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Project Title

APEC Workshop: Diminishing Burden of Type 2 Diabetes Mellitus in the Community through an Interprofessional Collaboration (IPC) Approach

Project Year

2024

Project Number

HWG_101_2024A

Project Session

Session 1

Project Type

Standard

Project Status

Completed Project
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Project No.

HWG_101_2024A

Project Title

*
APEC Workshop: Diminishing Burden of Type 2 Diabetes Mellitus in the Community through an Interprofessional Collaboration (IPC) Approach

Project Status

Completed Project

Fund Account

*
APEC Support Fund

Sub-fund

ASF: Human Security

Project Year

2024

Project Session

*
Session 1

APEC Funding

100,967

Co-funding Amount

5,000

Total Project Value

105,967

Sponsoring Forum

*
Health Working Group (HWG)

Topics

Health; Human Resources Development

Committee

SOM Steering Committee on Economic and Technical Cooperation (SCE)

Other Fora Involved

Other Non-APEC Stakeholders Involved

 

Proposing Economy(ies)

Indonesia

Co-Sponsoring Economies

Brunei Darussalam; China; Hong Kong, China; Korea; Viet Nam

Expected Start Date

01/11/2024

Expected Completion Date

31/12/2025

Project Proponent Name 1

Yourisna Pasambo

Job Title 1

Ners, M. Kes

Organization 1

Manado Health Polytechnic, DG of Health Workers, Indonesia MOH

Telephone 1

+62-8524-2194-584

Email 1

yourisna84@gmail.com; yourisna@poltekkes-manado.ac.id 

Project Proponent Name 2

Not Applicable

Job Title 2

Not Applicable

Organization 2

Not Applicable

Telephone 2

Not Applicable

Email 2

Not Applicable

Declaration

Yourisna Pasambo

Project Summary

The International Diabetes Federation (IDF) confirms that diabetes mellitus (DM) is global health emergency. Currently more than half a billion people from all over the world lives with DM Type 2. The priorities for treating DM Type 2 are early diagnosis, prompt treatment and prevention of complications using a multidisciplinary collaborative approach (Interprofessional Collaboration/IPC).

The Manado Health Polytechnic took the initiative to invite APEC economies to meet together and share experiences regarding handling DM Type 2 through the IPC approach in the community.

APEC Workshop: Diminishing Burden of Type 2 Diabetes Mellitus in the Community through an Interprofessional Collaboration (IPC) Approach bringing together a selected group of experts to provide materials and share best practices. Furthermore, technical guidelines are expected to be developed. The workshop will be held in Manado City, North Sulawesi in July 2025. All APEC economies are invited to participate.

Relevance

Region

Currently, more than half a billion people worldwide live with DM, the majority live in low- and middle-income economies, and 1.5 million deaths are caused directly by diabetes each year. The most common diabetes is DM Type 2 and sufferers mostly live in the community. Untreated DM Type 2 can cause heart disease, stroke, kidney disease, blindness and nerve damage in the legs, and can even cause psychological problems.

Diabetes is also the most relevant cause of economic loss, morbidity and premature death in the world. Data shows that all economies suffer from this disease. Several APEC economies are among the ten largest with the highest number of DM sufferers, namely the United States, Indonesia, Mexico and Japan.

As a chronic disease, the priority strategy for treating DM Type 2 is early diagnosis and prevention of complications which can be carried out with a team approach from various collaborating scientific disciplines (IPC). IPC is when multiple healthcare professionals, including nurses, physicians, pharmacists, nutritionists, and others share and combine skills, expertise, and resources to provide comprehensive, patient-centered care to diabetes patients, rather than episodic, fragmented, and intermittent care. The IPC service team is needed to solve complex DM Type 2 patient problems and improve efficiency and continuity of patient care. The process of inter-professional collaboration can reduce duplication and improve the quality of patient care, through complementary tasks and responsibilities and skills.

