Skip to main content
Top
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Burden of NCDs in SNNP region, Ethiopia: a retrospective study

Authors: Misganu Endriyas, Emebet Mekonnen, Tadele Dana, Kassa Daka, Tebeje Misganaw, Sinafikish Ayele, Mekonnen Shiferaw, Tigist Tessema, Tewodros Getachew

Published in: BMC Health Services Research | Issue 1/2018

Login to get access

Abstract

Background

Non-communicable diseases (NCDs) are medical conditions or diseases that are non-transmissible. As NCDs are becoming one of major public health problem, providing local description of diseases and injuries is key to health decision- making and planning processes. So, this study aimed to describe caseload of NCDs in Southern Nations Nationalities and People’s Region, Ethiopia.

Methods

A facility based retrospective study was conducted in February 2015 in SNNPR, Ethiopia. A total of 22,320 records of three years retrieved from 23 health facilities using systematic sampling. Data were entered in to Epi-Info 3.5.3 and descriptive analysis was carried out using SPSS version 20.

Results

From 22,320 records reviewed, 6633 (29.7%) clients visited health facilities due to Non-Communicable Diseases (NCDs). Majority (37.2%) of NCD cases were in productive age groups (20–35 year). Near to half (43%) of NCD cases were from rural and 45.8% were females. Digestive disorder (26.7%), cardiovascular diseases (18.8%) and Diabetes Mellitus (13.1%) were the most prevalent types of NCDs.

