Eye on sub-Saharan Africa: Conversation Map™

Ms. Atieno Jalang’o is the Education Coordinator of the IDF Africa region. She is a public health and diabetes care specialist, a leading advocate for primary diabetes care and education in Kenya and the African region with over 12 years of experience.

***

The sub-Saharan Africa Diabetes Conversations project is part of the global Diabetes Conversations Programme. The Conversation Map™ Education tools were developed by Healthy Interactions in collaboration with the International Diabetes Federation (IDF) and supported by Lilly Diabetes. To date in sub-Saharan Africa, the IDF is in charge of the operational aspects of this project.

In 2011, the sub-Saharan Africa Diabetes Conversation project started. Just two years later the project spans over 18 countries and is implemented by 28 Expert Trainers some of which are featured on this webpage. To date, 1762 facilitators have been trained, 313 institutions have reported using Conversation Map™ Education tools and over 12,000 people with diabetes have attended the Conversation Map™ sessions. The tremendous progress of this project is largely attributed to the regional cooperation between IDF Africa regional office, Ministries of Health in participating countries and the dedication and the tireless effort of the Expert Trainers.

Implementation of the project has highlighted the importance of role of diabetes education in sub-Saharan Africa, and created awareness of health system, socioeconomic and patient factors that hamper education related activities. Diabetes Conversations sub-Saharan Africa is also credited in engaging educators in the region to join efforts in enhancing the role and profile of diabetes education.

"It is my belief and hope that this forum will help you learn more about the Expert Trainers who are pioneers of diabetes education in the Africa region and making a difference to the lives of people living with diabetes. We are grateful to Lilly for their continued support of this  important project in sub-Saharan Africa."

 

Meet the Conversation Map™ expert trainers in sub-Saharan Africa.

 

 

 

Interview Questions for Diabetes Conversations

Name: Betina Mueni Muthama

Profession: Nurse

Place of work: National Spinal Injury Hospital

Country: Kenya

 

 

Question 1: What is the one word you would use to describe Conversation Map™?
Revolution.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When a client thought to be HIV positive discovered that she had diabetes not HIV/AIDS and started screaming and tearing off her clothes.

Question 3: Why is diabetes education important in your country?
Diabetes has become a real menace in Kenya and in Africa generally. Unhealthy lifestyles have predisposed many Kenyans to diabetes.

Question 4: What is your role in advancing diabetes education in your country?
As an expert trainer, it is my role to continue raising awareness and facilitating training so that people can continue as soldiers in the fight against diabetes.

top of page


Name: Beatrice Paul Mhango

Profession: Educator / Nutritionist

Place of work: Tanzania Diabetes Association, Dar es Salaam

Country: Tanzania


 

Question 1: What is the one word you would use to describe Conversation Map™?
Inspiring!

Question 2: What was your most memorable moment when using the tool for diabetes education?
This occurred when teaching “Foot Care”. When a patient who had lost a son after a leg amputation told the group that she wished she had had more knowledge about foot care as it might have helped her son.

Question 3: Why is diabetes education important in your country?
There are lots of people being diagnosed with diabetes and I know that through better diabetes education, self-management would be easier.

Question 4: What is your role in advancing diabetes education in your country?
Participating in counselling, screening and outreach programmes, and educating the community at all levels.

top of page


  Name: Ssanyu Proscovia Lutalo

 Profession: Nurse

 Place of work: Msambya Hospital

 Country: Uganda


 

Question 1: What is the one word you would use to describe Conversation Map™?
Empowerment.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When all the patients appeared to be using the same language and understanding.

Question 3: Why is diabetes education important in your country?
It makes the life of a diabetic patient easy and simple to live.

Question 4: What is your role in advancing diabetes education in your country?
To empower a diabetes patient in his care.


top of page


Name: Francis Mutabazi

Profession: Clinician

Place of work: Rwinkwavu Hospital

Country: Rwanda

 

 

Question 1: What is the one word you would use to describe Conversation Map™?
Tools.

Question 2: What was your most memorable moment when using the tool for diabetes education?
It was a very exciting and memorable moment when people living with diabetes started using tools for diabetes education. Everybody wants to come to my clinic for Conversation Map™.

