THE HEALTH AND ECONOMIC THREATS OF NON-COMMUNICABLE DISEASES IN THE MIDDLE EAST AND NORTH AFRICA, CV BoD in Egypt/ MENA
|
|
- Erick Scott Morgan
- 6 years ago
- Views:
Transcription
1 THE HEALTH AND ECONOMIC THREATS OF NON-COMMUNICABLE DISEASES IN THE MIDDLE EAST AND NORTH AFRICA, CV BoD in Egypt/ MENA Prepared and presented by : Mahmoud Diaa Elmahdawy President, ISPOR Egypt s chapter Overview Introduction Healthcare system in Egypt Country outlook Definition of CV disease Clinical and Economic burden Global statistics Conclusion Questions 2 ISPOR Arabic Forum, DC. May
2 Introduction Healthcare system In Egypt: Fragmented with multiple sources of financing Misallocation of resources Opportunity for better utilization of resources through HTA implementation Lack of NUMERICAL data Opportunity to better utilize RWE Rationalize HC spending with focus on priority DZ consuming significant HC budget, including CVD, Hepatitis C. 3 Egypt, Country outlook Country Description Area: 1,001,450 km 2 Inhabited area: 6 % of total area Capital: Cairo Population: 85 million Pop. annual growth: 1.9% Life expectancy: 71 Economy Currency: 1 EGP (=0.16 $) GDP/capita: 3,112 $ GDP growth: 2010: 4.8% 2011E: 3% 2015: Target 3.8 % Inflation: 10.5% Unemployment: 8.4% Pop. below poverty: 15 % ISPOR Arabic Forum, DC. May
3 Macro Egypt, National Health Accounts 1994/ / / /09 THE per Capita (LE) Percent of GDP Spent on Health 3.7% 6.0% 4.8% 5.9% Public Health Expenditures Percent of THE 33.0% 30.0% 33.0% 24.8% MOHP Expenditures Percent of THE 22.0% 23.0% 24.0% 16.5% Out-of-Pocket Expenditures as Percent of THE 51.0% 62.0% 60.0% 71.8% Pharmaceuticals as Percent of THE 36.0% 37.0% 26.0% 34.2% Public Spending as Percent of GOE Expenditures MOHP Expenditures as Percent of GOE Expenditures 5.0% 5.0% 4.3% 4.0% 3.5% 2.8% Source: Egypt NHA1-4 WE NEED TO PUMP MORE MONEY INTO HEALTHCARE How did we affect y? Who Manages? Who pays? Others 3% Who Pays? Households 70% MOHP 17% Other Government 4% HIO 6% Source: Egypt NHA4 MOH has solidified it s stance on implementing the new Social health Insurance System. Paradox : Despite Egypt s increased spending on Primary care and expansion of insurance coverage by HIO, the percentage out of pocket expenditure is increasing!! Pharmaceutical system/expenditures is symptomatic of our healthcare struggles. What to do? (all or some?) 1. Social Health Insurance System (ultimate Solution?) 2. Pump more money into PTES. 3. Increase utilization in HIO 4. Huge misallocation of resources 3
4 Egypt Compared to other Middle Income Countries in the Region Percent GDP Spent on Health Government Spending as Percentage of THE Health Spending as Percentage of Total Government Budget Out-of-Pocket Expenditure as Percentage of THE Algeria 4.49% 83.85% 10.65% 15.30% Djibouti 8.54% 76.07% 14.15% 23.60% Egypt 5.90% 24.80% 4.30% 71.80% Iran 6.30% 45.72% 11.40% 51.68% Jordan 9.10% 62.20% 11.35% 33.40% Lebanon 8.76% 48.99% 12.39% 39.95% Libya 2.80% 75.88% 5.38% 24.12% Morocco 5.33% 34.97% 6.17% 56.13% Syria 3.23% 45.13% 6.01% 54.87% Tunisia 5.95% 49.57% 8.90% 42.52% Sources: World Health Organization (WHO) NHA data, Egypt NHA results, Jordan NHA Report Egypt has highest burden of out-of-pocket spending. Government spending both as a percent of THE and Budget is ISPOR Arabic Forum, DC. May the lowest. Linking Spending to Disease Burden and Demographic Trends - Move resources to high disease-burden governorates. -Increase focus on Prevention. -Focus on and prioritize chronic diseases, CVD s, Hepatitis C. - Develop programs for the new developing groups. Eg, elderly. - Think of decreasing funds for diseases we suffer no more from. eg. Filaria, Malaria, Leishmania, etc 8 4
5 Cardiovascular Disease, WHO/ AHA Group of disorders affecting heart and blood vessels, including: Coronary heart disease: disease of the blood vessels supplying the heart muscle (HTN a major risk factor) Cerebrovascular disease: disease of the blood vessels supplying the brain; Peripheral arterial disease: disease of blood vessels supplying the arms and legs; Rheumatic heart disease: damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria; Heart failure : Heart isn't pumping blood as well as it should Heart failure can get worse if it's not treated. New innovative products offer lots of hope to patients 9 CV Burden of Disease, Shocking figures! CVDs are the number 1 cause of death globally, same applies for MENA countries. more people die annually from CVDs than from any other cause. An estimated 17.5 million people died from CVDs in 2012, representing 31% of all global deaths. 7.4 million were due to coronary heart disease and 6.7 million were due to stroke Over 35% of deaths in MENA are attribute to CVD CV disease constitutes 50 % of deaths attributed to NCD deaths Out of the 16 million deaths under the age of 70 due to noncommunicable diseases, 82% are in low and middle income countries and 37% are caused by CVDs. Ref : (updated Jan 2015) 10 5
