Non-Communicable Diseases Risk Factors Study

Title: Non Communicable Disease (NCD) Risk Factor Surveillance in INDEPTH-Network Asia/Oceania sites

Period: 2005

Collaborators:  HDSS sites in Asia, namely Matlab, Mirsarai, Abhoynagar, and WATCH (Bangladesh), Vadu (India), Purworejo (Indonesia), Kanchanaburi (Thailand), Filabavi and Chililab (Vietnam)

Sponsor: INDEPTH Network

Investigator/s: Dr. Sanjay Juvekar, Dr. Nawi Ng, Dr. Hoang Van Minh, Dr. Le Vu Anh, Dr. Abdullahel Hadi, Mr. Ali Ashraf, Dr. Abdur Razzaque, Dr. Uraiwan Kranungsukaseam

Rationale:

Non communicable Diseases (NCDs) including cardiovascular diseases, cancer, chronic obstructive pulmonary disease and diabetes are the biggest cause of death in the South-East Asia Region (SEAR). The observed rapid rise in NCDs threatens economic and social development as well as lives and health of millions of people in the Region. INDEPTH Network contributes to the regional efforts aimed at reducing the avoidable burden of NCDs through supporting Member States in applying existing knowledge and mobilizing resources for strengthening integrated NCD prevention programmes focusing on controlling major modifiable risk factors such as tobacco use, unhealthy diet and physical inactivity at population and individual levels. Most Member States in the Region are undergoing significant social and demographic changes, marked by rapid urbanization, expanding industrialization, rising income and improved health care. The rapid pace of industrialization, urbanization and globalization is resulting in high prevalence of common risk factors, namely, tobacco use, alcohol abuse, unhealthy diet, obesity and physical inactivity in SEAR

Aim/s and objectives:

Overall aim of this study is to strengthen the capacity of Asia/Oceania DSS sites for continuous NCD risk factor surveillance. 

Objectives:

  1. To collect information on NCD risk factors using STEP 1 and STEP 2 approaches of WHO standardized methods
  2. To compare NCD risk factors data across all the sites 
  3. To incorporate appropriate elements of NCD risk factor module into regular surveillance of the DSS sites
  4. To build capacity across sites in NCD in general and NCD risk factor surveillance specifically

Research Methods/Study Design: This multi-site study was designed as a baseline cross-sectional survey with sufficient sample size to measure trends over time. 

Study population/ Sample size:

In each of nine HDSS sites in five Asian countries, a sample of 2,000 men and women aged 25-64 years, using the WHO STEP wise approach to Surveillance (http://who.int/chp/steps), was selected using stratified random sampling (in each 10-year interval) from the HDSS sampling frame

Outcome/Findings:

This multi-site study confirmed the feasibility of conducting chronic NCD risk factor surveillance in the low and middle-income settings by integrating the chronic NCDs risk factor surveillance into an existing HDSS data collection and management setting. This collaborative work has provided reliable epidemiological data as a basis for developing chronic NCD prevention and control activities.

List of Publication, if any:

  1. Using the INDEPTH HDSS to build capacity for chronic non-communicable disease risk factor surveillance in low and middle-income countries; Nawi Ng, Hoang Van Minh, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  2. Self- reported use of tobacco products in nine rural INDEPTH Health and Demographic Surveillance Systems in Asia; Ali Ashraf, M.A. Quaiyum, Nawi Ng, Hoang Van Minh, Abdur Razzaque, Syed Masud Ahmed, Abdullahel Hadi, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  3. Patterns of alcohol consumption in diverse rural populations in the Asian region; Tran Huu Bich, Pham Thi Quynh Nga, La Ngoc Quang, Hoang Van Minh, Nawi Ng, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  4. Fruit and vegetable consumption in rural adults’ population in INDEPTH HDSS sites in Asia; Uraiwan Kanungsukkasem, Nawi Ng, Hoang Van Minh, Abdur Razzaque, Ali Ashraf, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  5. Prevalence of physical inactivity in nine rural Health and Demographic Surveillance Systems in five Asian countries; Nawi Ng, Mohammad Hakimi, Hoang Van Minh, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  6. Social factors and overweight: evidence from nine Asian INDEPTH Network sites; Abdur Razzaque, Lutfun Nahar, Hoang Van Minh, Nawi Ng, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  7. Blood pressure in adult rural INDPETH population in Asia; Hoang Van Minh, Kusol Soonthornthada, Nawi Ng, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  8. Clustering of chronic non- communicable disease risk factors among selected Asian populations: levels and determinants; Syed Masud Ahmed, Abdullahel Hadi, Abdur Razzaque , Ali Ashraf, Sanjay Juvekar et al. Global Health Action Supplement 1, 2009.
  9. Self-reported prev¬alence of chronic diseases and their relation to selected sociodemographic variables: a study in INDEPTH Asian sites, Minh HV, Ng N, Juvekar S, Razzaque A, Ashraf A, Hadi A, et al. Prev Chronic Dis; 5(3). (ref: http://www.cdc.gov/pcd/issues/2008/jul/07_0115.htm).
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