1 / 15

GARD PROJECT IN CABO VERDE

GARD WHO Meeting Beijing 28-29 March 2005. GARD PROJECT IN CABO VERDE. José Rosado Pinto. Serviço de Imunoalergologia, Hospital de Dona Estefânia Lisboa, Portugal. CABO VERDE. CABO VERDE. 483.000 inhabitants Santiago: 240.000. S. Vicente 67.000 GIP 5.214 USD per capita

tavita
Download Presentation

GARD PROJECT IN CABO VERDE

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. GARD WHO Meeting Beijing 28-29 March 2005 GARD PROJECT IN CABO VERDE José Rosado Pinto Serviço de Imunoalergologia, Hospital de Dona Estefânia Lisboa, Portugal

  2. CABO VERDE

  3. CABO VERDE • 483.000 inhabitants • Santiago: 240.000. S. Vicente 67.000 • GIP 5.214 USD per capita • Population under 15 y: 40,5% • Live expectancy at birth: 70,4 years • Infantile mortality rate 35/1.000 newborns • Tuberculosis 328/100.000 inhabitants UNPD 2005 • Phsysicians 340: 228 GP; 2 Pneumologists; 1 Allergologist

  4. Cabo Verde Health System 1 - Central Hospitals: 2 Regional Units: 2 2 - Health Delegacies: 17 Sub-units dependences 3 - Basic Sanitary Units Sanitary agents Hospital network Primary care system

  5. Health System: Response to CRD • Available outpatient facilities • Available outpatient hospital consultation (spirometry in each hospital) • Emergency treatment guidelines • Nebulizers and spacers available • Essential drugs available

  6. Official Collaboration Portugal / Cabo Verde Asthma and Allergic Diseases (Coordination: Hospital de Dona Estefânia – Serviço de Imunoalergologia) Targets: • Clinical assistance care • Educational activities • Research projects • 25 cooperation activities (involving physicians, psychologists, technicians)

  7. Protocol for Assessment of Prevalence of Major Respiratory Diseases in Cabo Verde Isabella Annesi-Maesano, Nikolai Khaltaev and Paulo Matricardi Objectives: • Assessment of prevalence and severity of R.D. • Assessment of under diagnosis and management of R.D.

  8. Stage 1 – Prevalence of Respiratory Diseases at PHC level Specific objectives: • To assess reported prevalence and severity diseases at PHC level • To determine spirometric values • To identify factors associated with Respiratory Diseases • To assess prevalence of Major Respiratory Diseases at E.R. Departments

  9. Stage 1 - Methodology Population: + 4.000 responders are expected in Santiago and S. Vicente Islands Questionnaire: COPD, Asthma, Allergic Rhinitis, TP and Pneumonia. Factors considered: Tobacco consumption, Toxic occupational agents, allergens and social class. Migration factors Spirometry: (sub sample) Emmergency Room Forms Evaluation by WHO Expert Team

  10. Stage 2 – Management of Respiratory Diseases at Primary Health Care Level Specific objectives: • To evaluate the management of respiratory diseases at PHC level • To estimate the under and over diagnosis and the under and over treatment of respiratory diseases at PHC level

  11. Stage 2 - Methodolgy • Expected: 175 respiratory patients • GP Forms • Questionnaire: stage 1 • Spirometry • Evaluation by WHO Expert Team

  12. Action Plan - Steps • Translation of GARD Document • Contact between WHO and Cabo Verde Health Ministry • Appointment of a national team of specialists under the responsability of Cabo Verde Health Ministry • Training the national team by portuguese experts • Starting stage 1 as soon as possible • Monitoring of the project by WHO experts

  13. Time Schedule: • Validation of the Portuguese version of the questionnaire – January 2005 • Meeting of GARD representatives, with local WHO and Cabo Verde Minister of Health and his staff – November 2005 • Training the national team – November 2005 • Visit to the PHC Delegacies in Cabo Verde – November 2005 • Implementation of GARD local organization – December 2005 / January 2006 • Expected date to start the project – January 2006 • Difficulties: delay of WHO GARD financial support

  14. The PAC Study CABO VERDE (AFRICA) MADEIRA (EUROPE) MACAU (ASIA) ACTIVE ASTHMA 8.0 % 14.6 % 1.3 % % positive SPT 27 % 74 % 86 % % positive BHR test 50 % 70 % 88 % GLOBAL POPULATION % positive SPT 9 % 54.1 % 48.6 % % positive BHR test 15 % Ped.Pulm. 2001 Sup 23: 35-7 - 10 %

  15. GARD PROJECT WILL BE A REALITY IN CABO VERDE

More Related