Qatar 2006 World Health Survey Overview - What is GIS - World ...
Qatar 2006 World Health Survey Overview - What is GIS - World ...
Qatar 2006 World Health Survey Overview - What is GIS - World ...
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<strong>Qatar</strong> <strong>2006</strong><br />
<strong>World</strong> <strong>Health</strong> <strong>Survey</strong><br />
<strong>Overview</strong><br />
Dr. Gail Fraser Chanpong<br />
Department of Public <strong>Health</strong><br />
National <strong>Health</strong> Authority, <strong>Qatar</strong><br />
2 November 2008<br />
1
V<strong>is</strong>ion<br />
The <strong>World</strong> <strong>Health</strong> Organization <strong>is</strong><br />
calling for a revival of the primary<br />
health care approach to steer<br />
health systems towards better<br />
performance and greater equity<br />
SOURCE: WHO. (2008). <strong>World</strong> <strong>Health</strong> Report calls for return to primary health care approach.<br />
http://www.who.int/mediacentre/news/releases/2008/pr38/en/index.html<br />
2
Public health <strong>is</strong> an information<br />
intensive field that encompasses<br />
d<strong>is</strong>ciplines linked to preventive<br />
health best practices<br />
3
Topics<br />
• Aims<br />
• Background<br />
• WHS Highlights<br />
• Recommendations<br />
• Future Plans<br />
4
<strong>Qatar</strong> <strong>2006</strong> WHS<br />
<strong>World</strong> <strong>Health</strong> Organization has completed the<br />
WHS in 70 countries, worldwide, since 2000<br />
5
<strong>Qatar</strong> <strong>2006</strong> WHS: Aims<br />
The WHS provides baseline evidence about<br />
the way health systems currently function<br />
linked to health outcomes<br />
Stat<strong>is</strong>tics from the <strong>Qatar</strong> <strong>World</strong> <strong>Health</strong> <strong>Survey</strong><br />
and Labour Camp <strong>Survey</strong> Technical Report<br />
provide reliable health information as a strong<br />
foundation for health planning and focused<br />
health promotion strategies<br />
6
<strong>Qatar</strong> <strong>2006</strong> WHS: Background<br />
In <strong>2006</strong>, the National <strong>Health</strong> Authority<br />
successfully completed the <strong>World</strong> <strong>Health</strong><br />
<strong>Survey</strong> in collaboration with the <strong>World</strong> <strong>Health</strong><br />
Organization, The Planning Council, and<br />
<strong>Qatar</strong> Stat<strong>is</strong>tics Authority<br />
<strong>Qatar</strong> was the first of the GCC Countries to<br />
complete the WHS, followed by Saudi Arabia,<br />
Bahrain, Oman, United Arab Emirates &<br />
Kuwait<br />
7
<strong>Qatar</strong> <strong>2006</strong> WHS : Background<br />
<strong>Survey</strong> Target Population and Questionnaire<br />
WHS survey included a representative sample of a<br />
total of 29,338 people from 4,800 households<br />
Household survey completed by field team of 200<br />
during April-May April May <strong>2006</strong> with WHO technical advice<br />
WHS has 600 Questions, divided into 9 sections<br />
about R<strong>is</strong>k Factors, Morbidity Prevalence, <strong>Health</strong><br />
State Valuation, <strong>Health</strong> System Responsiveness,<br />
<strong>Health</strong> Expenditure, Personal Well-being Well being<br />
8
State of <strong>World</strong>’s <strong>World</strong> s <strong>Health</strong><br />
The leading five causes of death world-wide world wide in<br />
high-income high income countries <strong>is</strong> topped by heart<br />
d<strong>is</strong>ease followed by stroke, lung cancer,<br />
pneumonia, and asthma/bronchit<strong>is</strong><br />
Cardiovascular d<strong>is</strong>eases are the leading cause<br />
of death in the world, particularly among women;<br />
such d<strong>is</strong>eases caused almost 32% of all deaths<br />
in women and 27% in men in 2004.<br />
SOURCE: WHO.(2008). New study presents state of the world's health: The global burden of d<strong>is</strong>ease: 2004 update<br />
http://www.who.int/mediacentre/news/notes/2008/np11/en/index.html<br />
9
State of <strong>Qatar</strong>’s <strong>Qatar</strong> s <strong>Health</strong><br />
Cardiovascular D<strong>is</strong>eases are the leading cause<br />
