A new Diabetes Center: a Fruitful and Successful Result from the Korea-Cambodia Twinning Project
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1 28 30 September 2017 Grand Hilton Seoul Hotel, Seoul, Korea A new Diabetes Center: a Fruitful and Successful Result from the Korea-Cambodia Twinning Project Asst. Prof. TOUCH KHUN, Diabetologist Cambodia-Korea Diabetes Center Preah Kossamak Hospital, Cambodia
2 Conflict of Interest Disclosure None Committee of Scientific Affairs
3 Outline I. Introduction to Cambodia II. Hospital Situation III. Twinning Project IV. Conclusion
4 I. Introduction to Cambodia
5 Introduction Location: Southeast Asia Population: 16, 076, 370 (2017) 80% of population cultivate rice in rural areas Life expectancy (2015): 66,6 years for men 70,7 years for women 84.9% population never had blood sugar level measured 51% population never had their blood pressure measured
6 Estimated Rise of DM in Cambodia , , ,000 * Hilary King, Lim Keuky, Serey Seng, Touch Khun, Gojka Roglic, Michel Pinget, Diabetes and ass ociated disorders in Cambodia, The Lancet, Vol.366 Nov. 5, 2005.
7 II. Hospital Situation
8 Preah Kossamak Hospital Before 2005, Preah Kossamak Hospital, located in Phnom Penh, Cambodia, provided mainly surgery and traumatology services. Since 2005, the hospital has become the most important and largest hospital providing diabetic services in Cambodia.
9 Preah Kossamak Hospital Preah Kossamak Hospital Old Diabetology Department
10 Old Diabetology Department Waiting and education area Registration area
11 III. Korea-Cambodia Twinning Project
12 Korea-Cambodia Twinning Project As a commitment to Association Twinning Initiative (ATI) of the IDF, the principal model twinning project between Korea and Cambodia has started subsequent to The pilot project contains the support of 3-story Cambodia-Korea Diabetes Center and collaborated medical services from Korean Diabetes Association (KDA) and Jeremiah's Hope Korea (JHK) to Preah Kossamak Hospital, Cambodia. The Twinning Project was commenced by brilliant idea of Prof. Nam Han Cho, current President-Elect of IDF.
13 Before the Diabetes Center The rate of amputation was around 70-80% on diabetic foot patients. The management and knowledge on diabetes disease from the patients were noticeably poor. Usually patients come with high and uncontrol glycaemia and HbA1C. There was no collaboration between diabetologists and orthopedists to treat foot ulcers.
14 Before the Diabetes Center - Patients Diabetes-diagnosed patients: Do not know where to go for the treatment and follow-up of diabetes. Usually go to private clinic or other department in the hospital Going abroad for treatment and follow-up for wealthy patient No place to be admitted when having major complications Non Diabetes-diagnosed patients: Have difficulty to be diagnosed with diabetes Already have complication without knowing that they have diabetes.
15 Before the Diabetes Center Doctors Medical doctors: and Students No place for training for endocrinology specialized doctors Diabetes-related experience is very limited Small consultation room and lack of equipment Medical students: No proper place for internship No place to study and do research about diabetes
16 Then Cambodia-Korea Twinning Project started in 2011
17 MOU Signing between Korea and Cambodia A memorandum of understanding signed between the Cambodian Ministry of Health (MOH), the Korean Diabetes Association (KDA) and Jeremiah s Hope Korea (JHK) for the construction and support of the Cambodia-Korea Diabetes Center started in After the MOU, there were two medical services of the Cambodia-Korea twinning projects.
18 MOU Signing between Korea and Cambodia MOU between MOH, KDA and JHK
19 1st Anniversary Medical Service of Cambodia-Korea Twinning Project Date: March Number of participant: 1901 diabetes patients. Location: Preah Kossamak Hospital, Cambodia. There were assistances of Cambodian volunteer medical students, and Cambodian and Korean doctors.
20 1st Anniversary Medical Service of Cambodia-Korea Twinning Project Opening Ceremony of the 1st Anniversary Medical Service
21 1st Anniversary Medical Service of Cambodia-Korea Twinning Project Consultation at the 1st Anniversary Medical Service
22 1st Anniversary Medical Service of Cambodia-Korea Twinning Project Patients and the team at the 1st Anniversary Medical Service
23 2 nd Anniversary Medical Service of Cambodia-Korea Twinning Project Date: December Number of participant: 1289 diabetes patients. 444 men and 845 women, mean age 56.9 years Location: Preah Kossamak Hospital, Cambodia. Number of staff from Korea: 60 (doctors, nurses, and pharmaceutical experts). Donation: USD200,000 worth of medical equipment and drugs. There were 12 educational sessions for medical staffs and medical students.
