CNCD Integrated Management

There is some evidence that noncommunicable diseases such as diabetes and hypertension are increasingly becoming major public health concerns in Belize, in particular as reflected in the country’s mortality and hospitalization statistics over the past several years. However, there is a lack of adequate information on the prevalence of chronic diseases in Belize and the populations affected. Such information is important for securing and allocating financial resources for the development and implementation of prevention and control programs. From November 2005 to July 2006, the Ministry of Health of Belize and PAHO implemented a national, cross-sectional, household survey to measure the prevalence of diabetes mellitus and hypertension, and their associated risk factors. A sample size of 2,635 persons 20 years of age and older was determined. A total of 2,439 persons were interviewed, and blood samples were taken and laboratory analysis performed on 1,629. Variables measured were socio-demographics, family history of noncommunicable diseases, smoking, alcohol consumption, lipid profile, physical activity, fruit, vegetable and oil consumption, and health-seeking behavior.

This brief, three-page quarterly report for the first three months of 2009 provides details on activities in Suriname to prevent and control chronic noncommunicable diseases (CNCDs). Areas include:

• National strategic plans
• Alcohol
• Caribbean Wellness Day Activities
• Cervical Cancer
• Diabetes
• Diet and physical activity
• Mental health
• Road Safety
• Tobacco Control
• Violence and injury prevention

This color booklet is the formal bilingual (English-Spanish) course program.

This questionnaire is designed to obtain data for assessing diagnostic and treatment services for chronic noncommunicable diseases (CNCDs) and conditions constituting risk factors for these diseases: cancer, cardiovascular diseases, chronic obstructive respiratory disease, diabetes, hypertension, nutrition, physical activity, smoking cessation, stroke, weight control, and any other condition/disease of importance to the respective country.  

This card, used by the Caribbean Chronic Care Collaborative (CCCC), serves as a tool to monitor individual patients with chronic diseases. It shows any complications related to hypertension, heart disease, stroke, retinopathy, neuropathy, diabetic foot, amputation, high cholesterol, and tobacco and alcohol use. It also records information on visits, measures, exams, tests, treatment, and vaccines and current indications on blood pressure, height/weight, body mass index (BMI), foot and eye, blood glucose/ A1c, lipid profile, electrocardiogram (EKG), medication and dose.

Desde el mes de marzo del 2000 el país se incorporó a un esfuerzo subregional auspiciado por la OPS y los Centros para el Control y la Prevención de Enfermedades (CDC, Atlanta, EUA), conocido como La Iniciativa Centroamericana de Diabetes (CAMDI). Por medio de este proceso se avanzó en la realización de una encuesta que abarcó a todas las ciudades capitales del Istmo centroamericano. El propósito fundamental es que estas investigaciones constituyan el punto de partida para la implementación de la vigilancia y el control de las enfermedades crónicas en la región.

Results from a Diabetes Education Workshop, Mona Visitors Lodge, University of West Indies (UWI), Jamaica, 25–26 October 2005

Working Document adapted from the International Diabetes Federation, International Curriculum

Contains 17 Training Modules:

• Psychosocial and Behavioral Approaches
• Self-Management
• Community Awareness and Promotion
• Diagnosis, Classification, and Presentation of Diabetes
• Pathophysiology
• Glucose-Lowering Medication
• Insulin Therapy
• Nutrition Therapy
• Physical Therapy
• Complementary Therapies
• Diabetic Retinopathy
• Diabetic Neuropathy
• Cardiovascular Disease
• Diabetes in Children and Adolescents
• Pregnancy in Pre-Existing Diabetes
• Gestational Diabetes
• The Older Adult

Each module contains a brief overview and its own goals and objectives, teaching strategies, suggested time, who should teach the module, materials, and evaluation mechanisms.

Basic information on course to be held in Miami in July 2009. Co-sponsored by PAHO and the University of Miami as part of the CARMEN School.