State of non-communicable diseases in Nepal

BMC Public Health

Choplal Bhusal²  Sushma Neupane²  Meghnath Dhimal²  Mirak Raj Angdembe³  Gajananda Prakash Bhandari¹ 

[1] Nepal Public Health Foundation, 102/2 Dhara Marg, Maharajgunj, P.O. Box: 11218, Kathmandu-4, Nepal;Nepal Health Research Council, Kathmandu, Nepal;Department of Public Health, Central Institute of Science and Technology, Pokhara University, Kathmandu, Nepal

关键词: Magnitude;    Burden;    Chronic disease;    Prevalence;    Nepal;    Non-communicable disease;   

Others  :  1161360
DOI  :  10.1186/1471-2458-14-23

 received in 2012-08-28, accepted in 2014-01-06,  发布年份 2014

【 摘 要 】

Background

The prevalence of Non Communicable Diseases (NCDs) is still unknown in Nepal. The Ministry of Health and Population, Government of Nepal has not yet formulated policy regarding NCDs in the absence of evidence based finding. The study aims to find out the hospital based prevalence of NCDs in Nepal, thus directing the concerned authorities at policy level.

Methods

A cross sectional study was conducted to identify the hospital based prevalence of 4 NCDs (cancer, cardiovascular disease, diabetes mellitus and chronic obstructive pulmonary disease), wherein 400 indoor patients admitted during 2009 were randomly selected from each of the 31 selected health institutions which included all non-specialist tertiary level hospitals outside the Kathmandu valley (n = 25), all specialist tertiary level hospitals in the country (n = 3) and 3 non-specialist tertiary level hospitals inside the Kathmandu valley. In case of Kathmandu valley, 3 non-specialist health institutions- one central hospital, one medical college and one private hospital were randomly selected. The main analyses are based on the 28 non-specialist hospitals. Univariate (frequency and percentage) and bivariate (cross-tabulation) analysis were used.

Results

In non-specialist institutions, the hospital based NCD prevalence was 31%. Chronic obstructive pulmonary disease (43%) was the most common NCD followed by cardiovascular disease (40%), diabetes mellitus (12%) and cancer (5%). Ovarian (14%), stomach (14%) and lung cancer (10%) were the main cancers accounting for 38% of distribution. Majority of CVD cases were hypertension (47%) followed by cerebrovascular accident (16%), congestive cardiac failure (11%), ischemic heart disease (7%), rheumatic heart disease (5%) and myocardial infarction (2%). CVD was common in younger age groups while COPD in older age groups. Majority among males (42%) and females (45%) were suffering from COPD.

Conclusions

The study was able to reveal that Nepal is also facing the surging burden of NCDs similar to other developing nations in South East Asia. Furthermore, the study has provided a background data on NCDs in Nepal which should prove useful for the concerned organizations to focus and contribute towards the prevention, control and reduction of NCD burden and its risk factors.

【 授权许可】

   
2014 Bhandari et al.; licensee BioMed Central Ltd.

【 图 表 】

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