The Magnitude of Non-communicable diseases & their Risk factors in Malawi
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The Magnitude of Non-communicable diseases & their Risk factors in Malawi. Malawi NCD STEPS SURVEY 2009. BY DR KELIAS MSYAMBOZA. What are NCDs. A group diseases used to be regarded as “ diseases of the west, affluent, rich, or urban people” Include:

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The magnitude of non communicable diseases their risk factors in malawi

The Magnitude of Non-communicable diseases & their Risk factors in Malawi

Malawi NCD STEPS SURVEY 2009

  • BY DR KELIAS MSYAMBOZA


What are ncds
What are NCDs factors in Malawi

  • A group diseases used to be regarded as “diseases of the west, affluent, rich, or urban people”

  • Include:

    • Cardiovascular diseases (Hypertension, Heart diseases, Stroke)

    • Cancer

    • Chronic respiratory diseases e.g. asthma

    • Diabetes

    • Mental diseases etc


Importance of ncds to malawi
Importance of NCDs to Malawi factors in Malawi

  • Because of change in life styles, NCDs are increasingly becoming significant causes of morbidity and mortality in developing countries

  • In Malawi, in adults, NCDs are probably the 2nd commonest cause of illness, lost of productive days and death after HIV/AIDS

  • NCDs are part of 1st objective of PoW for SWAp 2004-2010:

    “To reduce the disease burden due to communicable & Non-communicable diseases thru improving access to quality EHP, essential non-EHP services Emergency and Trauma services mainly targeted at the poor”


Ncd steps survey objectives
NCD STEPS Survey objectives factors in Malawi

  • To determine the magnitude of selected NCDs:

    • High blood pressure (Hypertension)

    • Diabetes

    • People with or at risk of Heart diseases (Raised cholesterol)

  • To determine the magnitude of risk factors:

    • Tobacco smoking

    • Excessive alcohol intake

    • Overweight/obesity

    • Physical inactivity

    • Inadequate fruits and vegetable intake

  • To use data to advocate for resources, policies, regulations etc for NCDs


Materials methods
Materials & Methods factors in Malawi


Steps
STEPS factors in Malawi


Results
Results factors in Malawi




Ncd risk factors by gender
NCD risk factors by Gender factors in Malawi




Conclusion
Conclusion factors in Malawi

  • NCDs & their risk factors are major public health problems in Malawi

  • Majority (94.4%) of people with high blood pressure and diabetes do not know that they have a problem

  • Thus what we are seeing at health facilities is only 6% of people with High blood pressure and or diabetes.


Proposed way forward
Proposed way forward factors in Malawi

  • There is need to establish NCD control programme

  • There is need to develop multi-sectoral comprehensive Plan of Action & policies for NCDs

  • There is need to allocate resources for NCDs within and or outside SWAp


Proposed way forward cont
Proposed way forward cont… factors in Malawi

  • There is need to support and or strengthen the existing efforts such as:

    • Age limit for alcohol drinking,

    • Drinking and driving

    • Opening and closing hours for alcohol selling

    • Taxation on alcohol

    • Age limit for tobacco smoking

    • Ban on public smoking and workplaces

    • Taxation on cigarettes & other tobacco products

    • Consider ban on tobacco advertising, promotion & sponsorship


Acknowledgments
Acknowledgments factors in Malawi

  • MoH- Clinical Department

  • WHO

  • Data collectors

  • DHOs

  • HSAs

  • Chiefs

  • Participants