NCD in Saudi Arabia dr M. Saeedi 2012 Riyadh


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NCD in Saudi Arabia dr M. Saeedi 2012 Riyadh

  1. 1. Non-Communicable Diseases in Saudi Arabia Dr. Mohamad Saeedi Director General NCD MOH
  2. 2. Introduction NCDs Major health problem, challenging globally and nationally As a fact General Directorate of Non-communicable diseases established in 2004, under the Asst. Deputy Minister for Preventive Medicine
  3. 3. NCDs International Overview
  4. 4. NCDs Strategic Objectives &Responsibilities Primary and Secondary Prevention of NCDs Planning NCDs policies and control measures Stakeholders Collaboration Patient Empowerment Programs Capacity building for health professionals Surveillance of NCDs Research and Information systems Health Promotion: Enhancement of community participation
  5. 5. Prioritization of NCDs programs Most prevalent diseases that poses a public health problem  Diabetes (14.1% age: 15-64, 28% age: >30y ‘Robaian 2008’)  Cardiovascular Diseases (42% of total mortality 2010 ‘WHO’) Cost effectiveness Preventable diseases with proved measures in other countries Curable diseases by early detection
  6. 6. KSA NCDs Status: Step wise - surveillance for NCDs 2005prevalence Men Wome Total (%) (%)n (%) hypertension 24.1 18.3 21.1 diabetes 19,2 16.6 17.9hyperlipedeamia 18.7 19.9 19.3 obesity 28.6 43.3 36.1Central obesity 27 31.9 29.4 smoking 24.7 1.4 12.9 Physical 34.4 33.2 33.8 inactivityAccording to MOH / WHO step-wise surveillance will be repeated on 2012 - 2013
  7. 7. *KSA NCDs Mortality 2010WHO – World Fact book 2012
  8. 8. NCDs programs in KSA1. Diabetes control and Prevention program.2. Cancer Prevention Program.3. Food and Physical Activity program.4. Cardiovascular Diseases Prevention Program.5. The Healthy Marriage Program.6. Early Screening Program for the New-born.7. The Crown’s Health Prevention Program.8. The Prevention of Accidents and Injuries.9. Prevention of chronic respiratory diseases.10. Osteoporosis Program11. Blindness Prevention Program
  9. 9. Diabetes prevention & control programNational diabetic guidelinesHealth promotionScreening programs for high risk groupsElectronic national registry for DM (Phase I)Integration of health services in PHCsEstablishment of specialized diabetic centers, anddiabetic units in hospital (20 referral centers for C/O)Continuous capacity building
  10. 10. Prevention of cardiovascular diseases Guidelines for Primary Prevention at PHC level (endorsed) Guidelines for Secondary Prevention (started) National health education campaign about risk factors and prevention (healthy life style) Pilot Research for Scoring System for local adaptation Electronic national registry
  11. 11. Prevention of cancer Occurrence Type of cancer frequency (%) Breast 12.4National cancer registry Colo-rectal 9.7(1992) Non-Hodgkin lymphoma 7.3Health education campaign Thyroid 6.7Training for health Leukemia 6.3professionals (local Training Liver 5.2Manuals with case studies) Skin 4.1 LungMammogram screening 3.9 Hodgkin diseases(Phase I) 3.6 Stomach 3.4
  12. 12. Diet and Physical activity Burden High prevalence of overweight and obesity (67 %) Low physical activity Unhealthy diet habits Achievement: Adoption of DPAS National health education campaign Guidelines for healthy life style Cooperation & coordination with other concerned sectors
  13. 13. Premarital screening Compulsory screening started 2004, for couples to detect some hereditary and infectious diseases (Thalassemia, Sickle cell disease, Hepatitis B, C, and HIV) Incompatible couples will receive counseling session and it is their right to marry or not In 2004 out of incompatible couples (90%) continue marriage, while in 2010 only (50 %) continue >2.2 Million were tested
  14. 14. Newborn screening Neonatal screening for (16) different metabolic and hormonal syndromes, for the purpose of early detection and treatment Started in 2005 in some main maternity and child hospitals, and to be expanded to cover all hospitals by year 2020 Till now, 630,000 newborns were screened & 620 positive case s were diagnosed, properly managed & monitored
  15. 15. Prevention of injuries and road traffic accidents Saudi Arabia ranking as one of the highest road traffic accident globally (15% of annual Mortality) Ministry of Health is part of the national committee for road traffic accident Responsibility of MOH: Providing medical emergency services Registry Educational campaign
  16. 16. Control of osteoporosisNational health education campaign targetingpostmenopausal females, and old peopleScreening for high risk population
  17. 17. The Crown’s Health Prevention Program An integration of all NCD programs Started the Pilot in Al Jawf region Integrated NCDs Clinics Enhanced Stakeholders Collaboration Health Promotion at the Community Level (Successful inclusion of religious and community leaders)
  18. 18. Prevention of chronic respiratory diseasesWHO / World bank estimated 4 millionsdeaths in 20054.09% of KSA annual Mortality (2010)27.1% of KSA occupational healthdiseasesEstablished Asthma program (NationalAsthma Management Guidelines)
  19. 19. •Stepwise 2012 - 2013•DPAS (integration of stakeholders collaboration)•Implementation of related legislations (Prohibition ofSmoking in closed areas)•Improving early detection of NCDs by national screeningprograms (diabetes, cancer, osteoporosis, . . )•Integrated Electronic Information System for NCDs
  20. 20. Dr. Mohammad Y. Saeedi