National Diabetes Strategy Updates Dr. Al Anoud Mohammed Al-Thani

I DO NOT have actual or potential conflict of interest in relation to this presentation.

Diabetes in Qatar Stepwise Survey 2012 RESULTS 41.4% are obese 32.9% are hypertensive 16.7% are diabetic 5.8% Prediabetes 16.4% are smokers 45.9% physically inactive 11 – 20% Gestational Diabetes Qatar Stepwise Survey 2018

Diabetes Burden Death caused by Diabetes affects all ages and mostly those under the age of 60 Four out of ten adults with diabetes in the MENA region are undiagnosed Economic impact of diabetes is very high in comparison to the cost of prevention and health promotion Global, regional and national numbers on prevalence of diabetes are continually increasing

National Diabetes Strategy Vision Preventing Diabetes Together To prevent diabetes and its complications and improve health and quality of life in the State of Qatar

National Diabetes Strategy Goals Increase public awareness and improve patient empowerment Prevent occurrence and delay disease progression Deliver high quality diabetes care Develop an information technology and diabetes research program

National Diabetes Strategy Pillars Awareness and Prevention Patient Empowerment Care Delivery Building Capability and Capacity Information Management Research An integrated and coordinated view across the six pillars is essential to the success of the strategy. As the pillars are interrelated, coordinating teams are working closely to ensure the complete strategy is fulfilled

National Diabetes Strategy Elements Awareness Awareness & Prevention “What is diabetes?” “Truth about diabetes” “What’s your sugar level?” “Don’t wait for diabetes to become serious” “Get checked now” Prevention Annual exams Compliance and prevent complications Treatment of complex, established and advanced complications diabetes “Stay on track” Counseling Treatment of early diabetes Coordination “Take action” “Change your lifestyle” National Diabetes Screening Program Patient Empowerment Patient app Care Delivery, Capability and Capacity Planning HCP app Tracking Tracking Information Management Registry Data integration Population Health Statistics Research Research agenda Service Evaluation Clinical Research

National Diabetes Strategy Projects Priority Projects – Phase 1 Remaining Projects – Phase 2 Pillar 1 Awareness and Prevention 2.1 National Agenda w/ key messages aligned and agreed 2.2 Logos, brands and marketing material developed 2.3 8 awareness and prevention campaigns created 2.4 National Diabetes health communications plan developed 2.5 Launch first coordinated awareness campaign 2.6 Launch first coordinated prevention campaign Pillar 2 Patient Empowerment 3.1 National education curriculum aligned and agreed 3.2 Network of patient advocates and Community Champions 3.3 9 curricula for patient types and care givers created 3.4 Educational material and training manuals developed 3.5 Course schedule and plan for location of education developed 3.6 Content for all channels developed 3.7 Launch education to diabetic patients w/ complications 3.8 Launch education to pre-diabetic patients and recently diagnosed patients Pillar 3 Care Delivery 4.1 Clinical guidelines, referral protocols and patient pathways aligned and agreed on national level 4.2 Coordination process aligned and agreed on national level 4.3 Assessment of resources requirements (MDs, RNs) based on capabilities needed to complete screening for the general public 4.4 Training of all 28,000 MDs and 13,000 nurses in Qatar on diabetes guidelines, pathways and protocols completed 4.5 National Screening program initiated 5.3 Development of recruitment plan 5.4 CME/CNE/CE/CCE training of 1,167 HCP completed 5.5 National coordination capabilities (central coord., apt., referral portals, processes, hotlines, etc.) developed 5.6 Professional support network for patient advocates, educators and community champions established Pillar 4 Human Capital and Capacity Building 5.1 Job descriptions, recruitment framework and sourcing partnerships for hiring integrated teams developed 5.2 National educational curriculum and programs for CME, CNE, CE, CPE, and CCE created 6.4 Coordination center portal developed 6.5 Education tracker developed 6.6 Support resource tracker developed 6.7 Appointment and referrals portal developed 6.8 Data integration layer developed 6.9 Dashboard for monitoring service utilization, resource management and population statistics developed Pillar 5 Information Management 6.1 Diabetes data strategy, requirements, and inputs defined, aligned and agreed to national strategy 6.2 Screening registry established 6.8 Data integration layer requirements Pillar 6 Research 7.1 National diabetes research agenda aligned and agreed 7.2 Data requirements, sharing policies, data standards, IP Policy, research ethics, use of data and research process developed 7.3 Research portal developed 7.4 Research platform developed 7.5 Population health statistics available 7.6 Service utilization and resource data available 7.7 Care coordination and quality of care data available

National Diabetes Strategy Key Priorities A tender has been awarded to start 8 campaigns for Diabetes in the State of Qatar Set national agenda for awareness and prevention Currently in progress, the awareness campaigns need to be delivered first – interdependency Set national curriculum for patient empowerment Six National Diabetes Clinical Guidelines and associated pathways have been developed and published Define guidelines and pathways e-learning diabetes modules is developed to support the National Diabetes Strategy and will be available to all Healthcare Professionals Develop and deliver diabetes-specific continuing medical education A separate online course has been created to provide HCPs with insight into each of the six Clinical Guidelines and Pathways Train all HCPs on guidelines and pathways Currently working to design and develop a National Diabetes Registry Build infrastructure for information management and research (National Diabetes Registry) The National Guidelines for screening of Diabetes and its Risk Factors is currently in development Prepare and launch national screening program

Thank you.