Medical Devices : Challenges for Non-Communicable Diseases Global Forum on Medical Devices Visakhapatnam, India, December 13, 2018 Fourth Global Forum on Medical Devices : Challenges for NCDs

Fourth Global Forum on Medical Devices : Challenges for NCDs Epidemiology (1/2) Heavy burden on the world A public health problem Mortality Quality of life, disability Catastrophic health expenses NCDs kill 41 million people every year, accounting for 71% of all deaths worldwide (WHO 2017) 85% of these "premature" deaths occur in low- and middle-income countries Fourth Global Forum on Medical Devices : Challenges for NCDs

Fourth Global Forum on Medical Devices : Challenges for NCDs Epidemiology (2/2) In Senegal, 41% of deaths are due to NCDs (WHO 2017) National STEPS survey on risk factors for noncommunicable diseases in 2015 (Pop 18-69 years old) : Prevalence of smoking : 6.7% Prevalence of sedentarity : 66.4% Prevalence of obesity : 6.4% Prevalence of overweight and obesity : 22.1% Prevalence of diabetes : 3.4% (more than 5% from 45 years) Prevalence of hypertension : 29.8% Prevalence of hypercholesterolemia : 20.0% Fourth Global Forum on Medical Devices : Challenges for NCDs

Fourth Global Forum on Medical Devices : Challenges for NCDs Strategic framing Sustainable Development Goals : SDG 3 in particular Global Plan of Action for NCDs Plan Sénégal Émergent National Health Development Plan 2009-2018 : Strengthening the management of the disease : Control of NCDs, Deconcentration of care (2019-2028 under development) Development of the Integrated Strategic Plan for NCDs (2017-2020) Fourth Global Forum on Medical Devices : Challenges for NCDs

Model of decentralized management of NCDs Health center Health post Community level Public Health Establishment REFERENCE –CONTRE REFERENCE Management of complicated cases Prevention Screening Case management and follow-up Prevention / Communication for adopting healthy behaviors, Screening Follow-up of simple cases Awareness for adopting healthy behaviors. Reference in time Fourth Global Forum on Medical Devices : Challenges for NCDs

Examples of medical devices for NCDs (1/2) Primary prevention: Rubanmètre Toise Screening and early detection Glucometer at the community level   Measuring blood pressure at community level HPV test Visual inspection at Lugol Cryotherapy Thermocoagulation Mammography Fourth Global Forum on Medical Devices : Challenges for NCDs

Examples of medical devices for NCDs (2/2) Treatment HbA1c Electrocardiogram Funduscopic examination Monofilament for the prevention of diabetic foot Micro albuminuria Radiotherapy services Angiography center Nebulizer Fourth Global Forum on Medical Devices : Challenges for NCDs

Fourth Global Forum on Medical Devices : Challenges for NCDs Integration of NCDs in Universal Health Coverage Consideration of medical devices in strategic planning Development of standards and protocols for each NCD Implementation, monitoring and evaluation of acquisition plans and maintenance of medical devices for the prevention, diagnosis and management of NCDs Transversal of programs (NCDs and Maternal and Child Health, NCDs and HIV / AIDS, NCDs and Tuberculosis ...) Revision of the WHO Model List of Essential In Vitro Devices with consideration of NCD control at all levels (Primary Health Care+++) Creation of a Global Fund for the fight against Noncommunicable Diseases Fourth Global Forum on Medical Devices : Challenges for NCDs

Fourth Global Forum on Medical Devices : Challenges for NCDs THANK YOU Fourth Global Forum on Medical Devices : Challenges for NCDs