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6 results on '"Assa Traoré Sidibé"'

1. The experience of the Santé Diabète NGO in the fight against diabetes in Africa

Author

Assa Traoré Sidibé, C Fleury-Perkins, David Beran, and Stéphane Besançon

Subjects
medicine.medical_specialty, Tuberculosis, International scale, Human immunodeficiency virus (HIV), Health Promotion, medicine.disease_cause, Diabetes Mellitus/therapy, Acquired immunodeficiency syndrome (AIDS), Diabetes mellitus, Diabetes Mellitus, medicine, Humans, Developing Countries, ddc:613, Organizations, Diabetes in Africa, business.industry, Diabetes, Public Health, Environmental and Occupational Health, NGO, medicine.disease, Health Promotion/organization & administration, Infectious Diseases, Health, Family medicine, Africa, Christian ministry, business, Malaria, Staff training
Abstract

Several years ago, infectious diseases such as tuberculosis, HIV/AIDS, and malaria were the principal health menace on an international scale. But, today, noncommunicable diseases (NCD), such as diabetes and cardiovascular diseases, are a health emergency in both high- and low-income countries. The NGO Santé Diabète (Diabetes Health) has now been developing actions for diabetes prevention and management in Africa for 15 years. The strategies they have developed combine advocacy, support for the Ministry of Health for the implementation of plans to fight NCDs, staff training, and the establishment of a structure for prevention and management. In Mali, these activities, begun a decade ago, now manage 15,000 patients with diabetes.

Published
2018

3. Diabetes in sub-Saharan Africa: from clinical care to health policy

Author

Mulugeta Terekegn Angamo, Mohit Nair, Portia Chipendo, Chelsea Pekny, Nelson K. Sewankambo, Obiageli L O Okafor, Kibachio Joseph Muiruri Mwangi, Edwin A M Gale, Kaushik Ramaiya, Ramu Kharel, Iryna Postolovska, Akhila Annamreddi, David Beran, Justine Davies, Sanjay Basu, Rifat Atun, Beatrice Mwagomba, Felix P Chilunga, Dipesalema Joel, Agnes Binagwaho, Elias S. Siraj, Paul H. Park, Solomon Tesfaye, Yasmin Khan, Simon Pierre Niyonsenga, Assa Traoré Sidibé, Sujay Kakarmath, Philip I. Burgess, Kristien Van Acker, Esther Heesemann, Charles N. Rotimi, Vera Sagalova, Maimouna Ndour Mbaye, Andre Pascal Kengne, Sonak D. Pastakia, Graham D. Ogle, Oluwakemi Okunade, Florence W Mangugu, Ahmed Reja, Azhra S Syed, Matthew J. Burton, Crispin Gishoma, Jeanne Chai, Moffat J. Nyirenda, Amos Lichtman, Anna Conn, Jennifer Manne-Goehler, David Sando, Till Bärnighausen, Anshuman Sharma, Mahmoud Werfalli, Benson Njuguna, Christian Bommer, Michael Anne Kyle, Eugene Sobngwi, Marie Aimee Muhimpundu, Zulfiqarali G. Abbas, Sudhamayi Bhadriraju, Samuel Rwunganira, Arielle Wilder Eagan, Seitetz C Lee, Stéphane Besançon, Carl P Malm, Gabriela Sarriera, Julius Ho, Simcha Jong, Naomi S. Levitt, John S Yudkin, Ananya Awasthi, Benjamin Ammon, and Sebastian Vollmer

Subjects
medicine.medical_specialty, Sub saharan, Endocrinology, Diabetes and Metabolism, MEDLINE, 030209 endocrinology & metabolism, Health Services Accessibility, Diabetes Complications, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Risk Factors, Diabetes mellitus, Environmental health, Health care, Diabetes Mellitus, Internal Medicine, medicine, Humans, 030212 general & internal medicine, Clinical care, Africa South of the Sahara, Health policy, ddc:613, business.industry, Health Policy, Middle income countries, medicine.disease, Cardiovascular Diseases, Family medicine, business, Demographic surveillance system
Published
2017

4. The control of diabetes and other Non-communicable Diseases is an urgent health priority in Africa: Grenoble declaration

