Development Programme for the Prevention and Care of Diabetes in Finland DEHKO 2000–2010

The Development Programme for the Prevention and Care of Diabetes (DEHKO 2001-2010) is Finland’s national diabetes programme. It aims to prevent type 2 diabetes and diabetes-related complications to improve the quality of diabetes care and to support the self-care of people with diabetes.

DEHKO has clear goals to be achieved by 2010 and 25 concrete recommendations for action. Many of the recommended actions have already been carried out. The programme is regularly assessed.

Key players:

  • Finnish Diabetes Association
  • Primary Health Care
  • Specialised medical care
  • Occupational health care
  • National Public Health Institute

DEHKO is financed by Finland’s Slot Machine Association (RAY), the Finnish Diabetes Association and diabetes-related companies, which have committed themselves from the very outset to the long-term funding of the programme.

DEHKO includes a special programme for the prevention of type 2 diabetes in Finland, which is implemented on the FIN-D2D Project (2003-2007). It comprises of three concurrent strategies:

  • Population Strategy: prevention of obesity and type 2 diabetes at population level
  • High-Risk Strategy: screening of people with elevated risk and management of risk factors by lifestyle counselling
  • Early Diagnosis and Management strategy: prevention of complications among newly diagnosed people with type 2 diabetes by bringing them within the sphere of appropriate treatment

The project covers five hospital districts: Pirkanmaa Hospital District, the Hospital District of South Ostrobothnia, the Central Finland Hospital District, the Northern Ostrobothnia Hospital District and the Hospital District of Northern Savo, which cover a total population of 1.5 million Finns.

The main financing for the FIN-D2D Project comes from RAY as well as the five hospital districts on the project, the Ministry of Social Affairs and Health, the National Public Health Institute and the Finnish Diabetes Association.