Conclusion

Health facilities are burdened with significant proportion of clients with NCDs. Young population accounts large share and NCDs are becoming public health problem of urban and rural area within a health care system that focus on communicable diseases. There is a need to strengthen the health system to work towards NCDs, and investigate risk factors associated with NCDs at individual level.
Literature
2.
go back to reference Bloom DE, Cafero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of noncommunicable diseases. Geneva: World Economic Forum; 2011. Bloom DE, Cafero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of noncommunicable diseases. Geneva: World Economic Forum; 2011.
3.
go back to reference WHO. Noncommunicable Diseases Country profiles 2011: World Health Organization; 2011. WHO. Noncommunicable Diseases Country profiles 2011: World Health Organization; 2011.
4.
go back to reference Alwan A, Armstrong T, Bettcher D, Branca F, Chisholm D, Ezzati M, et al. Global status report on noncommunicable diseases 2010: WHO; 2011. Alwan A, Armstrong T, Bettcher D, Branca F, Chisholm D, Ezzati M, et al. Global status report on noncommunicable diseases 2010: WHO; 2011.
5.
go back to reference Mendis S, Armstrong T, Bettcher D, Branca F, Lauer J, Chestnov O. Global status report on noncommunicable diseases 2014: “Attaining the nine global noncommunicable diseases targets; a shared responsibility”. Geneva: WHO; 2014. Mendis S, Armstrong T, Bettcher D, Branca F, Lauer J, Chestnov O. Global status report on noncommunicable diseases 2014: “Attaining the nine global noncommunicable diseases targets; a shared responsibility”. Geneva: WHO; 2014.
6.
go back to reference Omoleke SA. Chronic non-communicable disease as a new epidemic in Africa: focus on the Gambia. Pan African Med J. 2013;14(87) Omoleke SA. Chronic non-communicable disease as a new epidemic in Africa: focus on the Gambia. Pan African Med J. 2013;14(87)
7.
go back to reference Ige O, Owoaje E, Adebiyi O. Non communicable disease and risky behaviour in an urban university community Nigeria. Afr Health Sci. 2013;13(1):62–7.PubMedPubMedCentral Ige O, Owoaje E, Adebiyi O. Non communicable disease and risky behaviour in an urban university community Nigeria. Afr Health Sci. 2013;13(1):62–7.PubMedPubMedCentral
8.
go back to reference Misganaw A, Mariam DH, Ali A, Araya T. Epidemiology of major non-communicable diseases in Ethiopia: a systematic review. J Health Popul Nutr. 2014;32(1):1–13.PubMedPubMedCentral Misganaw A, Mariam DH, Ali A, Araya T. Epidemiology of major non-communicable diseases in Ethiopia: a systematic review. J Health Popul Nutr. 2014;32(1):1–13.PubMedPubMedCentral
9.
go back to reference WHO. Noncommunicable diseases country profiles 2014. Ethiopia: WHO; 2014. WHO. Noncommunicable diseases country profiles 2014. Ethiopia: WHO; 2014.
11.
go back to reference Bekele A, Amenu K, Getachew T, Defar A, Tadesse M, Teklie H, et al. Ethiopia steps report on risk factors for chronic noncommunicable diseases and prevalence of selected ncds. Addis Ababa: Ethiopia Public Health Institute and FMOH; 2016. Bekele A, Amenu K, Getachew T, Defar A, Tadesse M, Teklie H, et al. Ethiopia steps report on risk factors for chronic noncommunicable diseases and prevalence of selected ncds. Addis Ababa: Ethiopia Public Health Institute and FMOH; 2016.
12.
go back to reference Mathers C, Fat DM. The global burden of disease: 2004 update. Geneva: WHO; 2008. Mathers C, Fat DM. The global burden of disease: 2004 update. Geneva: WHO; 2008.
13.
go back to reference Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2224–60.CrossRefPubMedPubMedCentral Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2224–60.CrossRefPubMedPubMedCentral
15.
go back to reference Annual performance review meeting of 2006 EFY Hawassa: Regional Health Bureau, 2014. Annual performance review meeting of 2006 EFY Hawassa: Regional Health Bureau, 2014.
16.
go back to reference WHO. Health Facility Survey: Tool to evaluate the quality of care delivered to sick children attending outpatient facilities. Geneva: World Health Organization; 2003. WHO. Health Facility Survey: Tool to evaluate the quality of care delivered to sick children attending outpatient facilities. Geneva: World Health Organization; 2003.
17.
go back to reference Anthony G. Turner, Gustavo Angeles, Amy O. Tsui, Marilyn Wilkinson, Robert Magnani. SAMPLING MANUAL for FACILITY SURVEYS: For Population, Maternal Health, Child Health and STD Programs in Developing Countries. MEASURE Evaluation; 2001. Anthony G. Turner, Gustavo Angeles, Amy O. Tsui, Marilyn Wilkinson, Robert Magnani. SAMPLING MANUAL for FACILITY SURVEYS: For Population, Maternal Health, Child Health and STD Programs in Developing Countries. MEASURE Evaluation; 2001.
18.
go back to reference FMoH. National Malaria Strategic Plan 2014–2020. Addis Ababa: Federal Democratic Republic of Ethiopia, Ministry of Health; 2014. FMoH. National Malaria Strategic Plan 2014–2020. Addis Ababa: Federal Democratic Republic of Ethiopia, Ministry of Health; 2014.
19.
go back to reference Bhandari GP, Angdembe MR, Dhimal M, Neupane S, Bhusal C. State of non-communicable diseases in Nepal. BMC Public Health. 2014;14(23) Bhandari GP, Angdembe MR, Dhimal M, Neupane S, Bhusal C. State of non-communicable diseases in Nepal. BMC Public Health. 2014;14(23)
