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HIV and Non-Communicable Diseases. Pre-Conference, 15-16 July 2011 Sinata Koulla-Shiro MOH, Cameroon .
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HIV and Non-Communicable Diseases Pre-Conference, 15-16 July 2011 Sinata Koulla-Shiro MOH, Cameroon HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
HIV Epidemiological Facts- Cameroon Population: 20 million- HIV prevalence 5.1%- > 100 000 HIV patients on ART (98% on first line)- data on NCD in HIV treatment naive patients or HIV patients on ART limited -23% dilated cardiomyopathies - Dyslipidemia, diabetes, High blood pressure are increasingly reported HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
Prevalence rates: Diabetes: 6% High Blood Pressure : 24% Chronic renal Diseases: 5-7% Overweight: 25% in urban men, about 50% in urban women 6.5% men and 19.5% women are obese What about NCD’s? HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
Common Preventable Risk Factors source:Epidemiol 2000 ; 28 : 399–406.source:Epidemiol 2000 ; 28 : 399–406. ) HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
Common Problems/Common Needs • Health system weakness • Shortage of health workers • Lack of good quality training programs • Lack of screening tools • Limited community awareness • Vertical non integrated programs • Limited M/E and effective supervision • No strong leadership HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
Common Needs • Strong Government Leadership • Good quality training programs • Access to screening tools and adequate preventive packages • Develop Treatment protocols and guidelines • Strengthen healthcare and support • Decentralize interventions • Develop multi sector approach HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome
Common Needs • Involve all stake holders • Community awareness and participation • Enhance integrated programs • Task shifting and task sharing • M/E and effective supervision • Translational Research HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome