Population: 10, 118, 683 (July 2011 est)
GDP per capita (PPP): $4,800 (2010 est)
Total expenditure on health per capita: $213 (Intl $, 2009)
Bolivia is a landlocked country in Central South America. The landscape varies from high plateaus in the Andes to lowland rainforest.
Implementing Partner in-Country: Centro Vivir Con Diabetes, Cochabamba (Dr. Elizabeth Duarte and colleagues)
International Partner: Insulin for Life
International Supporters: Rotary District 6940 (Florida)
Life for a Child Support
Bolivia is one of the poorest countries in South America. Quality medical care is available, but the Government is unable to provide this for free – all people with diabetes must pay for insulin, monitoring, and clinical care. Many families are unable to purchase adequate insulin, and self-monitoring is often impossible. Children have died from lack of insulin, and complications such as kidney failure, retinopathy and cataracts are common even in adolescents.
The Centro Vivir con Diabetes in Cochabamba opened in 2000, and has a multidisciplinary team including endocrinologist, educator, social worker, physiotherapist and other expert staff. The centre provides quality care for children with diabetes in the Cochabamba region, and mentors or assists programs for children in most other cities in Bolivia - Santa Cruz, La Paz, Cochabamba, Sucre, Oruro, Tarija, Potosi, Bini, and Pando. Life for a Child joined with Rotary Clubs in Florida to support this network via a Rotary Matching Grant in 2003. Funds covered insulin, monitoring, and education, for the 100 children and youth then known with diabetes.
After the completion of the grant period in 2005, Life for a Child has continued to supply insulin for the 140 children and youth in need in the country, through Insulin for Life. From 2007, corporate support has enabled the provision of meters and strips for all children, so that they can monitor their blood sugar level three times a day. LFAC provided a HbA1c machine to the Vivir con Diabetes Centre, so that HbA1c measurement can be done while the child/youth is being seen in the clinic, helping with education and management.
As of January 2012, 160 children and youth are being supported.