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Disease Prevention and Control / Noncommunicable Diseases / Diabetes

IIIrd PAHO-DOTA Workshop: Institutional Response to Diabetes and Its Complications (IRDC)

(Nassau, Bahamas, 22–24 November 2004)


Conference Documentation (PDF)
Final Report (91 pp, 1.19 MB, Chapter links in table of contents)
Agenda (170 Kb)
List of Participants (151 Kb)   |
Visitor Information (209 Kb)
Background Document:
Web summary | Full Text (30 pp, 1098 Kb, chapter links in Table of Contents)

IRDC Home Page |  IRDC Meetings:
2003 (Miami, USA)
2002 (Ocho Rios, Jamaica)

Other Subregional Initiatives
- Central American Diabetes Initiative (CAMDI)
- Veracruz Initiative for Diabetes Awareness (VIDA)

Links: Diabetes Initiative for the Americas (DIA): Action Plan 2001–2006 |
PAHO Diabetes Page
WHO Diabetes Page

Diabetes mellitus affects between 10% and 15% of the adult population of the Caribbean, where its economic burden reached the $1 billion mark in 2000. Previous studies indicate that diabetes care is suboptimal in the Caribbean. The Declaration of the Americas on Diabetes (DOTA) supported the project Institutional Response to Diabetes and Its Complications with sites in The Bahamas, Jamaica, and Saint Lucia.


  1. Review clinical evidence-based diabetes guidelines and suggest a plan for the development of similar activities at the national level in participating countries.
  2. Review strategies to improve quality of care for people with diabetes.
  3. Produce plans for projects on diabetes education and quality-of-care improvement.


The first DOTA Workshop on Quality of Diabetes Care was held on 11–12 March 2002 in Ocho Rios, Jamaica, with participation of Barbados, The Bahamas, Trinidad and Tobago, Jamaica, and Saint Lucia. Participants agreed on implementing a survey on the quality of diabetes care in health centers, using the data-collection questionnaire discussed during the workshop.

A second workshop took place at the Diabetes Research Institute at the University of Miami in May 2003, where results of the evaluation were analyzed. Results of the study on the quality of diabetes care in the Caribbean (Bahamas, Jamaica and Saint Lucia) showed that diabetes care needs to be improved. More than a half of the surveyed patients in participating centers were found to have poor metabolic control (fasting blood glucose 8 mm/l or more / HbA1c 8% or more). Most people with diabetes still do not get an annual foot exam, nutrition or exercise advice as part of a diabetes-education program.

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