26th Executive Board

1. Association Twinning Initiative • Aim • Outcome • Process • Guidelines • Countries • Contact IDF Task Force on Insulin, Test Strips and Diabetes Supplies 26th Executive Board 26th Executive Board

2. e-Atlas Aim • To obtain support from member associations from developed countries: • identify and partner with a member association in a developing country • find sustainable solutions to increase accessibility to insulin and diabetes supplies in that country • Aim • Outcome • Process • Guidelines • Countries • Contact

3. e-Atlas Desired outcome That member associations from developed countries will consider twinning with a select number of associations in developing countries to initiate and carry out projects to improve accessibility. The intention is to work with a small number of associations instead of trying to tackle the problem globally. The successful twinning projects could then be adapted and used as models for others. • Aim • Outcome • Process • Guidelines • Countries • Contact

4. e-Atlas Process • Identify developing country to ‘twin’ with • Identify person responsible in your association • Initiate contact through Task Force • Initiate direct contact with potential partner member association • Use guidelines to develop a project plan • Aim • Outcome • Process • Guidelines • Countries • Contact

5. e-Atlas Process • Implement and execute plan • Report at follow-up meeting next June/September • Show outcome with partnering member association at the Association Village of the 19th World Diabetes Congress in 2006 • Aim • Outcome • Process • Guidelines • Countries • Contact

6. e-Atlas Guidelines • Build the local infrastructure • -select the country to partner with • - identify person responsible in your association • - establish contact with the member association in the partnering country • Define the magnitude of the problem • - Estimate number of people with diabetes using insulin • - Estimate average daily insulin dose • - Calculate insulin needs for the country • - Revise estimates based on actual need • Aim • Outcome • Process • Guidelines • Countries • Contact

7. e-Atlas Guidelines • Identify the reasons for inaccessibility • - economic • - taxes • - distribution • - storage • - local policies • - others • Find practical solutions • - short-term • - medium-term • Aim • Outcome • Process • Guidelines • Countries • Contact

8. e-Atlas Guidelines • Implement short-term solutions (first two years). Develop project plan: • - assessamount and type of insulin and other diabetes supplies needed • - make a budget estimate • - identify sources of funding • - identify suppliers and recipient(s) • - find out recipient country’s rules about donated drugs (follow WHO’s guidelines on donated drugs) • - identify how the supplies will be shipped • Aim • Outcome • Process • Guidelines • Countries • Contact

9. e-Atlas Guidelines • Develop project plan (cont.): • - identify who will receive shipment and clear customs • - find out how the insulin will be stored • - find out who the people with diabetes are who will receive the supplies • - assess diabetes education needs for diabetes healthcare team and people with diabetes and their families • - find out how the supplies will be distributed • - identify person(s) accountable for distribution • - put reporting process in place • - evaluate project annually • - submit report to major stakeholders • Aim • Outcome • Process • Guidelines • Countries • Contact

10. e-Atlas Guidelines • Implement medium-term solutions (third to fifth year). Develop project plan: • - find solutions to problems identified • - help develop and implement a national diabetes care programme • - consider involvement of other non-governmental organizations • - promote diabetes education for healthcare professionals and people with diabetes and their families • - identify ways in which insulin and diabetes supplies can become available and affordable • - identify ways to reduce cost of diabetes care • Aim • Outcome • Process • Guidelines • Countries • Contact

11. Guidelines Find long-term solutions Request for assistance Evaluate outcome Implement next phase Ask for info Receive shipment Carry out project Ready for next phase • Project proposal • Define needs • Identify ‘champion’ – person or group • Estimate budget • Clarify nation’s law on donated drugs • Plan process Collect supplies Source funding Shipment Evaluate proposal Verify needs Pilot project to test logistics Agree on pilot project

12. e-Atlas Suggested countries Africa: Mali Togo Cameroon Rwanda Democratic Republic of Congo Ethiopia Zambia Mozambique North America: Bermuda Jamaica South and Central America: Ecuador South-East Asia: Mauritius Sri Lanka Western Pacific: Cambodia • Aim • Outcome • Process • Guidelines • Countries • Contact

13. e-Atlas Contact For more information, contact: Larry Ellingson: Lkellingson@aol.com or Lorenzo Piemonte: lorenzo@idf.org • Aim • Outcome • Process • Guidelines • Countries • Contact