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 Health  Nigeria Project #33599

Stop Hypertension and Diabetes in its tracks

by HFANaija Inc.
Stop Hypertension and Diabetes in its tracks
Stop Hypertension and Diabetes in its tracks
Stop Hypertension and Diabetes in its tracks
Stop Hypertension and Diabetes in its tracks
Stop Hypertension and Diabetes in its tracks

Health For All Naija is changing how Hypertension and Diabetes are managed in the community we serve. Unlike the norm in this area, where Hypertension and Diabetes are treated on an 'as needed' basis, our participants receive their medications monthly. Participants are educated to take their medications daily and to report any unwanted effects that may cause interruption in taking their medications. HFA promotes maintenance care with the use of telephone reminders to improve attendance. 

The sociopolitical, cultural, and economic circumstances of the population we serve continue to pose an ongoing challenge. Having clinics monthly and the use of telephone reminders are helping to keep most of our participants engaged. We also use individual counselling to improve behavior and adherence to treatment. 

We currently average 100 participants per month. We distribute 1-4 different medications to each participant, with the majority receiving at least 2 different medications. Each participant receives appropriate dose to keep their Hypertension and or Diabetes in control. 

Your support is important in continuing our project. As part of our end of year plan, we hope to subsidze basic bood tests for our members. This blood test is necessary to check the impact of the medications and monitor disease control. 

Please consider making a donation today. All donations are tax deductible. Giving to Health For All is a wonderful way to manage your tax dollars. We also welcome corporate donors. .

Thank you!

 

Sincerely, 

Nkeiruka Ugo, FNP. 

Project Leader. 

A patient and now staff volunteer at HFANaija
A patient and now staff volunteer at HFANaija

Health For All Naija continues monthly clinics for participants in rural Nigeria who have been diagnosed with Hypertension and, or Diabetes. We now have a dedicated Smart cell phone for HFA, used to remind participants of clinic dates. A majority of our participants have cell phones, but very few can read text messages. 

Over the past three months, we have used three different approaches to address the problem of less than expected attendance at the monthly clinics. The failure of a participant to show up at a monthly clinic is of concern because that means the participant does not take his or her medications for a full month until the next clinic. Among the reasons participants cite is that they forget, they did not see text message, or there was an event that required their attendance. 

In April there were no reminders, and we had 83 visits. In May, staff sent only text message reminders to participants, and turn out was 82. The clinic date in April coincided with a must attend event in the community which affected turn out. Participants received phone calls prior to the June clinic on June 1st, and turn out was 110, almost a 50% increase over the last two months. 

A 50% increase in attendance is a very strong incentive to continue and intensify our outreach efforts. We will use both text and phone reminders one week, and again 1-2 days prior to a clinic date. Our next quarterly report will have update on the effectiveness of this effort. We will also collate and update you on Blood Pressure and Blood Sugar trends among our participants. 

Thanks for your continued support of Health For All Naija. Please give us feedback on our Report. 

PLEASE CONSIDER BEING A RECURRENT DONOR! 

 

Thanks!

Nkeiruka Ugo

Participant since inception of HFA
Participant since inception of HFA
New staff volunteer at HFA Monthly clinics
New staff volunteer at HFA Monthly clinics
Lead staff volunteer at HFA Monthly clinics
Lead staff volunteer at HFA Monthly clinics

Health For All Naija added 35 new monthly clinic participants from the screenng event of December, 2018. Current participants testify to the benefit and impact of care provided to them by HFA monthly clinic. Different people openly stated that they owe thier lives to HFA. 

Our screening clinic was on December 31st. There are usually a lot of festivals in the communities at this time of the year. We used various forms of media for outreach. The event offered blood pressure and blood sugar screening; health education and dietary counseling; food and water; and 30 day supplies of four different medications. Attendees were contacted for follow up if their screening values were higher than established normal ranges for blood pressure and blood sugar. We had about 300 combined episodes of care between the screening event and the five days of follow up clinics. 

Of all those who responded to the call back for follow up check, 35 were diagnosed with Hypertension, Diabetes, or both. They received monthly supplies of appropriate medications and were added to Health For All monthly clinic participants. 

