Diabetes%20in%20Suriname

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Diabetes in Suriname

• II PAHO-DOTA Workshop on Quality of Diabetes Care
• Diabetes Research Institute (DRI)
• University of Miami
• 1416 May 2003

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Dr Virginia S. Asin-Oostburg

• Physical therapist since 1984.
• General Physician since 2003.
• Program Manager NCD program at the Ministry of
  Health since 2003.

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Bureau of Public Health of the Ministry of
Health Organizational Chart
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General Policy on NCDs Policy Document (June
2002)

• Priority areas in NCD program
• Hypertension
• Diabetes
• Cardiovascular risk factors obesity, smoking

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• Mortality Data10 Main causes of Death, 2000
• Cardiovascular disease including hypertension 18
• Cerebrovascular accidents 11
• Accidents and trauma 10
• Malign neoplasms 8
• Gastrointestinal diseases
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• Diseases originating in the perinatal period
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• Diabetes mellitus 4
• Acute respiratory infections (ARIs) 3
• Diseases of the urinary tract
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• HIV/AIDS 3

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Morbidity Data 1 Hospitalizations in Two Main
Hospitals in Paramaribo, 2000
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• Morbidity Data 2 Primary Health Care
• Source Regional Health Services 2000 Annual
  Report.
• Diabetes Care
• 15,750 consultations (gt half are women).
• 10 of the total number of consultations.
• Hypertension Care
• 23,352 consultations .
• 15 of the total number of consultations.
• Problem
• Inconsistencies in data registration.

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Morbidity Data 3 Population-Based Surveys
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Preliminary results of   cardiovascular risk
factors in different ethnic groups
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• Participants by District

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Preliminary Conclusions

1. Hypertension most prevalent in Blacks.
2. No statistical significant difference in the
   combination of hypertension and diabetes between
   the ethnic groups.
3. Cholesterol levels significantly higher in South
   East Asians (Javanese, and East Indians).
4. The combination hypertension, Diabetes Mellitus,
   and high cholesterol significantly more prevalent
   in South East Asians.

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• Diabetes Control and Prevention Activities in
  Suriname
• Current Partner Organizations
• Bureau of Public Health Strategies, policies
  and alliances, data management (surveillance,
  surveys).
• PAHO Technical and financial support and
  networking.
• Foundation for Diabetes Education Patient
  support.
• Movement for a Healthy Suriname Research on risk
  factors.
• Rotary Health awareness.

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• Priority Areas for the Diabetes Care, Control and
  Prevention Program
• Improvement and expansion of data collection and
  analysis on risk factors, morbidity, mortality,
  and care indicators.
• Capacity-building Protocol development,
  workshops and training of health workers.
• Improvement of diabetes care at primary
  health-care level.
• Alliances Medical and paramedical sector, NGOs,
  media, community organizations.