6 CV BoD, Cont By 2030, almost 23.6 million people will die from CVD, mainly from heart disease and stroke. It is projected to remain the single leading cause of death Most cardiovascular diseases can be prevented by addressing behavioral risk factors Smoking Stress Exercise Dietary habits Reduction of other risk factors CVD is responsible for 10 per cent of disability adjusted life years (DALYs) lost in low- and middle-income countries 11 CVD, Global Economic Burden 12 6
7 CVD, Economic burden 23 LMIC(Including MENA countries) reported losing $84 billion in economic output in from coronary heart disease & stroke. As little as a 2% yearly additional reduction in mortality rates from chronic diseases would save almost 10% of the expected loss in income= 8$f for LMIC Egypt :1.26 Billion USD in cumulative GDP loss due to CVD in 2015 ( according to 2007 estimates) Ref : Lancet, vol 370, HTN, Globally Worldwide, elevated blood pressure is estimated to cause 7.5 million deaths, about 12.8% of the total of all deaths worldwide This accounts for 57 million disability adjusted life years (DALYS) or 3.7% of total DALYS Globally, the overall prevalence of raised blood pressure in adults aged 25 and over was around 40% in Across the income groups of countries, the prevalence of raised blood pressure was consistently high, with low, lower middle and upper middle countries all having rates of up to around 40%. Cost in the US exceeding 50 BN annually Big variations across income groups and LMIC vs High income countries Obesity Lower educational status Higher stress levels Lower exercise rates Well over 1 billion patients globally with HTN, (Numbers expected to grow with ageing population) Ref: Global health repository ( WHO):
8 Egypt, HTN (Clinical Burden) National hypertension project : Prevalence rate= 26.3 % Astounding 24 million Egyptians with hypertension Only 38 % of hypertensive patients in Egypt are aware they have HTN Only 24 % receiving treatment ONLY 8 % at control rates ( less than 140/90 mmhg) Significant comorbidities exist within pt. population including (CAD, HF, RF) Prevalence increases with age Urgent need for development of Nat l HTN guidelines aimed at Improving awareness TX/control of Hypertension Improving prognosis and associated morbidities Lack of data on economic burden Ref :Egyptian Heart Journal, Ibrahim et al, Vol 66, issue 2, June Heart failure, (Clinical Burden) Heart failure affects 1-2 % of the adult population with Incidence around 26 million patients globally. Incidence increase with age, Hence with an aging global population there is an expected increase over time. Significant reduction in ADL * accompanied with CV and non CV related morbidities Primary cause of hospitalization for patients above 65 Y/O 50% mortality rate for 5 year period Growing Healthcare problem due to ageing population Ref :Mozaffarian et al 2015 *ADL= Activities of daily living 16 8
9 Heart failure, (Economic Burden) Heart failure carries a significant economic burden. Estimated at 108 billion $ annually Direct and indirect medical and treatment costs ( cook et al,2014) Average cost of hospitalization in Egypt/day for HF Average back of the envelope calculation= 2300 Egp = 260 $ Average of private/public hospitals Significant clinical and economic burden and increasing burden of hospitalization ( lack of ICU beds) Estimated total HF costs for selected MENA countries Egypt expenditures on HF= 169 Mil $ Saudi Arabia= 648 Mil $ UAE=387 Mil $ Algeria = 134 Mil $ Ref : Cook et al, 2014, Int l Journal cardiology 171 (2014), Recent progress in treatment can reduce BoD, hospitalization and mortality Access to innovation VS Disease burden 17 Conclusion CVD across MENA/Globe is also a long-term problem, requiring long term solutions. Clinical and economic burden is significant Focus should be on prevention as well as treatment Growing problem due to aging population Innovative treatments/interventions/preventions strategies/screening can provide cost effective solutions More research, Burden of disease studies are needed to quantify economic burden across Egypt and MENA countries, 18 9
10 Thank you??? 10
Diabetes management: lessons from around the globe MENA. J. Belkhadir (Morocco)
Diabetes management: lessons from around the globe MENA J. Belkhadir (Morocco) Managing Diabetes: challenges faced in the MENA Region and strategies developed Jamal Belkhadir Diabetologist, Endocrinologist
More informationTobacco Health Cost in Egypt
1.Introduction 1.1 Overview Interest in the health cost of smoking originates from the desire to identify the economic burden inflicted by smoking on a society. This burden consists of medical costs plus
More informationNon communicable Diseases in Egypt and North Africa
Non communicable Diseases in Egypt and North Africa Diaa Marzouk Prof. Community Medicine Faculty of Medicine, Ain Shams University Egypt 11 th March 2012 Level of Income North African countries according
