WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center –...
-
Upload
crystal-heath -
Category
Documents
-
view
214 -
download
0
Transcript of WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center –...
![Page 1: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/1.jpg)
WHO-PACKAGE OF ESSENTIAL NCD INTERVENTION - SCHC EXPERIENCE Southern Community Health Center – Peleliu.2014
- Tukana Korovou
![Page 2: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/2.jpg)
SOUTHERN COMMUNITY HEALTH CENTER -PELELIU
Southern Community Health Centre is located in Peleliu State.
the biggest island state of the southern Palauan archipelago.
manned by a medical officer, a nurse, a recorder and a maintenance officer.
world famous after World War II and currently features War Relics for tourists and visitors from around the globe.
![Page 3: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/3.jpg)
2013 SCHC CENSUS : POPULATION
Ethnicity Females Males Total
Non Palauans
Asians 14 13 27
Europeans 1 3 4
Americans 0 2 2
Micronesians
0 2 2
Palauans
Palauans 193 212 405
Total 208
( 47.2%)
232 (52.7%)
440
8%
92%
Ethnic distribution of population in Peleliu :
2013
Non Palauans Palauans
![Page 4: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/4.jpg)
2014 SCREENING
WHO – PEN (WHO- PACKAGE ESSENTIAL NCD INTERVENTION) Screening
![Page 5: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/5.jpg)
PEN TOOLS USED
All the tools were provided by the NCD Unit.
SCHC staffs devised a questionnaire for the screening.
![Page 6: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/6.jpg)
Charts indicate the 10-year risk of a fatal or non-fatal major cardiovascular event (myocardial infarction or stroke), according to age, gender, blood pressure, smoking status, total blood cholesterol and presence or absence of diabetes mellitus .
![Page 7: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/7.jpg)
Risk levels
The color of the cell in the chart indicates the 10-year risk of combined myocardial infarction and Stroke risk (fatal and non-fatal) as shown below.
Green <10%
Yellow 10% to <20%
Orange 20% to <30%
Red 30% to <40%
Deep Red > 40%
![Page 8: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/8.jpg)
WHO-PEN EXCLUSION CRITERIA:
Chart can not be used on participants with the following conditions:
1. Established CVD: previous history of myocardial infarction, previous coronary artery procedure(s), and stroke.
2. Without established CVD but have a total Cholesterol of > 320mg/dL.
3. Without established CVD with persistently raised blood pressure ( > 160-170/100-105 mm Hg)
4. With Type 1 or Type 2 DM with overt nephropathy or significant renal disease.
5. With renal failure or renal impairment.
NOTE:
With any of these conditions, the chart is not a good predictive tool of future cardiovascular event (CVD Risk).
![Page 9: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/9.jpg)
WHO – PEN (WHO-package of essential NCD) Screening -Peleliu 2014
Started in March 18th 2014….. completed in June 2014.
Target was the age group between 40-70 years old; a total of 186 and is 42.3% of the population.
![Page 10: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/10.jpg)
NATURE OF THE SCREENING
Enquiries in to risk factors/behaviors of participants; namely smoking, chewing betel nut with tobacco,alcohol,physical activities status.
Height and weight to determine BMI (body mass index)
Blood pressure taking
Blood sugar reading
Blood cholesterol reading
Urine tests
![Page 11: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/11.jpg)
RESULT – PEN 2014 112 individuals participated in the screening
60.2% of the target population.
98% Palauans and 2% non-Palauans
57% participants were females and 43% were males.