24 2nd Anniversary Medical Service of the Twinning Project (2012) A patient was examined by a podiatrist from Korea
25 2nd Anniversary Medical Service of the Twinning Project (2012) The Director of Preah Kossamak Hospital and Prof. Nam Han Cho were interviewed by the media about the 2 nd medical service
26 2nd Anniversary Medical Service of the Twinning Project (2012) The Ground Breaking Ceremony of Cambodia-Korea Diabetes Centre
27 2nd Anniversary Medical Service of the Twinning Project (2012) Medical Consultation by Prof. Moon Kyu Lee at the 2 nd Anniversary Medical Service
28 2nd Anniversary Medical Service of the Twinning Project (2012) A group photo of all volunteers, Cambodian and Korean physicians
29 Diabetes Center Site Inspection from KDA Team A Meeting between Director of Preah Kossmak Hospital and KDA Team
30 Diabetes Center Site Inspection from KDA Team A Meeting between Director of Preah Kossmak Hospital and KDA Team
31 Diabetes Center Site Inspection from KDA Team Construction Site Visit by the Director of Preah Kossmak Hospital and KDA Team
32 Diabetes Center Site Inspection from KDA Team An amputated diabetic foot patient was visited by KDA representative
33 Cambodia-Korea Diabetes Center In July 2015, the first and biggest diabetes center in Cambodia was opened to public services in Preah Kossamak Hospital, Cambodia. This center serves as an essential place to educate, take care, and treat thousands of Cambodian diabetic patients.
34 Inauguration Ceremony of the New Diabetes Center in July 2015 A Photo of Minister of MOH, Cambodia, Ambassador of Korea in Cambodia, Professors, Doctors, and Nurses during the Ceremony
35 Inauguration Ceremony of the New Diabetes Center in July 2015 A Signing by the Ambassador of Korea in Cambodia during the Inauguration Ceremony of the New Diabetes Center
36 Inauguration Ceremony of the New Diabetes Center in July 2015 The Giving of the New Diabetes Center by Prof. Nam Han Cho to the Chief of the Diabetes Center
37 Inauguration Ceremony of the New Diabetes Center in July 2015 Meeting Room Inspection by the Minister of MOH, Cambodia, Ambassador of Korea in Cambodia, Professors, and Others
38 Cambodia-Korea Diabetes Center Before Construction
39 Cambodia-Korea Diabetes Center During Construction
40 Cambodia-Korea Diabetes Center During Construction
41 Cambodia-Korea Diabetes Center After Construction
42 After the Diabetes Center Improved access to diabetes treatment and care Improved awareness among diabetes patients Better glycemic and HbA1C control Better collaboration for new diabetic patients Enhancement of care for individuals with diabetes beneath poverty line.
43 After the Diabetes Center - Patients Diabetes-diagnosed patients: Come to the center for treatment and follow-up of diabetes Reduce the flow of going abroad for treatment and checkup for amputated and CKD patients Can be admitted 24/7 whenever they have complications Being more careful about diet and soft drink consumption Have good control of glycaemia, get educated from nurses and doctors, and have more knowledge on diabetes care Non Diabetes-diagnosed patients: Heard about the diabetes center during social events Can prevent on time before the complications appear (diabetic nephropathy, retinopathy, and foot ulcer )
44 After the Diabetes Center Doctors Medical doctors: and Students Receive training for 6-12 months for doctors from provinces Obtain CME education sessions almost every weekend, better room to consult, and patients reception area Knowledge is increasing noticeably because of the new center. Get opportunity to go abroad for training and internship Medical students: Have a proper place for internship Have a place to study and do research, thesis about diabetes.
45 Conclusion
46 Conclusion Korea-Cambodia Twinning Project: Excellent model for IDF Task Force s Association Twinning Initiative (ATI). Provided Cambodia-Korea Diabetes Centre and medical services to Preah Kossamak Hospital for all Cambodian diabetic patients.
47 Conclusion The Diabetes Centre: Becomes Cambodian biggest center to educate, take care, and treat diabetic patients in Cambodia. Be the first center in Cambodia to treat diabetic foot. Be the place for educational and development diabetes program for medical professionals and students. Medical Services: Improved awareness among diabetes patients. Helped patients to achieve better glycemic control. Improved care for people living with diabetes below the poverty line.
48 Thank you for your kind attention!
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