More informationNon communicable Diseases
Non communicable Diseases Vision, Goals and Challenges Where we are in Palestine? Dr. Johny R. Khoury Consultant Cardiologist Medical Relief Prevention and Diagnostic Center of cardiovascular diseases
More informationMaternal Health in Arab States
Maternal Health in Arab States Improving Maternal Health Improving maternal health is MDG number 5 and it has two targets Target A that measures reduction in maternal mortality ratio (MMR) and attended
More informationWHO Health Statistics : Applied through the lens of the Global Monitoring Framework for the Prevention and Control of Noncommunicable Diseases
WHO Health Statistics : Applied through the lens of the Global Monitoring Framework for the Prevention and Control of Noncommunicable Diseases Dr E Tursan d'espaignet Prevention of Noncommunicable Diseases
More informationCOSTS OF DIABETES IN DEVELOPING COUNTRIES
COSTS OF DIABETES IN DEVELOPING COUNTRIES Jonathan Betz Brown, MPP, PhD Chair, International Diabetes Federation Task Force on Diabetes Health Economics Senior Investigator, Kaiser Permanente Center for
More informationAn Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth
An Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth Ross DeVol Director, Center for Health Economics Director,
More informationAn Unhealthy America: The Economic Burden of Chronic Disease
An Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth February 2008 Today s Presentation General trends in chronic
More informationPharmaceuticals Import Summary Report. selected countries in MENA region
Pharmaceuticals Import Summary Report selected countries in MENA region Contents.. 3. 3. 3. 3.3....3 5. 5. 5. 6. 6. 6. Disclaimer Global Imports. Imports in MENA Focus Pharmaceutical Categries Vaccines
More informationAn Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth
An Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth Kevin Klowden Managing Economist Milken Institute (310) 570
More informationBreast Cancer in the Eastern Mediterranean Region A Burden with Potential. King Hussein Cancer Center
Breast Cancer in the Eastern Mediterranean Region A Burden with Potential Presented by: Mahmoud M. Sarhan, MD, MMM, CPE CEO & Director General Presented at: International Symposium on Breast Cancer in
More informationThe Economic Burden of Hypercholesterolaemia
The Economic Burden of Hypercholesterolaemia November 2018 TABLE OF CONTENTS Acronyms 3 Executive Summary 4 Introduction 5 Approach 5 Structure of the report 5 Economic burden of hypercholesterolaemia
More informationHealth Strategies for NCD prevention and Control
Health Strategies for NCD prevention and Control International Symposium on Research, Policy & Action to Reduce the Burden of Non-Communicable Diseases Faculty of Medicine, Gadjah Mada University, Yogyakarta,
More informationEffective spending to reduce the burden of chronic diseases: the pressure on health and social systems
Effective spending to reduce the burden of chronic diseases: the pressure on health and social systems Siniša Varga Director of Croatian Health Insurance Fund AIM Chairman of Disease Management & ehealth
More informationDECISION MAKING FOR NCDs IN KENYA. Dr. Francis Kimani Director of Medical Services Ministry of Medical Services, Government of Kenya
DECISION MAKING FOR NCDs IN KENYA Dr. Francis Kimani Director of Medical Services Ministry of Medical Services, Government of Kenya AFRICA Kenya GEOGRAPHY OF KENYA ECONOMIC INDICATORS Population of about
More informationHealth Challenges and their Determinants in the EMR/MENA
Health Challenges and their Determinants in the EMR/MENA Sameen Siddiqi, Regional Adviser, Health Policy and Planning, WHO EMRO The Middle East and North Africa Health Policy Forum Conference on Better
More informationHana Ross, PhD American Cancer Society and the International Tobacco Evidence Network (ITEN)
The Costs of Smoking Hana Ross, PhD American Cancer Society and the International Tobacco Evidence Network (ITEN) Why Do We Study the Cost of Smoking? To assess the economic impact of smoking behavior
More informationTOBACCO CONTROL ECONOMICS TOBACCO FREE INITIATIVE PREVENTION OF NONCOMMUNICABLE DISEASES
Page 1 1. Smoking prevalence The rate of smoking tends to increase with development reflecting higher prevalence of cigarette use among women as incomes increase. The rate of smoking is relatively high
More informationTempo effect of child mortality rate in the MENA region from the perspective of Millennium Development Goals
Source: The World Bank, 2008 Tempo effect of child mortality rate in the MENA region from the perspective of Millennium Development Goals Ardeshir Entezari 1 Nader Motie Haghshenas 1 Somayeh Karami Nia
More informationThe Jordan University Hospital, Amman, Jordan
The Jordan University Hospital, Amman, Jordan Pneumococcal vaccine and overcoming the immunization rift Najwa Khuri-Bulos JUH Amman, Jordan February 13 2008 Pneumococcal disease burden 1.6 million deaths