Question 3: Why is diabetes education important in your country?
Diabetes education is important in my country because most people don’t know about this monster disease, and the number of people with diabetes is rising.

Question 4: What is your role in advancing diabetes education in your country?
My role in advancing diabetes education in my country is to train facilitators in hospitals, health centres, and the public and private sectors, and to promote this new education using Conversation Map.

top of page


  Name: Rezene Araya

 Profession: Nurse / Educator

 Place of work: Ministry of Health

 Country: Eritrea


 

Question 1: What is the one word you would use to describe Conversation Map™?
Pictorial.

Question 2: What was your most memorable moment when using the tool for diabetes education?
The pictures speak for themselves.

Question 3: Why is diabetes education important in your country?
Because it addresses the problem clearly and makes it easy to change behaviour.

Question 4: What is your role in advancing diabetes education in your country?
I am an education co-ordinator and manage the programme in the national member association.

top of page


Name: Achu Phebe

Profession: Nurse / Tutor

Place of work: Plaza Diabetes education centre, Training Schools for SRN, Bamenda

Country: Cameroon

 

 

Question 1: What is the one word you would use to describe Conversation Map™?
Self-teaching tool.

Question 2: What was your most memorable moment when using the tool for diabetes education?
It was when one of my clients who had been starving, thinking that many foods were not safe to eat, expressed relief when they saw that foods they had believed were “forbidden” were actually classed as healthy foods.

Question 3: Why is diabetes education important in your country?
It is important in that it brings out the fact that not everybody who calls himself a doctor or nurse knows everything. Everybody thinks that they can manage diabetes but nobody is doing it well. It makes us see the areas of concern.

Question 4: What is your role in advancing diabetes education in your country?
In my region I have been trying to use my expertise as I handle these topics and train members of associations who are interested. I once wrote an abstract asking for it to be included in the nursing school curriculum but it is taking time – it might never happen. I am being invited into Church groups and social groups to educate the members of them. I am a Board Member of our Church Health Services of the Presbyterian Church. I have been educating them and have written something on what everyone should know about diabetes in their core medication booklet used by all Christians.

top of page


  Name: Mary Bass-Gomez

 Profession: Nurse

 Place of work: The Jammes Foundation for Peace Hospital

 Country: The Gambia


 

Question 1: What is the one word you would use to describe Conversation Map™?
Great.

Question 2: What was your most memorable moment when using the tool for diabetes education?
During a session, one of the patients became very emotional because she had lost her husband and wished they had had the same education opportunity earlier.

Question 3: Why is diabetes education important in your country?
The majority of the population is illiterate; they can neither read nor write, so they depend on verbal messages.

Question 4: What is your role in advancing diabetes education in your country?
To promote self-care and prevention of complications as much as possible.

top of page


  Name: Tony Mfon Wilson Uwah

 Profession: Legal Practitioner / Educator

 Place of work: Diabetes Association of Nigeria, Akwa Idom Chapter.

 Country: Nigeria


 

Question 1: What is the one word you would use to describe Conversation Map™?
Revealing.

Question 2: What was your most memorable moment when using the tool for diabetes education?
At the first facilitator training, it was amazing to note the positive acceptance of the Map tools by the group and within a week, Conversation Map received ovation.

Question 3: Why is diabetes education important in your country?
Due to our growing population, the scourge of diabetes is also increasing and the need for early education is imperative to stem the tide of further increase.

Question 4: What is your role in advancing diabetes education in your country?
As a diabetes educator, I make use of every little opportunity, formally or informally, to educate people about diabetes and its complications.

top of page


  Name: Isaac Yakubu Akogu

 Profession: Pharmacist

 Place of work: Diabetes Association, Abuja

 Country: Nigeria


 

Question 1: What is the one word you would use to describe Conversation Map™?
Interactive learning tool.

Question 2: What was your most memorable moment when using the tool for diabetes education?
My most memorable moment was when a newly diagnosed diabetic got to know that hypoglycaemia was actually a complication arising from treatment and not a problem unique to him.

