The International Diabetes Federation • Leading the global diabetes community since 1950 • Promoting diabetes care, prevention and a cure worldwide • Official relations with the World Health Organization • 231 member organisations in 170 countries • 7 regions Our activities ADVOCACY & CAMPAIGNING GLOBAL GUIDELINES BUILDING THE EVIDENCE CONVENING SHARING BEST PRACTICE HUMANITARIAN SUPPORT Kids and Diabetes in Schools Daniela Chinnici International diabetes federation Diabetes is a huge and growing problem… School support of children with diabetes is scattered Facts & Figures • 79,000 children under the age of 15 develop type 1 diabetes annually1 • Type 2 diabetes is also on the increase in children and adolescents Barriers to effective treatment • School support • Support for students with diabetes is inconsistent across the world 2. • There are discrepancies in resources and policy across the countries 2 • There is evidence of concern among teaching staff over the burden of extra time and responsibility required for a child with diabetes 2 Stigma and lack of knowledge around diabetes in schools are barriers to effective diabetes management 1. International Diabetes Federation. IDF Diabetes Atlas [monograph on the Internet]. 6th ed. 2013]. [accessed on August 1, 2014]. Available at: http://www.idf.org/sites/default/files/EN_6E Atlas_Full_0.pdf 2. Lange K Pediatric Diabetes 2009: 10(Suppl. 13): 28–36 doi: 10.1111/j.1399-5448.2009.00613.x KIDS project Vision All children Raise awareness of diabetes and the benefits of healthy diets and physical activities among school-age children Type 1 & 2 diabetes Foster a safe and supportive school environment for children with diabetes to manage their diabetes and avoid discrimination Primary targets Key Objectives Foster a school environment that creates a better understanding of diabetes and supports children with diabetes Teachers Nurses Parents Key activities Strategic Partners 6 to 14 years old Local Partners in Brazil and India Engage with policy makers and education authorities Feasibility study / Situational analysis School awareness activities. Meeting and events. Education activities. Global Diabetes in Schools Diabetes School Information Toolkit Pack Why India & Brazil? • https://www.youtube.com/watch?v= EV9HoJLmAak&feature=player_embe dded KiDS project achievements Main achievements KiDS School Pack available in 9 languages on IDF website Arabic, Greek, English; French; Chinese; Spanish; Russian; Hindi; Portuguese Around 1.400 teachers, 40.000 students trained in India and Brazil (30 private and public schools) 24 IDF Members expressed interest in engaging with the pack in their country Health and education policy makers engaged with the KiDS project in India and Brazil 2 Articles published : “Sugar free life”, Diabetes voices 6 Abstracts accepted (ISPAD, WDC 2015) 1 Facebook page created “Youth for health” in India 1 Bimestrial Newsletter in Brazil 1 KiDS pack survey School Information Pack on Diabetes Section 1: Teachers Section 2: Parents of a child with diabetes Section 3: Parents Section 4: Children Adaptations Engaging & targeted Main topics: *Information on Type 1 and Type 2 diabetes * Hypo- and Hyperglycemia *Healthy lifestyle *Resource websites Concrete tools to make a change If you’re interested please contact: kids@idf.org Downloads of the pack from 23/10/2014 to 29/10/2015 1,016 7.732 Main achievements KiDS School Pack available in 9 languages on IDF website Arabic, Greek, English; French; Chinese; Spanish; Russian; Hindi; Portuguese Around 1.400 teachers, 40.000 students trained in India and Brazil (30 private and public schools) 24 IDF Members expressed interest in engaging with the pack in their country Health and education policy makers engaged with the KiDS project in India and Brazil (Advocacy toolkit to be launched at WDC) 6 Abstracts accepted (ISPAD, WDC 2015) 1 Facebook page created “Youth for health” in India 1 KiDS pack survey Final evaluation Results of an Survey Monkey • Your overall satisfaction with the pack is: 1 2 3 4 5.” • Overall ease of use of the pack: 1 2 3 4 5. 90,4% 90% • „Did you use the pack since the time of its download?” 62% of the people (242) said that they used the pack after downloading it. Final evaluation Specific objectives the knowledge and skills about diabetes and maintenance of a healthy lifestyle the quality of care and support of children with diabetes in the schools (including social environmental factors) the level of satisfaction with the information pack and the trainings Knowledge about diabetes and maintenance of a healthy lifestyle School staff Teachers demonstrated more thorough awareness of Parents of a child with diabetes diabetes management and the importance of diet and knowledge, the KiDS pack reminded them physical activity in preventing type 2 diabetes. about important aspects of the care and Almost all teachers stated that they gained new knowledge from the KiDS training and pack. Teachers mentioned that students with diabetes should Even though parents did not learn new management of their child with diabetes. not be discouraged from normal activities. Parents mentioned that they became more aware about the importance of diet and physical activity in management and prevention of type 2 diabetes. Parents of a child without diabetes Unlike parents of children with diabetes, most parents in this group mentioned that they had gained new knowledge from the KiDS information pack. Parents highlighted the need for lifestyle modification reduce the risk of developing type 2 diabetes and the importance of recognising the symptoms of the condition. Changes regarding individual behaviour Parents of a child without diabetes School staff They now encourage their children to be more Changes were observed in the self-awareness and physically active by sending them out to play and discipline with regard to healthy eating and physical reducing their screen time (such as watching activity. television). Teachers felt confident to manage children with Parents reported that their knowledge and diabetes. confidence about being able to help a child with There was an increase in teachers’ empathy towards diabetes had increased. children with diabetes. The need was recognised for increased interaction and teamwork between the children, teachers and Parents of a child with diabetes parents to ensure appropriate management of the student with diabetes. The KiDS pack contributed to improving management skills of parents whose children were recently diagnosed with diabetes. Impact on the school environment Parents of a child with diabetes School staff School was supportive in care and management of Positive policy and infrastructure changes in the their child. School staff took adequate precautions schools were mentioned: medical rooms were set up; and informed the parents in case of emergency physical activities were included for children with and that their children were often supported to diabetes, including yoga. deal with their diabetes during school hours. More attention was given to the quality of food provided in some schools. Teachers had become more caring and took note of each child. School meals were also modified and were now healthier. Parents of a child without diabetes Schools prohibited consumption of any junk food in schools and stressed the importance of healthy food at home. School authorities were now more attentive towards children’s physical activities and allowed them to play in the school. Satisfaction of KiDS Project Parents of a child with diabetes School staff Teachers found the training clear and which provided all basic knowledge about understandable. They praised the interactivity of the diabetes and was understandable, attractive and session and felt that the information was provided in clear. a simple and effective manner. Some teachers said that diabetes had previously The pack was a child- friendly informative booklet It helped to reinforce and refresh the instructions never been covered at school, and that the project provided to their children regarding management drew attention to diabetes in childhood, prevention of of diabetes and also reminded parents about type 2 diabetes and diagnosis of diabetes. critical things which they might forget. Parents of a child without diabetes The KiDS pack was clear, understandable, attractive, informative and child friendly. They pointed out they liked the information about diabetes and its prevention. They stressed that diabetes in schools is a theme that had never been mentioned before and that the project was essential to increase awareness about diabetes School environment and policies play an important role in enabling T1DM children to manage their condition and address healthy nutrition and physical activities important for prevention of T2DM. Contacts kids@idf.org www.idf.org/education/kids T+32-2-538-55-11 Tw: @IntDiabetesFed