About 500 000 people are expected to benefit from a US$30million
global project aimed at addressing non-communicable diseases. The
project will be rolled out in four countries, including South Arica, and
will have a special focus on diabetes.
This week marked the launch of the South African phase of the Lilly
NCD partnership, which will be rolled out over a five year period in
four countries, namely, Mexico, Brazil, India and South Africa.
The US$30 million project will tackle the scourge of
non-communicable diseases (NCDs), paying particular attention to
diabetes. The World Health Organisation (WHO) predicts that in the next
15 years the number of people with diabetes in South Africa will triple.
“Over the next ten to 15 years there is an expectation that the
incidences of diabetes will double in Sub-Saharan Africa, generally, but
in South Africa specifically. Unfortunately, all of the projections
around non-communicable diseases are that they will continue to grow at a
very rapid pace. Right now the trends are very frightening and we
believe firmly that around the world the first and most important step
to take is prevention. So, we all have to work
hard to reduce these frightening growing trends of non-communicable
diseases”, says Tracy Sims, the senior advisor at Eli Lilly.
Non-communicable diseases are chronic diseases, including heart disease and cancers. The WHO points out that non-communicable diseases thrive more in developing countries
like South Africa. They are fuelled by tobacco intake, physical
inactivity and unhealthy diets. Sims says through this initiative they
hope to make direct contact with patients.
“Our work cannot happen at the high level. Our work with our partners must happen at the primary health care
clinic level. It must happen at the individual patient level, and that
is one of the most important components our work will do…It’s focus on
the ground. We have developed a new framework that we hope accelerates
immediate impact for patients on the ground level, but also will produce
data, recommendations and direction for leaders in city level,
provincial level, national level and even global level”, says Sims.
Special focus will also be placed on rural communities, says Denver
Webb of the Eastern Cape-based Donald Woods Foundation, a partner in
the programme. “We want to have teams of people that will go and visit
all of the homesteads in the areas where we are working. We want to start off by registering
them… basic screening for diabetes, hypertension, HIV and TB even
mother and child ailments. On the basis of what we find we then refer
them to the clinic or hospital or, if possible, the community health
care workers will come back on a regular basis to bring the medication.
We think through this, we will be able to give rural people far better
access to an integrated health service than they may currently be having”, he says.
Webb believes that the project provides them with the necessary
tools to help people who may not even be aware they have an illness.
“We know through our work that we have a high incidence of HIV and
TB in our area and we know that there are people who are getting
medication for treatment, but we don’t know how many in the rural area
have diabetes but are not diagnosed and not accessing medication. That
is why this partnership is important because it will give us the
resources to go into homes and test people in a systematic way so that
we can identify people who have diabetes or any other chronic disease
that they may not even know about”, says Webb.
Meanwhile, the Health Department
says many steps have been taken to address the scourge of
non-communicable diseases in the country, acknowledging that risk
factors such as alcohol abuse and other lifestyle factors can make
matters worse. Deputy Director for Chronic Diseases in the department,
Anne Croasdale, says figures show that the majority of the population
has dietary issues that could bring about the occurrence of
non-communicable diseases.
“As a country we face a serious problem of unhealthy diet and we
are among the world’s most obese nations of adults and children.
According to the national youth risk behaviour survey,
19% of learners were overweight and 9% of learners were obese. In both
instances, female learners significantly out number their male counter
parts. For adults, if we look at women between the 24 and 34 year age
group, 58% are obese or overweight and in the 35 to 44 age group its
72%”.
Croasdale says this can be attributed to peoples’ social economic backgrounds, which means that some cannot afford a healthy diet. She says cheap food tends to be fatty, accessible and very unhealthy while healthy foods are expensive and not always available.
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