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CRO PharmaDiab Program - A Part of the Croatian National Program for the Protection of Diabetes Mellitus

Croatia has a population of 4.8 million and 116.295 diabetics. The average incidence is 2.35%. The “Croatian model” of organisation of health care for diabetic patients was included into the St. Vincent Declaration in 1989. Croatian pharmacists have been involved in the current National Program for the Protection from Diabetes Mellitus since November 1997. Some important steps preceded the implementation of the CRO PharmaDiab Program at the national level. The parallel holding of Fourth meeting for the implementation of the St. Vincent Declaration and EFPA/WHO training seminar on “Diabetes care” (Lisabon, Feb. 1997) as well as joint activity, the setting up of a pharmacist working group during the SVD Forth meeting, was of the crucial importance for our program. The CRO PharmDiab was prepared following the directions of the EFPA project “Diabetes care”, and in accordance with the National Program requirements. The proposal CRO PharmaDiab programme was well accepted especially by the patient group. Thus far, we have implemented the Phase I of the Program, aimed at updating the pharmacists’ knowledge of diabetes and adequate pharmacotherapy. For this purpose, several two-day courses have been organised so far in conjunction with the “Vuk Vrhovac” University Clinic for Diabetes, Endocrinology and Metabolic Diseases (Country and Regional Centre for Diabetes) - a scientific and education institution and WHO Collaborating Centre). About 120 pharmacists from all over the country have been included in the Project and have attended the courses. The courses comprised the following lectures: Aims of the CRO PharmaDiab program, What does it mean to be a diabetic?, Questions and needs of diabetics in the pharmacy, How to treat the illness?, Why, how and how much to eat?, What can replace sugar?, How to keep the disease under the control?, Acute and chronic complications of diabetes, etc. The courses also included eight workshops with practical work (Different kind of insulin syringes, pens and the use of different insulin products and mixtures, Tools for glucose measurement, Nutritional dietetic products, etc.) The courses were organised according to modern educational standards. The active pharmacist knowledge acquired in the courses was evaluated. The evaluation was also performed with the aim of examination of pharmacist interest in the field of diabetes care and their will in taking an active role in the patient counselling. The results of evaluation showed a great interest, the pharmacist satisfaction with course organisation, and the need for further education. Two similar courses are foreseen in the near future. The list of pharmacies in which patients can obtain information about diabetes is cited in the “Izvor”, the official Journal of Croatian Diabetic Association. We would also like to mention that two students’ degree theses have been made in the field of Pharmaceutical care-Diabetes care. General statements that comprising the role of Croatian Pharmacist in the diabetes care, entitled Hvar Declaration, were accepted in May 1998.

CRO PharmDiab Program; National Program; Diabetes Mellitus

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