Many of the health problems we encounter in adulthood stem from our experiences early in life—in some cases, even from before we are born. One of the major Noncommunicable diseases (NCDs) is diabetes, this is often associated with older age groups, but the evidence suggests they affect people of all ages (Harisson’s Principle of Internal Medicine, 20th Ed). Fifteen million deaths attributed to NCDs occur between the ages of 30 and 69 years and people from all age groups are vulnerable to the risk factors that contribute to NCDs especially diabetes. Noncommunicable diseases (NCDs), principally cardiovascular diseases, cancer, diabetes and chronic respiratory diseases, are the leading causes of death and disability in the Western Pacific Region. According to WHO, they are responsible for 80% of all deaths and 50% of premature deaths in low- and middle-income countries. NCD-related morbidity and mortality will continue to rise if urgent measures are not taken.

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          Diabetes prevention is most effective when it targets a problem at its roots. According to WHO, taking early, appropriate, timely, and collective action is important if we are to reduce premature mortality related to diabetes by a third by 2030—a sustainable development goal that is to address burden of NCDs has been affirmed through political declarations by heads of states and governments. A life course approach is an inclusive approach that considers the needs of all age groups and addresses NCD prevention and control in its earliest stages and is recommended in the World Health Organization’s global action plan for prevention and control of NCDs, one of which is diabetes.

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         According to the data gathered from the Rural Health Unit (RHU), diabetes mellitus type 2 (T2DM) ranks 2nd among the leading causes of morbidity in the barangay last 2018. Based on the house-to-house survey done, it was also found out that among 499 households surveyed, 13 individuals has been diagnosed with diabetes mellitus type 2 and are non-compliant to medication. Also, five of which has a co-morbidity. A series of health plans has been establish to address and prevent an increment of these cases.

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         Many of the health problems we encounter in adulthood stem from our experiences early in life—in some cases, even from before we are born. One of the major Noncommunicable diseases (NCDs) is diabetes, this is often associated with older age groups, but the evidence suggests they affect people of all ages (Harisson’s Principle of Internal Medicine, 20th Ed). Fifteen million deaths attributed to NCDs occur between the ages of 30 and 69 years and people from all age groups are vulnerable to the risk factors that contribute to NCDs especially diabetes. Noncommunicable diseases (NCDs), principally cardiovascular diseases, cancer, diabetes and chronic respiratory diseases, are the leading causes of death and disability in the Western Pacific Region. According to WHO, they are responsible for 80% of all deaths and 50% of premature deaths in low- and middle-income countries. NCD-related morbidity and mortality will continue to rise if urgent measures are not taken.

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         Diabetes prevention is most effective when it targets a problem at its roots. According to WHO, taking early, appropriate, timely, and collective action is important if we are to reduce premature mortality related to diabetes by a third by 2030—a sustainable development goal that is to address burden of NCDs has been affirmed through political declarations by heads of states and governments. A life course approach is an inclusive approach that considers the needs of all age groups and addresses NCD prevention and control in its earliest stages and is recommended in the World Health Organization’s global action plan for prevention and control of NCDs, one of which is diabetes.

​

         According to the data gathered from the Rural Health Unit (RHU), diabetes mellitus type 2 (T2DM) ranks 2nd among the leading causes of morbidity in the barangay last 2018. Based on the house-to-house survey done, it was also found out that among 499 households surveyed, 13 individuals has been diagnosed with diabetes mellitus type 2 and are non-compliant to medication. Also, five of which has a co-morbidity. A series of health plans has been establish to address and prevent an increment of these cases.

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         The proposed strategies to solve this health problem is tabulated in detail in the Community Health Plan (CHP). The bulk of these activities will focus on community engagement and mobilization, health teachings, governance, and Intersectoral linkages. The focus is providing patient-centered, individualized education in order to increase their compliance to medication, hence, controlled glycemic level.

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    Patient education should be viewed as a continuing process with regular visits for reinforcement; it should not be a process that is completed after one or two visits to a nurse educator or nutritionist. Furthermore, education about nutrition, exercise, psychosocial support, care of diabetes during illness, and medications to lower the plasma glucose has been attributed to lower risk for complications. This has become the foundation of strategies from which activities thereto shall focus on health education and the sustenance of anti- diabetes medication.

         

         A series of strategies and activities will be implemented at the barangay level to address the health problem. Furthermore, a core group for diabetic patient shall be launched and will act as the implementing body, they will execute and plan programs that will sustain the general objective of maintaining a controlled glycemic value. Intersectoral linkages on the other hand, shall provide the community opportunities to benchmark with other agencies aiding the sustenance of medication and other necessary resources.

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         A guidelines will be formulated suitable for the community based on the recommendations of the WHO and the Department of Health’s NCD Program. Its primary goal is to improve the quality of care and outcome in individuals with T2DM with the use of essential medicines and technology available in first-contact health services in low- resource settings such as the Barangay Maras. It recommends a set of basic interventions to integrate management of diabetes into primary health care. It will serve as basis for development of simple algorithms to be utilized by the health care staff and the core group in low- resource settings, thus, reduce the risk of acute and chronic complications of diabetes.​

 

         The sustenance and maintenance of the proposed solutions is of the primary concern, such that, a long term approach to the problem will intensify the campaign towards a self- reliant community. Establishing a core group, represented by Diabetic Purok Volunteers, Barangay Health Workers (BHW), and the Barangay Council of Maras shall act as the oversight committee to ensure a continuous implementation of the program.

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      Effective strategies to ensure the sustainability of medications shall constitute the most important activities, such that, a non-availability of medications shall yield a domino effect to other activities not to attain the desired outcome.

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       The researchers for that matter, affirms a positive outlook towards a sustained implementation of the program, its activities and strategies and augmented ideas to be implemented, until such time, diabetes will no longer be a burden to every individual.