The Pan American Health Organization
Promoting Health in the Americas

 Safe Hospitals

Health Surveillance & Disease Prevention & Control: Chronic DiseasesHome Page -
Cancer: Cervical Cancer - Cardiovascular Diseases - CARMEN -
Chronic Disease Newsletter - Brazil Newsletter -
Diabetes - Healthy Eating & Active Living - Hypertension - Nutrition - Obesity - Regional Strategy -
Communicable Diseases - Health Analysis & Statistics - Veterinary Public Health

Disease Prevention and Control / Noncommunicable Diseases / Diabetes

Veracruz Initiative for Diabetes Awareness (VIDA Project)

VIDA Project

Project Documentation

In English
- new!   Manual for the Implementation of Collaborative Projects to Improve the Quality of Care for Persons with Chronic Diseases (63 pp, PDF, 805 Kb Kb)
- Progress Report, July 2004 (PowerPoint, 11 slides, 837 KB)

In Spanish
(titles translated below for user orientation)
- Protocol (6 pp, PDF, 174 KB)
- Intervention & Control Centers (table, 1 p, PDF, 156 KB)
- Indicators for Measuring the Intervention (table, 1 p, PDF, 132 KB)
- Change Package (PowerPoint, 16 slides, 1555 KB)
- Intervention Plan for Change Package (2 pp, PDF, 145 KB)
- Final Report, Learning Session 1
- Final Report, Learning Session 2
- Final Report   |   Presentations Learning Session 3
- Assessment of Chronic Illness Care (ACIC Questionnaire) (10 pp, PDF, 616 KB)
- Foot Evaluation for the Diabetic Patient (PDF):
Instructions (2 pp, 95 KB) | Form (1 p, 1721 KB)


Other Subregional Initiatives
- Central American Diabetes Initiative (CAMDI)
- Institutional Response to Diabetes and Its Complications (IRDC, Caribbean)

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

The monitoring system for quality of care in Mexico indicated that in 2000, only 34% of all persons with diabetes receiving care were reported to have adequate metabolic control. As a result, the Ministry of Health in Mexico included diabetes as one of the health priorities in a national campaign for service improvement called The Crusade for Quality Improvement. In this context, an intervention project is being carried out in five primary-care centers in Veracruz, Mexico.

The intervention is a joint program of the Ministry of Health and the Diabetes Declaration of the Americas (DOTA) through the Pan American Health Organization / World Health Organization (PAHO/WHO). An assessment of the status of diabetes care was carried out in participating health centers as a baseline for the intervention. The study was an audit of medical records using the QUALIDIAB questionnaire promoted by DOTA.

The one-year intervention consists of in-service training of primary-care personnel on diabetes management, including foot care, as well as the implementation of a structured diabetes education program and a variety of initiatives created by the primary health teams. Some of the innovations that were put in practice by primary-care centers in the VIDA project are the organization of diabetes clinics, a collective medical visit for the Grupos de Ayuda Mutua (Diabetic clubs), and the use of promotores (health promoters) to carry out diabetes education, as well as participation by people with diabetes in the project's learning sessions.

Regional Office for the Americas of the World Health Organization
525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America
Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663

Pan American Health Organization. All rights reserved.