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Entrants's Name: Patricia Maria Blanco

Country: Bolivia

Field: Healt

Innovation - idea: The Vida Plena Foundation which I direct is an organization without aims of profit that it has like mission "to work to prevent the disability and early death that the Diabetes generates in the excluded communities more. It does by means of the qualification and qualification of the equipment of health of the first level of attention and through the promotion of healthful nourishing habits in the families "Is innovating because it as much detects with a minimum cost to the people with diabetes and factors of risk for diabetes as for non transmissible diseases, using the existing resources in the community; university, promotional students of health of different organizations, etc

Innovation - why it is pioneering: In Bolivia Programs of Primary Attention in Diabetes do not exist neither, programs of prevention of non transmissible diseases. In Bolivia it hasn’t been faced an integral program focus in qualification attention in diabetes or primary attention by means of the promotion of healthy nourishing habits in grown ups and women.

Strategy - how it achieves impact: Description of the Service: The "Program of Prevention and Primary Attention in Diabetes" count whit two services and a product: Advanced training course in: Primary attention of Diabetes(Strategy that promotes the qualification and quantification of doctors and nurses of the team of health of the first level of attention to offer to attendance adapted to the diabetic patient including integration to the equipment of health of the hospitals of reference of 2º and ér. level), Advanced training course in Healthful Nourishing Habits (Strategy that it looks for to promote the healthful nourishing habits in the families and their communities by means of advanced training courses since it is established that this disease has like main factors of risk to inadequate the nourishing habits and to the styles of life of the individuals.) and Book "Diabetes Life in Balance" Additionally the program counts on three support: the surveys, the pursuit and control to the detected people and the accessible medicine provision by means of agreements and agreements with institutions. Great part of the rural sector of Bolivia at the moment is excluded from the services of health, this has caused that in the case of the Diabetes, main cause of morbidity in the department of Cochabamba, generates death or early disability. The causes of these sequels must in most of cases to that this sector of the population has low economic income

Strategy - growth plans: Potential of copy: The model of prevention and primary attention of Diabetes that sets out has the potential of being talked back in other countries and in addition it can be unfolded towards other non Transmissible Diseases like: Cardiovascular obesity, Diseases and Cancer, since the factors of risk of these also have to do with nourishing habits and the life styles. It is to emphasize that I have developed east program in the Province of Salta, Argentine Republic with the support of the Hospital of Endocrinology and Metabolism "Dr Arturo Oñativia" between years 1996 - 2001; today I am talking back it in Bolivia. In the next 3 years we are going to reach 359.265 persons, 1.148 teams of health (doctors and nurses) from 489 communities

Impact to date: In three years of work, the social impact generated by the Program of Diabetes is transformed in the following way:

Group Total Population beneficiated 32.200 persons beneficiates Communities 90 communities Surveyed people 630 persons People detected with risk factors 230 persons Diabetics detected 10 persons Personnel of Health (doctors and nurses) enabled 618 involucrate Institutions 10 institutions At this moment in Salta Argentina, the program is working and now in the minestery of public health has taken as a programo f itself. In Bolivia 10 institutions have been involved, this institutions are Universidad Católica, Mano a Mano, Secretaria de Salud de Potosí y Tarija, Organización Panamericana de la Salud, Fé y Alegría, Cooperación Italiana, arzobispado de Potosí.

Future impact: The vision of the organization for next the three years contemplates: "To constitute itself in an integral model of prevention, attendance and control in Diabetes at national, talk back able level in other countries". Simultaneously, in Bolivia, we have indicators of infantile undernourishment that even continue being high with the course of the time. The nourishing habits show that the consumption of proteins hardly reaches half of the daily requirement, with serious consequences as much the physical development as intellectual the consumption of fruits and vegetables does not arrive nor to the tenth part, which means a deficit in the contribution of vitamins and minerals that they protect and they regulate to obtain the good operation of our body. We want that a system of nutritional qualification for the student is implemented at national level, the adult and fundamentally to empower to the woman and this way to fight so much the infantile undernourishment as non transmissible the chronic diseases

Sustainability - resource base: i am going to send an attached file for this question

Major challenge for the field: the greater present challenge is to be able the financing to be able to consolidate the made thing. The organizational challenge is to consolidate the foundation. And the future challenge the law of the diabetic promulgated and implemented in Bolivia

Contact Information:

Name: Dr.Ms Patricia Maria Blanco - President
Country: Bolivia
Website: fundacionvidaplena.


