CSwMR

3.10 Non-Communicable Diseases
The SCSPA 2012–2013 in Senegal was used to assess the following information for
non-communicable diseases:
• capacity to diagnose diabetes and the essential medicines for its management
• availability of essential medicines and commodities for the management of
cardiovascular diseases
• availability of essential medicines and commodities for the management of
chronic respiratory diseases
Overall, 91 percent of interviewed facilities provide diabetic services; 96 percent offer
services for cardiovascular disease; and 95 percent offer services for chronic respiratory
diseases.
Diagnosis and Essential Medicines for the Management of Diabetes
Table 3.24 shows the diagnostic capacity and the availability of essential medicines
for diabetes in facilities offering diabetic services.
Among the facilities offering treatment for diabetes, one quarter or less were capable
of carrying out testing for blood glucose (19 percent), urine glucose (25 percent), and urine
protein (25 percent).
This lack of diagnostic capacity was most pronounced in the regions of Matam and
Fatick, in contrast to Ziguinchor, where there is good availability.
The availability of medicines for the management of diabetes is very low in facilities
providing diabetic services. Only 2 percent had insulin; 3 percent had glibenclamide; and 4
percent had metformin available. Glucose solution was available in 42 percent of these
facilities on the day of the survey.
43