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Kingdom o f Morocco Ministry of Health

International Seminar on the Public Health Aspects of Noncommunicable Diseases Lausanne, 10 – 18 August 2010. Kingdom o f Morocco Ministry of Health. Dr. Mustapha MAHFOUDI MPH. Kingdom of Morocco. Evolution of the total population by area. (Population by million).

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Kingdom o f Morocco Ministry of Health

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  1. International Seminar on the Public Health Aspects of Noncommunicable DiseasesLausanne, 10 – 18 August 2010 Kingdomof Morocco Ministry of Health Dr. Mustapha MAHFOUDI MPH

  2. Kingdom of Morocco

  3. Evolution of the total population by area (Population by million) Source : sensus (1960,1971 and 1982) and projections

  4. Evolution of life expectancy to birth by area Source : Direction de la Statistique

  5. Population pyramid Moroccan Population by age and sex (In thousands) 2004 / 2022

  6. Epidemiologic Transition Communicable diseases Noncommunicablediseases

  7. Noncommunicablediseases Cardiovascular diseases: HTA and RAA. Diabetes. Cancer. Chronic respiratory infection. Mental diseases. Dental diseases.

  8. EpidémiologicsituationMS/2000 Pop + 20 years • Rheumatic heart disease first cause of morbidity, mortality and cardiovascular surgery (age from 15 to 24 years). 2. Hypertension 33,6% of age 20 years and over, and 54% at the age 40 years and over (55% of grade 1). 3. Diabetes 6,6% (age 20 years and over). 4. Obesity 13.3% (age 20 years and over). Source: MS/2000.

  9. Epidemiologic situation 5. Cancer 30.500 new cases of which more than the 2/3 are ascribable with the environment and the lifestyle particularly the nicotinic (2004). 6. Mental health (+15 years) • 26.5% of the population suffers from a depressive disorder. • 09% of anxiety and 5.6% of psychotic disorders. • Alcoholabuse: 2%, dependance: 1,4%. • Substance abuse: 3%, dependance : 2,8 %. 7. Dental diseases 72% among children aged 12. Parodontopathy 62,5%.

  10. Lung cancer women Men cancer records / Rabat.

  11. Comparison of results of Marta’s study (2006) and study on cardiovascular risk factors (2000) (cases aged 20 and over)

  12. Comparison of survey data from 2001 and 2006 among people 13 to 15 years in Morocco

  13. New paradigm • Before: Passive role of the patient. • Now: Central role and responsibility of the patient and his/her own care. To center the care on the patient and his family (concerted Approach).

  14. Objectifs • Achieve universal access to diagnosis and treatment. • Protect poor and vulnerable populations from heart disease, stroke, hypertension, cancer, diabetes, asthma and chronicrespiratorydisease. • Reduce the burden associated with major NCDs. • Implement a set of essential NCD interventions to improve service delivery and reduce inequity. • Provide effective and affordable prevention and treatment throughprimary care. • Support community engagement.

  15. Strategic axes

  16. REORGANIZATION AND REORIENTATION OF THE HEALTH CARE SERVICES / NCD level1 Health Center level2 CHP Level 3 CHR - CHU Prevention and promotion NCD Tracking NCD Regular follow-up Therapeutic education Reference Specialized consultation Tracking of the complications Therapeutic education Reference and against-reference PEC of the complications therapeutic Education Reference and Against-reference

  17. CONCLUSION The integrated management of the NCD requires: • political commitment. • material and human resources suitable. • Organization of the specialized care (centers of reference). • Introduction of mechanisms of coordination between the various levels of care. • Development of an integrate surveillance system. • Development of a public/private partnership .

  18. Thank You for your attention

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