Dominica CNCDs Current Situation

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Dominica CNCDs- Current Situation
CARMEN OBSERVATORY MEETING May 12, 2008

• Dr. David Johnson
• Ministry of Health and Environment

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Demographic data

• Total population 68,635 (2001 census)
• Males 50.3
• population lt25 years 45.4
• population gt60 years 13.4

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• 790 square kilometers
• 7 health districts
• 52 health centre/clinics
• 2 district hospitals
• Main hospital in Roseau (secondary care)

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Trend in Crude Birth Rate and Infant Mortality
Rate, 2001-2006
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Trend in Life Expectancy, 1995-2010
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Chronic Non-communicable Diseases
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Chronic Non-communicable Diseases
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Leading Causes of Death Ranking2002-2006
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Leading Causes of death by both sexes 1991 -1995
vs 2001-2005
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Percentage Obesity Among 0-5 Year Old Children,
2001-2005
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Relationship between NSPH Other
Policies/Plans
National Development Plans (Growth Social
Protection Strategy)
National Strategic Plan for Health
Regional plans
Intl Agreements
CNCD Strategic Plan/Corporate Plan
CNCD Program
Dept/Prgm Plans
Dept/Prgm Plans
Work Plans
Work Plans
Work Plans
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Research

• Field Work of PAN American Version of WHO STEPS
  CNCD Risk Factor Surveillance completed May 10,
  2007
• Data Processing is ongoing
• Data Analysis- June 2008
• Dominica will be among 4 countries, with CAREC,
  PAHO Washington and WHO- Geneva in
  Videoconference- May 15, 2008.

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NCD Risk Factor Surveillance

• This surveillance will include the incidence and
  
• prevalence rates of NCDs as well as their risk
  factors
• which will be used to
• Develop and National NCD Strategic Plan
• Complete National Policy on NCD
• inform NCDs programmes.

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Policy and Advocacy.

• The response to NCDs is guided by policy
  documents
• which include
• The National Strategic Plan for Health
• The National Policy for Chronic Non-communicable
  Diseases (draft)
• National Dietary Guidelines, 2007
• Food and Nutrition Policy( to be finalized in
  Before end of 2008

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Policy/Advocacy Dialogues

• On the initiative of the Hon. Prime Minister, a
  National
• Summit on CNCDs held December 14, 2007.
• The theme of Summit
• Investing in health, Combating CNCDs

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National Summit- Purpose

• To sensitize the Cabinet and other key
  stakeholders on
• the situation of CNCDs and the need for
• collective policies and
• comprehensive program for management of and
  prevention of their risk factors

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National Summit- Objectives

• Present Dominicas health profile, its position
  and response to CARICOM Heads of Government
  Summit on management control of NCDs
• Strengthen political support and obligation for
  the management and prevention of NCDs and their
  risk factors.
• Foster inter-institutional and inter-sectoral
  actions for management and prevention of NCDs and
  their risk factors.

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National Summit- Objectives

• Advocate for strengthening social network for
  prevention and management of NCDs and their risk
  factors.
• Discuss and agree on the need for collective
  policies for prevention of risks for NCDS.

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National Summit- Outcome

• Clear statements on Dominicas commitment to NCDs
• A deeper sense of joint collaborative commitment
  among stakeholders for the need to implement the
  necessary actions to manage and control NCDs
• Commitment to establishment of Dominica National
  Commission on NCDs

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Dominica National Commission NCD

• To monitor conformity of Dominicas policies,
  laws and programmes with regards to its
  obligations arising from CARICOM Heads of
  Government Declaration NCDs.
• To advise Cabinet on the States policies, laws
  and programmes with regards the its obligations
  arising from the Declaration.
• To foster a multi-sectoral approach for
  addressing of epidemic of the CNCDs

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Community based- initiatives

• The Antihypertensive/Diabetes Project Woodford
  Hill,
• The Calibishie Healthy Lifestyle Group
• Weight Watchers Project Laplaine
• The school health and family life education diet
  and exercise
• healthy communities initiatives,
• screening prostate cancer among farmers

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• Thank you

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Capacity Building-

• Workshop on Asthma Clinical Guidelines for
  Caribbean
• Sickle Cell Anaemia Capacity Building Workshop
• CARMEN Biennial Meeting in Bahamas- November 2007
• PAHO/WHO Policy Analysis and Decision Making
  Workshop Emphasis on NCD- Barbados Oct. 2007
• Meeting of Expertise

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Capacity Building-

• Strengthening the cervical cancer
  Prevention/Screening and Management Programme
• Development of Mens Health Program- emphasis on
  Prostate cancer.