More informationUNITED NATIONS HIGH-LEVEL MEETING ON NCDs A CALL TO ACTION ON KIDNEY DISEASE. Advancing Nephrology Around the World
2018 UNITED NATIONS HIGH-LEVEL MEETING ON NCDs A CALL TO ACTION ON KIDNEY DISEASE Advancing Nephrology Around the World Introduction The 2018 United Nations High-Level Meeting on Non-Communicable Diseases
More informationAccess to Medicines in the Context of the Right to Health
Access to Medicines in the Context of the Right to Health An overview and WHO Perspective Human Rights Council SOCIAL FORUM 18 February 2015 Room XII, Palais des Nations, Geneva Zafar Mirza Public Health,
More informationExpenditure Share United States, 2003
Expenditure Share United States, 2003 Source: MEPS Chronic Disease Share of MEPS Expenditure ( Percent ) Share of Health Care Expenditure Breast Cancer 0.5 0.3 Colon Cancer 0.8 0.5 Lung Cancer 0.6 0.3
More informationEvaluation of Asthma Management in Middle EAst North Africa Adult population
STUDY REPORT SUMMARY Evaluation of Asthma Management in Middle EAst North Africa Adult population Descriptive study on the management of asthma in an asthmatic Middle East Africa adult population Background/Rationale:
More informationAsia s Diabetes Challenge
Asia s Diabetes Challenge 12 th Geneva Association Health and Aging Conference Karl-Heinz Jung Head, Japan, MENA & International 1. Facts about Diabetes 2. Asia Feeling the Heat 3. Case for Private Insurance
More informationEgyptian Hypertension Guidelines
Egyptian Hypertension Guidelines 2014 Egyptian Hypertension Guidelines Dalia R. ElRemissy, MD Lecturer of Cardiovascular Medicine Cairo University Why Egyptian Guidelines? Guidelines developed for rich
More informationTennessee Department of Health in collaboration with Tennessee State University and University of Tennessee Health Science Center
Tennessee Department of Health in collaboration with Tennessee State University and University of Tennessee Health Science Center 2006 Tennessee Department of Health 2006 ACKNOWLEDGEMENTS CONTRIBUTING
More informationAdvancing Access to Newer Treatments for Atrial Fibrillation. Canadian Cardiovascular Society Congress October 24, 2010 Montreal, Canada
Advancing Access to Newer Treatments for Atrial Fibrillation Canadian Cardiovascular Society Congress October 24, 2010 Montreal, Canada The Canadian Conundrum D. Wayne Taylor, PhD, F.CIM The Cameron Institute
More informationRisk Factors for NCDs
Risk Factors for NCDs Objectives: Define selected risk factors such as; tobacco use, diet, nutrition, physical activity, obesity, and overweight Present the epidemiology and significance of the risk factors
More informationISPOR Forum STANDARD TREATMENT GUIDELINES (STG'S) AND THE EFFECT OF A LACK OF IMPLEMENTATION
ISPOR Forum STANDARD TREATMENT GUIDELINES (STG'S) AND THE EFFECT OF A LACK OF IMPLEMENTATION Standard treatment guidelines (STGs) provide a tool to practice and prescribe medicines that are therapeutically
More informationCountry report Serbia April 2017
Country report Serbia April 2017 Report by Vojislav Giga, MD, PhD, Cardiologist et al. National CVD Prevention Coordinator for Serbia Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia Prepared
More informationBrigitte Khoury, Ph.D. Director, Arab Regional Center for Research, Training and Policy Making in Mental Health Dept. of Psychiatry, American
Brigitte Khoury, Ph.D. Director, Arab Regional Center for Research, Training and Policy Making in Mental Health Dept. of Psychiatry, American University of Beirut UNESCO s 2010 Science Report on Scientific
More informationNONCOMMUNICABLE DISEASES IN THE MIDDLE EAST AND NORTH AFRICA:
NONCOMMUNICABLE DISEASES IN THE MIDDLE EAST AND NORTH AFRICA: Addressing Risk Factors Among Young People Is Key to Curbing the Epidemic DATA SHEET DECEMBER 201 www.prb.org Tobacco Use Is Widespread Among
More informationDisease Control Priorities, 3 rd Edition CANCER
www.dcp-3.org info@dcp-3.org Disease Control Priorities, 3 rd Edition CANCER Volume 3: Cancer Editors: Hellen Gelband Prabhat Jha Rengaswamy Sankaranarayanan Susan Horton Publication: November 2015 2 Disease
More informationA COMPREHENSIVE REPORT ISSUED BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS IN PARTNERSHIP WITH:
A COMPREHENSIVE REPORT ISSUED BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS IN PARTNERSHIP WITH: Amputee Coalition of America Mended Hearts National Federation of the Blind National Kidney Foundation
More informationTOBACCO USE IN OIC COUNTRIES: PROSPECTS AND CHALLENGES
ORGANISATION OF THE ISLAMIC CONFERENCE STATISTICAL, ECONOMIC AND SOCIAL RESEARCH AND TRAINING CENTRE FOR ISLAMIC COUNTRIES OIC OUTLOOK March 2010 TOBACCO USE IN OIC COUNTRIES: PROSPECTS AND CHALLENGES
More informationThe University of Mississippi School of Pharmacy
LONG TERM PERSISTENCE WITH ACEI/ARB THERAPY AFTER ACUTE MYOCARDIAL INFARCTION: AN ANALYSIS OF THE 2006-2007 MEDICARE 5% NATIONAL SAMPLE DATA Lokhandwala T. MS, Yang Y. PhD, Thumula V. MS, Bentley J.P.
