Dominica CNCDs - Current Situation
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Transcript of Dominica CNCDs - Current Situation
Dominica CNCDs- Current Situation
Dr. David JohnsonMinistry of Health and Environment
CARMEN OBSERVATORY MEETING
May 12, 2008
Ministry of Health & Environment
Demographic dataDemographic data
Total population = 68,635 (2001 census)• Males = 50.3%
• population <25 years = 45.4%
• population >60 years = 13.4%
Population Age Structure, Dominica 2001
0500
1000150020002500300035004000
0 - 4
5 - 9
10 -
1415
- 19
20 -
2425
- 29
30 -
3435
- 39
40 -
4445
- 49
50 -
5455
- 59
60 -
6465
- 69
70 -
7475
- 79
80 -
84 85+
Male
Female
Ministry of Health & Environment
• 790 square kilometers
• 7 health districts
•52 health centre/clinics
•2 district hospitals
•Main hospital in Roseau (secondary care)
Ministry of Health & Environment
Trend in Crude Birth Rate and Infant Trend in Crude Birth Rate and Infant Mortality Rate, 2001-2006Mortality Rate, 2001-2006
Ministry of Health & Environment
Trend in Life Expectancy, 1995-2010Trend in Life Expectancy, 1995-2010
Ministry of Health & Environment
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5
10
15
20
25
30
35
40
45
2001 2002 2003 2004 2005
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Ischaemic Heart Disease Mortality in Dominica
Males
Females
Both sexes
Chronic Non-communicable DiseasesChronic Non-communicable Diseases
Ministry of Health & Environment
Chronic Non-communicable DiseasesChronic Non-communicable Diseases
Ten Most Frequent Diagnoses at PMH per 1000 Registered Patients
0
5
10
15
20
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30
35
40
2004 2005 2006 2007
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Deep Vein Thrombosis
Hypertension
Diabetes Mellitus
Diarrhoea and Gastroenteritis
Uterine Fibroid
Bronchopneumonia
Ischemic Heart Disease
Congested Heart Failure
Cancer
Cerebrovascular Accident
Ministry of Health & Environment
Leading Causes of Death RankingLeading Causes of Death Ranking2002-20062002-2006
2002 2003 2004 2005 2006
Rank Disease Rank Disease Rank Disease Rank Disease Rank Disease
1 Heart d 1 Heart d 1 Htn 1 Heart d 1 Heart d
2 Htn 2 Htn 2 Heart d 2 Stroke 2 Stroke
3 DM 3 Ca pros 3 DM 3 DM 3 DM
4 Ca pros 4 DM 4 Ca pros 4 ARI 4 Ca pros
5 Stroke 5 Stroke 5 Stroke 5 Ca pros 5 ARI
6 Ca stomach
6 Ca stomach
6 ARI 6 Septicemia
6 Htn
7 ARI 6 ARI 7 Ca Dig 7 Ca dig 7 CLRD
8 Ca lung 8 Perinat 7 Ca stomach
7 CLRD 8 Nerv S
9 Homicide 9 Ca breast
9 Urinary 9 Htn 9 Ca breast
10 Urinary 10 Nerv S 10 Perinat 10 Nerv S 10 Ca dig
Ministry of Health & Environment
Leading Causes of death by both sexes 1991 -1995 vs 2001-2005
Ministry of Health & Environment
Percentage Obesity Among 0-5 Year Old Percentage Obesity Among 0-5 Year Old Children, 2001-2005Children, 2001-2005
Ministry of Health & Environment
Relationship between NSPH & Other Policies/Plans
National Strategic Plan for Health
CNCD Strategic Plan/Corporate Plan
CNCD Program Dept/Prgm Plans Dept/Prgm Plans
National Development Plans(Growth & Social Protection Strategy)
Regional plansInt’l Agreements
Work Plans Work Plans Work Plans
Ministry of Health & Environment
Research Field Work of PAN American Version of WHO
STEPS CNCD Risk Factor Surveillance completed May 10, 2007
Data Processing is ongoing
Data Analysis- June 2008
Dominica will be among 4 countries, with CAREC, PAHO Washington and WHO- Geneva in Videoconference- May 15, 2008.
Ministry of Health & Environment
NCD Risk Factor Surveillance
This surveillance will include the incidence and prevalence rates of NCDs as well as their risk factorswhich will be used to:
Develop and National NCD Strategic Plan
Complete National Policy on NCD
inform NCDs programmes.
Ministry of Health & Environment
Policy and Advocacy.
The response to NCDs is guided by policy documents
which include:
The National Strategic Plan for Health The National Policy for Chronic Non-communicable
Diseases (draft) National Dietary Guidelines, 2007 Food and Nutrition Policy( to be finalized in Before
end of 2008
Ministry of Health & Environment
Policy/Advocacy Dialogues
On the initiative of the Hon. Prime Minister, a National
Summit on CNCDs held – December 14, 2007.
The theme of Summit:
“ Investing in health, Combating CNCDs”
Ministry of Health & Environment
National Summit- Purpose
To sensitize the Cabinet and other key stakeholders on
the situation of CNCDs and the need for:
collective policies and
comprehensive program for management of and prevention of their risk factors
Ministry of Health & Environment
National Summit- Objectives Present Dominica’s health profile, its position and
response to CARICOM Heads of Government Summit on management & control of NCDs
Strengthen political support and obligation for the management and prevention of NCDs and their risk factors.
Foster inter-institutional and inter-sectoral actions for management and prevention of NCDs and their risk factors.
Ministry of Health & Environment
National Summit- Objectives
Advocate for strengthening social network for prevention and management of NCDs and their risk factors.
Discuss and agree on the need for collective policies for prevention of risks for NCDS.
Ministry of Health & Environment
National Summit- Outcome
Clear statements on Dominica’s commitment to NCDs
A deeper sense of joint collaborative commitment among stakeholders for the need to implement the necessary actions to manage and control NCDs
Commitment to establishment of Dominica National Commission on NCDs
Ministry of Health & Environment
Dominica National Commission NCD To monitor conformity of Dominica’s policies, laws
and programmes with regards to its obligations arising from CARICOM Heads of Government “Declaration NCDs”.
To advise Cabinet on the State’s policies, laws and programmes with regards the its obligations arising from the Declaration.
To foster a multi-sectoral approach for addressing of epidemic of the CNCDs
Ministry of Health & Environment
Community based- initiatives
The Antihypertensive/Diabetes Project Woodford Hill,
The Calibishie Healthy Lifestyle Group Weight Watchers Project Laplaine The school health and family life education diet and
exercise healthy communities initiatives, screening prostate cancer among farmers
Ministry of Health & Environment
Thank you
Ministry of Health & Environment
Capacity Building- Workshop on Asthma Clinical Guidelines for
Caribbean
Sickle Cell Anaemia Capacity Building Workshop CARMEN Biennial Meeting in Bahamas- November
2007 PAHO/WHO Policy Analysis and Decision Making
Workshop Emphasis on NCD- Barbados Oct. 2007 Meeting of Expertise
Ministry of Health & Environment
Capacity Building-
Strengthening the cervical cancer Prevention/Screening and Management Programme
Development of Men’s Health Program- emphasis on Prostate cancer.