Santé Diabète (SD) (Health Diabetes) is a French non-governmental organization (NGOs) whose headquarters is in Grenoble (France) which is working on strengthening health systems to improve the prevention and management of diabetes in Africa. As part of a chronic disease like diabetes, improving the quality of care saves thousands of lives but also improves the quality of life for people living with diabetes.
History
The NGO Santé Diabète was created in 2001,[1] by Stephane Besançon current CEO of the organization.
Santé Diabète was created following a research conducted in Mali on the fonio[2] (cereal that is present in West Africa) and diabetes with the International Center for Agronomic Research for Development (CIRAD) which enabled Stephane Besançon to be aware of the impact of diabetes on the African continent but also and especially the lack of access to health care for people living with diabetes in Africa and the lack of consideration of the issue by development actors (sponsors, United Nations, NGOs).[3]
Purpose
Santé Diabète has focused on strengthening health systems to improve the prevention and management of diabetes, by supporting the development of long term field projects, of research projects or short-term expertise in many African countries.[4]
The NGO focuses its work on a comprehensive approach including all the axes necessary for the establishment of prevention and care of quality for diabetes. This innovative approach is realized in practice by the development of 6 components:[5]
Investing in primary prevention to reduce the human and economic burden of the disease progression.[6]
Investing in the decentralization of care to ensure geographic accessibility to a care of quality.[7]
Investing in secondary and tertiary prevention "therapeutic education" to reduce the burden of complications due to diabetes.[8]
Investing in the reduction of care costs for geographic accessibility to a care of quality.[9][10]
Investing in an integrated approach including active involvement of patients and their families through their associations by promoting self-management mechanisms and advocacy allowing them to defend their rights.[11]
Investing in research - action to develop innovative approaches.[12]
Diabetes consultation
This approach is developed in the field with the institutional partners (public authorities, administrative authorities and local government[13]).
This positioning into technical assistance to support prevention policies and treatment of diabetes implemented by the states ensures that the interventions done by the NGO can achieve long-term solutions.[14]
In parallel to these field operations, Santé Diabète support many governments[15] in the development or implementation of their diabetes policy.
More recently, the NGO Santé Diabète has also invested in France in the development of projects in development and international solidarity education.[16]
This team is working under the direction of a voluntary board of 12 members.[19] This board includes people from different backgrounds and different nationalities (officials, doctors, professional of development, humanitarian, researchers, communications professionals, people with diabetes, academics, students, etc.) ensuring orientation of the organization.
Finally, in addition to these organs, Santé Diabète has a scientific advisory board of physicians and scientists of the highest levels from various specialties and different countries:[19]
Field results and the pole of experts involved have gradually done the NGO Santé Diabète the structure of international reference for many international organizations with which the NGO has established close partnerships:[20]
Besançon S, Beran D, Bouenizabila E. Accès à l'insuline dans les pays en voie de développement: une problématique complexe. Médecine des Maladies Métaboliques, April 2014
Delisle H, Besançon S, Mbanya JC, Dushimimana A, Kapur A, Leitzmann C, Makoutodé M, Stover PJ. Empowering our profession in Africa. World Nutrition May 2012, 3, 6, 269-284
Symposium international de Libreville sur le diabète (2014). Besançon S. “Apport des pairs éducateurs dans l’éducation thérapeutique des patients diabétiques au Mali”. Libreville, Gabon, 6 et 7 juin 2014
Médecins Sans Frontière (MSF) International Diabetes Workshop (2014). Besançon S. “Management of diabetes in emergency contexts: a case study from Mali”. Genève, Suisse, 3 et 4 juin 2014
Médecins Sans Frontière (MSF) International Diabetes Workshop (2014). Besançon S. “Advocacy and International network on diabetes management in Africa”. Genève, Suisse, 3 et 4 juin 2014
2nd African Diabetes Summit (2014). Besançon S., Diabetes in war and conflicts. Yaounde, Cameroun, February 25 to 28, 2014
World Diabetes Congress (2013). Besançon S. "Peer educators structured educational intervention in type 2 diabetes - a randomised controlled trial in Mali". Melbourne, Australia, 2 au 6 décembre 2013
Symposium international de Libreville sur le diabète (2013). Besançon S. Accès au traitement pour le diabète: problématique médico-économique et logistique. Libreville, Gabon, 7 et 8 juin 2013
Congress of the French speaking society of diabetes (2013). Besançon S. Diabetes Africa : the end of a paradox. Montpellier international congress center. Montpellier, France, March 28, 2013
Regional Forum on NCDs : "Integrated and evidence-informed approaches to tackling NCDs in the West African Sub-Region". Besançon S. Development of prevention and management of diabetes in Mali. West African Health Organization (WAHO). Ouagadougou, Burkina Faso, 20–21 November 2012,
The African Diabetes Congress (1st Scientific Sessions). Besançon S. Role of nutrition in the prevention and management of diabetes : research and programs developed in Mali. Arusha International Congress Center. Arusha, Tanzania, 25 – 28 July 2012.
