Presented by: Victorina Ludovicky, Frank Manase, Dorris Frank
Persistent increase in global prevalence of non-communicable diseases (NCDs) has been reported globally. In 2008 alone 14 million premature deaths were reported globally and this number is estimated to rise to 52 million people by 2030, sub-Saharan African being the most affected region , with limited access to palliative care services in the region certainly the majority died while suffering with unbearable pain. Tanzania is among the most affected nations by NCDs in the SSA . The overgrowing incidence of NCDs has triplicates the need for palliative care [PC] services. Majority of people with NCDs [cancer or heart disease] are diagnosed at a late stage of diseases. This paper presents a public health model which was used to address the PC needs.
Method: In September, 2016 we conducted a three day health check camp that offered education and screen services for NCDs, Tanzania. .
Managerial: common goal were maintained, institution commitment, participation of managers and commitment from families through donations.
Clinical: a total of 360 attended 28% and 72% were males and females respectively. Of the number tested, 38% were hypertensive, 25% pre-hypertensive, 23% had elevated blood sugar [diabetes]. Among women tested, 4% & 8% respectively were cancer suspects. Among men who screened for prostate cancer 20% were found with the disease.
High prevalence of NCDs signifies the need for palliative care services. The public health model was rather a motivation to pull more actors from the public and private sector to address the burden of NCDs and certainly meet the palliative care needs of the people in Tanzania.