1. The Role of Health Care Providers in Managing Non-Communicable Diseases WHAT, WHY, & WHO
Dr. I.F. Korubo
MB.BS, FWACP, FACE, FCIA, Consultant Physician/ Endocrinologist
Certified Diabetologist (St. Andrews University, UK) / Fellow, Institute of co-operative Administrators
Honorary Doctorate (London Business School) / VP South-South Diabetes Association of Nigeria
NMA NEC Chairman, Non-Communicable Diseases
MD, St. Patrick’s Hospital Ltd.

2. Definition of Non-Communicable Diseases (N.C.D.) List NCD
Outline
What?
Definition of Non-Communicable Diseases (N.C.D.)
List NCD
Brief description of each one
Why?
Statistics
Disease epidemiology, age affected, mortality rate
Who?
Common management strategies

3. They are of long duration and generally may have a slow progression
Introduction
NCD, also known as chronic diseases are not passed on from person to person
They are of long duration and generally may have a slow progression
4 main types:
Cardiovascular diseases
Cancers
Chronic respiratory diseases (Asthma, COPD, etc)
Diabetes Mellitus (DM)

4. Epidemiology Low income and middle income countries are most affected
About 75% of NCD deaths (28 X 106) occur among these group
NCDs kill 38 X 106 people each year
16 X 106 NCD deaths occur before the age of 70
82% of these premature deaths occurred in low and middle income countries
Cardiovascular disease  17.5 X 106 deaths annually
Cancers  8.2 X 106 deaths annually
Respiratory diseases  4 X 106 deaths annually
DM  1.5 X 106 deaths annually

5. Nigeria: W.H.O. Fact file in Nigeria

6. Nigeria: W.H.O. Fact file in Nigeria

7. Nigeria: W.H.O. Fact file in Nigeria

8. Forces driving these diseases include: Globalization
Risk Factors
Global phenomenon
Often associated with older age groups but deaths are occurring in middle aged and young
Forces driving these diseases include:
Globalization
Rapid unplanned urbanization
Globalization of unhealthy life style

9. Modifiable Behavioral Risk Factors
Tobacco use
6 X 106 deaths annually
↑↑ to 8 X 106 by year 2030
Physical Inactivity
3.2 X 106 deaths annually directly attributed to physical inactivity
Harmful use of alcohol
3.3 X 106 deaths
Poor Diet
1.7 X 106 in 2010  deaths due to excess salt usage

10. Resultant Effects of Risk Factors;
High blood pressure
Overweight/ obesity
High blood glucose levels
Dyslipidaemias

11. Socio-Economic Impact of N.C.D.s
NCDs pose a serious threat to the sustainable development goals
Rapid rise in NCDs is predicted to impede poverty reduction initiatives
The “poor” get sicker and die sooner than the “privileged”.
↑ exposure to harmful products
Unable to access health care
Out of pocket expenditure

12. Prevention & Control of NCDs
Health Care Provider (HCP): A doctor of medicine, dentist, nurses, clinical social worker, optometrist, etc That is authorized to practice by the state and performing within the scope of their practice as defined by the state law (Berkeley- University of California)
For the purpose of this discussion, the scope of who a HCP will be widened.
Anybody, people or establishment involved in providing healthcare for the people should be classified and are classified as HCP. This will include;
Policy makers
Regulatory authorities
Financing bodies
Agencies involved in infrastructure development- town planning
People involved in oversight functions
People involved in direct patient care

13. Health Finance Education Agriculture Parliament
A Comprehensive approach is needed in preventing NCDs involving all sectors
Health
Finance
Education
Agriculture
Parliament

14. ↓ risk factors associated with NCDs
Target of Prevention
↓ risk factors associated with NCDs
MAP he epidemics of NCDs and their risk factors
Primary health care approach (strategize early detection and timely treatment)
Health public policies that promote NCDs prevention
Health care system requires re-orientation **********
Health insurance scheme  Practicable & realizable

15. Data collection/ collation State focus point/ officer  N.M.A.
State Effort
NCD desk officers
Data collection/ collation
State focus point/ officer  N.M.A.
↑ tax on tobacco sale and alcohol
Domicile NCDs at office of the Deputy Governor and SSG
Better urban planning that takes health into consideration
Global approach

16. Nigeria: NCD control programme
National Effort
Nigeria: NCD control programme
WORKSHOP: Joint conduct of the analysis of non-communicable diseases prevention policies in Africa (ANPPA) final project report;
Took place on 27th September 2016 at Abuja
National NMA  National executive council committee on NCDs
(Chairman, Dr. I.F. Korubo)

17. W.H.O. Efforts
2011 Global action plan for prevention and control of NCDs
2013 – 2020  ↓ deaths from NCDs by 25% by 2025
2018  U.N. general assembly- third high level meeting on NCDs to take stock of national progress in attaining the voluntary global targets

18. CONCLUSION
The NCDs affect our development as a nation directly and indirectly
If we are to achieve sustainable development goals then we must honestly tackle NCDs