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Situation analysis NCD in Suriname Director of Health Drs M. Eersel

Overview Mortality NCD Risk factors Hospitalisations National Strategic NCD plan: –Priority areas –Activities 9/15/2015 3

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Causes of death in Suriname, /15/20155

70 %  No regular exercise 40 %  waiste to big 40 %  obesity 20%  Morbide obesity (BMI > 30) 20 %  high cholesterol 30 %  smoking 35 %  Alcohol misbruik Risk factors Source: Population research 2001 (15 – 55 years)

Deaths due to DM, 2005 – 2011 ( Bron: BOG) 9/15/20157

Hospitalised Diabetics by Age category in AZP,

Myocard Infarct admissions in AZP by year

Myocard Infarct admissions in AZP by gender and ethnicity

Hospital admissions AZP, Average age Myocard InfarctionAverage age CVA

Result in tertiary Care: Number of Dialysis patients, : 350 patients Costs (only dialyses):350x3x550x52= 30 million srd

ACTION National NCD plan, 2012 – 2016: –Public Policy and Advocacy –Health Promotion and Disease Prevention –Integrated Management of Chronic Diseases and Risk Factors –Surveillance, Monitoring and Evaluation

Activities Public Policy and Advocacy NCD plan Dedicated government budget for NCD Different presentation for the members of parlement Establish multi-sectoral commission

Activities Health Promotion & Disease Prevention Development and implementation Smoke law in accordance with FTCT Tabacco cessation campaign Different physical activity promoting activities General health promoting campaigns Working towards dietary (e.g salt intake) restrictions

Activities Integrated Management of Chronic Diseases and Risk Factors Development treatment protocols Opening “One Stop Shop (OSS) for Chronic diseases” Refresher courses regarding NCD for health care workers Plan for Cervical cancer

Activities Surveillance, Monitoring and Evaluation STEPS: after 10 years a population survey looking at risk factors Cancer registry NCD M&E plan Working towards: diabetic and dialysis registries