The February monthly clinic served 110 participants, up from 90 average. All participants had blood pressure and blood sugar checks, and received their monthly supply of medications. The rate of participation continues to be lower than expected. In a place like the community we serve, where people are hungry and poor, even good free healthcare takes a back seat to food and basic survival for a family. This situation is one factor that affects participation. We are working to improve Phone and text reminders to improve participation rate. 

Your continued support goes a long way. $10-$15 provides one month supply of medications for one person per month. Please consider being a recurrent donor.

Thanks for your support!

In the last quarter since our project update in September, we have continued to provide monthly follow ups for blood pressure and diabetes. I am very delighted to report that the average blood pressure and blood sugar reading have continued to improve across the board! We have continued to average about 85 visits per month, much less than our identified patient population. 

To improve response rate, we plan to purchase a cell phone to be used for contacting participants. We will update our phone list to ensure we can reach participants. We will call people three times within two weeks leading up to the clinic date. We will also follow up with those who are not responding to see how we can assist to encourage their participation. 

We hope to add blood test to monitor renal function 1-2 times a year, starting December 2018. 

We have a screening event clinic on December 31st, 2018. We are expecting upto 500 people at this event. We are doing very wide outreach through announcements at churches and local groups, distribution of leaflets, which will be in two cycles; posting of banners in strategic locations throughout the communities; radio slots, and travelling Public Address through the communities. There will be blood pressure and blood sugar screening, health education, medications, and food. The screening event is followed by 5 days of follow up care for those identified with high blood pressure and blood sugars to confirm diagnoses. Those confirmed as having high blood pressure and high blood sugars are enrolled in the monthly clinics. 

For 2019, we are aiming for 150 visits or more per month with the implementation of our outreach plan. 

We thank all our donors for your support. Your support saves lives in different ways. By saving the life of the man of the house through your support, you save his family, and you also release extra money for him to feed and take care of some basic necessities. We look forward to your continued partnership in 2019. 

Over a three month period, the number of participants with systolic blood pressures above 170, decreased by 160%, and participants with systolic blood pressures less than 140, increased by 36%. The numbers in between also showed similar trend of more people with decreasing blood pressures.

In August I gave a tailored dietary education to all participants with blood sugars greater than 200. This is something I've been doing all along, but this time I told them a concrete action they can take, specifically to decrease their individual intake of Carbs by 1/3. The result was that the following month, blood sugars decreased across the board, even in those that have been difficult to manage.

 

This report is on our activities over the past three months. We had three monthly clinic days and 235 visits. Each clinic provides blood pressure and blood sugar screening, health education, and enough medications to last until the next clinic. At each clinic, we distributed thirty day supplies of medications as follows:

Glucophage 2000 mg per day to 35 people, which is 1050 doses per month!

Amlodipine 10 mg per day to 47 people, which is 1410 doses per month!

Zestril 10 mg per day to 16 people, total 480 doses!

Glanil 5-10 mg per day to 10 people, total 300 doses!

Furosemide 20 mg per day to 10 people, total 300 doses!

Atenolol 50-100 mg per day to 4 people, total 120 doses!

Zestril, Glanil, and Furosemide, are given in combination with either Glucophage or Amlodipine.Over 40% of participants receive two or more different medications.

 

Blood sugar is directly linked with the amount of Carbohydrate in the diet. A major challenge in the community we serve is that the diet is Carbohydrate dependent. Dietary counselling is a must, in combination with medication, in good Diabetes care. In my conversations with participants, it is clear that they are trying to change their diet. However, I also noted that they understand that Carbohydrates affect their blood sugars negatively, but their approach to decreasing Carbs was not completely correct. For example, they eat unripe plantain, ‘wheat’ flour, and other foods which they believe doesn't increase blood sugar, but they fail to decrease the amount of Carbohydrates. The good news is that participants are very receptive to the information they receive. 

We are able to provide this service with the support of our donors. Thanks for your donations! Your support is saving lives in rural communities in Eastern Nigeria. We are in the process of organizing a screening event in December. We appreciate your support to improve the success of this event. Thanks for partnering with us!

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Organization Information

HFANaija Inc.

Location: San Francisco, CA - USA
Website:
Facebook: Facebook Page
Project Leader:
Nkeiruka Ugo
San Francisco, CA United States
$6,429 raised of $10,000 goal
 
77 donations
$3,571 to go
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