OBJECTIVE: We aim at analysing the increase of CVDs in the Tunisian hospitals in order to assess the burden of NCDs in the transitional context. METHODS: Data are recorded through the Tunisian National Morbidity and Mortality Survey (TNMMS). In order to assess the CVDs (CHDs vs RHDs) trend, two representative samples of Cardiology Departements patients were compared one is selected from the TNMMS and the second from the hospitalisations recorded in 1992. Causes, stay duration, status at the end of the hospitalisation, transfer to another hospital and patients socio-demographic characteristics are recorded and compared for the two periods. All the diagnosis are coded referring to the DMC 10. To analyze the determinant of the epidemiological transition, we have elaborated the CVD causal pattern and we have documented all their determinants. RESULTS: CHD rate has dramatically increased, while RHD has decreased especially on men. In 1992, 39.2% of men and 11.8% of women were admitted for CHD. In 2002, these rate are respectivly 58.8% and 38.2% while RHD rates were, in 1992, 11.8% on men and 25.3% on women vs 4.4% and 11.7% respectively. CONCLUSION: This study has confirmed that so far controlling transmitted diseases seems to be successful, Tunisian people are about to face a new problems as hypertension, obesity, diabetes and tobacco smoking. The new challenge with the burden of diseases requires the implementation of a national strategy relevant to the epidemiological, social and economical transition. Population needs and cost effectiveness of interventions assessment is crucial to set the national priorities.
OBJECTIVE: We aim at analysing the increase of CVDs in the Tunisian hospitals in order to assess the burden of NCDs in the transitional context. METHODS: Data are recorded through the Tunisian National Morbidity and Mortality Survey (TNMMS). In order to assess the CVDs (CHDs vs RHDs) trend, two representative samples of Cardiology Departements patients were compared one is selected from the TNMMS and the second from the hospitalisations recorded in 1992. Causes, stay duration, status at the end of the hospitalisation, transfer to another hospital and patients socio-demographic characteristics are recorded and compared for the two periods. All the diagnosis are coded referring to the DMC 10. To analyze the determinant of the epidemiological transition, we have elaborated the CVD causal pattern and we have documented all their determinants. RESULTS: CHD rate has dramatically increased, while RHD has decreased especially on men. In 1992, 39.2% of men and 11.8% of women were admitted for CHD. In 2002, these rate are respectivly 58.8% and 38.2% while RHD rates were, in 1992, 11.8% on men and 25.3% on women vs 4.4% and 11.7% respectively. CONCLUSION: This study has confirmed that so far controlling transmitted diseases seems to be successful, Tunisian people are about to face a new problems as hypertension, obesity, diabetes and tobacco smoking. The new challenge with the burden of diseases requires the implementation of a national strategy relevant to the epidemiological, social and economical transition. Population needs and cost effectiveness of interventions assessment is crucial to set the national priorities.
Authors: Habiba Ben Romdhane; Faten Tlili; Afef Skhiri; Shahaduz Zaman; Peter Phillimore Journal: Int J Public Health Date: 2014-11-16 Impact factor: 3.380
Authors: Mohammad Abu-Zaineh; Habiba Ben Romdhane; Bruno Ventelou; Jean-Paul Moatti; Arfa Chokri Journal: Int J Health Care Finance Econ Date: 2013-02-05
Authors: Faten Tlili; Francine Tinsa; Afef Skhiri; Shahaduz Zaman; Peter Phillimore; Habiba Ben Romdhane Journal: Int J Public Health Date: 2014-06-13 Impact factor: 3.380
Authors: O Saidi; D Malouche; M O'Flaherty; N Ben Mansour; H A Skhiri; H Ben Romdhane; L Bezdah Journal: BMJ Open Date: 2016-11-30 Impact factor: 2.692
Authors: Habiba Ben Romdhane; Samir Ben Ali; Wafa Aissi; Pierre Traissac; Hajer Aounallah-Skhiri; Souha Bougatef; Bernard Maire; Francis Delpeuch; Noureddine Achour Journal: BMC Public Health Date: 2014-01-28 Impact factor: 3.295
Authors: David Watkins; Liesl Zuhlke; Mark Engel; Rezeen Daniels; Veronica Francis; Gasnat Shaboodien; Mabvuto Kango; Azza Abul-Fadl; Abiodun Adeoye; Sulafa Ali; Mohammed Al-Kebsi; Fidelia Bode-Thomas; Gene Bukhman; Albertino Damasceno; Dejuma Yadeta Goshu; Alaa Elghamrawy; Bernard Gitura; Abraham Haileamlak; Abraha Hailu; Christopher Hugo-Hamman; Steve Justus; Ganesan Karthikeyan; Neil Kennedy; Peter Lwabi; Yoseph Mamo; Pindile Mntla; Chris Sutton; Ana Olga Mocumbi; Charles Mondo; Agnes Mtaja; John Musuku; Joseph Mucumbitsi; Louis Murango; George Nel; Stephen Ogendo; Elijah Ogola; Dike Ojji; Taiwo Olabisi Olunuga; Mekia Mohammed Redi; Kamanzi Emmanuel Rusingiza; Mahmoud Sani; Sahar Sheta; Steven Shongwe; Joris van Dam; Habib Gamra; Jonathan Carapetis; Diana Lennon; Bongani M Mayosi Journal: Cardiovasc J Afr Date: 2016-01-12 Impact factor: 1.167