4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 1 | NCDs in the context of the revised Health Promotion Strategy
Jan 15, 2016
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 1 |
NCDs in the context of the revised Health Promotion
Strategy
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 2 |
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Major Milestones: 2011 Year of NCDsMajor Milestones: 2011 Year of NCDsWHO African Region Ministerial
Consultation on the preparation for the Moscow Ministerial Consultation and the High Level Summit on Noncommunicable
DiseasesBrazzaville, Congo, 4-6 April 2011
United Nations high-level meeting onNoncommunicable Disease prevention and control.
Political declaration on the Prevention and Control of Noncommunicable Diseases adopted
New York, September 2011
First Global Ministerial Conference
on Healthy Lifestyles and Noncommunicable Disease
ControlMoscow, April 2011
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 3 |
Causal chain of NCDs
Disability & death
Chronic diseases
Intermediate conditions
Risk factors
Social & economic
determinants
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 4 |
There will be an estimated 37% increase in NCD deaths by There will be an estimated 37% increase in NCD deaths by 20252025
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4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 5 |
Today’s risk factors are tomorrow’s diseases
• NCDs risk factors are many (behavioral and biological)
• The four behavioral risk factors are modifiable
Cardiovascular diseases
Diabetes CancerRespiratory Conditions
Smoking
Alcohol
Low fruit & vegetable
Physical Inactivity
Risk FactorsNon-Communicable Diseases
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 6 |
The burden of tobacco use in the Region is growing
• Tobacco use is a leading cause of NCDs
• Current tobacco use prevalence ranges 2.4-23%
• Adult males are much more likely to smoke than females
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 7 |
Alcohol is among the leading NCD risk factors in the Region
• 7 out of 10 adults in the Region do not drink alcohol
• Per capita consumption ranges 0.1 to 12.3 liters of pure alcohol, with an overall consumption of 6.2 liters
• 3.3% of all death in the Region is attributable to alcohol use
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 8 |
Physical inactivity leads to overweight and obesity
• Physical inactivity prevalence in the region, ranges from 6.6% to 66.5% with a median of 22%
• Levels are usually higher in women especially in urban areas
• Wide difference within and between countries
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 9 |
This region faces double burden of malnutrition: under nutrition and obesity
• Consumption of unhealthy diet and physical inactivity results in overweight and obesity
• Obesity impacts on multiple organs
• Prevalence ranged 1% to 31% with a median of 6%
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The foundation of effective NCD control program is to have a national control program with adequate funding
Across the Region:•93% MOH have NCD program/units•59% funding for NCD treatment and control•63% for prevention and health promotion•48% for strategic information
treatment and control
prevention and health promotion
surveillance, M & E
Cape Verde Yes Yes Yes YesComoros Yes No No NoMauritius Yes Yes Yes YesSTP Yes No Yes YesSeychelles Yes Yes Yes Yes
Funding is available for NCD …
MOH NCD programCOUNTRY
Source: 2010 NCD capacity survey
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 11 |
Inclusion of NCDs and related risk factors in national reporting mechanisms is critical
Across the Region: •70% of countries did include mortality in national reporting systems•74% included morbidity•30% included risk factors•20% have national population-based cancer registry
mortality morbidity NCD RFCancer registry
Cape Verde Yes No No NoComoros Yes Yes No NoMauritius Yes Yes Yes YesSTP No No No NoSeychelles Yes Yes Yes Yes
COUNTRY
NCDs included in national reporting systems
Source: 2010 NCD capacity survey
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 12 |
Very few countries had NCD-related policy and/or action plan in 2010
CVD Cancer CRD Diabetes Alcohol
Unhealthy Diet and/or Overweight/
ObesityPhysical inactivity Tobacco
Cape Verde Yes** No No Yes** Yes** Yes** Yes** Yes**Comoros No No No No No No No NoMauritius No Yes No Yes No Yes No YesSTP No No No No No No No NoSeychelles No No No No No No No No
COUNTRY
operational policy, programme or action plan
Across the Region: •22% for CVD, 28% for cancer, 17% for CRD, 33% for diabetes, 22% for alcohol, 33% unhealthy diet/overweight/obesity, 28% physical inactivity, and 37% for tobacco
Source: 2010 NCD capacity survey
4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 13 |
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AFR NCDs Prevention & Control Strategic AFR NCDs Prevention & Control Strategic directions directions
Move from individual disease programmes to integrated NCDs programmes
Scale up by pooling limited resources
Strengthen and reorient health system for NCDs prevention and control
Promote NCD risk factors reduction (tobacco use, physical inactivity, unhealthy diets and harmful use of alcohol) based on common risk factors approach
Forge multi-sectorality and strengthen public and private partnerships at regional and country levels to combat NCDs
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Thanks