Conference abstract
Situational Analysis of Non-Communicable Disease and Injuries (NCDI) In Cameroon: results from modelled data
Pan African Medical Journal - Conference Proceedings. 2023:17(81).04
Jun 2023.
doi: 10.11604/pamj-cp.2023.17.81.1778
Archived on: 04 Jun 2023
Contact the corresponding author
Keywords: Situational analysis, non-communicable diseases, Cameroon
Oral presentation
Situational Analysis of Non-Communicable Disease and Injuries (NCDI) In Cameroon: results from modelled data
Andreas Frambo1,&, Haoua Farida2, Nathanael Chimi2, Clarisse Mapa2,3, Bernard Metogo4, Aristide Eric Nono Tomta5, Aristide Stephane Abah Abah2, Adama Ndir6, Hassan Ben Bachire5, Yauba Saidu1,7, Angele Hermine Pondy8,9, Paul Ndom5,7,8, Samuel Kingue5,8
1Clinton Health Access Initiative, Yaoundé, Cameroon, 2Department of Disease Control, Epidemics and Pandemics; Ministry of Public Health, Yaoundé, Cameroon, 3Faculty of Health Sciences, University of Dschang, Dschang, Cameroon, 4Department for the Organization of Care and Health Technology, Ministry of Public Health, Yaoundé, Cameroon, 5Department of Internal Medicine, Yaoundé General Hospital, Yaoundé, Cameroon, 6United States Center for Disease Control and Prevention, Yaoundé, Cameroon, 7National Committee for the Fight against Cancer, Yaoundé Cameroon, 8Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon, 9Mother and Child Center, Chantal Biya Foundation, Yaoundé Cameroon
&Corresponding author
Introduction: non-communicable diseases continuously contribute to the high mortality rates in Cameroon. To address this escalating burden, the Ministry of Health created a task force with a mandate to conduct a situational analysis of the burden of NCDIs affecting the Cameroonian population. The primary goal is to leverage the findings to improve the health system, focusing on universal health coverage and contributing to poverty eradication.
Methods: data was extracted from the Global Burden of Disease (GBD) 2019 database which was published in The Lancet in October 2020. The NCDI disease burden in Cameroon was determined with a focus on mortality and disability-adjusted life years (DALY) by age group and condition.
Results: approximately 43% of all deaths in Cameroon are due to NCDIs with NCDs accounting for 35% and injuries 8%. Cardiovascular diseases (29%), Neoplasms (16%), Diabetes and Chronic Kidney Diseases (11%) represent over half (57%) of all annual NCD deaths. In persons under 40 years, 29% of all deaths are due to NCDs and 10% are due to Injuries. The DALYs due to NCDs have known a steady increase, rising from 20% to 30% between 1990 and 2019. Similarly, DALYs due to injuries have witnessed a steady increase from 5% to 10% between 1900 and 2019. DALY due to the big four (Diabetes, Chronic Respiratory Diseases, Cardiovascular Diseases and Neoplasms) was 39%. Mental health, Transport injuries, Neurological disorders and unintentional injuries have the highest DALY burden in the under 40 age group. Out-of-pocket (OOP) spending accounts for 73% of expenditure per Capita of Total Health Expenditure (THE). Only 6% of disease prevention budget is allocated to non-communicable diseases as opposed to 64% for communicable diseases. We did not find data on the total NCDI expenditure by source, unlike other countries.
Conclusion: non-communicable diseases account for nearly half of the annual deaths in Cameroon. This high burden can be reduced especially in the under 40 age group. To achieve this reduction, stakeholders should broaden their scope of interventions beyond the traditional big four. In addition, funding allocated for the management of non-communicable diseases should be tailored to reflect the burden of NCDs. Furthermore, developing and implementing integrated affordable NCDI packages may sustainably reduce the burden of non-communicable diseases in the country.
Situational Analysis of Non-Communicable Disease and Injuries (NCDI) In Cameroon: results from modelled data
Andreas Frambo1,&, Haoua Farida2, Nathanael Chimi2, Clarisse Mapa2,3, Bernard Metogo4, Aristide Eric Nono Tomta5, Aristide Stephane Abah Abah2, Adama Ndir6, Hassan Ben Bachire5, Yauba Saidu1,7, Angele Hermine Pondy8,9, Paul Ndom5,7,8, Samuel Kingue5,8
1Clinton Health Access Initiative, Yaoundé, Cameroon, 2Department of Disease Control, Epidemics and Pandemics; Ministry of Public Health, Yaoundé, Cameroon, 3Faculty of Health Sciences, University of Dschang, Dschang, Cameroon, 4Department for the Organization of Care and Health Technology, Ministry of Public Health, Yaoundé, Cameroon, 5Department of Internal Medicine, Yaoundé General Hospital, Yaoundé, Cameroon, 6United States Center for Disease Control and Prevention, Yaoundé, Cameroon, 7National Committee for the Fight against Cancer, Yaoundé Cameroon, 8Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon, 9Mother and Child Center, Chantal Biya Foundation, Yaoundé Cameroon
&Corresponding author
Introduction: non-communicable diseases continuously contribute to the high mortality rates in Cameroon. To address this escalating burden, the Ministry of Health created a task force with a mandate to conduct a situational analysis of the burden of NCDIs affecting the Cameroonian population. The primary goal is to leverage the findings to improve the health system, focusing on universal health coverage and contributing to poverty eradication.
Methods: data was extracted from the Global Burden of Disease (GBD) 2019 database which was published in The Lancet in October 2020. The NCDI disease burden in Cameroon was determined with a focus on mortality and disability-adjusted life years (DALY) by age group and condition.
Results: approximately 43% of all deaths in Cameroon are due to NCDIs with NCDs accounting for 35% and injuries 8%. Cardiovascular diseases (29%), Neoplasms (16%), Diabetes and Chronic Kidney Diseases (11%) represent over half (57%) of all annual NCD deaths. In persons under 40 years, 29% of all deaths are due to NCDs and 10% are due to Injuries. The DALYs due to NCDs have known a steady increase, rising from 20% to 30% between 1990 and 2019. Similarly, DALYs due to injuries have witnessed a steady increase from 5% to 10% between 1900 and 2019. DALY due to the big four (Diabetes, Chronic Respiratory Diseases, Cardiovascular Diseases and Neoplasms) was 39%. Mental health, Transport injuries, Neurological disorders and unintentional injuries have the highest DALY burden in the under 40 age group. Out-of-pocket (OOP) spending accounts for 73% of expenditure per Capita of Total Health Expenditure (THE). Only 6% of disease prevention budget is allocated to non-communicable diseases as opposed to 64% for communicable diseases. We did not find data on the total NCDI expenditure by source, unlike other countries.
Conclusion: non-communicable diseases account for nearly half of the annual deaths in Cameroon. This high burden can be reduced especially in the under 40 age group. To achieve this reduction, stakeholders should broaden their scope of interventions beyond the traditional big four. In addition, funding allocated for the management of non-communicable diseases should be tailored to reflect the burden of NCDs. Furthermore, developing and implementing integrated affordable NCDI packages may sustainably reduce the burden of non-communicable diseases in the country.