By holding a workshop on handling DM Type 2 using the IPC approach, every APEC economy will have a reference in increasing the capacity of health workers to handle DM Type 2 in the community using the IPC approach. This is an effort to strengthen APEC's economic health workforce to create health resilience, increase independence and reduce the burden of health costs.

Eligibility and Fund Priorities

This program strengthens the goals of health and security in the priority areas of the ASF Human Security Sub-Fund.

Currently, diabetes is one of the fastest-growing global health emergencies. This condition calls for all economies to immediately take action in preventing, diagnosing and treating diabetes sufferers, and those who play the most important role are health workers. This project is designed to develop human resources for health workers so they can increase their knowledge and skills in handling DM Type 2. The workshop will be carried out through consultations, seminars and paper development. Resource persons who meet the qualifications and criteria will be invited to present material related to handling DM Type 2 using the IPC approach in the community. Increasing the capacity of health workers in APEC economies will increase the resilience of APEC economies in facing DM Type 2. Successful handling of diabetes through inter-professional collaboration can resolve complex DM Type 2 problems, increase the efficiency and continuity of patient services, and create a health system that is more resilient to future challenges. This is in line with the commitment of APEC leaders in 2023, namely to strengthen disease prevention, preparedness and response to future pandemics and health emergencies, and to further strengthen the health workforce, considering their extraordinary contribution in protecting life and maintaining health.

Capacity Building
One of the main goals of increasing APEC capacity is to improve the economic and social welfare of society. To achieve this goal, it is necessary to build the capacity of APEC member economies in relevant fields, one of which is health. This project aims to build the capacity of health workers in treating DM Type 2 through the IPC approach in the community, this is because most DM Type 2 patients are in the community. This project is in line with the commitment of APEC Ministers in 2023 to further strengthen the health workforce, considering their extraordinary contribution to protecting life and maintaining health. Through this project, APEC economies can exchange knowledge and proven best practices in handling DM Type 2, which is currently a global health emergency, through the IPC approach in the community. This capacity increase will later enable APEC economic health workers to contribute to creating a health system that is more resilient to future challenges.

Objectives

Diabetes is one of the fastest-growing global health emergencies, all APEC economies are experiencing the same burden. The main objective of this project is to strengthen APEC's economic capacity in dealing with DM Type 2 through an IPC approach in communities where the majority of patients are located. The final goal is to increase the capacity and resilience of health service providers in APEC economies.

This project supports the commitment of APEC leaders to strengthen disease prevention, preparedness and response to future health emergencies, and to further strengthen the health workforce who contributed to protecting life and maintaining health.

Alignment

APEC
This project is in line with one of the APEC Putrajaya 2040 Visions which emphasizes the importance of strong, balanced, safe, sustainable and inclusive growth. This project is also in line with the Aotearoa Plan of Action in which Economies will adopt and strengthen regulatory approaches, sound public sector governance, and take other measures that support economic inclusion, greater health, wellbeing and resilience for all. Carrying out IPC implementation workshops in handling DM Type 2 is one form of intensifying inclusive human resource development and economic cooperation to equip the community with skills and knowledge for the future.

Forum

The project is aligned with the objective of the Health Working Group, which aims to strengthen health systems to improve accessibility, sustainability, and the quality of healthcare. The project will also support healthy populations across their life course, including the prevention and control of non-communicable diseases and improved maternal, newborn, and child health.

This workshop will facilitate stakeholders concerned with the burden of DM. The parties that will be involved have been identified, among others, IDF, economy representatives in charge of policies and efforts to control non-communicable diseases, especially DM, practitioners and professionals, and academics as the mandate of the HWG to work in partners to deal with the disease.

DM is a disease that reduces quality of life, both because it is unproductive and burdens the family economy and health financing. Interventions at the family level are believed to reduce many economic burdens. It is hoped that every economy will obtain complete information on how to handle DM patients in the community which is believed to provide better efficiency in handling DM cases in clinics / hospitals.

This activity will contribute to the aspect of policy development in HWG related to the management of non-communicable diseases, especially DM through the senior official meeting fora. In addition, each economy has the option of integrating IPC into the DM disease control program.

