NGO using peer educator program to combat diabetes in Cambodia

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MoPoTyse, an NGO based in Phnom Penh, is using a peer education model that is cheaper and more effective than utilizing conventional doctors and clinics. This method is proving to reach many more diabetics and those prone to it, initially in poor areas in the capital and eventually in the outlying rural provinces. Upwards of 10 percent of Khmer currently have the disease.

The director of MoPoTyso, Maurits van Pelt, has stated that there are some significant reasons as to why the disease has become a growing problem in the country. One of these is a degree of poverty that prohibits most Cambodians from seeking proper medical assistance. “Adequate care is unavailable or prohibitively expensive as most patients live below USD 2 a day. Premium levels for community based health insurance do not allow coverage of chronic patient routine health care costs.” In fact, average global costs for insulin is $4, while in Cambodia it’s $16.

Another reason cited by van Pelt was the misconception that healthier brown rice is not as good as the cheaper white variety, which raises the Peer educator program used to combat diabetes in Cambodia (1)blood sugar level much more quickly. This notion came about during the Pol Pot regime, when people didn’t have the time to remove the husk of the rice. As van Pelt stated, “It’s associated with poverty. It has a bad reputation as something inferior.”

Since 2005, van Pelt’s peer educator system, which started in a slum in Phnom Penh, has used existing diabetics to act as mentors and guides to others that have the disease in their local area. “[These educators] were able to find other diabetes patients in the slums using a combination of urine glucose strips for postprandial screening and a handheld blood-glucose meter for confirmation blood glucose testing,” said van Pelt. These groups then hold weekly meetings at the home of the peer educator. There, they learn how to eat healthier foods, the importance of exercise, and take their own blood sugar.

Linda Meach, a peer educator, said that the majority of the diabetic newcomers to her meetings have very little knowledge of how to handle their disease. “Before they come to us, they do not know how to take care of their health,” said Meach, speaking of the program. “We teach them how to manage their food and exercise and how to use the medication.”

A motivating factor for the participants at these meetings to do well is financially based. Those whose blood sugar has decreased, have lost weight, and have an improved understanding of diabetes receive access to discounted medication from the local pharmacies. One of the attendee’s of Ms.Linda’s meetings, Rose Nith, is hopeful for the future of the program. “Without this center our community will be in difficulty, since we rely on this center and it supports us,” said Nith. “Some people will die since they cannot afford to buy medicine without it.”

By Brett Scott

These comments are for " NGO using peer educator program to combat diabetes in Cambodia "

1 thought on “NGO using peer educator program to combat diabetes in Cambodia”

  1. My husband from India,we do not trust doctor here in Cambodia.We know doctor over here is a joke!We have many Cambodia friends,they say they love white rice…thats their life and resource.And they have diabetes,but no money for cure.So they live their life till they die.She said as for as she know 95%Cambodia have it without cure.

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Possible new law of nature on the way

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The world of physics is excited about strong but early evidence about the behavior of muons, paricles identical to electrons only 200x more massive (heavier), which once born take 2.2 microseconds to decay into an electron, and which spin like tops. In a new, extremely precise measurement, they were made to wobble using magnetic fields but they unexpectedly wobbled quite significantly faster than the Standard Model suggests they would. They might spin so fast due to an unknown force caused by an unknown particle, and this is what is so exciting.

“We found that a muon … is not in agreement with our current best theory of physics at the subatomic level, and … it potentially points to a future with new laws, new particles and new forces in physics which we haven’t seen to date,” said Professor Mark Lancaster at U of Manchester.

“The main goal of the experiment is to make the measurement and compare with the theory, and if they disagree then it’s telling us that there’s something in nature which is not in the theory,” explained James Mott at Fermilab.

The four known forces of nature (gravity, electricity, two nuclear forces: strong and weak interactions) have left scientists without an answer for some observed phenomena, such as the speed at which galaxies spin (faster than the best model suggests). Therefore, they continue to search for glitches in their already-tight models which might point them things they don’t yet know about.

The most recent work was done at Fermilab (Muon g-2 experiment), but a similar experiment was already done earlier at the Large Hadron Collider. These tools accelerate particles in large rings at close to the speed of light.

The evidence needs more tests for greater certainty, particularly to rule out the possibility of a systematic error, and particularly with a new, independent experiment, but physicists will be chasing this line of experiment eagerly.

“This is outstanding confirmation of experimental technique, and very, very suggestive of the possibility of new physics,” noted scientist David Hertzon of U of Washington.

By the editors

#AnomalousMagneticDipoleMomentOfTheMuon #QuantumElectrodynamics

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People in Kachin state demonstrate against China

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YANGON, Myanmar – The people in the Pharkant area of Kachin state demonstrated against China this week, drawing a cross on the Chinese flag and burning a picture of Myanmar’s military leader Min Aung Hlaing.

“China stands with the military leader,” shouted the demonstrators.

By Htay Win
Photo credit Aye Yarwaddy

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Myanmar military council arrests the artist Zarganar

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YANGON, Myanmar – The artist Zarganar was arrested by the Myanmar military council from his home in Tarmwe township, Yangon this morning.

Zarganar is not only a director but also a comedian famous for political jokes since the 1988 democratic revolution.

Zarganar was arrested by the Myanmar military many times before 2010.

By Htay Win
Photo credit Zarganar page

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Kayin IDPs struggle to get for food

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YANGON, Myanmar – Kayin internally displaced people are desperate for food, clothing and shelter, hiding in the forest from the air strikes of the Myanmar military.

The IDPs fled to neighboring Thailand, but Thai government turned them back. However, Wednesday morning the Thai government opened Maeseli jetty in Maehaungsaung district to sending rations and medicines over the border to Kayin state, according to a Thai media.

By Htay Win

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Twenty Myanmar celebrities charged with incitement

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YANGON, Myanmar -They were charged under the country’s media law with inciting government employees to join the popular civil disobedience movement (CDM) through social media.

Celebrities took part in the NLD election campaigns and are thought to have played a large part in influencing the public, particularly Myanmar’s youth, to vote for Aung San Suu Kyi.

By Htay Win
Photo credit Myanmar celebrity

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