Question 3: Why is diabetes education important in your country?
There is a high level of ignorance about diabetes. Diabetes education is yet to be incorporated as a part of treatment.

Question 4: What is your role in advancing diabetes education in your country?
To conduct regular diabetes Conversation Map sessions. To conduct diabetes awareness sessions in public places. To train healthcare professionals in the use of Conversation Map.

top of page


  Name: Ejang Josephine Grace

 Profession: Nurse

 Place of work: Mulago Hospital

 Country: Uganda


 

Question 1: What is the one word you would use to describe Conversation Map™?
Educative.

Question 2: What was your most memorable moment when using the tool for diabetes education?
All patients were excited and opened up and told their stories freely. They even asked for copies of the Map to be distributed to them. The myths activity was very exciting.

Question 3: Why is diabetes education important in your country?
For awareness in the community so as to prevent development of the disease among those who do not have it. To give knowledge to people with diabetes for better self-management and prevention of the complications.

Question 4: What is your role in advancing diabetes education in your country?
My role is to educate patients, their relatives and the wider community about diabetes management and control, to train them as health workers on diabetes management, and to do some research on diabetes issues.

top of page


  Name: Scholastica Anyango Mwende

 Profession: Nurse / Programme Officer

 Place of work: Ministry of Health

 Country: Kenya


 

Question 1: What is the one word you would use to describe Conversation Map™?
Interactive.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When a doctor said that is was “just pictures”, and that he had no time to spend on it. He then attended the training and understood how effective the tool was.

Question 3: Why is diabetes education important in your country?
Because diabetes education consists of 55% of diabetes care. The patient only visits for an appointment, and most of the time they have to manage themselves to prevent complications that may be expensive or irreversible.

Question 4: What is your role in advancing diabetes education in your country?
To be at the forefront of diabetes education. In my position as a programme officer at the ministry I am at an advantage in being able to receive high levels of education, and to be an advocate for educating patients.

top of page


  Name: Marie Antoinette Didon

 Profession: Nurse

 Place of work: Diabetes Clinic

 Country: Seychelles


 

Question 1: What is the one word you would use to describe Conversation Map™?
Empowerment.

Question 2: What was your most memorable moment when using the tool for diabetes education?
Seeing diabetes patients discussing/solving their own difficulties and exchanging solutions to specific difficulties encountered during their daily activities. Hearing from the experts, who are diabetes patients themselves. Seeing diabetes patients teaching each other.

Question 3: Why is diabetes education important in your country?
Diabetes education is very important because it helps clients to develop their problem-solving skills to care for themselves in order to gain better control and encourage behavioural changes. Education -> empowers client -> self-care.

Question 4: What is your role in advancing diabetes education in your country?
My aim is to encourage a multi-disciplinary approach in diabetes education. To teach different staff in the community hospital about diabetes education and to support training. To support clients with diabetes.

top of page


Name: Julita Margaret William

 Profession: Nurse

 Place of work: Diabetes Clinic

 Country: Seychelles


 

Question 1: What is the one word you would use to describe Conversation Map™?
Breathes life into diabetes education.

Question 2: What was your most memorable moment when using the tool for diabetes education?
Many frequently asking “why not before”, and that they enjoyed it and recommended to other people to participate.

Question 3: Why is diabetes education important in your country?
Diabetes is regarded as one of the priority diseases. It is on the increase and control has been poor, leading to complications.

Question 4: What is your role in advancing diabetes education in your country?
As programme manager, my role is to ensure adequate and appropriate education is provided to all, including patients with diabetes, and to ensure that diabetes nurses are engaged in providing regular education. In addition, I provide training on different diabetes-related matters to nurses and other health professionals.

top of page


  Name: Marie-Danielle Laubhouet

  Profession: Endocrinologist / Nutritionist

  Place of work: University Hospital of Yopougon

  Country: Ivory Coast



Question 1: What is the one word you would use to describe Conversation Map™?
Expression.

Question 2: What was your most memorable moment when using the tool for diabetes education?
That of a 14-year-old boy, first in his class, supported by his uncle, his parents being devoid of financial means. His classmates wanted to have diabetes because he was teachers’ pet and his mother made him nice meals.