![Page 12: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/12.jpg)
AGE OF PARTICIPANTS
Age Ranges Female Male Total %age
26-39yrs 8 4 12 10.7
40-49yrs 19 19 38 33.9
50-59yrs 19 12 31 27.7
60-69yrs 12 11 23 20.5
>70yrs 6 2 8 7.1
Total 64 48 112 99.9
11%
34%
28%
21%
7%
Distribution of age groups of PEN partic-ipants in Peleliu 2014
26-39yrs 40-49yrs 50-59yrs 60-69yrs >70yrs
![Page 13: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/13.jpg)
RESULT – 2014 SURVEY
Nationality Female Male Total
Bangladeshis 0 1 1
Filipinos 1 0 1
Palauans 63 47 110
Total 64 48 112
![Page 14: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/14.jpg)
RESULT – 2014 SURVEY (CONT)
2%
98%
Ethnic distribution of PEN participants in
Peleliu 2014
Non-Palauans Palauans
57%
43%
Gender distribution of PEN participants in
Peleliu 2014
Females Males
![Page 15: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/15.jpg)
MEDICAL HISTORY
Other Medical Conditions
Female Male Total %age
No medical conditions 40 35 75 66.9
Existing medical conditions
24 13 37 33
Total 64 48 112 99.9
67%
33%
Distribution of medical history of Peleliu PEN
participants :2014
No medical conditionsExisting medical conditions
![Page 16: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/16.jpg)
REVIEW OF SYMPTOMS
Systemic review Female Male Totalangina, sob on exertion, increased thirst
0 1 1
Increase thirst,polyuria 8 2 10
Increased thirst 6 11 17
Loss of weight 5 1 6Loss of weight and increased thirst 2 0 2
Loss of weight, increased thirst 1 1 2
numbness of legs, weight loss ,increased thirst
1 0 1
![Page 17: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/17.jpg)
REVIEW OF SYMPTOMS (cont)Systemic review Female Male TotalNumbness of limbs 1 2 3numbness of limbs, loss of weight, increased thirst
0 1 1
Numbness of limbs, weakness of limbs, weight loss
1 1 2
Numbness of limbs, weight loss, increased thirst,polyuria
0 1 1
Polyuria 2 6 8SOB & Increased thirst 1 0 1SOB on exertion, SOB on lying down, weight loss, increased thirst
1 0 1
Weakness of limbs & increase thirst
1 0 1
weakness of limbs, increased thirst,polyuria
1 0 1
![Page 18: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/18.jpg)
REVIEW OF SYMPTOMS (cont)
Systemic review Female Male Totalweakness of lower limbs
0 1 1
weakness of limbs with loss of weight,polyuria
1 0 1
Weight loss 2 3 5
weight loss & increased thirst
2 2
weight loss & polyuria 3 1 4
Weight loss, increased thirst
1 1 2
weight loss, increased thirst,polyuria
2 3 5
Weight loss,polyuria,puffiness of face, swelling feet
1 1
Total 42 37 79
![Page 19: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/19.jpg)
REVIEW OF SYMPTOMS
29%
71%
Systemic review of symptoms distribution of PEN participants in Peleliu 2014
No symptoms Existing symptoms
![Page 20: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/20.jpg)
RISK FACTORS
Risk Factors Female Male Total
Drink alcohol 32 31 63
Chew betel nut with Tobacco 31 26 57
Smoke 5 13 18
No Physical activities 25 8 33
![Page 21: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/21.jpg)
RISK FACTORS
37%
33%
11%
19%
Risk factors distri-bution of particiants
Drink alcoholChew with TobaccoSmokeNo Physical activities
Drink alcohol
Chew with Tobacco
Smoke
No Physical activities
0% 50% 100%
32
31
5
25
31
26
13
8
Risk factors distribution with in gender
Female Male
![Page 22: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/22.jpg)
PHYSICAL EXAM
Positive physical examinations findings:
2 participants(1.8 % ) showed mild pedal edema
2 participants ( 1.8%) showed some cardiac lesions
4 participants (3.6%) had positive pulmonary findings
1 participant ( 0.89%) was paraplegic
![Page 23: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/23.jpg)
BODY MASS INDEX (BMI)
Not all participants had their BMI calculated…exception was paraplegic participant who could not stand on the scale.
![Page 24: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/24.jpg)
BODY MASS INDEXBMI Female Male Total %age
< 18.5
(underweight)
0 0 0 0
18.5 - < 25 (healthy weight) 15 8 23 20.5
25 - < 30 (overweight) 19 20 39 34.8
30 - < 40 (obese) 28 18 46 41.1
> 40 (very obese) 2 1 3 2.6
missing 0 1 1 0.9
Total 64 48 112 99.9%
![Page 25: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/25.jpg)
BODY MASS INDEX
21%
35%
41%
3%1%
Body Mass Index distribution of PEN participants in Peleliu :2014
< 18.5 -underweight18.5 - < 25 - healthy weight25 - < 30 - overweight30 - < 40 - obese> 40 - very obesemissing
23/112 (20.5%) participants were in healthy BMI range.
88/112 (78.6%) participants had BMI in the overweight ,obese and very obese
categories.
![Page 26: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/26.jpg)
BODY MASS INDEX BY GENDER
< 18.5 -underweight
18.5 - < 25 healthy weight
25 - < 30 overweight
30 - < 40 obese
> 40 very obese
missing
0 5 10 15 20 25 30
0
15
19
28
2
0
0
8
20
18
1
1
Distribution of gender BMI in PEN participants in Peleliu :2014
Male Female
More females have healthy BMIs than males.
More males were overweight than females.
More females were obese than males.
More females were very obese than males.
