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This article provides an overview of the non-communicable disease (NCD) situation in El Salvador, including key statistics, major causes of death, prevalence of NCDs, tobacco and risk factors, system response, gaps and challenges, and future prospects for a national NCD program.
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NCD situationEl Salvador C.A. Dr. Mario Melendez MD NCD PAHO-Ministry of Public Health, Advisor. El Salvador C.A.
VI Population Cense, 2007, El salvador. El Salvador • Population: 5,7 millions • Surface: 20,647 Km² • Population Density: 276 per/ Km² • Average age: 24 years. • Expectation of life at birth 71.77. • Financing to Health: 1,6% del GDP ($16.974 Millions) • Human Development rating: 107 • 12 Physician/10,000 VI Censo de poblacion y V de Vivienda 2007, Direccion General de Estadisticas y Censos, El Salvador
Fragmented Health System In practice 30% of the population has no health coverage
MAJOR CAUSES OF DEATH. 212 Death per 100.000 Fuente: Base de Datos de DIGESTIC 2008. El Salvador.
NCD • They are the first cause of mortality after injuries cause of violence. • Prevalence of Diabetes: 9.6% of the population. • Prevalence of Renal Failure:16%. • Cervix Cancer is the most prevalent .
TOBACO AND RISK FACTORS • Prevalence of smoking among men is 21.5%. • Women: 3.4%. • Overall consumption: 275 cig / per. • Tobacco Young prevalence: 27% • Male: 32% • Female: 21.3% • Childhood Obesity Prevalence 8.9% in cities and 5% in the field. • Physical Activity NO DATA Soriano M, et al. Encuesta Mundial de Tabaquismo Mundial en Adolescentes, El Salvador 2009.
SYSTEM RESPONSE • Until 2009 there had never been a program of NCD. • The work was based on the care of demand. • Clinical guidelines without impacting the system • Disorganization care system networks • Deficiencies in the reference system
GAPS AND CHALENGES • Difficulty of system integration. • Necessity of the interi-nstitutional collaboration. • Ministry of Public Health Rectory.
FUTURE PROSPECTS: NATIONAL PROGRAM OF NCD MINISTRY OF HEALTH INTER SECTORAL HEALTH COUNCIL NCD PROGRAM NCD REGIONAL COMMISSION NCD NATIONAL COMMISSION TOBACCO CONTROL COMMITTEE HEALTH PROMOTION CANCER CONTROL COMMITTEE CVD AND DIBETES COMMITTEE RENAL HEALTH COMMITTEE SURVILLANCE HEALTH SERVICE COORDINATION HUMAN RESOURCE DEVELPMENT