More informationCancer. Hypertension Heart Disease Stroke. Diabetes Chronic Lower Respiratory Tract Illness
Cancer Hypertension Heart Disease Stroke Diabetes Chronic Lower Respiratory Tract Illness DIABETES PREVENTION AND CONTROL IN JAMAICA Dr. Dutris Bourne Ministry of Health / South East Regional Health Authority
More informationCancer in the North Africa
Cancer in the North Africa Diaa Marzouk Prof Of Public Health Faculty of Medicine, Ain Sams University Presentation Outline Cancer in North Africa Countries according to HDI Cancers in the Eastern Mediterranean
More informationDECLARATION OF CONFLICT OF INTEREST. none
DECLARATION OF CONFLICT OF INTEREST none Hypertension and Type 2 Diabetes in The Arab Countries M B BDEIR, MD Director, Cardiac Clinics King Abdulaziz Cardiac Centre, National Guard Health Affairs Riyadh,
More informationNisreen Salti Associate Professor Department of Economics American University of Beirut
Nisreen Salti Associate Professor Department of Economics American University of Beirut Regional Workshop on Cost-Effectiveness Analysis: Tools for Decision-Making in Health WHO-EMRO, Cairo December 14-18,
More informationHomie Razavi. CDA Foundation Polaris Observatory. From Economic Analysis to Financial Dialogue
Homie Razavi CDA Foundation Polaris Observatory From Economic Analysis to Financial Dialogue The CDA Foundation Accelerate hepatitis B and C elimination through verified data, modeling, intervention strategies,
More informationMEKEI conference 2013, Brighton UK 2/3/2013. Towards a Sustainable Knowledge-Based Economy in the. University of Sussex, Brighton, United Kingdom
Special Thanks Public Health in the MENA Region: Challenges and Opportunities Dr Ihab Tewfik BSc (Hons.);MPH;DrPH;PhD;RPHNutr;FRSPH;FHEA Course Leader BSc.(Hons.) in Human Nutrition - Accredited by AfN
More informationProf. Tezer Kutluk, MD PhD, FAAP President Prevention Strategies in Cancer Union for International Cancer Control (UICC) 08 September 2016
Prof. Tezer Kutluk, MD PhD, FAAP President Prevention Strategies in Cancer Union for International Cancer Control (UICC) 08 September 2016 We unite the cancer community to reduce the global cancer burden,
More informationNew global report highlights silent epidemic of kidney disease and neglect of treatment and prevention in all countries
New global report highlights silent epidemic of kidney disease and neglect of treatment and prevention in all countries An estimated 1 in 10 people worldwide have chronic kidney disease **Embargo: 18:00H
More informationTunisia. Medicine prices, availability, affordability and price components. Medicine prices matter. Tunisia
prices, availability, affordability and price components prices matter Rapidly rising costs of health care and high medicine prices are a growing concern worldwide, especially in developing and transitional
More informationRole of UN Agencies in Achieving the Sustainable Development Goals (SDG 3.4)
Role of UN Agencies in Achieving the Sustainable Development Goals (SDG 3.4) Oyere K. Onuma, MD MSc Medical Officer, Cardiovascular Diseases Management of Noncommunicable Diseases, Disability, Violence
More informationEastern Mediterranean Health Journal, Vol. 10, No. 6,
Eastern Mediterranean Health Journal, Vol. 10, No. 6, 2004 789 Invited paper Overweight and obesity in the Eastern Mediterranean Region: can we control it? A.O. Musaiger 1 SUMMARY Obesity has become an
More informationALCOHOL S BURDEN (with special attention to Africa and the NCDs)
ALCOHOL S BURDEN (with special attention to Africa and the NCDs) Isidore S. Obot, PhD, MPH Professor of Psychology, University of Uyo Director, Centre for Research and Information on Substance Abuse (CRISA),
More informationPrioritizing Disease Prevention. Man and women, young and old, black and white, gay and straight, rich and poor,
El-Magbri 1 Prioritizing Disease Prevention Man and women, young and old, black and white, gay and straight, rich and poor, all are susceptible. Over 35 million are inflicted and the lives of far too many
