1. Development Programme for the Prevention and Care of Diabetes, DEHKO 2000-2010 Leena Etu-Seppälä Finnish Diabetes Association

2. Background of the Dehko Programme Prepared by the diabetes experts, health care professionals and people with diabetes 1998- 1999 Approved in January 2000 as the National Diabetes Programme for Finland for 2000-2010 15 objectives 25 action recommendations, of which 10 are key actions Finnish Diabetes Association as initiator, coordinator and responsible for the national sub- projects

4. Financing Dehko 2000-2010: Governmental resources ( Finnish Slott Machine Association since 1999), in addition corporate partners- in total nearly 500 000 euros per year FIN-D2D 2003-2007: Public health resourses / Ministry of Social Affairs and Health, Finnish Slott Machine Association, Hospital Districts (5), National Public Health Institute, FDA – in total 1,6 million euros per year

5. Follow-up and Assessment By 2004 five external assessments of Dehko, next will be done in 2006 Over 40 publications: reports on surveys related to Dehko targits, reports on local, regional and national solutions, Dehko quality criteria, quality meters for diabetes care etc etc Annual Dehko symposia for the key players ( for nearly 200) National Dehko Days ( 2003, 2006, 2008, 2010) Dehko Awards for the best solutions in the health care

6. Results In the ten-year action programme the result assessment is based on: 1)Reaching the set 15 objectives 2)Implementing all 25 action recommendations 3)Positive health outcomes both in care and prevention of diabetes 4)Changing the direction of the ship permanently

7. Reporting results IDF Europe meetings 2006-2010 International Reporting Days, 4-7 June 2006 in Tampere, Finland EASD/ Copenhagen 2006 IDF Congress/ Cape Town 2006 International Reporting Days 2007 EASD 2007 Congress on Prevention of Diabetes and its Complications, Finland 2008

8. Why in Finland ? 50 year old, strong organization IDF Congress organizer 1997- diabetes awareness Study on the Finnish diabetes expenses Common understanding and willingness Good planning, evidence-based argumentation ( DCCT, UKPDS, DPS, DPP) Financing on governmental basis