20.
go back to reference Prevett M. Chronic non-communicable diseases in Ethiopia-a hidden burden. Ethiopian Journal of Health Sciences. 2012;22(Spec Iss):1–2.PubMedPubMedCentral Prevett M. Chronic non-communicable diseases in Ethiopia-a hidden burden. Ethiopian Journal of Health Sciences. 2012;22(Spec Iss):1–2.PubMedPubMedCentral
21.
go back to reference Negin J, Cumming R, de Ramirez SS, Abimbola S, Sachs SE. Risk factors for non-communicable diseases among older adults in rural Africa. Tropical Med Int Health. 2011;16(5):640–6.CrossRef Negin J, Cumming R, de Ramirez SS, Abimbola S, Sachs SE. Risk factors for non-communicable diseases among older adults in rural Africa. Tropical Med Int Health. 2011;16(5):640–6.CrossRef
22.
go back to reference Mayosi BM, Flisher AJ, Lalloo UG, Sitas F, Tollman SM, Bradshaw D. The burden of non-communicable diseases in South Africa. Lancet. 2009;374(9693):934–47.CrossRefPubMed Mayosi BM, Flisher AJ, Lalloo UG, Sitas F, Tollman SM, Bradshaw D. The burden of non-communicable diseases in South Africa. Lancet. 2009;374(9693):934–47.CrossRefPubMed
23.
go back to reference Robinson HM, Hort K. Non-communicable diseases and health systems reform in low- and middle-income countries. Pac Health Dialog. 2012;18(1):179–90. Robinson HM, Hort K. Non-communicable diseases and health systems reform in low- and middle-income countries. Pac Health Dialog. 2012;18(1):179–90.
25.
go back to reference Boutayeb A, Boutayeb S. The burden of non communicable diseases in developing countries. Int J Equity Health. 2005;4(2) Boutayeb A, Boutayeb S. The burden of non communicable diseases in developing countries. Int J Equity Health. 2005;4(2)
26.
go back to reference Boutayeb A. The double burden of communicable and non-communicable diseases in developing countries. Trans R Soc Trop Med Hyg. 2006;100(3):191–9.CrossRefPubMed Boutayeb A. The double burden of communicable and non-communicable diseases in developing countries. Trans R Soc Trop Med Hyg. 2006;100(3):191–9.CrossRefPubMed
27.
go back to reference Dalal S, Beunza JJ, Volmink J, Adebamowo C, Bajunirwe F, Njelekela M, et al. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol. 2011;40(4):885–901.CrossRefPubMed Dalal S, Beunza JJ, Volmink J, Adebamowo C, Bajunirwe F, Njelekela M, et al. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol. 2011;40(4):885–901.CrossRefPubMed
28.
29.
go back to reference Muluneh AT, Haileamlak A, Tessema F, Alemseged F, Woldemichael K, Asefa M, et al. Population based survey of chronic non-communicable diseases at Gilgel gibe field research center, Southwest Ethiopia. Ethiopian Journal of Health Sciences. 2012;22(Spec Iss):7–18.PubMedPubMedCentral Muluneh AT, Haileamlak A, Tessema F, Alemseged F, Woldemichael K, Asefa M, et al. Population based survey of chronic non-communicable diseases at Gilgel gibe field research center, Southwest Ethiopia. Ethiopian Journal of Health Sciences. 2012;22(Spec Iss):7–18.PubMedPubMedCentral
31.
go back to reference Asresahegn H, Tadesse F, Beyene E. Prevalence and associated factors of hypertension among adults in Ethiopia: a community based cross-sectional study. BMC Research Notes. 2017;10:629.CrossRefPubMedPubMedCentral Asresahegn H, Tadesse F, Beyene E. Prevalence and associated factors of hypertension among adults in Ethiopia: a community based cross-sectional study. BMC Research Notes. 2017;10:629.CrossRefPubMedPubMedCentral
32.
go back to reference Demisse AG, Greffie ES, Abebe SM, Bulti AB, Alemu S, Abebe B, et al. High burden of hypertension across the age groups among residents of Gondar city in Ethiopia: a population based cross sectional study. BMC Public Health. 2017;17:647.CrossRefPubMedPubMedCentral Demisse AG, Greffie ES, Abebe SM, Bulti AB, Alemu S, Abebe B, et al. High burden of hypertension across the age groups among residents of Gondar city in Ethiopia: a population based cross sectional study. BMC Public Health. 2017;17:647.CrossRefPubMedPubMedCentral
33.
go back to reference Worede A, Alemu S, Gelaw YA, Abebe M. The prevalence of impaired fasting glucose and undiagnosed diabetes mellitus and associated risk factors among adults living in a rural Koladiba town, Northwest Ethiopia. BMC Research Notes. 2017;10:251.CrossRefPubMedPubMedCentral Worede A, Alemu S, Gelaw YA, Abebe M. The prevalence of impaired fasting glucose and undiagnosed diabetes mellitus and associated risk factors among adults living in a rural Koladiba town, Northwest Ethiopia. BMC Research Notes. 2017;10:251.CrossRefPubMedPubMedCentral
34.
go back to reference Gebrihet TA, Mesgna KH, Gebregiorgis YS, Kahsay AB, Weldehaweria NB, Weldu MG. Awareness, treatment, and control of hypertension is low among adults in Aksum town, northern Ethiopia: a sequential quantitative-qualitative study. PLoS One. 2017;12(5):e0176904.CrossRefPubMedPubMedCentral Gebrihet TA, Mesgna KH, Gebregiorgis YS, Kahsay AB, Weldehaweria NB, Weldu MG. Awareness, treatment, and control of hypertension is low among adults in Aksum town, northern Ethiopia: a sequential quantitative-qualitative study. PLoS One. 2017;12(5):e0176904.CrossRefPubMedPubMedCentral
35.
