HIV and Non-Communicable Diseases

Pre-Conference, 15-16 July 2011

Sinata Koulla-Shiro

MOH, Cameroon HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

HIV Epidemiological Facts

- Cameroon Population: 20 million- HIV prevalence 5.1%- > 100 000 HIV patients on ART (98% on first line)- data on NCD in HIV treatment naive patients or HIV patients on ART limited

-23% dilated cardiomyopathies- Dyslipidemia, diabetes, High blood

pressure are increasingly reported HIV and Non-communicable

Diseases Pre-Conference, July 15-16, 2011, Rome

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

What about NCD’s?

• Prevalence rates:– Diabetes: 6%– High Blood Pressure : 24%– Chronic renal Diseases: 5-7%– Overweight: 25% in urban men, about 50% in

urban women– 6.5% men and 19.5% women are obese

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

Common Preventable Risk Factors source:Epidemiol 2000 ; 28 : 399–406.

source:Epidemiol 2000 ; 28 : 399–406.

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Common Problems/Common Needs

• Health system weakness• Shortage of health workers• Lack of good quality training programs• Lack of screening tools• Limited community awareness• Vertical non integrated programs• Limited M/E and effective supervision• No strong leadership

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

Common Needs

• Strong Government Leadership

• Good quality training programs

• Access to screening tools and adequate preventive packages

• Develop Treatment protocols and guidelines

• Strengthen healthcare and support

• Decentralize interventions

• Develop multi sector approach

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome

Common Needs

• Involve all stake holders

• Community awareness and participation

• Enhance integrated programs

• Task shifting and task sharing

• M/E and effective supervision

• Translational Research

HIV and Non-communicable Diseases Pre-Conference,

July 15-16, 2011, Rome