More informationASIA-PACIFIC HEART HEALTH CHARTER
ASIA-PACIFIC HEART HEALTH CHARTER The Asia-Pacific Heart Health Charter has been developed by the Asia-Pacific Heart Network in collaboration with Asia Pacific Society of Cardiology to help stem the growing
More informationEconomic and societal impact of direct-acting antiviral therapy in Hepatitis C Zoltán Kaló
Economic and societal impact of directacting antiviral therapy in Hepatitis C Zoltán Kaló Professor of Health Economics ISPOR 19th Annual European Congress November 2 nd 2016 ATHCV16099925102016 Concerns
More informationFinancing Global Health 2012
Financing Global Health 2012 End of the Golden Age? February 6 th, 2013 Outline Global Health Context Three Phases of DAH Who Provides DAH? Where Does DAH Go? Government Spending Future Directions 2 Global
More informationThe Emerging Trends in Indian Healthcare & the Role of Franchising
The Emerging Trends in Indian Healthcare & the Role of Franchising Preview India & Indian Healthcare Industry Key Facts Key Opportunities and Emerging Trends The Franchise Fit in healthcare industry The
More informationEconomic Evaluations of Diet and Supplementation DR MICHELE SADLER, CONSULTANT NUTRITIONIST DIRECTOR, RANK NUTRITION LTD
Economic Evaluations of Diet and Supplementation DR MICHELE SADLER, CONSULTANT NUTRITIONIST DIRECTOR, RANK NUTRITION LTD Spending on health Growing population Ageing population next 15 years +4.4 million
More informationGender Disparities and Non Communicable Diseases
Gender Disparities and Non Communicable Diseases Prof.Dr. Ayşe AKIN Baskent University Medical Faculty,Public Health Department and Research and Implementation Center On Woman-Child Health and Family Planning
More informationThe Global Picture in Blood Transfusions: A Quick Overview
The Global Picture in Blood Transfusions: A Quick Overview Jim MacPherson President & CEO MacPherson Strategies jim@macphersonstrategies.com +1 202 468 6548 24 March 2017 WHO 2016 Of the 113 million blood
More informationAn Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth
An Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth Ross DeVol Director, Center for Health Economics Director,
More informationMemorias Convención Internacional de Salud Pública. Cuba Salud La Habana 3-7 de diciembre de 2012 ISBN
Primary Health Care and the Management of the Ambulatory Care Sensitive Conditions of Hypertension and Diabetes in Jamaica Charlton McFarlane Ministry of Health and University of the West Indies and Natalie
More information2016 EUROPEAN GUIDELINES ON CVD PREVENTION IN CLINICAL PRACTICE
2016 EUROPEAN GUIDELINES ON CVD PREVENTION IN CLINICAL PRACTICE Massimo F Piepoli, MD, PhD, FESC, Piacenza, Italy on behalf of the 6 th Joint Task Force 2 3 Guidelines still based upon the principles of
More informationWhy do we need SD goals on climate change, environment and health
Why do we need SD goals on climate change, environment and health Roberto Bertollini, M.D, MPH Chief Scientist and WHO Representative to the EU World Health Organization Joint DEVE-ENVI public hearing
More informationSports as a development tool in the fight against NCDs
Sports as a development tool in the fight against NCDs Peter Sousa Højskov Technical Officer Food Safety & NCD WHO Division of Pacific Technical Support NCD crisis in the Pacific NCD crisis in the Pacific
More informationEnvironmental Health and Child Survival:
Environmental Health and Child Survival: Epidemiology and Economics Presentation by Anjali Acharya Senior Environmental Specialist World Bank What do children die from? Diarrhea kills an estimated 1.6
More informationTrends In CVD, Related Risk Factors, Prevention and Control In China
Trends In CVD, Related Risk Factors, Prevention and Control In China Youfa Wang, MD, MS, PhD Associate Professor Center for Human Nutrition Department of International Health Department of Epidemiology
More informationCardiovascular disease: Beat the Heart Disease and feel a Healthy Beat Therapeutic capacity presentation series V1.0.
