1 / 34

NCD Situation in Dominica

This international seminar explores the situation of non-communicable diseases (NCDs) in Dominica, including the prevalence, causes, and impact on the population. The seminar presents the response initiatives, successes, and challenges faced in combating NCDs, and outlines the way forward in developing a strategic plan to address this public health issue.

gravesa
Download Presentation

NCD Situation in Dominica

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NCD Situation in Dominica WHO-IUMSP International Seminar on the Public Health Aspects of NCDs Lausanne, Switzerland, August 2010 Helen Royer NCD Focal Point, Ministry of Health Dominica

  2. Outline • Introduction • Situational Analysis • Response • What is done • Successes • Challenges • The way forward

  3. Introduction • The Commonwealth of Dominica, the largest and most northerly of the Windward Islands • Population-74000 • Covers an area 790 square kilometres. • Parliamentary type democracy. • The ethnic groups comprise Afro-Caribbean, European, Indians, and the emerging Chinese population

  4. Cont/d • The indigenous population, the Carib Indians, (4,500 persons), are mainly concentrated on a reservation of 15.3 sq km. • Their economic activity is mixed consisting mainly of subsistence farming, craft production and boat building

  5. Organization of Health System • 52 Health Centres • 2 ‘cottage’ Hospitals • 1 Secondary Care Hospital

  6. Situational Analysis • Chronic non-communicable diseases collectively have become major public health threat for persons of all ages. • The increase of life expectancy and of obesity coupled with changing lifestyle practices contribute to a dramatic change in morbidity and mortality profile of CNCDs. • Cardiovascular disease including Hypertension, Cancer, Cerebro-vascular disease/stroke, Diabetes Mellitus, Asthma, and Sickle Cell Disease all make up the listing of the main causes of morbidity, disabilities and mortality in Dominica

  7. Cont/d • Population trend indicates increasing numbers of older person as well as an increasing proportion of the population that is in the older age group. • NCDs increases with age hence the likelihood of increased burden on an already strained health care and social systems to address these issues in the future

  8. Mortality Data

  9. Leading Causes of Death Per 100,000 Population - Both Genders 1991-1995,1996-2000,2001-2005

  10. Leading Causes of Death Per 100,000 Population - Male ,1991-1995,1996-2000,2001-2005

  11. Mortality Trend All Age Groupings, All Sexes, 2005-2009

  12. Mortality Trend All Age Groupings, Female, 2005-2009

  13. Mortality Trend All Age Groupings, Male, 2005-2009

  14. Response STEPS Survey - Dominica CNCD Advisory Committee and Partners Meeting – March 08, 2007

  15. Cont/d Tremendous in-country interest following Regional Heads of Government Summit (Sep ‘07)

  16. Prime Minister launching National Summit on CNCD,s (Nov ’07

  17. What has been done • Several other initiatives targeting the reduction of Non Communicable Diseases. • School health and family life education • Implementation of programme to improve screening techniques for cervical cancer • Primary management clinics for CNCDs • NCD Behavioral Risk Factor Survey.

  18. Cont/d • Global Tobacco Youth Survey-2007 • Global School Health Survey-2008 • Annual CNCD Report to PAHO/CAREC begun 2009

  19. Cont/d • A food and Nutrition situation of the island conducted in 2005. • Priority areas were identified • Dietary Guidelines was launched by Prime Minister on July 9th 2007

  20. Cont/d • Posters, flyers, bookmarks, mugs, T shirts. Guidelines were widely circulated: Schools, churches, groups, business places, Government departments, service clubs and NGO'sCurrently, guidelines are used by health officers for nutrition and health education and requests for guidelines are made constantly by groups and individuals.

  21. Cont’d • Health awareness programs • Special clinics for hypertensive/diabetic/cancer • Several training workshops for health personnel • Employee wellness program initiated for public servants in April 2010

  22. Successes • Health promotion (Successful IEC programs • Healthy Eating Campaigns • National-wide physical activity programs • Well structured PHC system • NCD policy formulation • Multi-sectoral collaboration

  23. Theme Days observed :Fighting NCD,S

  24. School Campaign World No Tobacco DayAgainst Cancer

  25. No Tobacco Campaign for Kids

  26. MASS HEAD FOR ADVERTISEMENT

  27. Assessment of Response to POS

  28. Assessment of Response to POS

  29. Assessment of Response to POS

  30. The way forward • Develop CNCD Strategic Plan • Development of structured NCD program • Effective monitoring and surveillance of NCD,s •  Integrated Programmes especially in Schools, Workplaces and Faith-Based Settings • Development of school health policy • Implementation of FCTC

  31. Cont/d • Cancer registries development • Strengthening institutional capacity • Salt reduction project • Men's health clinics • Employee Wellness Program strengthened

  32. Acknowledgements • I would like to thank the following persons for their contributions. • Dr Paul Ricketts –National Epidemiologist • Mrs Anthelia James- Health Educator • Mrs Titre-Nutritionist • Mrs Marva Smith- Health Statician

  33. THANK YOU!

More Related