Question 3: Why is diabetes education important in your country?
To enable the patients to better take care of themselves, to have good blood sugar and to feel better.

Question 4: What is your role in advancing diabetes education in your country?
Responsible for diabetes education in the University Hospital of Yopougon
Responsible for the Conversation Map
Education training in Ivory Coast.

top of page


  Name: Amadou Souba

  Profession: Nurse / Educator

  Place of work: Dapaong Regional Hospital / ATD Savanes

  Country: Togo



Question 1: What is the one word you would use to describe Conversation Map™?
Message.

Question 2: What was your most memorable moment when using the tool for diabetes education?
It was when the patients declared during a session that the Conversation Map had enabled them to understand diabetes after ten years of living with the evil.

Question 3: Why is diabetes education important in your country?
It will enable to better tackle diabetes and to give a better life to those affected by diabetes.

Question 4: What is your role in advancing diabetes education in your country?
Training, organisation and promotion of education and diabetes prevention activities.

top of page


  Name: Awa Mbaye

  Profession: State nurse technician qualified in teaching and administration

  Place of work: Nabil Choucair Health Centre Dakar

  Country: Senegal


Question 1: What is the one word you would use to describe Conversation Map™?
Self-management.

Question 2: What was your most memorable moment when using the tool for diabetes education?
A keen interest from those affected, many of them urged me to let them take part in the sessions before their appointment because they had had a good feedback from the patients who had already been trained. After the television show that I presented, many people came to the health centre to be taken care of and to take screening tests.

Question 3: Why is diabetes education important in your country?
It enables those affected to have more knowledge about diabetes and to pass on this information to their families and the community and through screening to avoid complications and especially to prevent diabetes.

Question 4: What is your role in advancing diabetes education in your country?
It is to spread the information across the whole country. To train all the providers responsible for taking care of diabetics.

top of page


  Name: Faly Samb

  Profession: Educator

  Place of work: Marc Sankalé Diabetes Centre Dakar Hospital

  Country: Senegal



Question 1: What is the one word you would use to describe Conversation Map™?
Magic.

Question 2: What was your most memorable moment when using the tool for diabetes education?
One day, after a Conversation Map session, a patient came up to me and said: “You know, Mr Faly, I feel freer, more relaxed and I understand diabetes better thanks to Conversation Map. Before, your sessions were like lectures and patients were like students. Now, I realise it is not the case anymore, there is more interaction between patients and it is fascinating”.

Question 3: Why is diabetes education important in your country?
It is important as there are many people with diabetes and most of them are illiterate, and so to insist on education and prevention of diabetes greatly reduces risks of diabetes complications and the high level of new cases of diabetes. This is even more relevant as we are an underdeveloped country; stress, poor diet, and a sedentary lifestyle are more and more observed among the population.

Question 4: What is your role in advancing diabetes education in your country?
In my department, I am responsible for the education programme for people with diabetes. My centre is the national centre of reference for diabetes in Senegal and I greatly contribute to the training of most health professionals in the country in the area of diabetes.

top of page


  Name: Anne-Marie Ugirumurera

  Profession: Educator / Project manager

  Place of work: Rwanda Diabetes Association

  Country: Rwanda



Question 1: What is the one word you would use to describe Conversation Map™?
Diabetes education Conversation Map.

Question 2: What was your most memorable moment when using the tool for diabetes education?
The photos that provide the information.

Question 3: Why is diabetes education important in your country?
Because it is the primary prevention.

Question 4: What is your role in advancing diabetes education in your country?
I am an expert trainer. My role is to educate patients in self-management through the facilitators.

top of page


  Name: Ousmane Kourouma

  Profession: Nurse

  Place of work: Conakry (Donka)

  Country: Guinea



Question 1: What is the one word you would use to describe Conversation Map™?
Demystification of diabetes.

Question 2: What was your most memorable moment when using the tool for diabetes education?
Active participation of patients.

Question 3: Why is diabetes education important in your country?
It is a key element in the self-management of diabetes.

