International Diabetes Federation Child Sponsorship Program life for a child with diabetes It takes so little … yet means so much! Be part of the family!! As a partner in the life for a child with diabetes program, you will receive regular updates on the diabetes centre receiving your support. You will be kept informed about the progress of those children under their care with photographs and individual stories. You will be able to see for yourself the very real difference your $1 a day is making to their health and wellbeing, and their growing hope for the future. Jacklyne’s Story For any hope of survival, Jacklyne and her family move around, staying on the edge of larger highland centres, wherever there are relatives willing to take them in. You can help Become a Sponsor today! Jacklyne lives in a remote village in the highlands of Papua New Guinea. There is no electricity. No telephones. No doctors. Jacklyne is nine years old. She also has diabetes. Jacklyne and her family live in poverty. Jacklyne can get insulin but there’s no money for the equipment she needs to test her blood glucose levels. There is no diabetes educator. Jacklyne is constantly unwell and painfully thin. She already has problems with her sight. Despite past attempts by aid organisations to help children like Jacklyne, these programs have either not been sustained or the insulin supplies they have been able to provide were simply not enough. Who then can she turn to? Her chances of survival are tragically slim… Diabetes in Developing Countries The diagnosis of diabetes for any child in any country can be devastating. In developed countries such as the USA and Australia, most children have ready access to everything they need to manage their diabetes from the time of diagnosis. In most developing countries they do not. Families of children with diabetes need to pay for most or all components of care. The full cost of insulin, syringes and testing strips alone is between US$300 and US$600 per year. This exceeds the annual income of many families. And so the children receive an inadequate insulin dose without monitoring. They are ill and weak all the time, frequently dropping out of school and later having difficulty gaining employment or marrying. Some die quickly with uncontrolled hyperglycaemia. The others develop early complications with kidney failure, blindness and severe neuropathy developing in their early adult life. Life For A Child With Diabetes Program life for a child has been established by the International Diabetes Federation (IDF) with support from Diabetes Australia. It is an innovative yet sustainable child sponsorship Program in which individuals and families participate to help children with diabetes in Fiji, Papua New Guinea and the Philippines. It will be implemented in these countries by the charity HOPE worldwide in association with the National Diabetes Association. The formula is simple. Participants in the life for a child Program part-sponsor the local diabetes centre, helping them to provide the clinical care, testing facilities and diabetes education essential to keep these children alive. Our goals are to provide: sufficient insulin and syringes blood glucose monitoring facilities appropriate clinical care HbA1c testing diabetes education to country’s best practice level technical support for health professionals expansion of the Program to other developing countries These children don’t have to die Those who survive can be saved from the certainty of blindness, kidney failure and limb amputation. It is possible for these children to have a future. You can help! It will cost you $1 a day to join the Program ($365 each year). You can pay by all standard methods either monthly, quarterly or annually. Become a Sponsor today! *Donations are not tax deductible in Australia or New Zealand at this stage. *Donations ARE tax deduction in the USA. How To Become A Sponsor Of The Life For A Child With Diabetes Program from the USA Yes, I would like to help provide life for a child Details (please print) Mr/Mrs/Ms/Dr/Other First Name Last Name Address: Zip Code: Phone(h) (w) Facsimile (optional) Email address(optional) I would like to contribute as follows:Quarterly at US$92 Annually at US$365 Credit Card authorisation I/We authorise HOPE worldwide to debit regular payments from my/our credit card as set out below until further notice. Visa Mastercard Expiration Date Discover American Express / Cardholder’s name: Cardholder’s signature: Please charge the amount of US$………………………… to start my sponsorship. Please find attached my check to start my sponsorship. Please make check payable to HOPE worldwide. I would like to make a one time donation for the amount of US$………………………. Please complete and return to Sharon Teems, International Controller HOPE worldwide Ltd 353 West Lancaster Avenue Wayne, PA, 19087, USA Ph: 610 254 8800 Fax: 610 254 8989 Email: Sharon_Teems@hopeww.org Donations are tax deductible How To Become A Sponsor Of The Life For A Child With Diabetes Program Yes, I would like to help provide life for a child Details (please print) Mr/Mrs/Ms/Dr/Other First Name Last Name Address: Postal Code: Country: Phone(h) (w) Facsimile (optional) Email address(optional) I would like to contribute as follows:Quarterly at US$92 Annually at US$365 Credit Card authorisation I/We authorise Diabetes Australia-NSW to debit regular payments from my/our credit card as set out below until further notice. Visa Diners Club Mastercard Expiry Date American Express / Cardholder’s name: Cardholder’s signature: Please charge the amount of US$………………………… to start my sponsorship. I would like to make a one time donation for the amount of US$………………………. Please complete and return to Mrs Anne