1. NCD PRESENTATION: JAMAICA
PRESENTER: DR. MARCIA GRAHAM 1

2. Prevalence of NCDs in Jamaican 15 – 74 years old
Rationale
In the past 25 years, we had an epidemiological shift in morbidity and mortality from communicable to chronic non-communicable diseases (NCDs).
NCDs account for 56% of deaths in Jamaica
2001: economic cost of DM/HTN- US$460.4 million
Prevalence of NCDs in Jamaican 15 – 74 years old
Disease Condition
JHLS- 2000
JHLS
Diabetes Mellitus
7.2
7.9
Hypertension
20.9
25.2
Pre-hypertension
29.9
35.3
High Cholesterol
14.6
11.7
Physical Inactivity
17.4
29.5

3. Risk factors – Unhealthy Diet
Meat preparation: Frying % adults, 15-19yrs - 55%
> 90% Jamaicans eat less than 3 servings of either fruits or vegetables in a day
In year olds: 18% - vegetables at or above optimal levels; 41% - fruit at or above optimal levels (CFNI RDA)
98% kids yrs had soft drinks within usual week
Risk factor -Tobacco use
ADULTS (15-74yrs): 14.5% current smokers in 2008
CHILDREN (13-15yrs): 17% current smokers in 2006
CHILDREN 10-15yrs that ever smoked: 10%
CHILDREN 15-19yrs that ever smoked: 22%
Frying most frequent method of preparing meat (46%) 3

4. I. Public Policy and Advocacy
Key strategies:
Advocacy for Policy Changes and Development of Effective Policy
Create Multi-sectorial Partnerships and Networks for Chronic Diseases
Advocate for the establishment of a National Chronic Disease Commission
Establish National Taskforce on NCD & Injuries
Approve and disseminate Cervical Cancer prevention and control guidelines
Review cancer prevention and control policy
Update Diabetes and Hypertension management guidelines

5. II. Surveillance, Monitoring and Evaluation and Research
Key strategies:
Build capacity for Chronic Disease Information generation and utilization
Partnership with Key Stakeholders
Implementation of National Surveillance system for NCDs.
National KAP Survey on NCDs and their risk factors
Cancer research
Support Salt Research project
Identify and support NCD related research.

6. III. Risk Factor Reduction and Health Promotion
Key strategies:
Build capacity for community-based actions
Development of population wide interventions
Create multi-sectorial partnerships and networks for chronic diseases
KEY AREAS: PORT OF SPAIN DECLARATION
No tobacco, no harmful use of alcohol
Healthy eating (including elimination of trans fat, reduce intake of sugar, fats & salt)
Increased PHYSICAL ACTIVITY
Community-based programmes especially in schools, workplaces and faith-based settings (Heart Foundation, Cancer Society, CHASE, NHF)
Violence prevention interventions (grief counselling)

7. IV. Integrated Management of Chronic Diseases and Risk Factors
Key Strategies:
Strengthen Health Services for Integrated Prevention and Management of Chronic Diseases.
Reinforce the Competencies of the Health Care Workforce for Chronic Disease Prevention and Management.
Continue implementation of Chronic Care Model (CCM) & Model of Improvement (MI) – Diabetes Project and applying this approach to Hypertension & Cervical Cancer
Implementation of Chronic Diseases Passport & other useful tools from the Project
Implement screening programme for metabolic syndrome

8. V. Programme Administration and Capacity Building
Key strategy: Strengthen of Health System to support the scaling up of Chronic Disease Prevention activities
National Strategic Plan for the prevention and control of NCDs and their risk factors
Establish National Regional Coordinators TWG: done
Establish MoH- Head Office TWG on NCD
Training of Lay Diabetes Educators & Health Promoters
Establish NCD section of new MoH Epi Unit
Assess and advocate for resources, infrastructure, financing for NCD and prevention of risk factors

9. STRATEGIES TO OVERCOME CURRENT DIFFICULTIES
Try to improve documentation of the magnitude of the problem & contributory factors
Screening at every opportunity
Lobbying for healthier ‘fast food’ options
Advocate for improved manpower, materials, drug supply & remuneration
Chronic Diseases Passport to aid tracking and better coordinate care
Encouraging individuals to take PERSONAL responsibility for their health

10. Media Campaign Physical Activity: ‘Mek Wi Move’
Educational materials
Billboards on Wheels – Adverts.
Educational Materials
SKIP: Setting Knowledge Into Practice 10

11. Camp Yellow Bird helping children live with diabetes
Teens ‘R’ Terrific
Camp
for adolescents
Camp Yellow Bird helping children
live with diabetes
Healthy zone
Healthy Lifestyle school
choir

12. THANK YOU!