Cardiovascular disease: Beat the Heart Disease and feel a Healthy Beat Therapeutic capacity presentation series V1.0. Country Overview Size: 65,610 sq km Population: 21,324,791 Population growth rate:
More informationETHIOPIA S HOUSEHOLD HEALTH SERVICES UTILIZATION AND EXPENDITURE SURVEY
Federal Democratic Republic of Ethiopia Ministry of Health ETHIOPIA S HOUSEHOLD HEALTH SERVICES UTILIZATION AND EXPENDITURE SURVEY BRIEFING NOTES April 2014 Recommended Citation: Ethiopia Federal Ministry
More informationWhat Do We Know About Access To Cardiovascular Medicine In Southern Sub Saharan Africa
What Do We Know About Access To Cardiovascular Medicine In Southern Sub Saharan Africa A. Damasceno, MD, PhD, FESC Maputo, Mozambique WORLD HEART FEDERATION AFRICAN SUMMIT KHARTOUM, SUDAN, October 2017
More informationEastern Mediterranean Region Framework for health information systems and core indicators for monitoring health situation and health system
Eastern Mediterranean Region Framework for health information systems and core indicators for monitoring health situation and health system performance 2017 Eastern Mediterranean Region Framework for
More informationTOBACCO DEPENDENCE MANAGEMENT AND TOBACCO CONTROL
TOBACCO DEPENDENCE MANAGEMENT AND TOBACCO CONTROL THE GOOD, A THE BAD N D THE UGLY Armando Peruga, Consultant PREVALENCE OF CURRENT TOBACCO USE AMONG PERSONS AGED 15+ YEARS BY 2025, 30% RELATIVE REDUCTION
More informationMoving towards 2020 priorities for Public Health for the years Health and Consumers
Moving towards 2020 priorities for Public Health for the years 2013-20 Health in the MFF 2014-2020 Commission proposal for the Health for Growth Programme 2014-2020 http://ec.europa.eu/health/programme/policy/index_en.htm
More informationEconomics of Non-Communicable Diseases: Case Study of South Africa and India
Review Article Economics of Non-Communicable Diseases: Case Study of South Africa and India Seema Rath 1,2*, Marryam Tariq 2, Fadzai Mushoriwa 2, Tinatsei Chigumete 2, Tiisetso Morobi 2 and Sunitha Srinivas
More informationGovernment Agency Perspective on Future Access
Government Agency Perspective on Future Access UICC 4th December 2014 M. Saeed Quraishy Medical Superintendent & Chair Private Public Partnership Civil Hospital Karachi P A K I S T A N Cancer kills more
More informationRegional & National Partnerships to Stop TB in the Eastern Mediterranean Region-lessons learnt
Regional & National Partnerships to Stop TB in the Eastern Mediterranean Region-lessons learnt Dr. Mohamed Awad Tag Eldin Chair, Coordinating Board of the Eastern Mediterranean Partnership to Stop TB Eastern
More informationInsights from 10,000 Women on the Impact of NCDs Executive Summary. Executive Summary
Executive Summary I EXECUTIVE SUMMARY Background: Women and NCDs Non-communicable diseases (NCDs) represent the world s leading cause of death. While they are the culprit in 63% of all mortalities worldwide,
More informationEmerging Health Issues in Megacities: An Analysis on Causes of Non-Communicable Diseases in Karachi
Emerging Health Issues in Megacities: An Analysis on Causes of Non-Communicable Diseases in Karachi Kiran Jameel PhD scholar, Department of Commerce, University of Karachi,Karachi, Pakistan Ammad Zafar
More informationFinancing for Family Planning: Options and Challenges
Repositioning Family Planning and Reproductive Health in the region. Financing for Family Planning: Options and Challenges BASINGA Paulin, MD,MSc, PhD Senior Lecturer School of Public Health National University
More informationOverweight and Obesity Rates Among Upstate New York Adults
T H E F A C T S A B O U T Overweight and Obesity Rates Among Upstate New York Adults Upstate New York Obesity Rate: 27.5% Overweight Rate: 35.5% Increase in the combined overweight/ obesity rate from 2003
More informationPost-2015: Innovative Financing of HIV/AIDS. Travis Mitchell Economic Affairs Division
Post-2015: Innovative Financing of HIV/AIDS Travis Mitchell Economic Affairs Division High Burden (HIV/AIDS) Low Income countries will remain dependent on external funding for decades, creating major financial
More informationNational health-care expenditures are projected to rise to $5.2 trillion by 2023
National health-care expenditures are projected to rise to $5.2 trillion by 2023 US$ trillions 6 5 4 3 2.3 2.5 2.7 2.9 3.2 3.6 4.0 4.6 5.2 2 1 0 2007 2011 2015* 2019* 2023* * Projected. Source: Centers
More information7 th World Ageing and Generations Congress. University of St. Gallen August 31, 2011
7 th World Ageing and Generations Congress University of St. Gallen August 31, 2011 The Good News Global Health Community Committed to Action on NCDs. 2 World Economic Forum 2009 Report Non-communicable
More informationFuture of health workforce education for addressing NCDs in the global health context - WHO perspectives
