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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

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