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Dominica CNCDs - Current Situation

Dominica CNCDs - Current Situation. CARMEN OBSERVATORY MEETING May 12, 2008. Dr. David Johnson Ministry of Health and Environment. Demographic data. Total population = 68,635 (2001 census) Males = 50.3% population <25 years = 45.4% population >60 years = 13.4%. 790 square kilometers

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Dominica CNCDs - Current Situation

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  1. Dominica CNCDs- Current Situation CARMEN OBSERVATORY MEETING May 12, 2008 Dr. David Johnson Ministry of Health and Environment

  2. Demographic data • Total population = 68,635 (2001 census) • Males = 50.3% • population <25 years = 45.4% • population >60 years = 13.4%

  3. 790 square kilometers • 7 health districts • 52 health centre/clinics • 2 district hospitals • Main hospital in Roseau (secondary care)

  4. Trend in Crude Birth Rate and Infant Mortality Rate, 2001-2006

  5. Trend in Life Expectancy, 1995-2010

  6. Chronic Non-communicable Diseases

  7. Chronic Non-communicable Diseases

  8. Leading Causes of Death Ranking2002-2006

  9. Leading Causes of death by both sexes 1991 -1995 vs 2001-2005

  10. Percentage Obesity Among 0-5 Year Old Children, 2001-2005

  11. Relationship between NSPH& Other Policies/Plans National Development Plans (Growth & Social Protection Strategy) Int’l Agreements National Strategic Plan for Health Regional plans CNCD Strategic Plan/Corporate Plan CNCD Program Dept/Prgm Plans Dept/Prgm Plans Work Plans Work Plans Work Plans

  12. Research • Field Work of PAN American Version of WHO STEPS CNCD Risk Factor Surveillance completed May 10, 2007 • Data Processing is ongoing • Data Analysis- June 2008 • Dominica will be among 4 countries, with CAREC, PAHO Washington and WHO- Geneva in Videoconference- May 15, 2008.

  13. NCD Risk Factor Surveillance This surveillance will include the incidence and prevalence rates of NCDs as well as their risk factors which will be used to: • Develop and National NCD Strategic Plan • Complete National Policy on NCD • inform NCDs programmes.

  14. Policy and Advocacy. The response to NCDs is guided by policy documents which include: • The National Strategic Plan for Health • The National Policy for Chronic Non-communicable Diseases (draft) • National Dietary Guidelines, 2007 • Food and Nutrition Policy( to be finalized in Before end of 2008

  15. Policy/Advocacy Dialogues On the initiative of the Hon. Prime Minister, a National Summit on CNCDs held – December 14, 2007. The theme of Summit: “ Investing in health, Combating CNCDs”

  16. National Summit- Purpose To sensitize the Cabinet and other key stakeholders on the situation of CNCDs and the need for: • collective policies and • comprehensive program for management of and prevention of their risk factors

  17. National Summit- Objectives • Present Dominica’s health profile, its position and response to CARICOM Heads of Government Summit on management & control of NCDs • Strengthen political support and obligation for the management and prevention of NCDs and their risk factors. • Foster inter-institutional and inter-sectoral actions for management and prevention of NCDs and their risk factors.

  18. National Summit- Objectives • Advocate for strengthening social network for prevention and management of NCDs and their risk factors. • Discuss and agree on the need for collective policies for prevention of risks for NCDS.

  19. National Summit- Outcome • Clear statements on Dominica’s commitment to NCDs • A deeper sense of joint collaborative commitment among stakeholders for the need to implement the necessary actions to manage and control NCDs • Commitment to establishment of Dominica National Commission on NCDs

  20. Dominica National Commission NCD • To monitor conformity of Dominica’s policies, laws and programmes with regards to its obligations arising from CARICOM Heads of Government “Declaration NCDs”. • To advise Cabinet on the State’s policies, laws and programmes with regards the its obligations arising from the Declaration. • To foster a multi-sectoral approach for addressing of epidemic of the CNCDs

  21. Community based- initiatives • The Antihypertensive/Diabetes Project Woodford Hill, • The Calibishie Healthy Lifestyle Group • Weight Watchers Project Laplaine • The school health and family life education diet and exercise • healthy communities initiatives, • screening prostate cancer among farmers

  22. Thank you

  23. Capacity Building- • Workshop on Asthma Clinical Guidelines for Caribbean • Sickle Cell Anaemia Capacity Building Workshop • CARMEN Biennial Meeting in Bahamas- November 2007 • PAHO/WHO Policy Analysis and Decision Making Workshop Emphasis on NCD- Barbados Oct. 2007 • Meeting of Expertise

  24. Capacity Building- • Strengthening the cervical cancer Prevention/Screening and Management Programme • Development of Men’s Health Program- emphasis on Prostate cancer.

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