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NON COMMUNICABLE DISEASES NORTH -WESTERN PROVINCE

NON COMMUNICABLE DISEASES NORTH -WESTERN PROVINCE. Dr.M.D.S.RAJAMANTHRIE DPDHS Kurunegala Dr. D.I.WIJAYAWARDANA Medical Officer Planning PDHS Office. FOCUS. NCD -The world situation Situation in Developing Countries South-East Asia NWP- Kurunegala District

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NON COMMUNICABLE DISEASES NORTH -WESTERN PROVINCE

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  1. NON COMMUNICABLE DISEASESNORTH -WESTERN PROVINCE Dr.M.D.S.RAJAMANTHRIE DPDHS Kurunegala Dr. D.I.WIJAYAWARDANA Medical Officer Planning PDHS Office

  2. FOCUS • NCD -The world situation • Situation in Developing Countries South-East Asia • NWP- Kurunegala District • Problems identified- causes & effects • Policy • Vision • Mission • Objectives • Strategies • Options

  3. NON COMMUNICABLE DISEASES • World situation Mortality 60% Morbidity 47% • 75% of deaths in developing countries

  4. South East Asia region includingSri Lanka • Mortality 51% • Morbidity 44% • Increase- in alarming proportions • Double burden of communicable & Non communicable diseases

  5. LEADINGHOSPITAL ADMISSIONS Traumatic Injuries Diseases of the Respiratory system DISEASES OF THE GIT 52% Asthma

  6. NCDs & All causes of hospital mortality Kurunegala District-2004 46% NCDs All other causes 54% Source:IMMR 2004

  7. Source: IMMR-2004

  8. LEADING CAUSES OF HOSPITAL DEATHS DISEASES OF THE GIT CEREBRO VASCULAR DISEASES DISEASES OF THE RESPIRATORY TRACT 75% ALCOHOLIC LIVER DISEASE 31% ASTHMA

  9. All Poisoning Rate 2004 Per 100,000 population All poisoning rate Sri Lanka 256.9/100,000 population (2002)

  10. DRUG ABUSE TREATMENT ADMISSIONS BY DISTRICT 1996-2000 ( N = 25) % Admissions Galle Kalutara Putt. Source:National Dangerous Drug control Board

  11. Mental & Behavioural Disorders - 2004 Source:DPDHS Kurunegala & Puttalam

  12. Number of Thalassaemia Patients registered and Deaths reported(Period 1994-until 01.09.2005) Thalassaemia Registry-PH.Kurunegala

  13. Source: IMMR 2004

  14. Allocation and the estimate of drugs Kurunegala District Source:Divisional Pharmacist Unit, DPDHS, Kurunegala

  15. Population & Population Growth- 2001 Census

  16. Problems Identified Causes • Ageing of the population • Changes in the social, economic and cultural pattern of living that contribute to elevated risk of NCD • Unfavorable effects -Urbanization, Industrialization, Mechanization and Migration of the people • Lack of concern on Prevention and health promotion strategies • Inadequate recognition of the impact of NCDs on economic development.

  17. Effects • Premature mortality/long term disability/Dependency on treatment • Limitations/modifications to the patient’s normal life & Patient dis-satisfaction • Imbalance to the family economy, life style, social and structural disruptions and even psychiatric illnesses • Over crowded hospital clinics • Increased Hospital admissions • High health costs - drugs, technology, infrastructure, trained man power • Increased burden at 2ry and tertiary care hospitals • Economic loss to the country

  18. Vision To build a healthier population in the North Western Province that contributes the nation in its social and economic development.

  19. Mission To adopt feasible, cost effective policies and strategies for the prevention and control of non communicable diseases of major importance to public health in the province.

  20. Policy goal To reduce the morbidity and premature mortality related to major non communicable diseases.

  21. Policy objectives • Strengthen provincial/District capacities to develop efficient strategies and models for intervention and working partnerships for controlling major non communicable diseases. • Establish Primary prevention and health promotion aimed at fostering healthy lifestyle among the population. • Improve patient care management and rehabilitation of patients with major NCDs. • Establish epidemiological surveillance system for NCDs and their risk factors within the framework of National Surveillance System.

  22. Policy strategies • Establishment of mechanisms to strengthen intra-sectoral and inter-sectoral co-operation and collaboration on prevention of NCDs. • Promotion of healthy life style to prevent major NCDs through holistic approach to health in the province. • Improved patient care management and rehabilitation of patients with non communicable diseases.

  23. Cont….. • Prohibition of inaccurate/wrong /mis information on alcohol, tobacco and food items from all government & private places and mass media. • Revise and strengthen the existing policy on import/sale/publicity on alcohol, tobacco and other related substances and not facilitate/promote/market such substances/products by the government.

  24. Policy Options NCD prevention and control • Establishment of working partnership in the province - ? • Primary prevention, secondary prevention and health promotion - ? • Improve patient care management and patient rehabilitation - ?

  25. THANK YOU

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