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pregunta Posted May 22 '06, 9:35:54
Doctora: Con este plan como se pretende salvar la barrera principalmente cultural que se tendría con la gente que vive en el área rural del país, las cuales tienen muy enraizados sus habitos alimenticios. Gracias.


- Jesús Pablo Muñoz Vargas


Salvar la Barrera Cultural Posted May 24 '06, 9:33:08
(Reply to: "pregunta")
Gracias Jesús por tu interesante pregunta. Es cierto, en Bolivia las tradiciones y cultura alimentaria, están muy arraigadas. Sin embargo, creo que la cuestión no es cambiar, sino rescatar los hábitos alimentarios nutritivos y saludables que tenían. Te contaré una vivencia: En un taller de nutrición con los padres de los internados de "Fe y Alegria", la mayoría de los participantes hablaban quechua y pocos entendían el español. Con la ayuda de un traductor, intentaba hacerles entender la importancia del consumo de las hojas verdes oscuras. Había una mujer, que aparentemente no entendía nada de lo que yo hablaba; sin embargo, de repente, me lanza un comentario: "Cuando yo era niña, mi madre nos hacia secar a la resolana las hojas verdes oscuras de la quinua y de otras plantas locales, luego las guardábamos en ollas de barro para usarlas durante el invierno". Al preguntarle si actualmente seguía practicando esta costumbre; me responde: "No, ya me había olvidado". Hacemos que participen activamente de las actividades y es así que las mismas mujeres de uno de los talleres de nutrición, propusieron la organización de la Feria Alimentaria "Ñaupa Manka Nikhuna". (Comida de nuestros abuelos) Actualmente la organizan cada año solos, sin mi intervencion.

Además de RESCATAR la alimentación tradicional nutritiva, no cambiamos hábitos, sino que INCORPORAMOS NUEVOS. Por ejemplo, a los pacientes con diabetes del campo, no les decimos "prohibido papa" dado que su alimentación esta basada en la papa. Sino que les proponemos que antes de comenzar a comer se sirva un buen plato de sopa de verduras o ensalada de vegetales cultivados en sus huerta (que hemos promocionado su formación, potenciando sus propias capacidades agrícolas).

Es difícil, pero no imposible. Poco a poco, vamos logrando tanto romper la barrera como la aceptación cultural.

Muchos Saludos Patricia


- Patricia Blanco


existncia de laboratorios clinico Posted May 23 '06, 10:44:56
me parece muy interesante su propuesta , la pregunta es?:SI ud VA HA TRABAJAR EN EL CAMPO DONDE AVECES NO SE CUENTA CON LABORATORIOS CLINICOS , COMO HARIA ud el diagnostico de las personas que presentan diabetes?


- katia alvarez


marialuzot@yahoo.es Posted June 8 '06, 16:55:35
Mi querida Patricia, respecto a la capacitación del personal médico y paramédico a nivel Nacional, como piensas cubrir toda la demanda y además suscitar interés y asistencia. Gracias.


- María Luz Orellana T.


marialuzot@yahoo.es Posted June 8 '06, 16:59:51
Patricia, Como piensas vencer la actitud de indiferencia tanto de las personas que adolecen éstas enfermedades crónicas no transmisibles, como de una sociedad y autoridades que no ven prioritario ocuparse de ésto. Gracias


- María Luz Orellana T.


 
 


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