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Bi-national Commission on Health Guyana Suriname N ational Health Care System of Guyana

Bi-national Commission on Health Guyana Suriname N ational Health Care System of Guyana. Dr. Shamdeo Persaud Chief Medical Officer Ministry of Health GUYANA GEORGETOWN July 2013. Vision. People of Guyana be among the healthiest people in the Caribbean and the Americas.

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Bi-national Commission on Health Guyana Suriname N ational Health Care System of Guyana

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  1. Bi-national Commission on HealthGuyana Suriname National Health Care System of Guyana Dr. Shamdeo Persaud Chief Medical Officer Ministry of Health GUYANA GEORGETOWN July 2013

  2. Vision People of Guyana be among the healthiest people in the Caribbean and the Americas Ministry of Health, GUYANA

  3. Goals and Targets for Health • Millennium Developmental Goals • Goal 1- Nutritional Disorders, Hunger and Poverty • Goal 4 - Child Health (Morbidity and Mortality) • Goal 5 - Maternal Health and Women’s Health • Goal 6 - Communicable Diseases • Goal 7 - Environment • National Development Strategy • Poverty Reduction Strategy Paper y • Health Sector Strategy (2008-2012) • Health Vision 2020 Ministry of Health, GUYANA

  4. Health Vision 2020 - Framework

  5. National Health Authority • Ministry of Health • Policy/Leadership and Guidance • Minister of Health • Administration/Accountability • Permanent Secretary • Technical Leadership • Chief Medical Officer • Skilled Professionals • Other technical • Functions • Policy • Regulations • Maintain standards • Human Recourses development • Health/Developmental Partner Ministry of Health, GUYANA

  6. Regulatory Functions • Legislation • Food and Drugs Act • Antibiotics, Immunization • Health Professionals (Medical, Nursing, Dental, Pharmacist, Allied Health Act) • Ministry of Health Act • Regional Health Authority Act • Georgetown Public Hospital Order • Health Facilities Act Ministry of Health, GUYANA

  7. Ministry of Health, GUYANA

  8. Decentralized Health Services • Five Levels of Care (All services Free to public) • Level V – GPHS and other national Referral Facilities • Level IV – Regional Hospital offering specialized services • Level III – District Hospital • Level II – Health Centers • Level I – Health Post Ministry of Health, GUYANA

  9. Agency Programs – Program 1 Administration • Minister of Health • Permanent Secretary • Deputy Permanent Secretary • General Administration • Accounts/Financing and planning • Personnel/HR • Materials Management Unit • Management Information system • Linden Hospital Ministry of Health, GUYANA

  10. Program 1 - Administration • Chief Medical Officer • Central Board of Health • Pharmacy and Poisons Board • Intuitional Review Board (Ethics Committee)/Research • All Technical Programs • Seven Directors • Chief Nursing Officer • General Nursing Council • Food and Drug Analysis Department • National Psychiatric Hospital – Administered by RHA Ministry of Health, GUYANA

  11. Program 2 – Disease Control • Administration • Vector Control • TB/Chest Diseases • Hansens Disease • NAPS-HIV/AIDS/STI • CNCD • Mental Health • VPH • Surveillance/Epidemiology • National Public Health Laboratory Ministry of Health, GUYANA

  12. Program 3 – Primary Health Care • Family Health (Maternal & Child Health, Adolescent and Adult Health) • Oral Health • Environmental Health • Food Policy Division • Health Education Division Ministry of Health, GUYANA

  13. Program 4 – Regional Health Services • Implement in collaboration with RDC/MOLG • Curative services • Regional /District Hospitals/HC and HP • Diagnostic Centers • Medical outreach • Special programs • Eye Care/Miracle Vision • Indigenous programs • Medical Evacuation Ministry of Health, GUYANA

  14. Program 5 – Health Sciences Education • Core Training Programs • Nursing • MEDEX • Pharmacy Assistant • Environmental Health Assistant • Lab and X-ray Technicians • CHW • In-service and continuous training Ministry of Health, GUYANA

  15. Program 6 – Standards and Technical Services • Quality health care system • Health Facility Licenses • Pharmacy Services • Laboratory Services • Radiology and Imaging services • National Blood Transfusion Services Ministry of Health, GUYANA

  16. Program 7 – Rehabilitation Services • Disability Commission • Ptolemy Reid Centre • Cheshire Home • Audiology services • Physiotherapy Services Ministry of Health, GUYANA

  17. Expanded Clinical Services • GPHC • Curative and specialized services • Medical Training • Berbice Regional Health Authority • Regional Health Departments • Para-stateal – NIS, GUYSUCO • Private • Private Hospital (7), Private Practitioners • Other - Laboratories, Pharmacies, Dialysis, Cancer treatment Ministry of Health, GUYANA

