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Dr Kokou AGOUDAVI, MD, PHPM Chief Officer NCD Ministry of Health TOGO

Dr Kokou AGOUDAVI, MD, PHPM Chief Officer NCD Ministry of Health TOGO. NDCs Situation in TOGO. International Seminar on the Public Health Aspects of NCDs / Lausanne Jan 2010. - Location - Demographic and Socio-economical situation - Health System - Reality of NCDs in TOGO - Opportunities

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Dr Kokou AGOUDAVI, MD, PHPM Chief Officer NCD Ministry of Health TOGO

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  1. Dr Kokou AGOUDAVI, MD, PHPM Chief Officer NCD Ministry of Health TOGO NDCs Situation in TOGO International Seminar on the Public Health Aspects of NCDs / Lausanne Jan 2010

  2. -Location - Demographic and Socio-economical situation - Health System - Reality of NCDs in TOGO - Opportunities - 2010 Action Plan - Challenges Outline

  3. TOGO: LOCATION Capital: Lome Surface area:56,600 km2

  4. Population : 5,337,000 (2009) < 15 = 47,7% 15-64= 48,0% >65 = 4,3% • Crude birth rate : 3,700/100,000 live births • Crude mortality rate : 1,300/100,000 live births • Prevalence HIV: 3,2% Demographic and socio-economical Situation

  5. Life expectancy: 55,1 years • In TOGO, 80% of public investments is financed by external aid. • The Income per capita: 350 U.S. $ / year (WB) Demographic and socio-economical Situation (2)

  6. Health System’s Organization Ministry of Health and General Direction of Health (Teachings Hospitals, and others national school of health) Definition , monitoring and evaluation of the overall health system Sanitary regions: 6 (Regional Direction of health, Regional hospital, Health services in regional) Implementing the National Health Policy and Monitoring program in district level District of Health : 35 (DPS, District hospital , Primary health care units, private health center) Implementation of the National Health Policy

  7. NCDs are not yet integrated in the Surveillance of Diseases in our Health System STEPS Survey on RF = No Absence of national database of NCDs’ morbidity and mortality However: • Some hospitals and local survey data are available • And Some Programs have been implemented What is the reality of NCDs in Togo?

  8. Programs’ implementation What is the reality of NCDs in Togo? (2)

  9. NDCs = Public Health issue in TOGO • Epilepsy: 7.14% (Thesis 1995); • Hypertension: 25% (3rd Symposium hypertensiology March 06); • Diabetes: Survey in Lome Commune : 1,79% en 1998 and 2,6% en 2006 • Stroke (Hospital): 32.92% (Thesis 2005); • Mental and behavioral Troubles: 27.93% (PhD 1995); • Oral Health /Dental disease: periodontal disease, 80%, dental caries, 34% (Survey 1998) • GYTS (2007): Tobacco use among Youth 14% What is the reality of NCDs in Togo? (3)

  10. Data to Policy Data are not used in the Central Level to develop Policies/ Programs • Causes: • Lack of Coordination of NDCs programs • Gaps between Scientifics (Universities) and the Ministry of Health (Policy Makers) • Lacks of Resources (Humans, Financials, materials) What is the reality of NCDs in Togo? (4)

  11. Opportunities, 2010 Action Plan, Challenges

  12. NDCs is taken in consideration in the New PNDS 2009 – 2013 validated in 2009. Based on this: • New Chief Officer of NCDs was appointed in August 2009 • New FP for Cancer Programs Opportunities

  13. Interests in NCDs Reinforced • -Advocacy Meeting lead by IDF’s President with Ministry of Health and Parliament’s President to allocate adequate resources in NDCs Programs (August 2009) • -Capacity building: Training of 40 Health Professionals in Diabetes 'care and prevention • Advocacy Meeting with Health District and Regional Directors to integrate NCDs in the National Disease Surveillance (December 2009). Opportunities (2)

  14. Interests in NCDs Reinforced (2) • Advocacy Meeting with Health District and Regional Directors to integrate NCDs in the National Disease Surveillance (December 2009). • Draft of STEPS survey on NDCs RF’s protocol developed (December 2009) Opportunities (3)

  15. Integration of 5 NCDs in the Diseases Surveillance (January 2010): - Hypertension - Diabetes - Asthma - Sickle Cell Disease - Epilepsy • National Cancer Registry (January 2010) Short term Plan 2010

  16. Introducing of Tobacco Prevention in Secondary School Curriculum • NCDs’ Programs need assessment January 2010 • STEPS survey on NCDs RF in second quarter 2010 • Development of NCDs Action Plan 2010-2014 • Cervical Cancer Screening Program with IARC/ UICC Short term Plan 2010 (2)

  17. Resources (Manpower, Financing, Materials) - Human: for implementation of policies and activities from central to community. - Financial: allocation of sufficient budget within the MOH for NCDs Prevention. - Material: Tools, supports, guidelines for the Implementation and the M&E of NCDs’ Programs Challenges

  18. Partnership: skewed towards the fight against communicable diseases. Lack of partnership in NCDs Prevention, apart from the few programs (Oral Health for example/ NOMA “Communicable”) • Networking (National, International): Transfer of Knowledge and Competences • Researches : Support/ Funding/ Public Health Institute Challenges (2)

  19. Merci ! K_agoudavi@yahoo.fr / Mobile (00228) 913 34 43

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