Current Progress in NonCommunicable Disease Prevention in the Caribbean: Overview - PowerPoint PPT Presentation

Loading...

PPT – Current Progress in NonCommunicable Disease Prevention in the Caribbean: Overview PowerPoint presentation | free to view - id: b63eb-ZmU2Y



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Current Progress in NonCommunicable Disease Prevention in the Caribbean: Overview

Description:

Continuing education for health professionals ... persons with diabetes - self care, continuing education for health professionals ... – PowerPoint PPT presentation

Number of Views:122
Avg rating:3.0/5.0
Slides: 18
Provided by: pah62
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Current Progress in NonCommunicable Disease Prevention in the Caribbean: Overview


1
Current Progress in Non-Communicable Disease
Prevention in the Caribbean Overview
Pan American Health Organization Office of
Caribbean Program Coordination Barbados
  • D. Beverley Barnett
  • Chronic Diseases Health Promotion Advisor
  • PAHO/WHO CPC
  • November 2000

2
NCDs in the English-speaking Caribbean (ESC)
  • Main causes of death 1980-1990 (CAREC)
  • Cardiovascular disease
  • Cerebrovascular disease
  • Malignant neoplasms
  • Diabetes
  • Hypertension
  • Increase of 147 in diabetes-related deaths
    1980-1994 (Health in the Americas, 1998)

3
NCDs in the ESC
  • Diabetes prevalence in adults
  • Barbados 17 (published 1993)
  • Jamaica 18 (published 1995)
  • Hypertension prevalence in adults
  • Barbados 45 (published 1993)
  • Obesity increasing
  • Barbados overweight prevalence
  • Males 1970 7 1981 19
  • Females 1970 32 1981 39

4
Stakeholders in NCDs in the ESC
  • Ministries of Health
  • Hospitals and clinics
  • Diabetes Associations
  • Heart Foundations
  • Cancer Societies
  • UWI - TMRI (TMRU, CDRC, MRC)
  • Other tertiary institutions
  • CARICOM
  • CHRC
  • PAHO/WHO - CFNI, CAREC, CPC, HPP, HCP
  • International NGOs
  • Others

5
NCDs in the ESC
  • Challenges
  • To organize and systematize ongoing efforts to
    prevent and control NCDs
  • To address promotion of health and prevention of
    disease as well as clinical/curative services
  • To foster collaboration among the many national,
    regional and international agencies involved in
    NCD prevention and control, including NGOs

6
Progress in NCDs in the ESC Framework
  • Caribbean Cooperation in Health (CCH)
  • Phase I 1986-1996
  • Phase II 1998-2003
  • Planning and information systems
  • Risk factor prevention and control
  • Screening
  • Quality of care

7
Progress in NCDs in the ESC Framework
  • Caribbean Charter for Health Promotion
  • Formulating Health Public Policy
  • Re-orienting Health Services
  • Creating Supportive Environments
  • Empowering Communities
  • Developing/Increasing Personal Health Skills
  • Building Alliances, with Special Emphasis on the
    Media

8
Progress in NCDs in the ESC Framework
  • Health Sector Reform
  • Provides opportunity for suggested health
    promotion and disease prevention approaches which
    address risk factors e.g. obesity
  • Situation analyses
  • Health Conditions in the Americas, last 1998
  • Health Conditions in the Caribbean 1997
  • Caribbean Regional Health Study 1996

9
Progress in NCDs in the ESC PAHO/WHO CPC
Technical Cooperation
  • Joint planning, programming, evaluation
  • Information sharing
  • Identification of roles and responsibilities
  • avoid duplication, use limited resources more
    efficiently

10
Progress in NCDs in the ESC PAHO/WHO CPC
Technical Cooperation
  • Collaboration with government, NGOs, including
    non-health sectors
  • multiple determinants of health and importance of
    non-health factors in promotion and prevention
  • Use of diabetes as entry point to NCD prevention
    and control

11
Progress in NCDs in the ESC Initiatives
  • Sub-regional level
  • Guidelines for management of diabetes (1995) and
    hypertension (1998) in 1? care - CHRC
  • Guide for development of diabetes programs (1998)
    - CPC
  • Model policy for diabetes prevention and control
    (1998) - CPC
  • Identification of Caribbean research priorities
    (2000) - CHRC
  • CINDI/CARMEN - CARBI?

12
Progress in NCDs in the ESC Initiatives
  • National level
  • Risk factor surveys - BAR, SAV (1991)
  • Health fairs - Healthy Lifestyle Extravaganza,
    Nation Publishing House, BAR, since 1995
  • Continuing education for health professionals
  • Protocol for Surveillance and Monitoring of
    Diabetes - BAR
  • Barbados Diabetes Intervention Study (1998) -CDRC

13
Progress in NCDs in the ESC Initiatives
  • National level
  • Drug Utilization Review in SAV re diabetes and
    hypertension (2000) - PAHO, OECS/PPS
  • Draft diabetes programs that address 1?, 2? and
    3? prevention using Logical Framework Approach
  • Developed over 1998-99 biennium
  • Facilitated by CPC office
  • ANU, ANI, BVI, GRA, GUY, MOT, SAL, SCN, SAV, SUR

14
Draft Diabetes Programs Expected Results
  • Information/education/communication programs
  • Healthy lifestyle programs
  • High risk screening programs
  • Improved management of persons with diabetes -
    self care, continuing education for health
    professionals

15
Draft Diabetes Programs Expected Results
  • Research
  • Establishment/strengthening of information
    systems, including disease registries
  • Resource mobilization

16
Progress in NCDs in the ESC Future Challenges
  • Research to provide up to date data
  • Effective strategies for long-term adoption of
    healthy lifestyles
  • Implementation of guidelines
  • Finalization and implementation of draft programs
  • Resource mobilization

17
THANK YOU FOR YOUR ATTENTION
About PowerShow.com