Question 4: What is your role in advancing diabetes education in your country?
To be active and give the most I can.

top of page


  Name: Elenga-Bongo Charley Loumade

  Profession: Endocrinologist / Educator

  Place of work: Pointe-Noire

  Country: Congo (Brazzaville)
 


Question 1: What is the one word you would use to describe Conversation Map™?
Fantastic.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When the patients find the answers to their problems during the sessions.

Question 3: Why is diabetes education important in your country?
It can through its strength improve the quality of life of the people with diabetes.

Question 4: What is your role in advancing diabetes education in your country?
Expert trainer, who tries to improve education and make patients and health professionals understand its strength.
 

top of page


  Name: Mueni Muthama

  Profession: Nurse

  Place of work: works with the Nursing Council

  Country: Kenya

 

Question 1: What is the one word you would use to describe Conversation Map™?
Volcanic.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When a client discovered that she had diabetes, whilst having been referred as HIV positive.

Question 3: Why is diabetes education important in your country?
It is important in that people with diabetes are given the chance to re-invent themselves and learn how to manage their condition. They can share their own experiences and learn from each other.

Question 4: What is your role in advancing diabetes education in your country?
As an expert trainer and diabetes educator, I have  trained several trainers who are now able to hold sessions for people with diabetes. I have now  been posted to the Nursing Council of Kenya as a policy formulator and I wish to take this opportunity to advance Conversation Map™ training in the country and make it part of the nursing curriculum.
 

top of page


  Name:  Andrew E. Uloko

  Profession: Physician / Endocrinologist

  Place of work: Aminu Kano Teaching Hospital / Bayero University Kano

  Country: Nigeria


Question 1: What is the one word you would use to describe Conversation Map™?
Fantastic.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When the participants own the conversation process and bond with each other in sharing experiences about diabetes mellitus towards improved care.

Question 3: Why is diabetes education important in your country?
Diabetes education is a fundamental component of a qualitative care and improved health outcome in any treatment plan.

Question 4: What is your role in advancing diabetes education in your country?
As an Expert Trainer, I undertake the training of healthcare workers on the use of the Diabetes Education Conversation Map™ tools for patient education. I engage in advocacy activities at various levels and from time to time I give public interviews/lectures (schools, churches, diabetes association meetings, print and electronic media etc.) on diabetes across Nigeria.
 

top of page


  Name: Naa Ayele Mensah

  Profession: Nurse

  Place of work: Korle Bu Teaching Hospital

  Country: Ghana


Question 1: What is the one word you would use to describe Conversation Map™?
Informative.

Question 2: What was your most memorable moment when using the tool for diabetes education?
The fact that it generates conversation and each time a new conversation session starts, a new meaning and explanation is invented.

Question 3: Why is diabetes education important in your country?
The purpose of diabetes education in my country is twofold. First, it is important to inform the masses on lifestyle changes in order to prevent further increase in diabetes cases and help in the care of diabetics in the society. Second, it is crucial to give healthcare providers new updates in the treatment, care and proper education so that their patients can live a longer and healthier life.

Question 4: What is your role in advancing diabetes education in your country?
My role is to equip more healthcare providers, patients as well as the masses with the training and information I have acquired.   
 

top of page


  Name: Motlalekgomo Matsheng

  Profession: Nurse

  Place of work: Princess Marina Hospital

  Country: Botswana


Question 1: What is the one word you would use to describe Conversation Map™?
Brilliant.

Question 2: What was your most memorable moment when using the tool for diabetes education?
When some of the patients said that this condition is a deadly disease. Such education is very important and should be rolled out in the whole country similar to how it has been done with HIV programmes.

Question 3: Why is diabetes education important in your country?
Diabetes education is important in Botswana to empower people with knowledge and education; improve provision of quality of healthcare services (education for service providers); help people to be aware of the disease, meanwhile reducing the risk of complications.

Question 4: What is your role in advancing diabetes education in your country?
My role is to train health care professionals on how to use the Conversation Map™ tool injection sites and techniques. I also teach patients and their caregivers on self-management; how to examine and care for their feet at home. I participate in diabetes youth camps and diabetes workshops. On a yearly basis I commemorate World Diabetes Day and am involved in outreach services (e.g. screening for diabetes).
 

top of page