1. Chronic Non-Communicable Diseases
St. Vincent and the Grenadines
2010

2. Background Total Population........ Approx 100,000 people
Multi-island state
% Health resource allocation for capita projects....approx 2-3%

3. Prevalence Rates by health Districts

4. Mortality 2007 Rank Order Causes (ICD Code) No. of Deaths CSMR per
10, 000
PMR (%) 1
Ischemic Heart Disease (I20-I25)
113 11 15 2
All Cancers (C00-D48)
103 10
13.7 3
Cerebrovascular Diseases (I60-I69) 91 9 12 4
Diabetes Mellitus (E10-E14) 75 7 5
Hypertensive Diseases (I10-I15) 43
5.7

5. Disease Burden- Usage Cost (EC$)

6. Chronic Disease Risk Factors
Current Sources of Risk Factor Data:
Global Youth Tobacco Survey (2001 & 2007); Target Group= year olds
Secondary School Drug Prevalence Survey (2006); Target Group= year olds
Anthropometrics Assessment (2001/2002); Target Group= year olds

7. Global Youth Tobacco Survey 2007 (n≈1500)
Currently use any tobacco product (males)=23.6%
Currently use any tobacco product (females)=15%
Currently smoke cigarettes (males)=15.8%
Currently smoke cigarettes (females)=8.5%

8. Secondary School Drug Prevalence Survey 2006 (n≈1000)
Tobacco Use:
Lifetime Prevalence (males)=26.1%
Lifetime Prevalence (females)=14.6%
Past Year Prevalence (males)=7.4%
Past Year Prevalence (females)=3.3%

9. Anthropometric Assessment 2001-2002 (n≈330)
Normal Weight= 75.2%
Overweight=16.5%
Underweight= 8.3%

10. Country Stakeholders External (financial and technical support) PAHO
CAREC
World Bank EU
Internal
MOHE
Ministry of Sports/Agriculture
Community groups/FBOs/other s

11. Country Activities/Successes
GENERAL ACTIVITIES
Formation of Wellness Revolution Committee in January 2008 (advocacy & programming)
In Parliament, Motion was moved for the Wellness Revolution on 27th March 2008
National Health Indicators adapted
National CNCD policy in draft.

12. Country Activities/Successes
INTERVENTION ACTIVITIES
National Food Based Dietary Guidelines developed and Disseminated (and approved by Cabinet)
Planning stages of initiating Backyard Gardening in homes and schools
School Feeding Programme
Increased physical activities
Individual dietary management of DM &HTN pts.
Diabetic Foot Care

13. Country Activities/Successes
HEALTH PROMOTION
Youth Guidance Programmes
Parent Education Programmes
Media Programmes; Health Words; Health Microscope
Healthy Workplace Programme
Family Planning
Men’s Health Programme

14. Country Activities/Successes
Surveillance Activities
Introduction of WHO growth standards of 0-5 year olds (Pilot project)
Routine data collection of CNCDs data from primary health care centres

15. Challenges Resources (Human and Financial) Multi-Island state
Monitoring and evaluation (new culture)
Disease and risk factor surveillance
Tobacco prevention
Sustainability
Competing Diseases

16. Thank You!!! Questions