1. International Diabetes Federation

3. Context Diabetes Statistics:  Prevalence: 6.7% in 2010 and 7.8% by 2030.  5th leading cause of mortality (2010)

4. Davao City Population of 1.46 million in 2010 244,000 hectares 182 Barangays, 165 health centres

5. Davao City Diabetes is the 7th all-age leading cause of mortality in 2004-2008 in Davao City Services for diabetes largely unavailable in 2006.

6. The Diabetes Project Pilot project (2007-2009) 10 Barangays To increase access to multidisciplinary, integrated diabetes management. By capacity building of: – Service providers – Self-help groups – Barangay local government units

7. The Diabetes Project Capacity building of health and rehabilitation service providers with emphasis on preventive foot care and rehabilitation : 1.Training of primary health care professionals and community health workers 2.Skills upgrading of prosthesis and orthotics technicians 3.Development of tools for: General information Patient education Health service provision and referral

8. The Diabetes Project Organization and capacity building of self-help groups to be able to advocate for services and find additional resources to support the cost of care of their members

9. The Diabetes Project Capacity building of barangay local government units and policy makers

10. Facilitating tool to identify stakeholders’ roles in increasing access to services

11. The CVD Program Launched in 2010 To replicate good health service delivery practices in the entire city (182 barangays) Aims to operationalize the national Integrated Non Communicable Disease Prevention and Control Framework (INCDPC) Primary Prevention Secondary Prevention Tertiary Prevention Referral System

12. 1. Building Multi-stakeholder Partnerships:

14. 2. Building the Capacity for Service Provision:

18. 3. Designing Processes and Tools:

19. 4. Emphasizing Self-Care through Education:

20. 5. Putting Emphasis on Measurable Impact:

23. Conclusion and Recommendations:

24. Thank You