In January 2017, representatives from 11 Pacific jurisdictions completed a Non-communicable Disease (NCD) Collaborative learning session. Eight teams reported the use of clinical data for evaluation and continued health system improvement. The Republic of Palau's NCD Collaborative team reported a decrease in A1C from 9.6 percent at the 2015 baseline to 8.4 percent in 2016.
This reduction is significant as each percentage point drop in A1C lowers microvascular disease risk (eye, kidney, nerve) by about 40 percent. Other trends include reported increases in documented foot exams for Palau, Kosrae, and Yap and an increase in the number of patients with a blood pressure less than 140/90 in Kosrae.
The learning session provided participants with an opportunity to update evidence-based guidelines; to engage in discussion about standards for diabetes prevention and management; to participate in diabetes self-management training and material review; to learn about culturally relevant nutrition education; to apply process mapping techniques to assess clinic flow; and to develop action plans for continued health system improvements using the Pacific Care Model.