Author

S. Wackernie, E. Giros, Philippe Touraine, Stéphane Besançon, S. Genay Diliautas, C. Mary, G. Duriez, C. Paquet, E. Aronica, I. Quick, C. Waterlot, Cynthia Fleury, C. Giron, Maryvette Balcou-Debussche, Assa Traoré Sidibé, O. Chabre, E. Comte, J. Bernasconi, Xavier Debussche, O. Toure, Joseph Drabo, A. Fontbonne, B. Burgalat, H. Du-Boullay, Naby Balde, G. Raymond, C. Debeaufort, M. de Kerdanet, L. Delisle, P. Micheletti, O. Weil, Malek Batal, P. Chancel, David Beran, J.F. Delfraissy, A.L. Coulon, D. Hacquin, P. Salignon, T. Shojaei, F. Mohadji, S. Olejas, Hôpital Donka, Laboratoire Lésions des Acides Nucléiques (LAN), Service de Chimie Inorganique et Biologique (SCIB - UMR E3), Institut Nanosciences et Cryogénie (INAC), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Grenoble Alpes (UGA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Grenoble Alpes (UGA)-Centre National de la Recherche Scientifique (CNRS)-Institut Nanosciences et Cryogénie (INAC), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Grenoble Alpes (UGA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Grenoble Alpes (UGA)-Centre National de la Recherche Scientifique (CNRS), Service d'Endocrinologie (GRENOBLE - Endocrino), CHU Grenoble, Institut de biologie et chimie des protéines [Lyon] (IBCP), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS), Département international et tropical (INVS), Institut national de veille sanitaire, Institut Pascal - Clermont Auvergne (IP), Sigma CLERMONT (Sigma CLERMONT)-Université Clermont Auvergne (UCA)-Centre National de la Recherche Scientifique (CNRS), Laboratoire Sols et Environnement (LSE), Institut National de la Recherche Agronomique (INRA)-Université de Lorraine (UL), Université Grenoble Alpes (UGA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Grenoble Alpes (UGA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Centre National de la Recherche Scientifique (CNRS)-Institut Nanosciences et Cryogénie (INAC), and Université Grenoble Alpes (UGA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Grenoble Alpes (UGA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Centre National de la Recherche Scientifique (CNRS)

Subjects
Health Priorities, Public Health, Environmental and Occupational Health, Health Promotion, [SDV.MHEP.EM]Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism, Infectious Diseases, Political science, Africa, Diabetes Mellitus, Humans, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Noncommunicable Diseases, Delivery of Health Care, Humanities, ComputingMilieux_MISCELLANEOUS
Abstract

International audience

Published
2018

5. Structured peer-led diabetes self-management and support in a low-income country: The ST2EP randomised controlled trial in Mali

Author

Assa Traoré Sidibé, Stéphane Besançon, Cyril Ferdynus, Xavier Debussche, Hélène Delisle, Laetitia Huiart, Maryvette Balcou-Debussche, CHU Sud Saint Pierre [Ile de la Réunion], Centre d'Investigation Clinique de La Réunion - INSERM (CIC 1410), Université de La Réunion (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Universitaire de La Réunion (CHU La Réunion), ONG Santé Diabète, Institut Coopératif Austral de Recherche en Éducation (ICARE), Université de La Réunion (UR), Réseau des universités pour l'éducation à la santé (Réseau UNIRéS), Université Blaise Pascal - Clermont-Ferrand 2 (UBP), CRSN/Faculté de médecine Université de Montréal, Centre Hospitalier Universitaire de La Réunion (CHU La Réunion), Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hopital Universitaire, This work was supported by the Bridges programme of the International Diabetes Federation. BRIDGES (Bringing Research in Diabetes to Global Environments and Systems) is a programme initiated by the International Diabetes Federation, and supported by an educational grant from Lilly Diabetes, https://www.idf.org/our-activities/epidemiology-research/bridges.html. The NGO Santé Diabète received the funding (https://santediabete.org/en, Director: SB). The funders were not involved in the study design, in the collection, analysis and interpretation of the data, as well as in the writing of the report and in the decision to submit the paper or preparation of the manuscript for publication. The authors were independent from study funders., and Univ, Réunion

Subjects
Male, Psychological intervention, lcsh:Medicine, Social Sciences, Type 2 diabetes, Human learning, Mali, Biochemistry, Vascular Medicine, law.invention, Geographical Locations, 0302 clinical medicine, Endocrinology, Learning and Memory, Diabetes mellitus, Randomized controlled trial, law, Health care, Outcome Assessment, Health Care, Medicine and Health Sciences, Diabetes diagnosis and management, Psychology, 030212 general & internal medicine, lcsh:Science, 2. Zero hunger, Multidisciplinary, Middle Aged, 3. Good health, Health education and awareness, Blood pressure, Female, Research Article, Adult, medicine.medical_specialty, Waist, HbA1c, Patients, Endocrine Disorders, 030209 endocrinology & metabolism, Peer Group, 03 medical and health sciences, Patient Education as Topic, medicine, Learning, Humans, Hemoglobin, Developing Countries, Glycated Hemoglobin, Biology and life sciences, business.industry, Self-Management, lcsh:R, Cognitive Psychology, Proteins, Peer group, medicine.disease, Diagnostic medicine, Health Care, Self Care, Diabetes Mellitus, Type 2, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Metabolic Disorders, People and Places, Africa, Physical therapy, Cognitive Science, lcsh:Q, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business, Patient education, Neuroscience
Abstract