![Page 27: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/27.jpg)
BLOOD CHOLESTEROL LEVELS (NORMAL LEVEL….<200mg/dL)
Blood cholesterol Females Males Total %age
<200mg/dL 31 22 53 46.9
>200mg/dL 34 26 60 53.1
Total 65 48 113 100
47%53%
Distribution of blood cholesterol levels of PEN participants in Peleliu
2014
<200mg/dL >200mg/dL
![Page 28: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/28.jpg)
RANDOM BLOOD SUGAR
Random Blood Sugar Female Male Total %age
< 180mg/dL 57 46 103 92
> 180mg/dL 7 2 9 8
Total 64 48 112 100
![Page 29: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/29.jpg)
RANDOM BLOOD SUGAR
92%
8%
Distribution of random blood sugars of PEN
participants in Peleliu:2014
< 180mg/dL > 180mg/dL < 180mg/dL > 180mg/dL0
20
40
60
80
100
120
57
7
46
2
Distribution of random blood sugars of PEN
participants in Peleliu:2014
MaleFemale
![Page 30: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/30.jpg)
RANDOM BLOOD SUGAR- SUMMARY
103/112 (92%) of participants had RBS <180mg/dL.
9/112 (8%) of participants had RBS >180mg/dL
More females than males had RBS >180mg/dL
![Page 31: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/31.jpg)
BLOOD PRESSURE
Blood Pressure (mmHg) Total %age
<101/65 1 0.9
101/65 - 140/80 ( normal ) 73 64.6
141/81 - 160/100 (high) 34 30.1
> 160/100 (very high) 5 4.4
Total 113 100%
1%
65%
30%
4%
Distribution of blood pressure of PEN participants in Peleliu : 2014
<101/65101/65 - 140/80 ( normal )141/81 - 160/100 (high)> 160/100 (very high)
![Page 32: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/32.jpg)
BLOOD PRESSURE VS. BMI OF PEN PARTICIPANTS IN PELELIU - 2014
Blood Pressure ranges (mmHg)
BMI ranges Total
<101/65 (Low) 32 (obese) 1
101/65 - 140/80 (normal) 19.6 - 39 73
141/81 - 160/100 (high) 22 – 42.9 34
> 160/100 (very high) 28.8 - 39 5
![Page 33: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/33.jpg)
BLOOD PRESSURE (NORMAL READINGS) VS BMI
Body Mass Index Female Male Total %age
<18.5 - underweight 0 0 0 0
18.5 – 25- normal 13 3 16 28.1
25 – 30 -overweight 12 7 19 33.3
30 – 40 -obese 16 6 22 38.6
> 40 – very obese 0 0 0 0
Total 41 16 57 100
28%
33%
39%
Distribution of BMIs of participants with normal BP readings in Peleliu
2014
<18.5 - underweight 18.5 – 25- normal 25 – 30 -overweight 30 – 40 -obese > 40 – very obese
![Page 34: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/34.jpg)
HIGH BLOOD PRESSURE READINGS vs BMI
Body Mass Index Female Male Total %age
<18.5 underweight 0 0 0 0
18.5 – 25 (healthy weight )
1 0 1 4.5
25 – 30 (overweight) 1 7 8 36.4
30 – 40 (obese ) 5 6 11 50
> 40 (very obese) 2 0 2 9.1
Total 9 13 22 100
5%
36%
50%
9%
BMI of PEN participants with high blood pressure readings in Peleliu :
2014
<18.5 - underweight 18.5 – 25- healthy weight 25 – 30 -overweight 30 – 40 -obese > 40 – very obese
![Page 35: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/35.jpg)
HIGH BLOOD PRESSURE READINGS vs BMI- SUMMARY
High Blood Pressure readings vs BMI- Summary
22/112 (19.6%) participants had high BP.
Common in males than females.
BMI findings
o 5% of participants had normal BMIo 36% were overweight.o 50% were obeseo 9% were very obese
![Page 36: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/36.jpg)
VERY HIGH BP READINGS vs BMI
Body Mass Index Female Male Total %age
<18.5 - underweight 0 0 0 0
18.5 – 25- healthy weight 0 0 0 0
25 – 30 -overweight 2 0 2 40
30 – 40 -obese 2 1 3 60
> 40 – very obese 0 0 0 0
Total 4 1 5 100
40%
60%
BMI of PEN participants with very high BP in Peleliu :2014
<18.5 - underweight 18.5 – 25- healthy weight 25 – 30 -overweight 30 – 40 -obese > 40 – very obese
![Page 37: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/37.jpg)
VERY HIGH BP VS BMI-SUMMARY
5/112 (4.4%) of participants had very high BP readings
BMIs were either overweight (60%) or obese (40%)-there were no BMIs showing underweight, normal weight or very obese
There were a lot of females than males who were overweight and obese with very high blood pressure.
