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Non Communicable Disease Risk Factors Survey, 2007/08

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Non Communicable Disease Risk Factors Survey, 2007/08 WHO STEPS SURVEILLANCE NON COMMUNICABLE DISEASE RISK FACTORS SURVEY, 2007/08 NEPAL MINISTRY OF HEALTH AND POPULATION SOCIETY FOR LOCAL INTEGRATED GOVERNMENT OF NEPAL DEVELOPEMENT NEPAL (SOLID NEPAL ) List of Abbreviations BMI Body Mass Index BP Blood Pressure CBS Central Bureau of Statistics CI Confidence Interval COPD Chronic Obstructive Pulmonary Diseases CVD Cardiovascular Diseases DBP Diastolic Blood Pressure DALY Disability Adjusted Life Years FCTC Framework Convention on Tobacco Control GDP Gross Domestic Products HMG Nepal His majesty's Government of Nepal ICD International Classification of Diseases MET Metabolic Equivalent mmHg Millimeter of Mercury MOH Ministry of Health MOHP Ministry of Health and Population NCD Non-communicable diseases NCDRF Non-Communicable Diseases Risk Factors NGO Non-governmental Organization NHRC Nepal Health Research Council PPS Probability Proportionate to Size SEAR South East Asia Region SEARO South East Asia Regional Office SBP Systolic Blood Pressure SOLID Nepal Society for Local Integrated Development Nepal TFI Tobacco Free Initiative VDC Village Development Committee WHO World Health Organization Contents Executive Summary Background ............................................................................................................................ i Tobacco use ........................................................................................................................... ii Alcohol Consumption ........................................................................................................... iii Fruit and vegetable consumption .......................................................................................... iii Physical activities ................................................................................................................. iii Reported prevalence of High Blood pressure ....................................................................... iii Reported prevalence of Diabetes .......................................................................................... iv Physical measurement .......................................................................................................... iv Raised risk factors for NCD ................................................................................................. iv Conclusion and Recommendations ...................................................................................... iv Conclusion ............................................................................................................................ iv Recommendations ................................................................................................................. v General .................................................................................................................................. v For Ministry of Health and Population (MoHP) ................................................................... v For DOHS ............................................................................................................................. vi For Hospitals and health care providing facilities. ............................................................... vi Chapter– 1 INTRODUCTION, METHODOLOGY AND PROCESS ................................................ 1 Background ........................................................................................................................... 1 Risk Factors ........................................................................................................................... 2 Objectives .............................................................................................................................. 4 Study Design ......................................................................................................................... 4 Design .................................................................................................................................... 4 Eligibility criteria ................................................................................................................... 4 Exclusion criteria ................................................................................................................... 4 Sampling Design ................................................................................................................... 4 Sample Size Calculation ........................................................................................................ 4 Sampling Strategy ................................................................................................................. 5 Data Collection .................................................................................................................... 11 Questionnaire Design and Data collection .......................................................................... 11 Behavioral Questionnaire .................................................................................................... 11 Physical Measurement ......................................................................................................... 11 Components of the questionnaire ........................................................................................ 11 Pilot Testing......................................................................................................................... 12 Information Collection ........................................................................................................ 12 Field Team ........................................................................................................................... 12 Training of interviewers, supervisor and Data Entry Person ............................................... 12 Maintaining the quality of data ............................................................................................ 13 Data Management ................................................................................................................ 13 Data Analysis....................................................................................................................... 13 Ethical Approval for the survey .......................................................................................... 13 Confidentiality ..................................................................................................................... 14 The survey phase ................................................................................................................. 14 Chapter– 2 RESULTS ............................................................................................................... 15 Sampling and Response Proportions .......................................................................... 15 1. Demographic Information .......................................................................................... 16 Age and sex ................................................................................................................ 16 Ethnicity ..................................................................................................................... 16 Education .................................................................................................................... 17 Employment status ..................................................................................................... 19 Annual income ........................................................................................................... 21 2. Tobacco Use ............................................................................................................... 22 3. Alcohol Consumption ................................................................................................ 33 4. Fruit and Vegetable Consumption .............................................................................. 42 5. Physical Activity ........................................................................................................ 47 6. Blood Pressure and Diabetes History ......................................................................... 55 History of High blood pressure .................................................................................. 55 History of Diabetes ..................................................................................................... 60 7. Physical Measurements .............................................................................................. 65 8. Raised Risk ................................................................................................................. 71 Chapter-3 CONCLUSION AND RECOMMONDATION .............................................. 74 Conclusion ........................................................................................................................... 74 Recommendations ............................................................................................................... 75 General ................................................................................................................................ 75 For Ministry of Health and Population (MoHP) ................................................................. 75 For DOHS ............................................................................................................................ 76 For Hospitals and health care providing facilities.
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