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NCD Surveillance in Sleman District

NCD Surveillance in Sleman District. dr. Fatwa Sari T.D., MPH, PhD Public Health Division Faculty of Medicine, UGM. Background: Increasing the prevalence of NCD in Indonesia. Maternal/ Perinatal. Communicable Diseases. Non- commu - nicable diseases. Injury.

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NCD Surveillance in Sleman District

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  1. NCD Surveillance in Sleman District dr. Fatwa Sari T.D., MPH, PhD Public Health Division Faculty of Medicine, UGM

  2. Background: Increasing the prevalence of NCD in Indonesia Maternal/ Perinatal Communicable Diseases Non-commu- nicable diseases Injury Source: Riskesdas 2007

  3. Disease prevalence in Indonesia and in Yogyakarta Province Source: Riskesdas 2007

  4. Causative factors for NCD • Environ-mental risk factors • Behavioral risk factors • Biological risk factors • NCD • Globalization • Urbanization • Poverty • Low education • Stress • Unhealthy diet • Physical inactivity • Tobacco use • Harmful use of alcohol • High blood glucose • Hypertension • Abnormal serum lipids • Abnormal waist/hip ratio • Abnormal lung function • Heart disease • Stroke • Diabetes • Chronic respiratory disease • Cancer WHO: Monitoring the progress of NCD in LMIC

  5. Goal: To develop a surveillance system of NCD risk factors to monitor the progress of NCD in Yogyakarta • Provides evidence based intervention for policy maker • Encourages networking in NCD control and prevention • Facilitates research in NCD areas

  6. Methodology

  7. Methodology • Sleman District • Population : 15 – 75 yrs old • Total sample : 3600 • Based on WHO STEPS guideline • Consideration: • sex and age group/stratum • 20% non response

  8. Sample size Table 1. Minimal sample size for NCD risk factor’s survey Total = 3000 + 20% non response = 3600

  9. Sampling method • Scenario 2 – WHO STEPS sample design • Multi-stage cluster sampling- PPS • Cluster based on dusun(hamlet) • Number of cluster = 10% of total hamlet(1221) • Stage • 1st = cluster selection • STEPS sampling software • 2nd = household selection • STEPS sampling software • 3rd = respondent/participant selection • Kish respondent selection • 1 household 1 respondent

  10. Population, samples and sampling design (STEPwise guidance) • Population • (1212 hamlet) • Adult (15-75 years) • No physical disability • Random selection of 10% of hamlets • 122 hamlets • Proportionate to size random selection of households • 1100 households • Develop a sampling list from selected households • Random selection of 3600 respondents • 3600 respondents

  11. Variable • Demographic • Risk • Tobbaco use • Alcohol consumption • Types of activity • Sedentary lifestyle • Physical examination • Height, weight, waist circumference, blood pressure

  12. Instrument • WHO STEPS Instrumen– translate-Indo version • STEPwise instrument core version (WHO, 2006)

  13. The plan of data collection September 2014 2019 2024

  14. Data analysis Minimum number of respondents= 3000 Weighted by number of population by sex and age- groups in certain year

  15. The prevalence of NCD risk factors in Yogyakarta city, 2004 and 2009 Man Woman

  16. The prediction of people at high risk of getting CVD according to sex and SES

  17. The initiation of men and women at high risk of getting CVD in Yogyakarta city year 2004 and 2009 Man Woman Age groups Age groups

  18. Possible collaborative research?

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