Reducing Mother and Child Gestational Diabetes-Related Deaths
In partnership with Novo Nordisk and the World Diabetes Foundation, our network member in Nicaragua, the Pan American Social Marketing Organization (PASMO), is working with private sector health providers across multiple hospitals and satellite clinics in Managua, Nicaragua. The objective is to offer prenatal clients access to testing, diagnosis and management for hyperglycemia in pregnancy, as part of a broader package of maternal health services. Lifestyle management through tailored diet and exercise plans are key aspects of the program. The immediate aim is to reduce maternal and child morbidity due to birth complications, while the longer-term goal is to reduce the risk of developing future Type 2 diabetes in both mother and child. Within the current program, participating hospitals have observed a reduced cost due to fewer hospitalizations, fewer high-risk obstetric cases, and less need for medical management with insulin, which can be resource intensive.
National rates of gestational diabetes mellitus have yet to be established for Nicaragua due to the lack of widespread testing. However, this program shows that testing and management can be accomplished with modest investments and support. PASMO and its partners continue to advocate for more widespread testing across the country and the world.