18/10/2018 1 Future of health workforce education for addressing NCDs in the global health context - WHO perspectives Dr Benoit VARENNE, DDS, MPH, PhD Dental Officer, WHO HQ Geneva 23 rd CONGRESS EADPH,
More informationDevelopment of a Regional Framework of Action in obesity Prevention in the Eastern Mediterranean Region
Development of a Regional Framework of Action in obesity Prevention in the Eastern Mediterranean Region Ayoub Al Jawaldeh; Regional Adviser, WHO- EMRO 2011 Political declaration on NCDs, Sustainable Development
More informationSupplementary information file
Supplementary information file 1 Annex 1. Search terms and review process Review 1: BMI data Pubmed, google scholar, article reference lists, author contacts and country statistical databases were searched
More informationHealth outcomes & research objectives in (crosscultural)international
Health outcomes & research objectives in (crosscultural)international research Brian Oldenburg Professor of International Public Health & Associate Dean (Global Health and International Campuses) brian.oldenburg@monash.edu
More informationAccelerating progress towards the health-related Millennium Development Goals
Accelerating progress towards the health-related Millennium Development Goals The critical role of the national health policy & strategy in strengthening health systems and delivering effective interventions
More informationEmerging global health threats of animal origin
Emerging global health threats of animal origin Ahmed El Idrissi Senior Officer Transboundary Animal Diseases and zoonoses Animal Production and Health Division FAO - Rome 9 th meeting of the REMESA JPC
More informationThe Need for More and Better Palliative Care in Muslim-Majority Countries
The Need for More and Better Palliative Care in Muslim-Majority Countries Joe Harford, Ph.D. Center for Global Health National Cancer Institute Email: harfordj@nih.gov Deena M. Aljawi King Faisal Specialist
More informationProposed studies in GCC region Overweight and obesity have become an epidemic with direct impact on health economics. Overweight and obesity is a
Proposed studies in GCC region Overweight and obesity have become an epidemic with direct impact on health economics. Overweight and obesity is a complex disorder involving an excessive amount of body
More informationWorld Heart Federation African Summit
Best Practices in Policy and Access to Care World Heart Federation African Summit 10-11 October 2017 Khartoum, Sudan In collaboration and supported by: AFRICAN HEART NETWORK www.worldheart.org @worldheartfed
More informationPharmaceutical market
Pharmaceutical market I s P h a r m a a s i m p o r t a n t a s i t s e m p l o y e e s t h i n k? Our lives are getting longer In Europe, over the last 65 years, we have obeserved a significant increase
More informationIMPACT OF DEVELOPMENT ASSISTANCE FOR HEALTH ON COUNTRY SPENDING
CHAPTER 4: IMPACT OF DEVELOPMENT ASSISTANCE FOR HEALTH ON COUNTRY SPENDING As external health aid has grown in importance in recent years, global health experts have discussed the role that development
More informationHow to evaluate the economic impact of interventions I: introduction and costing analyses
How to evaluate the economic impact of interventions I: introduction and costing analyses Raymond Hutubessy Initiative for Vaccine Research (IVR), Geneva, Switzerland Mark Jit WHO consultant, Health Protection
More informationNon communicable diseases
Non communicable diseases Information Day, Brussels 8 July 2016 K. Berkouk, PhD Deputy Head of Unit, Non-Communicable Diseases and the challenge of Healthy Ageing, European Commission NCD A Global challenge
More informationEconomic Evaluation. Introduction to Economic Evaluation
Economic Evaluation Introduction to Economic Evaluation This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of
More informationState of Cardiovascular Health in the NT DR MARCUS ILTON
State of Cardiovascular Health in the NT DR MARCUS ILTON Background NT Population For whom we provide Cardiac Care Population - 250,000 Darwin - 140,000 Alice Springs - 40,000 Katherine - 10,000 Tennant
More informationHealth Technology Assessment (HTA) in Universal Health Coverage (UHC)
Health Technology Assessment (HTA) in Universal Health Coverage (UHC) SURACHAT NGORSURACHES, PH.D. HTA Forum, ISPOR 7 th Asia-Pacific Conference, Singapore Disclosure I have no actual or potential conflict
More informationThe study was cross-sectional, conducted during the academic year 2004/05.
Tobacco use is one of the chief preventable risk factors of some 25 noncommunicable diseases, many of which are eventually fatal. The World Health Organization (WHO) attributes some 4 million deaths annually
More informationChapter 6: Healthcare Expenditures for Persons with CKD
Chapter 6: Healthcare Expenditures for Persons with CKD In this 2017 Annual Data Report (ADR), we introduce information from the Optum Clinformatics DataMart for persons with Medicare Advantage and commercial
More information