1. Diabetes in Suriname II PAHO-DOTA Workshop on Quality of Diabetes Care
Diabetes Research Institute (DRI)
University of Miami
14–16 May 2003

2. Dr Virginia S. Asin-Oostburg
Physical therapist since 1984.
General Physician since 2003.
Program Manager NCD program at the Ministry of Health since 2003.
II Workshop on Quality of Diabetes Care, Miami, May 2003

3. Bureau of Public Health of the Ministry of Health
Organizational Chart
II Workshop on Quality of Diabetes Care, Miami, May 2003

4. General Policy on NCDs: Policy Document
(June 2002)
Priority areas in NCD program
Hypertension
Diabetes
Cardiovascular risk factors: obesity, smoking
II Workshop on Quality of Diabetes Care, Miami, May 2003

5. Mortality Data: 10 Main causes of Death, 2000
Cardiovascular disease including hypertension 18%
Cerebrovascular accidents 11%
Accidents and trauma %
Malign neoplasms %
Gastrointestinal diseases %
Diseases originating in the perinatal period 5%
Diabetes mellitus %
Acute respiratory infections (ARIs) %
Diseases of the urinary tract %
HIV/AIDS %
II Workshop on Quality of Diabetes Care, Miami, May 2003

6. Morbidity Data 1: Hospitalizations in Two Main Hospitals in Paramaribo, 2000
II Workshop on Quality of Diabetes Care, Miami, May 2003

7. Morbidity Data 2: Primary Health Care
Source: Regional Health Services 2000 Annual Report.
Diabetes Care
15,750 consultations (> half are women).
10% of the total number of consultations.
Hypertension Care
23,352 consultations .
15% of the total number of consultations.
Problem
Inconsistencies in data registration.
II Workshop on Quality of Diabetes Care, Miami, May 2003

8. Population-Based Surveys
Morbidity Data 3:
Population-Based Surveys
II Workshop on Quality of Diabetes Care, Miami, May 2003

9. Preliminary results of
cardiovascular risk factors in different ethnic groups
II Workshop on Quality of Diabetes Care, Miami, May 2003

10. Participants by District

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13. Preliminary Conclusions
Hypertension most prevalent in Blacks.
No statistical significant difference in the combination of hypertension and diabetes between the ethnic groups.
Cholesterol levels significantly higher in South East Asians (Javanese, and East Indians).
The combination hypertension, Diabetes Mellitus, and high cholesterol significantly more prevalent in South East Asians.
II Workshop on Quality of Diabetes Care, Miami, May 2003

14. Current Partner Organizations
Diabetes Control and Prevention Activities in Suriname
Current Partner Organizations
Bureau of Public Health: Strategies, policies and alliances, data management (surveillance, surveys).
PAHO: Technical and financial support and networking.
Foundation for Diabetes Education: Patient support.
Movement for a Healthy Suriname: Research on risk factors.
Rotary: Health awareness.
II Workshop on Quality of Diabetes Care, Miami, May 2003

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17. Priority Areas for the Diabetes Care, Control and Prevention Program
Improvement and expansion of data collection and analysis on risk factors, morbidity, mortality, and care indicators.
Capacity-building: Protocol development, workshops and training of health workers.
Improvement of diabetes care at primary health-care level.
Alliances: Medical and paramedical sector, NGOs, media, community organizations.
II Workshop on Quality of Diabetes Care, Miami, May 2003