As mentioned in the North Star APEC document, the activity aligns with Asia-Pacific region health issues to prevent and manage non-communicable diseases. Collaboration efforts by sharing experiences, updating the latest technology, and lessons learned from economies and professionals can strengthen collaboration across the region.

This is in line with the aim of the Health Working Group to support a healthy population throughout the life course, including the prevention and control of non-communicable diseases, and to encourage and facilitate collaboration between health workers. This project can also strengthen the health system to improve the accessibility, sustainability, and quality of health services by increasing the capacity of health workers to implement interprofessional collaboration in the community. Thus, we can make our health system more resilient to future challenges.

In line with HWG Strategic Plan 2021-2025 Pillar 1, “Policy and Project Development”, this workshop is one of the North Star Implementation – Strategy 2030 to enable resilient health systems and promote the health of our populations in Asia Pacific. This workshop will support HWG in producing one policy activity in the form of a workshop on policy options, a report on policy developments on health topics of interest to all member economies. This workshop will obtain recommendations from all participants and experts to provide input for HWG to make policy developments on how to minimize the impact of Type 2 DM on the economic community. Meanwhile, this workshop is also aligned with Pillar 2 “Communication, collaboration and cooperation”, and is part of a strengthened dialogue with other global health partners. This is part of HWG’s activities to produce one policy or project outcome per year completed in collaboration with global health partners. This workshop will actively involve the International Diabetes Federation as a global partner in producing recommendations on Type 2 DM management in the economic community.

Beneficiaries and Outputs

Outputs

1) Workshop

1.  A pre-workshop assessment will be conducted prior to get an initial understanding from expected participants especially economies representatives. The assessment also to collect information regards with participants expectation, get inputs for the workshop’s subject discussion. The assessment form will be the questionnaire. The questionnaire will be sent to economies prior to the workshop in timely manner.

2.  This two-day full workshop consists of plenary sessions and group discussion. Speakers, experts, and participants from APEC economies which will include participants from the proposing economy and the APEC economies will be invited to take part in the offline workshop.

3.  The workshop will be held in Manado City, Indonesia in July 2025, with the theme "Diminishing Burden of Type 2 Diabetes Mellitus in the Community through an Inter-professional Collaboration (IPC) Approach". The workshop program includes a keynote speech, 3 plenary sessions (each plenary session consists of two topics) and 1 group discussion.

4.  The topics that will be discussed in this workshop are:

1) IPC approach for community with DM Type 2 person: intervention to diminish the burden

2) Plenary session-1:

Topic: Challenges of DM Type 2 control in the community and how to manage it

-  Epidemiology, Burden and Economical Impact of the DM Type 2 Disease

-  Managing DM Type 2 in the community: A healthy diet, physical activity, education, and medication

3) Plenary session-2:

Topic: IPC approach to deal with DM Type 2 in the community

-  IPC approach to provide holistic and patient centered care leading to minimize DM Type 2 complications and hospital admission

-  DM Type 2 population- and community centered care in the community

4) Plenary session-3:

Topic: IPC approach to deal with DM Type 2 in the community

-  Roles and responsibilities of profession to deliver effective IPC for handling DM Type 2 in the community

-  Health policy and program design intervention for DM control

5) Group Discussion

Topic 1: Identify the strategic approach to prioritize IPC collaboration to intervene DM Type 2 in the community:

-  DM Type 2 population- and community centered care in the community Topic 2: Communication and collaborative teamwork: IPC implementation for DM Type 2

-  Community empowerment: Key person and community leader roles

-  Inter-professional communication: media and method to connect with patient and family

6. After each themed presentation, there will be a 30–60-minute discussion session for all participants to interact with the workshop speakers. At the end of the workshop, all economies are requested to analyze and identify the way for prioritizing in their economy's program through IPC intervention in the community.

7.  Moderators and expert speakers specializing in IPC in DM Type 2 will be invited to share their latest updates, practices and experiences in this area, thereby increasing participants' understanding and ability to treat DM Type 2 in the community.

