Available Data and Data Quality

Transcription

1 Available Data and Data Quality

2 Disease and Risk Factor Prevalence/Burden

3 DHS

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5 GBD Estimates

6 DALYs in Rwanda #!"!"!$" Communicable, maternal, perinatal and nutritional conditions Noncommunicable diseases Injuries %&'()*+,)',&-.,/01,234&'),5667.,89:.,566;

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8 FIGURE 1.1 The Long Tail of Endemic NCDs in Rwanda Congenital Anomalies Unipolar Depression Asthma Epilepsy Diabetes Mellitus COPD Cervical Cancer Lymphomas Rheumatic Heart Disease

9 Health Management Information System

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11 Population Surveys

12 Population surveys in Rwanda Condition Authors Year Population Prevalence Ever Treated Epilepsy Simms et al. [8] 2008 all ages 0.7% (0.5%-0.9%) 41% Moderate-to- Atijosan et al. [9] 2008 all ages 2.7% n/a Severe Muscoskeletal Impairment Severe visual impairment Mathenge et al. [10] 2007 age > 50 4% 40 % (cataracts) Table 1!"

13 Other Populations

14 Authors Country Year Age Prevalence Hypertension (stage II or greater) Van der Sande et al. Gambia 1997 > % Diabetes Mellitus Mclarty et al. Tanzania 1989 > % Asthma and other chronic respiratory disease 4.27% Heart Failure 0.2%

15 Among the hypertensives only, hypertension was an isolated finding in 132/169 (78.1%) of the rural vs 40/117 (34.2%) of the urban hypertensive participants (P 0.001). Obesity and diabetes were significantly more

16 Health Facility Registries

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19 Se

20 Who are these patients?

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23 SY

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25 ew

26 ev

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28 Age Distribution of Non-Communicable Disease in Southern Kayonza and Kirehe Facilities &#!" &!!" %#!" %!!" $#!" $!!" #!"!"!'$!" $$'%!" %$'&!" &$'(!" ($'#!" #$')!" )$'*!" *$'+!" +$',!"

29 !"#$%&"# '%()*+,-."/( 012,."3"45*,#$*6#-"3"45!1/7%-,3*!,#-1/8*91:)12%,(*,#$* 952;<"2,(8*=,(&-*!,#-1/8* 01;,."-133:3,/*!,/-%#"2, C,((%71*D;31#"214,35 C,3,/%, C1#%#4%&(8*C,3,/%,!,/$%"7,(-:3,/!,/$%"25";,.<%1(?%/,3*C5"-,/$%&(8*0H?8*>1/%;,/.:2*!,/$%"25";,.<5 '<1:2,&-*?,37:3,/*I%(1,(1 >1/%-,/$%,3*I%(1,(1 D./1;."-"--,3*;<,/5#4%&( J:F1/-:3":(*;1/%-,/$%&( 05;1/.1#(%"# >:32"#,/5!</"#%-*>:32"#,/5*I%(1,(1 H#$""/*G%/*>"33:&"#8*J:F1/-:3"(%( '1#,3!</"#%-*K%$#15*I%(1,(1 D./1;."-"--,3*()%#*"/*;<,/5#41,3* I%,F1.1( C,3#:./%&"# 05;1/*,#$*05;".<5/"%$%(2 H"$%#1*$1M-%1#-5 C:(-:3"()131.,3!</"#%-*6(.1"2513%&( D./1;."-"--,3*,#$*D.,;<53"-"--,3*

30 Intervention Effectiveness

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33 Costing of Interventions

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35 "$

36 "%

37 "&

38 TABLE 1.2 Leading Causes of Death and Disability in Rwanda in Disability-adjusted Life Years (DALYs) 24 Disease DALYs ( 000) Fraction of total DALYs Lower respiratory infections % Diarrheal diseases % HIV/AIDS % Maternal conditions % Malaria % Neonatal infections and other conditions % Birth asphyxia and birth trauma % Tuberculosis % Other infectious diseases (meningitis, STDs excluding HIV, childhood-cluster diseases, upper respiratory infections, Hepatitis B, Hepatitis C) % 74% Tropical-cluster diseases % Prematurity and low birth weight % Protein-energy malnutrition % Nutritional deficiencies %

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40 Joint Annual Workplan

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42 Opportunities WHO STEPS? DHS Integration National Cancer Registry RHD Registry? Mobile Clinics? Links with School of Public Health