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CHONGQING, CHINA
INTRODUCING INNOVATIVE 'DOUBLE' HEALTH PRESCRIPTIONS
One of the largest cities in the world, the Chongqing Province area is home to 31 million people, with 15.9 million living in the city itself.23 As with many other megacities, there is an urgent need to address the rising diabetes challenge. A comparison of figures from 2017 and 2018 suggests that, although the prevalence of diabetes and obesity is rising, awareness of the disease is decreasing.
12.7%
OF ADULTS ARE LIVING WITH DIABETES68
A DOUBLE PRESCRIPTION SYSTEM
When Chongqing joined Cities Changing Diabetes in 2019, the city was already planning to promote the integration of public health, clinical-based medical services and prevention, to provide comprehensive management services for patients and explore the implementation of a ‘double prescription’ system.
Starting with a pilot project, the city will roll out this double prescription system, with patients not only being given a medical prescription to address their condition, but also a health prescription to guide them in lifestyle and behaviour changes. As a first step, experts will collaborate to create a health prescription plan that will be turned into a manual to guide HCPs. This will be followed by health prescription implementation training.
As in Shanghai and Beijing, Chongqing will also focus on standardising diabetes diagnosis and care, screening for diabetesrelated complications, improving the skills of doctors practising in CHCs, and establishing a stronger connection mechanism between these CHCs and larger hospitals.
AWARENESS CAMPAIGN FOR PEOPLE AT RISK
There are also plans in place to target the increasing number of people at high risk of developing diabetes. The challenge will be assessed by distributing surveys both offline and via social media. The assessment will be followed by awarenessraising initiatives targeted at the general public and public screening campaigns.
Chongqing Municipal Health Commission
Chongqing Medical Association
Huang Minghui, director of Chongqing Municipal Health Commission
Chongqing, China

IN CHONGQING 35.2%
OF ADULTS ARE OVERWEIGHT68
13.5%
OF ADULTS ARE LIVING WITH OBESITY68