8. Post-workshop evaluation will be carried out right after the workshop to assess participant and expert satisfaction, as well as to collect feedback and suggestions.

An expected 12 experts consist with 9 speakers, 3 moderators, and around 109 participants from APEC economies, including public health officials, researchers, health professionals and stakeholders, are expected to attend the workshop in person.

2) Project Summary Report which include an Article
The project summary report should be minimum 30 pages (excluding annexes). The report can be used by all APEC economies, policy makers related to DM Type 2 management, and academics. The report includes a title page, introduction, session summaries, discussions, and a minimum of two recommendations. The recommendation is expected to cover for APEC economies' capacity and HWG for consideration how to address DM Type 2 in the community through the IPC approach. In this report we will also include an article in the form of a literature review which is a summary of all materials and discussion results during the workshop. The project summary report will be published on the APEC website after being reviewed and approved by HWG members to optimize the dissemination of the results of this workshop. The project summary report will adhere to APEC publication logo and copyright guidelines.

Outcomes

1) Through two days’ workshop, economies, and experts share the information about prevalence and dynamics of DM Type 2 globally and especially in the APEC region.

Provides an overview of the economic burden and current efforts in control including how IPC plays a role in controlling DM Type 2 in the community and provides benefits and efficiency. With comprehensive understanding according to the topics, economies are expected to put DM Type 2 as one of priority health program. At the end of the workshop, all economies are requested to identify the strategic approach to prioritize IPC collaboration to intervene DM type 2 in the community.

After the workshop, we will assess participants' acceptance of the shared knowledge and experiences, as well as their perceived applicability to their respective economies or regions, through a post-workshop evaluation questionnaire.

2) Provide related references handling DM Type 2 in the community through the IPC approach. APEC economies have a choice of DM Type 2 program interventions to strengthen existing interventions.

The APEC community will obtain a full understanding of how to handle DM Type 2 using the IPC strategy.

Beneficiaries

All APEC economies will be involved by inviting representatives of health workers who handle DM Type 2 policies, doctors, dentists, nurses, midwives, nutritionists, pharmacists, health promotion workers, environmental health workers, medical laboratory technology workers and DM Type 2 experts from APEC Economies to attend this workshop. Several experts will be invited as resource persons to present material related to handling DM Type 2 in the community using the IPC approach. Health policymakers from economies are also expected to receive inputs for their control and prevention programs.

Primary beneficiaries: NCD programmers from APEC economies, professionals and academics with expertise in NCDs, representatives of health workers who manage the DM Type 2, experts from APEC Economies, representatives of IDF and World Health Organization (WHO).

Secondary beneficiaries: NGOs such as Life Sciences Innovation Forum, international organizations, professions and academicians in the field of NCDs. All health workers, doctors, dentists, nurses, midwives, nutritionists, pharmacists, health promotion workers, environmental health workers, medical laboratory technology workers who handle DM in the community, and policymakers for DM management in all economies.

Beneficiaries can be involved directly or indirectly in handling DM Type 2 and better understand its role and function to improve public health as well as productivity and quality of life for DM Type 2 sufferers and can enhance the interprofessional working environment in the community. Local governments may be able to realize their role in supporting the control of DM Type 2, such as providing policies and regulations to support the IPC approach in handling DM Type 2. Health workers will be able to practice working with the community and have a better understanding of how to collaborate with community members to improve the health and treatment of DM Type 2. Stakeholders such as researchers may be able to learn more about the IPC approach in addressing public health problems, including the treatment of DM Type 2 in community, which can provide a more comprehensive approach to preventing and managing DM Type 2 so that it can improve the quality of life of sufferers and reduce the frequency of hospital admissions.

Dissemination

Before the international workshop is held, documents on administrative requirements and the main substance of the workshop will be submitted to all participants and economic representatives. This material will be circulated via email and made available on a website. The development of website will be self-funded. All invitation and communication to the economies by APEC secretariat, otherwise the PO will do through APEC consultation.