Objectives Our objective was to evaluate the effectiveness of peer-led self-management education in improving glycaemic control in patients with type 2 diabetes in a low-income country (Mali). Methods We conducted an open-label randomised controlled trial. A total of 151 adults (76% women, mean age 52.5) with type 2 diabetes (HbA1c≥8%), treated in the diabetes consultation units of two secondary health centres in Bamako, were allocated to peer-led structured patient education (n = 76) or conventional care alone (n = 75). The intervention group received 1 year of culturally tailored structured patient education (3 courses of 4 sessions) delivered in the community by five trained peer educators. Both groups underwent conventional diabetes monitoring and follow-up. Primary outcome was the mean absolute change in HbA1c from baseline to 12 months. Results 177 education sessions were delivered to the intervention group. Patient attrition was 8%. From baseline to 12 months, the decrease in HbA1c levels was 1.05% (SD = 2.0; CI95%: 1.54;-0.56) in the intervention group compared with 0.15% (SD = 1.7; CI95%: -0.56; 0.26) in the control group, p = 0.006. Mean BMI change was -1.65 kg/m2 (SD = 2.5; CI95%: -2.25; -1.06) in the intervention group and +0.05 kg/m2 (SD = 3.2; CI95%: -0.71; 0.81) in the control group, p = 0.0005. Mean waist circumference decreased by 3.34 cm (SD = 9.3; CI95%: -5.56;-1.13) in the intervention group and increased by 2.65 cm (SD = 10.3; CI95%: 0.20; 5.09) in the control group, p = 0.0003. Conclusions Peer-led structured patient education delivered over 1 year to patients with poorly controlled type 2 diabetes in Mali yielded substantial improvements in glycaemic control and anthropometric parameters. This is of importance for the scaling up of efficient interventions in low-resource settings in the future. Trial registration ClinicalTrials.gov NCT01485913

Published
2018

6. Diabetes in an emergency context: the Malian case study

Author

Stéphane Besançon, Ibrahima-Soce Fall, Mathieu Doré, Assa Traoré Sidibé, François Chappuis, David Beran, and Olivier Hagon

Subjects
Type 1 diabetes, education.field_of_study, medicine.medical_specialty, Economic growth, Health (social science), Case Study, business.industry, Public health, Population, Public Health, Environmental and Occupational Health, Health services research, Context (language use), medicine.disease, Bioinformatics, Health(social science), Internally displaced person, Diabetes mellitus, ddc:320, Epidemiology, medicine, business, education, ddc:613
Abstract

Background The World Health Organization proposes 6 building blocks for health systems. These are vulnerable to challenges in many contexts. Findings from a 2004 assessment of the health system in Mali for diabetes care found many barriers were present for the management and care of this condition. Following this assessment different projects to strengthen the healthcare system for people living with diabetes were undertaken by a local NGO, Santé Diabète. Case description In March 2012, following a Coup in Bamako, the northern part of Mali was occupied and cut-off from the rest of the country. This had a major impact on the health system throughout the country. Due to the lack of response by humanitarian actors, Santé Diabète in close collaboration with other local stakeholders developed a humanitarian response for patients with diabetes. This response included evacuation of children with Type 1 diabetes from northern regions to Bamako; supplies of medicines and tools for management of diabetes; and support to people with diabetes who moved from the north to the south of the country. Discussion It has been argued that diabetes is a good tracer for health systems and based on Santé Diabète’s experience in Mali, diabetes could also be used as a tracer in the context of emergencies. One lesson from this experience is that although people with diabetes should be included as a vulnerable part of the population they are not considered as such. Also within a complex emergency different “diabetes populations” may exist with different needs requiring tailored responses, such as internally displaced people versus those still in conflict areas. From Santé Diabète’s perspective, the challenge was changing the ways it operated from a development NGO to an emergency NGO. In this role it could rely on its knowledge of the local situation and its function as part of the post-conflict situation. Conclusion The lessons learnt from this experience by Santé Diabète in Mali may be useful for other NGOs and the humanitarian response in general in addressing the challenge of managing non communicable diseases and diabetes in conflict and disaster situations in countries with weak health systems.

Published
2015

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