1. 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

2. HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome

3. HIV and Non-communicable Diseases Pre-Conference, July 15-16, 2011, Rome

4. 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

5. 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

6. 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. )

7. 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

8. 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

9. 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