Transcript Prasentation1

Promoting Healthy Lifestyles
in Kuliyapitiya
Dr. M.D.S. Rajamanthree
DPDHS-Kurunegala
Purpose of the Presentation
• To share the experiences of an ongoing
initiative to deal with the growing burden of
Non-Communicable Diseases in Kurunegala
• To solicit suggestions from the Annual Health
Forum participants
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Outline of Presentation
1. Part 1- NCD Burden in Kurunegala
2. Part 2- Initial Actions to Address the Burden
•
•
•
Advocacy and Communication
Training
Screening
3. Part 3- Issues for Discussion
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Part 1: The Burden of Non-Communicable Diseases
(NCD) in Kurunegala District
Causes of Hospital
Deaths, 2004
Causes of
Hospitalisations, 2004
41%
59%
NCD
Others
46%
54%
NCD
Others
Source: IMMR, 2004
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Part 2: Initial Actions to Address the Burden
Initial Project:
Programme in 2005
• Reduction of Overcrowding in Medical Clinics in BH
Kuliyapitiya Due to Chronic Lifestyle Related Disease
Morbidity in Kurunegala District, Sri Lanka
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Ongoing Project:
Healthy Lifestyle Programme (EBM Study)
POPULATION
Groups
Well population
Hospitals
•Base Hospital
Kuliyapitiya
At risk
Undetected
NCD
•District
Hospital
Katupotha
Diagnosed but
Uncontrolled
NCD
•Rural Hospital
Koshena
Diagnosed &
Controlled
NCD
•Central
Dispensary
SETTINGS
Schools
Workplaces
•10
•Hospitals (6)
•Schools (10)
•Garments (1)
•Insurance (1)
•University(1)
Village
•Mahimpitiya
(483 residents)
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Advocacy & Communication
Logo
Shirts
Poster competition
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Training Programmes
•
Behavior Change
Communication
• Life Skills
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Training Programme on Behavior Change Communication
Objectives
To train the trainees on Behavior Development Communication &
Behavior Change Communication methods related to healthy life style
Date
06-10 November 2006
Resource
Persons
Dr. Kanthi Ariyaratne, Deputy Director, Health Education Bureau and
Mr.Bandara Kotagepitiya, HEO from Health Education Bureau
Participants
40 (MOH staff, schools, hospitals, work places and HEOO)
Outputs
Identification of problems and risk factors for healthy life style
Capacity building and skill development of the trainers in BCC and
BDC
Way forward The participants will act as resource persons in improving healthy life
style
•Trainers will be strengthened further in their capacities
Training in development of education materials
Development of indicators for monitoring an evaluation
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Training Programme on Life Skills
Objectives
To train the trainers on Life Skills Development regarding NCD
prevention and health promotion
Date
21-23 November 2006
Resource
Persons
Consultant Psychiatrist Dr. Neil Fernando, Dr. Uthpala, Amarasinghe,
Community Medical Officer, Dr. Nelee Rajaratne,School medical
Officer,
Mrs. Rathna Weththasinghe, Master teacher
DR. P.A.D. Premaratne MO/ NCD, Mr. Suneth PHI,
Participants 38 (MOH staff, schools, hospitals, work places and HEOO)
Outputs
capacity building and skill development of the trainers
Behavior change of the trainers
Way
forward
The participants will act as resource persons in improving healthy life
style
Trainers will be strengthened further in their capacities in the
implementation process
Life skill development of the recipients in the selected settings
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Screening programme
Registration
Blood Sugar
Filling up the
questionnaire
Weight/Height
measurements
Blood pressure
Waist/Hip
ratio
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Preliminary results
POPULATION Groups
%
SETTINGS
Hospitals
Schools
Workplaces
Village
(n=173)
(Teachers;
n=326)
(n=247)
(n=270)
Medical History: DM
8.67
10.42
4.45
2.96
Medical History:
Hypertension
8.09
5.82
7.28
4.81
FBS> 110 (6.11)
17.9
31.6
17.6
BP> 130/90
11.00
29.3
22.1
BMI
24.85
39.11
26.82
17.16
5.04
10.56
7.01
21.52
8.75
82.6
91.6
72.7
> 25 (Overweight)
< 18 (Under)
Waist/Hip Ratio
Male>1
Female>0.8
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POPULATION Groups
% at High Risk
SETTINGS
Hospitals
Schools
Workplaces
Village
(n=173)
(Teachers;
n=326)
(n=247)
(n=270)
Smoking
10.77
6.22
14.64
9.375
Alcohol consumption
16.96
4.90
21.45
10.11
Less Physical activities
62.80
71.90
67.24
57.97
80
73.61
74.27
88.88
Fruits < 2 per day
45.50
51.4
54.23
47.26
Vegetables < 3 per day
26.03
22.87
20.33
14.34
Salt > 5g per day
67.28
68.75
66.10
12.84
Rice > 3 cups per day
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Part 3- Some Issues for Discussion
• Now that the epidemiological burden has
shifted to NCD,
– shouldn’t resources (e.g. drugs, equipment,
personnel and finance) be mobilized accordingly?
– shouldn’t the existing guidelines be updated or
new protocols/guidelines be developed?
• What should be the roles of the primary health
care system (including MOH) in the prevention
and management of NCD?
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