Symposium international de Libreville sur le diabète en Afrique. Besançon S. Méthodologie développée pour décentraliser les soins pour le diabète au Mali. Libreville, Gabon, 1er et 2 juin 2012
Geneva Health Forum 2012. Besançon. S. State-NGO Partnership to Improve the Prevention and Management of Diabetes in Mali? Geneva (Suisse), April, 18–20 April 2012.
Expert Meeting on Indigenous Peoples, Diabetes and Development. Besançon S. Diabetes Education & Nutrition in Mali, Improving Care Amongst the Tuareg Population. Copenhaguen, Danemark, 01 and 2 March 2012
Therapeutic Patient Education: Issues and Perspectives. Besançon S. Developing the therapeutic education with limited resources: what Challenges ? The example of Mali. La Reunion, France, 24 février 2012
Sommet Africain Francophone du Diabète (SAFDIA). Besançon S. Sidibe AT. Décentralisation des soins pour le diabète, l’example du Mali. Brazzaville, Congo, 27 au 29 octobre 2011
Sustainability Leadership Programme – Cambridges university. Besançon S. Access to health and especially to drugs for diabetic patients, what perspective for the NGO Santé Diabète ? Copenhagen, Denmark, Wednesday 28th – Friday 30 September 2011
Séminaires du centre collaborateur OMS sur la transition nutritionnelle et le développement (TRANSNUT). Besançon S. Développement : des actions de recherches pour soutenir les activités de terrain et celles de plaidoyer. Centre TRANSNUT. Département de nutrition, Faculté de médecine Université de Montréal - 18 mai 2011
WHO African Region Ministerial Consultation on Non communicable Diseases. Besançon S., Collaboration State - NGO to improve prevention and management of diabetes in Mali. Brazzaville, Congo, 4–6 April 2011
Diabetes Leadership Forum Africa 2010. Besançon. S, Traore. N. M. Leveraging multi-stakeholder engagement in diabetes care. Johannesburg (Afrique du Sud), 30 septembre – 01 octobre 2010
Social and Economic Impact of Diabetes International Expert Summit. Besançon. S. Panel expert: Economic impact of diabetes in Africa. Pékin (Chine), 13-14 novembre 2010.
World Diabetes Congress. Nientao. I. Besançon. S. IDF Study on the Economic and Social Impact of Diabetes in Mali. Montréal (Canada), October 2009
African Diabetes Congress. Besançon. S. Sidibe.A. Nientao. I. Nutritional management of diabetes in Africa a new hope. Nairobie (Kenya), 2007
World Diabetes Congress. Besançon. S. Sidibe.A. T. Nientao. I. Nutritional management of diabetes in Africa the example of Mali. Cape Town (Afrique du sud), 2006
Symposium International sur le diabète. Besançon.S. How was the program developed « Towards an improved coverage of Diabetes Mellitus in Mali ». Manilles (Philippines). Avril 2006
^Jean-François Cruz, Famoï Beavogui et Djibril Dramé. Le fonio, une céréale africaine. Éditions Quae, Versailles, 2011, 160 p. (ISBN9782759210398).
^Stéphane Besançon et Kaushik Ramaiya. Diabetes Africa. Edition ONG Santé Diabète, 2010, 80 pages.
^Beran D, Besançon S, Sidibé AT. Le diabète un nouvel enjeu de santé publique pour les pays en voie de développement : l’exemple du Mali. Médecine des maladies Métaboliques, Mars 2007
^Diarra N., Sidibé AT., Besançon S., Amélioration de la prévention et de la prise en charge du diabète au Mali, Sommet sur le diabète et sur les maladies associées, Sommet OMS Ile Maurice, 12 au 14 November 2009
^Delisle H. Besançon S. Mbanya JC. Dushimimana A. Kapur A. Leitzmann C. Makoutodé M. Stover PJ. Empowering our profession in Africa. World Nutrition May 2012, 3, 6, 269-284
^Besancon S., Sidibé AT., Nientao I, Décentralisation des soins du diabète au Mali, Un exemple de travail en réseau, Développement et Santé, Juillet 2009
^Debussche X., Balcou-Debussche M., Besançon S., Sidibé AT., Challenges to diabetes self-management in developing countries, Volume 54, Special Issue World diabetes congress, October 2009
^Beran, D and Yudkin, JS., Diabetes Care in sub-Saharan Africa, The Lancet. 2006; 368(9548):1689-95
^Beran D., Improving access to insulin: what can be done?, Diabetes Management, 2011, 1(1):67-76
^Besançon S., Sidibé A.T., La société civile face à l'urgence du diabète au Mali, Diabetes Voice, Volume 57, Juillet 2012
^Besançon S. Peer educators structured educational intervention in type 2 diabetes - a randomised controlled trial in Mali. World Diabetes Congress (2013). Melbourne, Australia
^WHO African Region Ministerial Consultation on Non communicable Diseases. Besançon S, Collaboration State - NGO to improve prevention and management of diabetes in Mali. Brazzaville, Congo, 4–6 April 2011
^Médecins Sans Frontière (MSF) International Diabetes Workshop (2014). Besançon S. “Advocacy and International network on diabetes management in Africa. Genève, Suisse, 3 et 4 juin 2014
