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7TH – 12TH MARCH 2011 LAUSANNE , SWITZERLAND

4 th International Seminar on Epidemiology and Public health Aspects of Non communicable Diseases. 7TH – 12TH MARCH 2011 LAUSANNE , SWITZERLAND. The Gambia NCD Situation By Mr OMAR BADJIE NATIONAL NCD FOCAL POINT, MOH&SW. COUNTRY PROFILE. Projected Population: 1, 500,000 (2003 census)

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7TH – 12TH MARCH 2011 LAUSANNE , SWITZERLAND

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  1. 4th International Seminar on Epidemiology and Public health Aspects of Non communicable Diseases 7TH – 12TH MARCH 2011LAUSANNE , SWITZERLAND The Gambia NCD Situation By Mr OMAR BADJIE NATIONAL NCD FOCAL POINT, MOH&SW

  2. COUNTRY PROFILE • Projected Population: 1, 500,000 (2003 census) • Population Density: 128 person/Sq. KM • Annual Growth Rate: 2.74% • Crude Birth Rate: 46% • Total Fertility Rate: 5.4 • Adult literacy rate is 62.2 (GBoS, 2003) • 61% of population live below poverty line (2003 census) • < 15 years constitute about 44% • Women population: 51% • Rural Population: 60%

  3. HEALTH SYSTEM • Three-tier system • Primary Level (492 PHC Villages, ) • Secondary Level (32 Minor H/C, 6 Major H/C) • Tertiary Level ( 4 General Hospitals, 1 Teaching Hospital) • Five Directorates • Health Services • Planning & Information • Social Welfare • Food Hygiene and Safety • National Public Health Laboratory • Six Health Regions (RHTs)

  4. HEALTH INDICATORS • Maternal Mortality Rate: 730/100,000 LBs • Neonatal Mortality: 28/1000 • Infant Mortality: 75/1000 LBs • Under Five Mortality: 99/1000 • Child Mortality: 135/1000 • Immunisation Coverage: 89.2% (MICS 2006) • Life Expectancy: 65yrs (female), 63yrs (male) • HIV Prevalence Rate: 2.8% (2007)

  5. NCD SITUATION DIABETES MELLITUS • adult urban population - 8.6% • adult rural population -1.4% CANCERS • cervical cancer(9.4/100,000 • liver cancer in men 19.2/100,000 • liver cancer in women 5.9/100,000 HYPERTENSION • 24.2% of the adult population Mental health disorders- prevalence 20 % Road traffic injuries- average 1000/yr

  6. NCD RISK FACTOR SITUATION(WHO STEP SURVEY 2010) • About 2% of the adult population, aged 25 – 64 years, drink alcohol • Low consumption of fruits and vegetables, with the average mean number of days for fruits and vegetable consumption among adult males and females estimated at 3.3 and 5.0 respectively

  7. NCD RISK FACTOR SITUATION CONT’D • About 22% of the adult population (males and females) have a low level of physical activity, whilst nearly 59% of adults do not engage in rigorous physical activity. • on average, Gambian adults spend 231 minutes per day on sedentary activities • On average, 41.4% of adult Gambians never had their blood pressure tested.

  8. NCD RISK FACTOR SITUATION CONT • about 24.4% of the adult population have raised blood pressure (25.5% for men and 23.4% for women) • About 90.5% of adults (92.1% of men and 89% of women) never had their blood sugar tested • About 39.5% of the adult population (33.7% for men and 45.3%) are considered overweight with mean BMI >25kgM2

  9. CURRENT ACTIVITIES • Finalizing Integrated National NCD Policy & Action Plan • Finalizing WHO Step Survey Report for 2010 • Routine Sensitization Campaigns on (radio, TV etc) • Mobilizing & Strengthening inter-sectoral action for NCD prevention • Advocacy for NCD prevention and control • Training of Drama groups , TCs & peer Health Educators. • School Health programmes • Community outreach programmes

  10. CONSTRAINTS • Building human capacity for the prevention and control of NCDs in The Gambia. Establishing National Programme for NCD prevention and control • Limited trained staff on NCDs in the Public & Private Sectors • No NCD Policy and Action Plan • No National Budget for NCD Prevention and Control • Limited Logistics for monitoring and implementation of NCD activities

  11. challenges • Addressing the limited human resource capacity for NCD prevention and control. • Prioritizing NCD prevention and control like other diseases e.g Malaria, TB, HIV/AIDS etc • Securing high level political commitment for NCD prevention and control. • Bridging the treatment gaps

  12. Challenges cont • Support for the finalization of policy and strategic plan for NCDs. •  Support for transport to facilitate Monitoring and evaluation. • Resource mobilization for NCD prevention and control • Fostering and sustaining public and private sector collaboration.

  13. Challenges Con’t • Enhancing political commitment for NCD prevention and control • Effective monitoring of NCD activities in The Gambia • Decentralization of NCD treatment • Finalization of national NCD policy and Action plan

  14. Priority Areas for Action • Establishment of NCD unit within MOH&SW • Strengthening advocacy & Social Mobilisation • Fostering intersectoral collaboration • Human resource development • Community participation & empowerment • Strengthening research and knowledge management on NCDs

  15. cont • Finalisation of both the NCD Policy & Step Survey report. • Strengthening the Primary prevention of NCD

  16. THANK YOU

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