During the workshop, each participant will receive a set of handbooks consisting of administrative arrangements, workshop materials and notes. 

After the workshop, a project summary report is going to be prepared and finalized.

Summary report will be available before one month after the completion of the workshop. This final report will be submitted to the APEC Secretariat.

All documents produce through this workshop is aligned with APEC standard publication.

Gender

Please see Project Proposal in Supporting Documents folder.

Work Plan

Please see Project Proposal in Supporting Documents folder.

Risks

Please see Project Proposal in Supporting Documents folder.

Monitoring and Evaluation

Please see Project Proposal in Supporting Documents folder.

Linkages

Diabetes is a global health emergency and has serious social and economic impacts and is closely related to poverty, such as medical and rehabilitation costs, as well as loss of income due to illness, disability or premature death. These impacts affect all APEC economies.

In Indonesia, around 65.8% of DM Type 2 sufferers are not diagnosed with diabetes and have the potential to access health services late or experience complications. The risk of complications increases if management of DM Type 2 cases is carried out sectorally and is not comprehensive, and treatment is carried out without effective communication.

Often DM Type 2 sufferers are found in an advanced stage with complications such as heart attacks, strokes, serious leg infections and risk of amputation, as well as end- stage kidney failure. The complexity of the problems experienced by DM Type 2 patients shows how important the role and collaboration of all health workers is in handling it.

Interprofessional collaboration is a strategy to achieve desired quality results effectively and efficiently in health services. In 2010, WHO established the Framework for Action on Interprofessional Education and Collaborative Practice. According to WHO, collaborative partnerships are a good effort because they provide better outcomes for patients in achieving healing efforts and improving quality of life.

This project aims to increase the capacity of health workers in APEC economies to treat DM Type 2 through an IPC approach in the community. Participants include current and potential stakeholders in the economy, such as researchers and public health policymakers. This is to ensure that APEC economies are resilient to non-communicable diseases and encourage quality growth that provides real benefits and better health and well-being for everyone. The forum supports key global frameworks and initiatives, such as the 2030 Agenda for Sustainable Development, WHO's strategic priorities for the Western Pacific, and other professional forums. This project also advances the APEC Putrajaya Vision 2040 in the spirit of equal partnership, shared responsibility, mutual respect, shared interests and shared benefits, by working for the entire global health community.

Sustainability

This workshop will provide an opportunity for APEC member economies to learn about how to deal with DM Type 2 in their communities. It will assist each economy in preventing DM Type 2 patients from becoming a burden on society by obtaining input from experts and policymakers from various economies, which can then be implemented. This will improve and optimize methods for managing DM Type 2 in the APEC region, ultimately improving healthcare quality. Workshop outputs will be distributed to stakeholders and beneficiaries for future workshop in soft copies.

Before the end of the workshop, speakers, moderators and other participants are welcome to leave their contact details for further discussion by all attendees. Attendees are encouraged to network during the workshop to maintain an ongoing exchange of information. One of the outputs of the workshop is a summary report on managing DM Type 2. Six to twelve months after workshop, economies are requested to fill online questionnaire to monitor adaptation of IPC approach in their strategic control of DM Type 2.

In the following year, we plan to organize a workshop to produce a guidebook for managing DM Type 2 in the community.

The workshop will gather professionals’ representatives from each IPC and each economy and then guide them by experts to produce guidelines. This will be proposed to the APEC Funding mechanism. Those strategies mentioned above will strengthen our long-term cooperation.

Direct Labour

Please see Project Proposal in Supporting Documents folder.

Are there any supporting document attached?

Yes
Project No.
Project Title
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Project Year
Project Session
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Co-funding Amount
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Topics
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Other Fora Involved
Other Non-APEC Stakeholders Involved
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Project Proponent Name 1
Job Title 1
Organization 1
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Project Proponent Name 2
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Organization 2
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Email 2
Declaration
Project Summary
Relevance
Objectives
Alignment
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Gender
Work Plan
Risks
Monitoring and Evaluation
Linkages
Sustainability
Direct Labour
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