we will ask them to pay the costs each time if they want to test their blood sugar more often. We will see how it works. The price that we have fixed in all the projects is 2000 riels per blood glucose test (USD 0.50). With that price, people can test as often as they want. The person with diabetes notes down the BG result in his self management book. The Peer Educator also notes it down and reports it to the database. This cost recovery system does not apply for new patients during the first year. New patients get 12 tests for free (one per month) and 6 tests for free during the second year, and 4 during the 3rd year.
MoPoTsyo’s drop out rate: Time and monitoring will tell us this in a few years when our drop out rate changes. Over the past 3 years we are losing 10% of our patients every year. Half are lost because they move out of the area where the community based peer educator lives. The other half is more or less equally divided between deaths and people who are no longer interested. So actually less than 3% of our members voluntarily drop out of MoPoTsyo.
Médecins Sans Frontières Belgium donated € 50,000 to our program coming from the Nobel Prize winning NGO. The money is vital for our expansion inside Takeo province where MSF Belgium closes its diabetes clinic in the middle of 2009. MSF Belgium leaves Cambodia precisely 20 years after it arrived. They will be missed.
Het Maagdenhuis donated €10,000 for a high blood pressure intervention in Anlong Kangan. It is a pilot project which allows us to experiment to get the model right before we replicate it to a rural area. The intervention uses high blood pressure screening by lay people. They follow a protocol to decide who has high blood pressure, and just as important, which person with high blood pressure has to go and see the doctor and who can first try to see if lifestyle changes work to get that blood pressure down to acceptable levels. This way helps to save money and costs to everybody.
We signed new agreements with hospitals, private pharmacies and Operational District authorities, as part of our expansions in area and in scope in Takeo and in Phnom Penh OD West (hypertension+diabetes).
Time for a change: As an example of what can be done to alleviate the needs of people with diabetes in low income countries, MoPoTsyo’s peer education strategy was mentioned in an article written by the IDF Vice President Wim Wientjens, published in Diabetes Voice of December
A study abroad: Our General Program Manager Pov Sothearin received an award from WDF to pay for a six week study visit to Dr V. Mohan’s Diabetes clinic (http://www.drmohansdiabetes.com/) in India’s Chennai (formerly Madras) until mid March 2009.
Seng S. Studying changes in glycaemic index of white rice according to how it is prepared.
[sited 5 February 2009] Available from: http://www.mopotsyo.org/20070730GIfinal.pdf