HIV and Non-Communicable Diseases
description
Transcript of HIV and Non-Communicable Diseases
HIV and Non-Communicable Diseases
Pre-Conference, 15-16 July 2011
Sinata Koulla-ShiroMOH, Cameroon
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
HIV Epidemiological Facts
- Cameroon Population: 20 million- HIV prevalence 5.1%- > 100 000 HIV patients on ART (98% on first line)- data on NCD in HIV treatment naive patients or HIV patients on ART limited
-23% dilated cardiomyopathies- Dyslipidemia, diabetes, High blood
pressure are increasingly reported HIV and Non-communicable
Diseases Pre-Conference, July 15-16, 2011, Rome
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
What about NCD’s?
• Prevalence rates:– Diabetes: 6%– High Blood Pressure : 24%– Chronic renal Diseases: 5-7%– Overweight: 25% in urban men, about 50% in
urban women– 6.5% men and 19.5% women are obese
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
Common Preventable Risk Factors source:Epidemiol 2000 ; 28 : 399–406.
source:Epidemiol 2000 ; 28 : 399–406.
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Common Problems/Common Needs
• Health system weakness• Shortage of health workers• Lack of good quality training programs• Lack of screening tools• Limited community awareness• Vertical non integrated programs• Limited M/E and effective supervision• No strong leadership
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
Common Needs
• Strong Government Leadership
• Good quality training programs
• Access to screening tools and adequate preventive packages
• Develop Treatment protocols and guidelines
• Strengthen healthcare and support
• Decentralize interventions
• Develop multi sector approach
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome
Common Needs
• Involve all stake holders
• Community awareness and participation
• Enhance integrated programs
• Task shifting and task sharing
• M/E and effective supervision
• Translational Research
HIV and Non-communicable Diseases Pre-Conference,
July 15-16, 2011, Rome