Non-communicable diseases (NCDs) – the 2nd leading cause of death and disability in Kenya account for:
two thirds of hospital admissions
55%
half of hospital deaths
50%
one third of total deaths
27%
Hypertension: (MOH STEPs 2015)
Age standardized prevalence of hypertension: 24.5%
Only 15.6% aware of their elevated BP status
Of those aware only 26.9% on treatment
7% of those on treatment achieved BP control
Factors associated with hypertension: older age, high BMI, harmful use of alcohol
Diabetes (MOH STEPs 2015)
Age-standardised prevalence:
pre-diabetes 3.1%,
diabetes 2.4%
Only 43.7% aware of their glycaemic condition
Only 20% of those aware had received treatment
Only 7% of those diagnosed with diabetes had blood glucose under control
Older age (60-69 years) and raised blood pressure associated with diabetes
Overweight/obesity among women associated with diabetes
Cardiovascular Diseases (MOH 2018, National guidelines for CVD Management, Handbook)
2nd highest cause of death after infectious, maternal and peri-natal causes
25% of hospital admissions
13% of deaths
Cancer (MoH 2019, Kenya National Cancer Treatment Protocols)
3rd leading cause of death after CVD
47,887 new cases in 2018
32,987 cancer deaths in 2018
KNBS Household Survey June 2020
2% of households surveyed had at least one individual living with a pre-existing medical condition:
hypertension
35%
allergies
19%
diabetes
15%
chronic lung disease
12%
mental health
4%
heart disease, heart attack, stroke
3%
cancer
2%
overweight/obesity
1%
liver disease
1%
Economic Burden of NCDs
• NCDs require life-long management and reduce household incomes by 28.5% due to spending on NCDs and loss of productivity.
• The odds of households becoming impoverished from out of pocket expenditures on NCDs is over 30% higher than for those households affected by communicable diseases .
• NCDs strain the health system, impact Kenya’s economic and social progress, and impede attainment of 2030 Agenda for Sustainable Development but
• 6.5% of the health budget was spent on NCDs in 2015/163.
Socio-economic Impact of COVID-19 on households (KNBS household survey June 2020)
61.9% absent from work for COVID related challenges | 77.8% not sure when they would resume
62%
37.0% unable to pay rent for May 2020 | Reduced income main reason for defaulting
37%
78.6% of households food insecure: 21.9% households without food stocks | 78.8% households experienced increased food prices | 21.6% worried about food security
79%
18.4% received cash transfers from relatives
18%
COVID-19 pandemic has revealed the lack of investment in prevention, early diagnosis, screening and appropriate treatment of NCDs.
Persons living with diabetes, heart disease, kidney diseases, hypertension and obesity are particularly vulnerable to severe complications and death from COVID-19.
COVID-19 pandemic revealed the lack of investment in prevention, early diagnosis, screening and appropriate treatment of NCD
Persons living with diabetes, heart disease, kidney diseases, hypertension and obesity are particularly vulnerable to severe complications and death from COVID-19
Prioritisation of treatment and care of persons living with NCDs in the national COVID-19 response to prevent an upsurge in life-threatening NCD-related complications and COVID-19 deaths