1. 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

2. 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

3. 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 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

4. 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 : Strengthening the management of the disease : Control of NCDs, Deconcentration of care ( under development)
Development of the Integrated Strategic Plan for NCDs ( )
Fourth Global Forum on Medical Devices : Challenges for NCDs

5. 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

6. 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

7. 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

8. 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

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