NCDs situation in Botswana

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NCDs situation in Botswana
NCD in Uruguay
Ministry of Health
Non-communicable Diseases Program
Dr Alvaro Niggemeyer MD
Population (2008) 3.334.052
Population density 18 persons per sq km
Life expectancy of 75.25 years, 72% males, 79% males
Health System
 Ministry of Health runs the health policies including
a Department for NCD.
 National Health System runs the care system in the
country including 48 privates and public health
providers.
 Cost for health system (in 2008):
 U$S 2.410 millions a year
 7.5% GDP
.
The role of the new NCD Department
• Developing health regulations relating to NCD
• Planning preventive and promotion actions
• Coordinate and make the surveillance of NCD
activities
High disease burden for NCD
NCD caused 70% of all deaths
33.8% cardiovascular disease
22.6% neoplasias
NCD represents 60% of the cost of medical care.
High burden for NCD
percercentage of years of life lost due to NCD
NCD risk factors prevalence
The WHO STEPS survey in Uruguay revealed that risk
factors were:
•
•
•
•
•
•
Inadequate fruits and vegetable intake
Tobacco use
Low Physical activity
Obesity/overweight
Hypertension
Diabetes
Fuente: 1ª Encuesta Nacional de Factores de Riesgo de ECNT (2006)
85.7%
32.7%
30%
59%
34 %
5.5%
Uruguay leads The MPOWER Policy
Package for Global Tobacco Control
Success in Uruguay
Decree ban smoking in closed public
areas
came into effect on March 1, 2006.
What were the results?
Tobacco use decreased from 32.7% to 25%
Porcentaje de fumadores
36%
34%
32%
30%
28%
26%
24%
22%
20%
1998
2001
2006
2006
2008
Año
Global Adult Tobacco Survey (GATS)2009
17.1% Reduction of Myocardial Infarction
CIET, Uruguay 2009
Challenges
• The great challenge is fighting against other risk
factors promoting healthy lifestyle:
Healthy diet
Reduction of sodium in the diet
Physical activity

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