of death in the <strong>Qatar</strong>, followed by Road Traffic<br />
Accidents, and Cancer<br />
<strong>Qatar</strong> <strong>is</strong> similar to other GCC Countries with<br />
comparable mortality related to breast and<br />
colorectal cancers; and morbidity related to<br />
diabetes and asthma<br />
SOURCE: WHO.(2008). New study presents state of the world's health: The global burden of d<strong>is</strong>ease: 2004 update<br />
http://www.who.int/mediacentre/news/notes/2008/np11/en/index.html<br />
10
<strong>Qatar</strong> <strong>2006</strong> WHS: Purpose<br />
Purpose of conducting the <strong>World</strong> <strong>Health</strong> <strong>Survey</strong><br />
Identify culturally appropriate models for health<br />
promotion, since the majority of d<strong>is</strong>eases in<br />
<strong>Qatar</strong> are due to preventable r<strong>is</strong>k factors<br />
Provide a hol<strong>is</strong>tic approach to healthy lifestyle,<br />
focusing on nutrition, physical activity, and<br />
safety to reduce r<strong>is</strong>k factors specific for <strong>Qatar</strong><br />
11
Age Group<br />
85+<br />
80-84<br />
75-79<br />
70-74<br />
65-69<br />
60-64<br />
55-59<br />
50-54<br />
45-49<br />
40-44<br />
35-39<br />
30-34<br />
25-29<br />
20-24<br />
15-19<br />
10-14<br />
5-9<br />
0-4<br />
Male<br />
WHS Highlights<br />
<strong>2006</strong> Population by Gender and Nationality<br />
7 6 5 4 3 2 1 0 1 2 3 4 5 6 7<br />
Percentage of Population<br />
<strong>Qatar</strong>i Males Non-<strong>Qatar</strong>i Males <strong>Qatar</strong>i Femal es Non-<strong>Qatar</strong>i Females<br />
Female<br />
<strong>Qatar</strong>’s 2008 population estimate = 1,450,000<br />
12
WHS Highlights<br />
Non-Communicable Non Communicable D<strong>is</strong>ease<br />
<strong>2006</strong> <strong>World</strong> <strong>Health</strong> <strong>Survey</strong>, 13% of <strong>Qatar</strong>i and<br />
15% of non-<strong>Qatar</strong><strong>is</strong> non <strong>Qatar</strong><strong>is</strong> are found to be hypertensive<br />
Deaths due to Cardiovascular D<strong>is</strong>ease and<br />
Stroke have remained steady since 2002,<br />
with 323 deaths due to CVD reported in <strong>2006</strong><br />
and 264 deaths in 2007<br />
Note: the prevalence per 100,000 population has declined from 44 per 100,000 population to 22 per 100,000 population,<br />
potentially due to the influx of young workers, not related to improvements in r<strong>is</strong>k factors for national population.<br />
13
Total Deaths Due to<br />
Cardiovascular D<strong>is</strong>ease<br />
400<br />
300<br />
200<br />
100<br />
0<br />
<strong>Health</strong> Status in <strong>Qatar</strong><br />
Deaths due to Myocardial Infarction or Stroke,<br />
<strong>Qatar</strong> in 2002-2007<br />
271 266<br />
253<br />
318<br />
323<br />
264<br />
2002 2003 2004 2005 <strong>2006</strong> 2007
WHS Highlights<br />
Non-Communicable Non Communicable D<strong>is</strong>ease<br />
Newly reported cancer cases remained<br />
cons<strong>is</strong>tent since 2002, with 529 cancer cases<br />
reported in <strong>2006</strong> and 543 in 2007<br />
Al Amal Hospital reported that 20% cancer<br />
cases receiving treatment in 2007 were breast<br />
cancer among women, followed by 12% of<br />
colorectal cancer (regionally similar cancer<br />
prevalence with GCC and EMRO)<br />
15
<strong>Health</strong> Status in <strong>Qatar</strong><br />
Percentage D<strong>is</strong>tribution of Reported Cases of<br />
Cancer According to Cancer Types, <strong>Qatar</strong> 2007<br />
Breast<br />
Colorectal<br />
Bone Marrow<br />
Lymph Node<br />
Lung<br />
Skin<br />
Thyroid gland<br />
Prostate<br />
Stomach<br />
Others<br />
3.7<br />
3.7<br />
2.9<br />
5.5<br />
6.3<br />
7.7<br />
9.8<br />
11.8<br />
19.3<br />
29.3<br />
0.0 10.0 20.0<br />
Percent D<strong>is</strong>tribution<br />
30.0 40.0
WHS Highlights<br />
Non-Communicable Non Communicable D<strong>is</strong>ease<br />
In <strong>2006</strong> WHS, 12% adults reported having<br />
diabetes and 10% of respondents were<br />
classified as pre-diabetic pre diabetic having a ra<strong>is</strong>ed level<br />
of sugar in the blood<br />
