Project Name
Country
Project Location
Initial Situation
KOSANA
Republic of Kosovo
Kosovo
Objectives
Assesment on : How many people are diagnosed with diabetes? How many cases
are diagnosed with gestational diabetes (for e.g. annually)? How many people are
diagnosed with type 1 and type 2 diabetes?
B. How many people take insulin? How is current coverage of people with insulin?!
How many are with oral therapy?
C. How many people have complications? What type of complications?!
D. Which is the list of needed services for diabetes? Which services are provided
in the country? Which services are required abroad and why? Which services are
problematic? Where are they provided (private/public)?
E. What are the needs of patients/problems faced? What are daily problems?
F. How the countries in the region have solved the services for the patients with
diabetes?
Awareness of population for diabetic diseases and complications, improvement of
diagnosis, quality of health services
Patient with diabetic and health insurance fund
Health Family Centres
Ministry of Health
Patient with diabetic
Diabetes Association of Kosovo represents the interests of people with diabetes in
Kosovo. Its membership entails people diagnosed with diabetes and some
physicians that treat these patients. There are 6 regional associations of patients
with diabetes that have been funded in past years: Peja, Prishtina, Gjakova,
Ferizaj, Prizren, and Gjilan.
2012Dr.Igballe Malushaj 045 588 906, email dr.igballe@hotmail.com
Expected Results
Beneficiaries
Implementing Partner
Partner Desciption
Project Duration
Responsible
The health system in Kosovo doesn’t possess accurate data on the number, type of
diabetes, and degree of complications. The health system in Kosovo has not rounded up
crucial elements of the treatment of diabetes that have been determined by the St. Vincent
Declaration and WHO as: education, continuous care toward diabetics, accurate treatment
of complications, statistical data, etc.
The data from the National Institute of Public Health of Kosovo, prepared from the reports
of morbidity generated by the Health Information System, show that for the analyzed period
2005-2007, we had 80.514 contacts with the persons with diabetes. The prevalence of
diabetes diagnoses for the year 2005 was 14.7, for the year 2006-16.2 while for the year
2007=17.6 cases in 1.000 inhabitants. The highest participation was among the women
while the most attacked age group was between 50-60 years. Over 75% of diagnoses come
from the primary health.
The main problems faced by the diabetics in Kosovo can be grouped as follows: health
education continues to be at low rate, service of early diagnostification of complications as :
HbA1C, Microalbuminuria, Doppler of peripheral vases of the treatment of complications
as Laser Photocoagulation are available only in the private sector and in rare cases in that
public. Also a big problem represents the lack of medicines from the essential list. So far,
the Ministry of Health has in its essential lists only glibenclamide and metformin
preparations for peroral therapy and humanitarian insulin. The pressure of the Association
of Endocrinologists and SHKDAK has made that the MOH to move towards the provision
of insulin analog for 30 % of patients in particular for those with type 1.
Diabetes is a disease with high comorbidity so that other
medications as qualitative
antilipemics, antihypertensive drugs, alphalipoinik acid, should be a part of this essential list
as long as there’s no health insurance.