![Page 38: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/38.jpg)
CARDIOVASCULAR RISK LEVELS
WHO classification
< 10% - Low risk levels
10 - < 20% - Moderate risk level…monitor 6/12 -1yr
20 - >30% - HIGH RISK … monitor 3-6 months
![Page 39: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/39.jpg)
CARDIOVASCULAR RISK LEVELS
CVS Risk Levels
Female Male Total %age
<10% 56 32 88 78.6
10 - <20% 2 11 13 11.6
20 - < 30% 3 2 5 4.5
30 - < 40% 1 2 3 2.7
Missing 2 1 3 2.7
Total 64 48 112 100.1
![Page 40: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/40.jpg)
CARDIOVASCULAR RISK LEVELS
79%
12%
4%
3% 3%
Cardiovascular risk levels of PEN partici-
pants in Peleliu : 2014
<10% 10 - <20%20 - < 30% 30 - < 40%Missing
<10
%
10 -
<20
%
20 -
< 3
0%
30 -
< 4
0%
Missing
0%10%20%30%40%50%60%70%80%90%
100%
56
2
3
1
2
32
11
2
2
1
Cardiovascular risk levels of PEN participants in
Peleliu 2014
MaleFemale
![Page 41: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/41.jpg)
RISK LEVEL VS AGE
Age groups <10% 10 -
<20%20 - < 30%
30 - < 40% Missing Total
26-39yrs 10 0 1 0 1 12
40-49yrs 36 1 0 1 0 38
50-59yrs 24 5 1 1 31
60-69yrs 14 5 2 1 1 23
>70yrs 4 2 1 0 1 8
Total 88 13 5 3 3 112
26-39yrs 40-49yrs 50-59yrs 60-69yrs >70yrs0
5
10
15
20
25
30
35
40
10
36
24
14
4
0 1
5 521 0 1 2 10 1 1 1 01 0 1 1
Distributionf risk levels of participants in their age
groups
<10% 10 - <20% 20 - < 30%30 - < 40% Missing
![Page 42: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/42.jpg)
Age groups %age Mod to severe Risk Levels
26-39yrs 8.3
40-49yrs 5.6
50-59yrs 22.6
60-69yrs 34.7
>70yrs 37.5 26-39yrs
40-49yrs
50-59yrs
60-69yrs
>70yrs0
5
10
15
20
25
30
35
40
%age of Peleliu PEN participants Mod to severe Risk Levels in age
groups-2014
%age Mod to severe Risk Lev-els
![Page 43: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/43.jpg)
CARDIOVASCULAR RISK LEVELS- SUMMARY
78% of participants had their risk levels <10%.
12% had their risk levels at 10% < 20%.
4% of participants had their risk levels at 20% - <30%.
3% had their risk levels at 30% - < 40%.
3% were accounted as missing because they were not considered as participants.
A lot of males were in the moderate to severe risk levels and vulnerable age groups ranging from 50years to > 70years.
![Page 44: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/44.jpg)
REACTIONS FROM PARTICIPANTS
1. Will quit smoking…..2. Please show me how to quit smoking….3. I’m afraid….4. I’m glad…..5. How can I loose weight?6. What foods should I eat?7. I will start exercise now…
![Page 45: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/45.jpg)
CHALLENGES
Behavior changes….smoking, alcohol use,diet,exercise and chewing betel nut with tobacco.
Supplies ---- Cholesterol strips to given the same status as glucose strips… easy to get for all health center levels.
![Page 46: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/46.jpg)
POSITIVES FROM THE SCREENING
Known NCD cases show improvements in compliance to medications.
Individuals engaging in healthy behaviors eg walking as group/individuals
Individuals walking freely to HC for BP and weight checks.
![Page 47: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/47.jpg)
WORKERS AT PELELIU’S PPUC ORGANIZING THEIR WEEKLY WALK
![Page 48: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/48.jpg)
SUMMARY
WHO PEN Intervention is a very simple and effective tool in NCD risk prediction and management in Peleliu
BUT
with availability of ALL its components.
![Page 49: WHO-P ACKAGE OF E SSENTIAL NCD I NTERVENTION - SCHC E XPERIENCE Southern Community Health Center – Peleliu. 2014 - Tukana Korovou.](https://reader038.fdocuments.us/reader038/viewer/2022110206/56649d015503460f949d438a/html5/thumbnails/49.jpg)
THANK YOU FOR LISTENING
SULANG