In contrast, the 1998 Family <strong>Health</strong> <strong>Survey</strong><br />
8% of adult respondents said that they had<br />
diabetes
WHS Highlights<br />
Diabetes world-wide world wide ~ 4%<br />
Diabetes in other GCC<br />
Countries, such as UAE<br />
2007 WHS in ~ 7%<br />
Juvenile Onset Diabetes<br />
in <strong>Qatar</strong> <strong>is</strong> higher than in<br />
other GCC Countries<br />
Percentage<br />
100<br />
<strong>Qatar</strong> Diabetes Trend, <strong>Health</strong> <strong>Survey</strong>s<br />
1998-<strong>2006</strong><br />
80<br />
60<br />
40<br />
20<br />
0<br />
7.9<br />
Family health<br />
<strong>Survey</strong> 1998<br />
11.6<br />
WHS <strong>2006</strong>
WHS Highlights<br />
Lifestyle R<strong>is</strong>k Factors<br />
WHS indicated that as few as 50% of<br />
boys and men; and less than 40% of<br />
girls and women reported regular<br />
participation in sports or other physical<br />
activities<br />
19
Percent Insufficient Physical Activity<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Percentage of Insufficient Physical Activity,<br />
By Age and Gender, WHS-<strong>Qatar</strong> <strong>2006</strong><br />
18 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70+<br />
Age Group<br />
Women<br />
Men
WHS Highlights<br />
Lifestyle R<strong>is</strong>k Factors<br />
WHS reported that less than 30% of adults<br />
surveyed were of normal weight; in contrast<br />
to 40% adults who were classified as<br />
overweight and 30% were obese (by BMI)<br />
Among children under five years of age<br />
assessed, an estimated 28 % were<br />
overweight<br />
21
Prevalence of Obesity Among Adults, WHS <strong>2006</strong><br />
Percent<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
24.6<br />
39.0<br />
28.8<br />
4.2 3.3<br />
Underweight Normal Overweight Obese Morbidly Obese<br />
WHS included Body Mass Index Assessment
Lifestyle R<strong>is</strong>k Factors<br />
WHS Highlights<br />
<strong>2006</strong> <strong>Qatar</strong> <strong>World</strong> <strong>Health</strong> <strong>Survey</strong> reported<br />
smoking by age, with a peak of 25% among<br />
young men<br />
<strong>2006</strong> <strong>Qatar</strong> <strong>World</strong> <strong>Health</strong> <strong>Survey</strong> reported that<br />
5% of women were smokers, with an increasing<br />
percentage of women over 50 who reported<br />
smoking cigarettes in the past 30 days<br />
2007 Global Youth Tobacco <strong>Survey</strong> indicated<br />
that 20% among men reported having smoked in<br />
the past 30 days<br />
23
Percent Smoking<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
WHS Highlights<br />
Smoking by Age Group<br />
25%<br />
18 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70+<br />
Age Group<br />
Male<br />
Female<br />
24
Recommendations<br />
The WHS may be used as a baseline to<br />
facilitate effective health system improvements<br />
Results represent an interesting standard for<br />
amending ex<strong>is</strong>ting policies and policy-building<br />
policy building<br />
Identify key areas to focus health promotion<br />
and early detection initiatives<br />
Refine routine data collection process through<br />
Mandatory Minimum Dataset Working Group<br />
Expand pilot of private sector capacity survey<br />
25
Future Plans<br />
WHS workshops will be held for policy makers<br />
and program managers aiming to elaborate the<br />
utilization of survey findings in health policies<br />
and programs (Nov 2008)<br />
Conduct health surveys with special focus areas<br />
Household survey to gather more detailed information<br />
about medical h<strong>is</strong>tories linked to health conditions<br />
Potentially plan a medical record review to enhance<br />
current health information about cancers<br />
26
Acknowledgements<br />
Dr. Mohamed Mahmoud Ali, WHO-EMRO<br />
WHO EMRO<br />
National <strong>Health</strong> Authority team<br />
Dr. Hamda Abdulla Qotba<br />
Dr. Adenike Frances Ajani<br />
Elmogiera Faduala Elsyed<br />
Loulwa Jassim Al Kuwari<br />
Reem Issa Al Kuwari<br />
<strong>World</strong> <strong>Health</strong> Organization, Geneva<br />
The Planning Council<br />
<strong>Qatar</strong> Stat<strong>is</strong>tics Authority<br />
27