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Diabetes in Suriname

Diabetes in Suriname

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Diabetes in Suriname

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  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 10% • Malign neoplasms 8% • Gastrointestinal diseases 7% • Diseases originating in the perinatal period 5% • Diabetes mellitus 4% • Acute respiratory infections (ARIs) 3% • Diseases of the urinary tract 3% • HIV/AIDS 3% 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. 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

  11. II Workshop on Quality of Diabetes Care, Miami, May 2003

  12. II Workshop on Quality of Diabetes Care, Miami, May 2003

  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. 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

  15. II Workshop on Quality of Diabetes Care, Miami, May 2003

  16. II Workshop on Quality of Diabetes Care, Miami, May 2003

  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