Rogers, Programme Co-ordinator Diabetes Australia-NSW GPO Box 9824, Sydney, NSW, 2001 Australia Ph: 61 2 9552 9955 Fax: 61 2 9660 3633 Email: anner@diabetesnsw.com.au Donations are NOT tax deductible Contact Details Mrs Anne Rogers Program Co-ordinator IDF Child Sponsorship Program life for a child with diabetes Diabetes Australia-NSW 26 Arundel Street Glebe, NSW, 2037 Australia GPO Box 9824 Sydney, NSW, 2001 Australia Telephone: 61 2 9552 9955 Facsimile: 61 2 9660 3633 Email: anner@diabetesnsw.com.au Update 3 - May 2002 Thank you to all our sponsors for your continued support of the Program, which is assisting children with diabetes in developing countries. The program is progressing well, and we expect to have tax deductibility for the program within a couple of months. FIJI Fiji does not have any paediatric diabetes educators, and all health professionals have very limited training in managing children with diabetes. For this reason, we arranged for Mrs Angela Middlehurst, an experienced paediatric diabetes educator at Diabetes Australia-NSW, to visit Fiji in November. Angela spent two weeks in the country, visiting the three main hospitals - Lautoka and Suva on the main island of Viti Levu, and also Labasa on the island of Vanua Levu. Between them, these hospitals care for all the children with diabetes in the country. Angela trained nurses, doctors, and dietitians, and personally educated and reviewed the care of many of the sponsored children. THE PHILIPPINES Dr Graham Ogle was able to visit the three centres in Manila that are receiving funds from the program. These are: Philippine General Hospital / University of the Philippines, which receives referrals from all over the country. The Philippine Center for Diabetes Education - a unique clinic situated within the prestigious private Makati Medical Center, that cares not only for wealthier families but also many children and adults from impoverished situations. The Institute for the Study of Diabetes at the University of East Ramon Magsaysay, which manages many poor patients, and educates health professionals. Dr Ogle was able to meet most of the sponsored children, and all the diabetes doctors and nurses looking after them, as well a s the HOPE worldwide (Philippines) staff who look after the financial aspects of the program. It was gratifying to see that all aspects of the program are going according to plan. Dr Jose Miranda measuring Eiffel, one of the sponsored children in the Philippines. Four sponsored children at the Philippine Center for Diabetes Education are shown with Roland Thompson. Roland is a long-term survivor of diabetes, having commenced treatment 55 years ago in the early days of the Joslin Clinic. He is active in the Diabetes Association, and an inspiration to the children. PAPUA NEW GUINEA The two children living in the highlands - Jacklyne and Muo - are doing well, thanks to the supplies from the program, and dedicated physicians in the country. One child is being looked after at the Summer Institute of Linguistics clinic in Ukarumpa, the other is now more secure, living with her father in Kundiawa, and managed by telephone and fax contact with HOPE worldwide staff in Port Moresby. Thank you for your support of the program! Graham Ogle, Martin Silink, and Anne Rogers IDF Child Sponsorship Program - Life for a Child with Diabetes GPO Box 9824, Sydney, NSW 2001, Australia Ph 61 2 9552 9955 Fax 61 2 9660 3633 e-mail anner@diabetesnsw.com.au Update 2 – October 2001 Thank you to all our sponsors for your support of the Program, which is assisting children with diabetes in developing countries. The program is gathering momentum we now have 145 regular sponsors. FIJI Dr. Shabnam Prakash in Lautoka is very effectively coordinating the program. Children are being assisted with glucose meters and strips, needles and syringes, and travelling expenses when necessary to ensure that they can attend hospital reviews. A workshop, funded by the Ministry of Health, was held in Suva to introduce the program to the eastern side of the main island. There is now a regular clinic for diabetes patients in Lautoka. Lectures are also being held for general practitioners. In November, a diabetes nurse educator from Sydney will visit Fiji for two weeks to educate the children and their families, and train the nurses looking after the children. Priya is a 16 year old Fijian Indian girl who was recently diagnosed to have diabetes. Nurses from Lautoka Base Hospital are showing her how to use a glucose meter, which has been supplied by the Program. Kolinio is now six years old, and lives in Fiji. He has had diabetes since he was two months old, and has been on insulin since that time. He has been in hospital six times for stabilisation of high and low blood sugar levels. On his last admission, he was found to have recurrent infections of his hands and feet, suggesting that he is already developing complications. His most recent HbA1c was 10.4%, which is high, indicating longstanding poor control. We have provided him with a glucose meter and testing strips, so that the family can monitor his blood glucose levels. The more regular visits to the diabetes clinic will also ensure that he can be checked for complications, and receive education. THE PHILIPPINES The five most needy children at each of the three centres benefiting from the program have been selected. The three centres are the Philippine General Hospital, Philippine Center for Diabetes Education, and the Institute for the Study of Diabetes, all in the Manila area. These fifteen children are being provided with insulin, syringes, glucose meters, and other needs. PAPUA NEW GUINEA Jacklyne, who was featured in the first update, continues to do well. Another