go back to reference Tesfaye T, Shikur B, Shimels T, Firdu N. Prevalence and factors associated with diabetes mellitus and impaired fasting glucose level among members of federal police commission residing in Addis Ababa, Ethiopia. BMC Endocr Disord. 2016;16:68.CrossRefPubMedPubMedCentral Tesfaye T, Shikur B, Shimels T, Firdu N. Prevalence and factors associated with diabetes mellitus and impaired fasting glucose level among members of federal police commission residing in Addis Ababa, Ethiopia. BMC Endocr Disord. 2016;16:68.CrossRefPubMedPubMedCentral
36.
go back to reference Angaw K, Dadi AF, Alene KA. Prevalence of hypertension among federal ministry civil servants in Addis Ababa, Ethiopia: a call for a workplace-screening program. BMC Cardiovasc Disord. 2015;15:76.CrossRefPubMedPubMedCentral Angaw K, Dadi AF, Alene KA. Prevalence of hypertension among federal ministry civil servants in Addis Ababa, Ethiopia: a call for a workplace-screening program. BMC Cardiovasc Disord. 2015;15:76.CrossRefPubMedPubMedCentral
37.
go back to reference Abebe SM, Berhane Y, Worku A, Getachew A. Prevalence and associated factors of hypertension: a Crossectional community based study in Northwest Ethiopia. PLoS One. 2015;10(4):e0125210.CrossRefPubMedPubMedCentral Abebe SM, Berhane Y, Worku A, Getachew A. Prevalence and associated factors of hypertension: a Crossectional community based study in Northwest Ethiopia. PLoS One. 2015;10(4):e0125210.CrossRefPubMedPubMedCentral
38.
go back to reference Helelo TP, Gelaw YA, Adane AA. Prevalence and associated factors of hypertension among adults in Durame town, southern Ethiopia. PLoS One. 2014;9(11):e112790.CrossRefPubMedPubMedCentral Helelo TP, Gelaw YA, Adane AA. Prevalence and associated factors of hypertension among adults in Durame town, southern Ethiopia. PLoS One. 2014;9(11):e112790.CrossRefPubMedPubMedCentral
40.
go back to reference Alemseged F, Haileamlak A, Tegegn A, Tessema F, Woldemichael K, Asefa M, et al. Risk factors for chronic non-communicable diseases at Gilgel gibe field research center, Southwest Ethiopia: population based study. Ethiopian Journal of Health Sciences. 2012;22(Spec Iss):19–28.PubMedPubMedCentral Alemseged F, Haileamlak A, Tegegn A, Tessema F, Woldemichael K, Asefa M, et al. Risk factors for chronic non-communicable diseases at Gilgel gibe field research center, Southwest Ethiopia: population based study. Ethiopian Journal of Health Sciences. 2012;22(Spec Iss):19–28.PubMedPubMedCentral
41.
go back to reference Awoke A, Awoke T, Alemu S, Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovasc Disord. 2012;12:113.CrossRefPubMedPubMedCentral Awoke A, Awoke T, Alemu S, Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovasc Disord. 2012;12:113.CrossRefPubMedPubMedCentral
42.
go back to reference Dermot Maher, Anthony D Harries, Rony Zachariah, Don Enarson. A global framework for action to improve the primary care response to chronic non-communicable diseases: a solution to a neglected problem. BMC Public Health 2009;9(355). Dermot Maher, Anthony D Harries, Rony Zachariah, Don Enarson. A global framework for action to improve the primary care response to chronic non-communicable diseases: a solution to a neglected problem. BMC Public Health 2009;9(355).
43.
go back to reference Ali A. Commendable approach to mitigate double burden. Ethiop J Health Dev. 2010;24(3) Ali A. Commendable approach to mitigate double burden. Ethiop J Health Dev. 2010;24(3)
44.
go back to reference Joshi R, Alim M, Kengne AP, Jan S, Maulik PK, Peiris D, et al. Task shifting for non-communicable disease management in low and middle income countries--a systematic review. PLoS One. 2014;9(8):e103754.CrossRefPubMedPubMedCentral Joshi R, Alim M, Kengne AP, Jan S, Maulik PK, Peiris D, et al. Task shifting for non-communicable disease management in low and middle income countries--a systematic review. PLoS One. 2014;9(8):e103754.CrossRefPubMedPubMedCentral
45.
go back to reference Daar AS, Singer PA, Persad DL, Pramming SK, Matthews DR, Beaglehole R, et al. Grand challenges in chronic non-communicable diseases. Nature. 2007;450(7169):494–6.CrossRefPubMed Daar AS, Singer PA, Persad DL, Pramming SK, Matthews DR, Beaglehole R, et al. Grand challenges in chronic non-communicable diseases. Nature. 2007;450(7169):494–6.CrossRefPubMed
46.
go back to reference Yang J, Yu W, Zhou Q, Mahapatra T, Li Y, Zhang X, et al. Burden and correlates of non-communicable-diseases among rural residents: a cross-sectional study in Hebei, China. BMC Public Health. 2015;15:571.CrossRefPubMedPubMedCentral Yang J, Yu W, Zhou Q, Mahapatra T, Li Y, Zhang X, et al. Burden and correlates of non-communicable-diseases among rural residents: a cross-sectional study in Hebei, China. BMC Public Health. 2015;15:571.CrossRefPubMedPubMedCentral
47.
go back to reference Sarkar S, Seshadri D. Conducting record review studies in clinical practice. Journal of Clinical and Diagnostic Research : JCDR. 2014;8(9):JG01–JG4.PubMed Sarkar S, Seshadri D. Conducting record review studies in clinical practice. Journal of Clinical and Diagnostic Research : JCDR. 2014;8(9):JG01–JG4.PubMed
Metadata
Title
Burden of NCDs in SNNP region, Ethiopia: a retrospective study
Authors
Misganu Endriyas
Emebet Mekonnen
Tadele Dana
Kassa Daka
Tebeje Misganaw
Sinafikish Ayele
Mekonnen Shiferaw
Tigist Tessema
Tewodros Getachew
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3298-0

Other articles of this Issue 1/2018

BMC Health Services Research 1/2018 Go to the issue