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This forum discusses the challenges and solutions for non-communicable diseases and the role of medical devices in prevention, diagnosis, and management. It addresses the burden of NCDs, mortality rates, quality of life, and healthcare expenses.
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MedicalDevices : Challenges for Non-Communicable Diseases Global Forum on MedicalDevices Visakhapatnam, India, December13, 2018 Fourth Global Forum on MedicalDevices : Challenges for NCDs
Epidemiology (1/2) • Heavy burden on the world • A public healthproblem • Mortality • Qualityof life, disability • Catastrophichealthexpenses • NCDskill 41 million people everyyear, accounting for 71% of all deathsworldwide (WHO 2017) • 85% of these "premature" deathsoccur in low- and middle-incomecountries Fourth Global Forum on MedicalDevices : Challenges for NCDs
Epidemiology (2/2) • In Senegal, 41% of deaths are due to NCDs (WHO 2017) • National STEPS survey on riskfactors for noncommunicablediseases in 2015 (Pop 18-69 yearsold) : • Prevalenceof smoking : 6.7% • Prevalenceof sedentarity : 66.4% • Prevalenceof obesity : 6.4% • Prevalenceof overweight and obesity : 22.1% • Prevalenceof diabetes : 3.4% (more than 5% from 45 years) • Prevalenceof hypertension : 29.8% • Prevalenceof hypercholesterolemia : 20.0% Fourth Global Forum on MedicalDevices : Challenges for NCDs
Strategic framing • SustainableDevelopmentGoals : SDG 3 in particular • Global Plan of Action for NCDs • Plan Sénégal Émergent • National HealthDevelopment Plan 2009-2018 : Strengthening the management of the disease : Control of NCDs, Deconcentration of care (2019-2028 underdevelopment) • Developmentof the Integrated Strategic Plan for NCDs (2017-2020) Fourth Global Forum on MedicalDevices : Challenges for NCDs
Management of complicated cases • Model of decentralized management of NCDs REFERENCE –CONTRE REFERENCE • Prevention • Screening • Case management and follow-up • Awareness for adoptinghealthybehaviors. • Reference in time • Prevention/ • Communication for adoptinghealthybehaviors, • Screening • Follow-up of simple cases Fourth Global Forum on MedicalDevices : Challenges for NCDs
Examples of medicaldevicesfor NCDs (1/2) • Primaryprevention: • Rubanmètre • Toise • Screening and earlydetection • Glucometerat the communitylevel • Measuringbloodpressure at communitylevel • HPV test • Visual inspection at Lugol • Cryotherapy • Thermocoagulation • Mammography Fourth Global Forum on MedicalDevices : Challenges for NCDs
Examples of medicaldevicesfor NCDs(2/2) • Treatment • HbA1c • Electrocardiogram • Funduscopicexamination • Monofilamentfor the prevention of diabetic foot • Micro albuminuria • Radiotherapy services • Angiographycenter • Nebulizer Fourth Global Forum on MedicalDevices : Challenges for NCDs
Challenges • Integrationof NCDsin Universal HealthCoverage • Considerationof medicaldevices in strategic planning • Developmentof standards and protocols for eachNCD • Implementation, monitoring and evaluation of acquisition plans and maintenance of medicaldevicesfor the prevention, diagnosis and management of NCDs • Transversal of programs (NCDs and Maternal and Child Health, NCDs and HIV / AIDS, NCDs and Tuberculosis ...) • Revisionof the WHO Model List of Essential In Vitro Deviceswithconsideration of NCD control at all levels (PrimaryHealthCare+++) • Creationof a Global Fund for the fightagainstNoncommunicableDiseases Fourth Global Forum on MedicalDevices : Challenges for NCDs
THANK YOU Fourth Global Forum on MedicalDevices : Challenges for NCDs