CHRONIC RESPIRATORY DISEASES CHRONIC RESPIRATORY DISEASES and and NON COMMUNICABLE NON COMMUNICABLE DISEASES in THE WHO AFRICAN DISEASES in THE WHO AFRICAN REGION REGION Boureima Hama SAMBO, MD, PhD Regional Advisor, Non Communicable Diseases Management DNC WHO/AFRO, Brazzaville GARD General Meeting, Istanbul, GARD General Meeting, Istanbul, Turkey Turkey 30 May 2008 30 May 2008
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CHRONIC RESPIRATORY DISEASES and NON COMMUNICABLE … · CHRONIC RESPIRATORY DISEASES and NON COMMUNICABLE DISEASES in THE WHO AFRICAN REGION Boureima Hama SAMBO, MD, PhD Regional
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Primary preventionPrimary prevention based on comprehensive populationbased on comprehensive population--based based
interventions; cinterventions; commonommon approach to common risk factorsapproach to common risk factors
Improved information systems & surveillanceImproved information systems & surveillance to inform action to inform action
(STEPS, tobacco surveys, IDSR integration, cancer (STEPS, tobacco surveys, IDSR integration, cancer
registers)registers)
IDSRIDSR (CD, EPD, DE) revised to include (CD, EPD, DE) revised to include CRDsCRDs (asthma) and (asthma) and
NCDsNCDs evidence based decision makingevidence based decision making
Treatment & careTreatment & care, integrated into primary health care with , integrated into primary health care with
improved accessimproved access
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CRDsCRDsCRDsCRDsCRDsCRDsCRDsCRDs and and and and and and and and NCDsNCDsNCDsNCDsNCDsNCDsNCDsNCDs in the WHO African in the WHO African in the WHO African in the WHO African in the WHO African in the WHO African in the WHO African in the WHO African
regionregionregionregionregionregionregionregion
CRDsCRDs one of the major one of the major NCDsNCDs, is of growing burden in Sub, is of growing burden in Sub--
Sahara Africa. Sahara Africa. Number of CRD are increasingNumber of CRD are increasing
CRDsCRDs increase due to environmental pollution, tobacco, increase due to environmental pollution, tobacco,
infections harmful use of alcohol, unhealthy diet, physical infections harmful use of alcohol, unhealthy diet, physical
inactivity and the AIDS pandemic.inactivity and the AIDS pandemic.
CRDsCRDs risk factors are highest among individuals with least risk factors are highest among individuals with least
education.education.
CRDsCRDs assessment toolassessment tool to be developed (COD, asthma) to be developed (COD, asthma)
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CRDsCRDsCRDsCRDsCRDsCRDsCRDsCRDs priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African
regionregionregionregionregionregionregionregion
�� CRDsCRDs prevention and control policies, legislation and prevention and control policies, legislation and
regulations, regulations, fundamentalfundamental to increase access to services in to increase access to services in
�� Comprehensive national Comprehensive national CRDsCRDs control programmescontrol programmes incl. incl.
primary, secondary & tertiary prevention with screening, primary, secondary & tertiary prevention with screening,
early diagnosis, curative therapy and palliative care.early diagnosis, curative therapy and palliative care.
�� Community mobilisationCommunity mobilisation
�� Advocacy, resource mobilization and appropriate Advocacy, resource mobilization and appropriate
allocationallocation
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CRDsCRDsCRDsCRDsCRDsCRDsCRDsCRDs priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African priorities in the WHO African
regionregionregionregionregionregionregionregion
�� Capacity development Capacity development toto improve knowledge & skills of improve knowledge & skills of
care providers at primary, secondary and tertiary levels of care providers at primary, secondary and tertiary levels of
health system, managers, decisionhealth system, managers, decision--makers. makers.
�� Strategic information, surveillance and researchStrategic information, surveillance and research –– for for
advocacy, programme development/adjustment, etc. advocacy, programme development/adjustment, etc.
�� Mobilization Mobilization andand coordination of partnerscoordination of partners’’ actions, actions, based based
onon clear definition of their areas of contribution, predictability clear definition of their areas of contribution, predictability
& relevance of their support in line with national priorities. & relevance of their support in line with national priorities.
CRDsCRDs partners (DM, CVD, cancer) / NGOs on the field ? partners (DM, CVD, cancer) / NGOs on the field ?
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