National Service Framework for Diabetes
The National Service Framework for Diabetes is a ten year program.
Being conscious of the alarming and ever-pressing effect of diabetes, the Mauritian Government has made it a priority to include the establishment of a National Service Framework for Diabetes (NSFD) in its program. On 20th December 2006, the United Nations General Assembly Resolution emphasised the need for Member States to develop national policies for the prevention, treatment and care of diabetes. The NSFD lays out the strategies for diabetes prevention and the standards of diabetes-care to be implemented in Mauritius over a period of ten years. As a local NGO involved in diabetes prevention, APSA International is on the steering committee of the NSFD.
Brief History of Mauritius and Diabetes
Mauritius is an island situated in the Indian Ocean, with a population of 1.15 million made up of five different ethnic groups: Indian, Creole, Muslim, Chinese and European. WHO (World Health Organisation) reports indicate that Mauritius has one of the highest incidences of non-insulin-dependent diabetes in the world. There are a variety of contributing factors for this, some of which include: genetic predisposition, rapid change in eating habits (e.g. influx of fast foods) due to rapid industrialization, obesity, and lack of exercise. The World Health Organisation and the Ministry of Health carried out a Disease and Risk Factor Prevalence Survey in 1987, with the contribution of: The International Diabetes Institute, Victoria (Australia), the WHO Collaborating Centres of Newcastle-Upon-Tyne University (U.K), and the National Health Institute, Helsinki (Finland).
In the population group of 25 years and over, 12.7% (i.e. 52,000 individuals) have diabetes and a further 17.5% (or 83,000 individuals) have impaired glucose tolerance, whereas in the population group of 45 years and over, 23% (or 42,000 individuals) have diabetes and a further 22% (or 40,000 individuals) have impaired glucose tolerance. Thus amongst Mauritian adults aged 45 years and over, approximately 1 in 2 people have diabetes, or have a high risk of developing it.