child in the highlands is receiving assistance with glucose meter strips, allowing her father to monitor her blood glucose level as necessary. The key measurement used to monitor control in diabetes - a measure of glycosylated haemoglobin known as HbA1c, has until now been completely unavailable in the highlands of Papua New Guinea. The BioRad company have, on our request, generously donated some samples of a new HbA1c technique, allowing the samples to be sent by post to Sydney. We now can provide regular measurements for these children, assisting the physicians looking after them to optimise their management. We also have begun exploring the possibility of expanding the reach of the program to assist children with diabetes in Bolivia in South America. Once again, we thank you and are grateful for your support of the program! Graham Ogle, Martin Silink, and Anne Rogers "Life for a Child" Program. GPO Box 9824, Sydney, NSW 2001, Australia Ph 61 2 9552 9955 Fax 61 2 9660 3633 e-mail anner@diabetesnsw.com.au Update 1 – April 2001 Thank you to all our sponsors for your thoughtfulness and support of the “life for a child” program, which is now assisting children with diabetes in developing countries. The program was officially launched at the 17th IDF Congress in Mexico City in November 2000, and is commencing support in the following three countries: PAPUA NEW GUINEA Type 1 diabetes in children is very rare in Papua New Guinea. This is fortunate, as there are no long-term (greater than 5 yrs) survivors of type 1 in the country - the few cases reported have all died. Most of the people live in villages, with limited access to health care centres. Very few medical doctors in the country have no experience with type 1 diabetes. There is a free basic health system, but resources are few. Insulin is provided by the Government, but glucometers and testing strips have to be purchased by the families, at premium prices. There are just a couple of diabetic educators, and they do not have the medical experience training, dealing with the care, development and the treatment of diseases that affect children. Papua New Guinea does not have any dietitians at all working in hospitals. One of the benefits of this sponsorship program will be to educate health professionals and to support technical queries. We have tremendous news to report about Jacklyne, the child whose story was featured in our brochure: Jacklyne is from the highland village of Mul. She is nine years old, the only child of her parents, and was diagnosed with type 1 diabetes in 1997. The district where her village lies was opened up to the outside world in 1949, and even today requires a four-wheel drive approach along steep mountain roads. The area has no electricity or telephones, and the Health Centre has no experience with diabetes and is frequently without even basic medicines. So the family has been forced to stay, living in poverty, with relatives on the edge of larger highland centres. Jacklyne had been using expired insulin and was unable to monitor herself. She was thin and unwell, with visual disturbances and overall in a very dangerous situation. School in Jacklyne’s Village However with funds from the “life for a child” program we were able to transport Jacklyne and her father to Port Moresby General Hospital for education. Distant relatives working for HOPE worldwide (our partner organisation implementing the program) provided free accommodation and meals during their stay. She is now in good control, confidently giving her own injections, (picture below) and performing daily home blood glucose monitoring, and feeling much healthier. She and her father are tremendously grateful for the support. They have returned to the highlands, confident that Jacklyne now has a future. FIJI Fiji has a low but increasing number of children with diabetes. Currently there are 12 managed from Lautoka, 6 from Suva, and 3 from Labasa. Insulin is provided by the Government, but glucometers and testing strips are only available from time to time in limited quantities in some hospitals. Families need to buy their own needles and syringes. Like in Papua New Guinea, there are just a couple of trained diabetic educators. We have just recently commenced assisting Fiji. Parent education manuals have been sent, and expert clinical advice provided. Dr. Shabnam Prakash, Paediatrician, a specialist in the diseases of children, at Lautoka Base Hospital, is organising a meeting with the paediatricians from each area of the country to inform them of the program and determine where best the funds can be used. THE PHILIPPINES Manila, the capital of the Philippines, is a city of 12 million people. There are around 120 children with diabetes in Metro Manila and surrounding districts. The three centres looking after these children provide expert teaching but are generally unable to supply insulin, glucometers, testing strips, urine strips, HbA1c tests, or syringes and needles – families need to purchase these. A recent study of children from poor families showed that 40% of children were frequently missing insulin injections, and that none were having regular HbA1c tests due to financial difficulties. A Memorandum of Understanding has been signed with the paediatric diabetes centres concerned: the Philippine General Hospital, Philippine Centre for Diabetes Education, and the Institute for the Study of Diabetes. Over the next two months we will begin to directly assist the children. Once again, we thank you for your support of the “life for a child” program! Graham Ogle, Martin Silink, and Anne Rogers "Life for a Child" Program. GPO Box 9824, Sydney, NSW 2001, Australia Ph 61 2 9552 9955 Fax 61 2 9660 3633 e-mail anner@diabetesnsw.com.au