Subregional Meeting of Representatives and Directors from Central America, Cuba, the Dominican Republic, Haiti, Mexico, and the US-Mexican Border Field Office Session 5: Noncommunicable Diseases (Belize, 12–16 February 2007). Overview. Global situation
Subregional Meetingof Representatives and Directors from Central America, Cuba, the Dominican Republic, Haiti, Mexico, and the US-Mexican Border Field Office
Session 5: Noncommunicable Diseases
(Belize, 12–16 February 2007)
Chronic diseases are the major cause of death in almost all countries!
60% of all deaths are due to chronic diseases.
Over 35,000,000 people will die from chronic diseases in 2007.
The poorest countries are the worst affected!
80% of chronic disease deaths will occur in low- and middle-income countries.
The problem has a serious impact.
NOTE: X= NOT PRESENT
To ensure and promote the development and implementation of effective, integrated, sustainable, and evidence-based public policies on chronic disease, their risk factors, and determinants.
Strengthen NCD public policy development
Development & strengthening of chronic disease and risk-factor surveillance systems
To encourage and support the development and strengthening of countries’ capacity for better surveillance of chronic diseases, their consequences, their risk factors, and the impact of public health interventions.
Health Promotion & Prevention
To foster, support, and promote social and economic conditions that address the determinants of chronic diseases and empower people to increase control over their health and to adopt healthy behaviors.
Tobacco, Alcohol, Diet & Physical Activity
Home, School, Community, Workplace
Provide technical assistance to countries in the development, strengthening, implementation, and evaluation of their chronic- disease programs
Integrated NCD Management
To facilitate and support the strengthening of the capacity and competencies of the health system for the integrated management of chronic diseases and their risk factors.
Step 3: Desirable
Step 2: Expanded
Step 1: Core
Interinstitutional: CDC, NHLBI, Canada, partnering universities, CIP, BID, World Bank,
Networks: CARMEN, bicycle paths, fruits & vegetables, AMNET, RAFA
Tobacco: Ratification of the Framework Convention for Tobacco Control (FCTC)CARMEN Policy Observatory
Basic Data Initiative, Pan American STEPS
Promotion & prevention: Healthy Lifestyles Project, Healthy People
Integrated management & surveillance: Central American Diabetes Initiative (CAMDI), Veracruz Initiative for Diabetes Awareness (VIDA)
Final evaluation & sharing lessons learned in Latin America.
Initial stage of the campaign, starting between July and August 2006.
Between September 2006 and February 2007, campaign media messages will scale up and the scope of activities to promote the campaign will be broadened.
Identification ofBest Practices
From March–October 2007, the countries will start to act. The Roadshow & Best Practices Contest will be part of the regional activities.
Central American Diabetes Initiative
I: San Salvador, March 8-9, 2000
II: Tegucigalpa, November 13-14, 2000
III: Guatemala City, August 12-14, 2002
IV:Tegucigalpa, July 8-9, 2003
V: Montelimar, Nicaragua April 29-30, 2004
VI: Miami, FL, May 4-5, 2005
VII: Jacó, Costa Rica, March 13-15, 2006
VIII: Panama City, November 28-29, 2006
Main CAMDI Results: Population-Based Survey of Chronic Diseases and Their Risk Factors
Sample Size, Survey Participants Tested by Country: The CAMDI 1 Study
Results of the Risk-Factor Survey, 2003–2006
CAMDI:Quality of Care for Chronic Diseases
Quality of Diabetes Care: Preliminary Analysis
Quality of HypertensionCare:In progress
Use of Medication by Country
Proportion of Records with A1c Results, and Information on Blood Pressure and Height, by country
Proportion of Patients with Documented Foot and Eye exam, by country
Glycemic* and Blood Pressure** Control, by country
* A1C<7 or fasting glucose<130 ** BP<140/90
Adjusted* Proportion of Cases with Good Glycemic Control, by Country
Health Technology Assessment finished.
Qualitative analysis: Focus group results available for Costa Rica, El Salvador, Guatemala, Honduras, and Nicaragua.
Intervention started in Costa Rica.
QUALIHIPER data collection in progress.
Intervention about to start in El Salvador, Guatemala, Honduras and Nicaragua.
Grant obtained from WDF.
CAMDI 3:Surveillance System