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5.4 Translating evidence into policy in low and middle income countries: opportunities and challenges
O5-4.3 Management of non-communicable diseases in the Gauteng province in South Africa
  1. D Basu1,2
  1. 1Department of Community Health, Charlotte Maxeke Johannesburg Academic Hospital and University of the Witwatersrand, Johannesburg, South Africa
  2. 2Gauteng Department of Health, Johannesburg, South Africa


Background In South Africa, the burden of Non-communicable diseases (NCD) is staggering (37% in terms of Initial Burden of Disease, 2000 report). The NCD include cardiovascular disease, stroke, diabetes mellitus, asthma and respiratory diseases, epilepsy and cancer. In line with its vision, the Public Health Directorate have decided to be proactive in managing this problem by setting up a surveillance system based on WHO stepwise model for improvement of management of the NCD at the provincial health facilities.

Objectives The purpose of this project is to improve the burden of NCD in the Province. The objectives of this project include evaluation of health facility data on NCD; Development of an intervention strategy for improving NCD in the Health Districts; Implementation of the intervention plan; and Setting-up a surveillance site for the continuous monitoring and evaluation of non-communicable disease in this District.

Results The study found a significant burden of NCD (such cardio-metabolic diseases, cancer) in the Province in comparison to the rest of South Africa and other countries of Africa. This burden in addition to burden of communicable diseases (such as tuberculosis and HIV/AIDS) would require significant resource allocation for effective management. An integrated approach to healthcare is necessary to address this.

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