This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.

References inline with the PIH guide

By Ziad Khatib Moderator Emeritus | 01 Oct, 2011

Dear NCD community,

I would like to share additional references inline with the PIH Guide and to emphasize its importance.

1) A systematic review by Dalal and colleagues, on NCDs in sub-Saharan Africa, entitled "Non-communicable diseases in sub-Saharan Africa: what we know now" in Int J Epidemiol. 2011 Aug;40(4):885-901.
They have 3 keys messages:
- Available data and projections indicate that the burden of NCDs such as cardiovascular diseases,
diabetes mellitus type 2 and cancer is growing in SSA. Yet, there are few community-based studies
that examine the NCD prevalence, incidence and risk factors.
- In some African settings the prevalence of NCDs and their risk factors is similar to that seen in
developed countries.
- More research is needed in Africa to provide evidence for NCD prevention and treatment to mitigate
the oncoming epidemic.

I could not attach the article to this web discussion. You can email me for the full article.

- A recent article in The Economist, Sep.24th, describing the size of the problem of NCDs in low- and middle-income countries, and its potential economic burden on them.

You are welcome to write your reflections around the PIH Guide and this topic.

Best regards

Ziad El-Khatib
Postdoc, Epidemiology
McGill University
ziad (dot) el-khatib (at)

Attached resource:

    Summary: This guide is written for district-level health care providers and policy makers designing a health system for care of NCDs in very low-income populations. Based on the experiences and collaboration between Rwandan and international specialists over four years, the book is funded by the Medtronic Foundation through a grant to Partners In Health.

    For full guide, please download the pdf (6.5MB); For specific chapters, refer to PIH's web page.

    Source: Partners In Health - PIH

    Language: English

    Keywords: Publications & Research



NICHOLAS THADEUS KAMARA Replied at 10:08 AM, 3 Oct 2011

Ziad Please send me the article. I am on

Dr Nicholas Thadeus KAMARA
Head of Diabetes and Endocrinology Department
Mbarara Regional Referral Hospital
P O Box 40, Mbarara,UGANDA. 
Mobile.+256 775 225811
e mail: .

Ziad Khatib Moderator Emeritus Replied at 10:38 AM, 3 Oct 2011

Hi again, please find reference attached.

Attached resource:
  • Non-communicable diseases in sub-Saharan Africa: what we know now (download, 269.9 KB)

    Summary: BACKGROUND: Sub-Saharan Africa (SSA) has a disproportionate burden of both infectious and chronic diseases compared with other world regions. Current disease estimates for SSA are based on sparse data, but projections indicate increases in non-communicable diseases (NCDs) caused by demographic and epidemiologic transitions. We review the literature on NCDs in SSA and summarize data from the World Health Organization and International Agency for Research on Cancer on the prevalence and incidence of cardiovascular diseases, diabetes mellitus Type 2, cancer and their risk factors.

    We searched the PubMed database for studies on each condition, and included those that were community based, conducted in any SSA country and reported on disease or risk factor prevalence, incidence or mortality.

    We found few community-based studies and some countries (such as South Africa) were over-represented. The prevalence of NCDs and risk factors varied considerably between countries, urban/rural location and other sub-populations. The prevalence of stroke ranged from 0.07 to 0.3%, diabetes mellitus from 0 to 16%, hypertension from 6 to 48%, obesity from 0.4 to 43% and current smoking from 0.4 to 71%. Hypertension prevalence was consistently similar among men and women, whereas women were more frequently obese and men were more frequently current smokers.

    The prevalence of NCDs and their risk factors is high in some SSA settings. With the lack of vital statistics systems, epidemiologic studies with a variety of designs (cross-sectional, longitudinal and interventional) capable of in-depth analyses of risk factors could provide a better understanding of NCDs in SSA, and inform health-care policy to mitigate the oncoming NCD epidemic.

    Source: International Journal of Epidemiology

    Keywords: cancer, Cardiovascular Diseases, Chronic Respiratory Diseases, Diabetes, health care in low resource settings, middle income countries, NCDs, Publications & Research, Risk Factors & Prevention, Tobacco Control

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.