Humana People to People

The Need: India currently has 62.4 million people living with diabetes and 77.2 million people who are increased risk of diabetes – the highest diabetes burden in the world. Rajasthan is quickly transitioning to a more industrial economy, causing an increase in semi-urban populations, and rural populations with a young generation employed by services, businesses and industry. The changes in dietary habits and increasing stress levels that accompany a more modern lifestyle are common, making individuals vulnerable to diabetes and other lifestyle disorders. Diabetes is a costly disease, particularly for low-income families. A low-income family that has an adult member living with type 2 diabetes may spend as much as 25% of their income on diabetes care.

The Project: Humana People to People will work in Jodhpur, Rajasthan, to help reduce diabetes-related morbidity and mortality, and prevent the onset of diabetes among people at increased risk for the disease, through timely interventions and home-based diabetes care. The program will seek to improve access to health care by strengthening the existing system of local health workers known as Accredited Social Health Activists (ASHAs) and Auxiliary Nurse Midwives (ANMs). In collaboration with ASHAs and ANMs, Humana People to People field officers will work to increase awareness of diabetes testing and control measures, improve nutrition and update existing health services. ASHAs, ANMs and field officers will also conduct door-to-door outreach and diabetes education; provide in-home testing; generate awareness about diabetes through mass campaigns; and educate members of the Village Health and Sanitation Committees, other health care workers, school teachers, families and community members on diabetes control, care and support.

The program also will seek to mobilize patients, families and their communities around diabetes and healthy living. Community mobilization activities will include: establishing garden farming for better nutrition; the formation of women’s self-help groups and community support groups; and establishing community-based care and support systems.