  18. Health Manpower/Bed Capacity Ministry of Health, GUYANA

  19. Ministry of Health, GUYANA

  20. Health Situation Life expectancy • 1950’s – Just above 50 years at birth • 1990 - 2002 – 64 years at birth • 2005 - 2006 – increased to 66 for all at birth • 2011 • Women – 71.1 years at birth • Men – 66.5 years at birth • Population • 2002 – 751,000 • 2012 Mid year estimate – 768,200 Ministry of Health, GUYANA

  21. Life Expectancy Ministry of Health, GUYANA

  22. Health Situation Vital Statistics • Crude Birth Rate (per 1,000 persons) • 2003 – 22.8 • 2009 – 18 • 2011 – 17.7 • Crude Death Rate (per 1,000 persons) • 2003 – 6.6 • 2009 – 6.1 • 2011 – 6.1 Ministry of Health, GUYANA

  23. Health Situation Infant Mortality Rate – The number of deaths of infants from among all live births of current year • 2003 – 17 per 1,000 LB • 2009 – 14.1 per 1,000 LB • 2011 – 15.1 per 1,000 LB • Most causes are preventable • Premature babies • Respiratory distress • Some unavoidable – congenital deformity, birth defects Ministry of Health, GUYANA

  24. Infant Mortality Ministry of Health, GUYANA

  25. Health Situation • Under 5 mortality Rate – deaths of children under five for all births of current years • 2003 - 21.2 per 1,000 live births • 200 8– 17.2 per 1,000 live births • Most preventable cause • Diarrheal disease and dehydration • ARI and Pneumonias • Other infections Ministry of Health, GUYANA

  26. Health Situation Maternal Mortality Ratio • Direct causes Critical indicator • Most preventable cause • 2003 – 168/10,000 • 2006 – 115/10,00 • Main causes include post partum hemorrhage, sepsis and anemia Ministry of Health, GUYANA

  27. Maternal Mortality Ministry of Health, GUYANA

  28. Nutritional Status Ministry of Health, GUYANA

  29. Nutritional Status • Low birth-weight babies (<2500g.) as a % of live births • 2003 – 11.9 • 2006 - 10.8 • 2010 – 9.1 • Severely malnourished • 2003 – 0.6 % of all under 5 • 2007 - 0.3 % of all under 5 • 2010 – 0.3 % of all under 5 • Moderately malnourished • 2003 – 8.8% of all under 5 • 2010 – 4.1 % of all under 5 • Overweight – 2.8% (2003) - 6.9%(2007) – 8.1% (2010) Ministry of Health, GUYANA

  30. Communicable Disease • Morbidity • Major causes of Illness • ARI – 84,000 • Gastroenteritis/ADD – 38,421 cases • Unspecific fevers – 62,321 cases • Other specific Causes • Malaria – 31,876 cases (185,000 smears in 2012) • TB – 93/100,000 (725 cases 2012) • HIV – 1.1 % (8,263 cases, 106,492 tested ) Ministry of Health, GUYANA

  31. Non Communicable Disease • Diabetes • Cardiovascular diseases, heart diseases, hypertension • Cancers • Chronic Lung Diseases, GI and Liver Disease • Accidents, violence and injuries (MVA etc) • Mental Illnesses Ministry of Health, GUYANA

  32. Cancers Ranking of top cancers • Prostate (male) • Breast (female) • Cervical (female) • Stomach, Colon and other bowel (both sex) • Liver • Lung Ministry of Health, GUYANA

  33. Diabetes • Diabetes – • Estimated Prevalence – 6.2% of population • Average of 4.8 % of population over 30 years • Incidence – 4,000 new cases annually • Types of Diabetes • Type 1 (Insulin Dependant) – 8% • Type 2 (non-Insulin Dependant) - 92 % Ministry of Health, GUYANA

  34. Hypertensive Diseases • Prevalence – 9% of the Population over 30 years • Incidence – 16,000 new cases reported annually • Major contributing cause of • Strokes in persons over 40 • Heart Attacks • Disability and under productivity Ministry of Health, GUYANA

  35. Cardiovascular and heart disease • Strokes • Hemorrhagic – 1,901 cases annually • Thrombo-embolism (Clots) – 896 cases annually • Heart Attacks – 2,012 cases • Blood vessel disease • Atherosclerosis – 3,129 reported • Aneurysms Ministry of Health, GUYANA

  36. Morbidity Ministry of Health, GUYANA

  37. New Priority Areas • Health in the life cycle (Family health - child, adolescence, women, men, elderly) • Non communicable disease (CNCD and Mental Health) and their risk factors • Communicable Disease (Priority, neglected, emerging and remerging disease) • Violence, accidents and injuries • Health Environments or settings (health communities, city, hospital, workplace and homes) • Nutrition and food security • Frontier, migrant, remote and vulnerable population

  38. Thank You! Ministry of Health, GUYANA

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