Department of Health Promotion, Faculty of Health, Medicine and Life Sciences, Maastricht University, PO Box 616, 6200 Maastricht, Netherlands.
Office of the Director General of Health, Ministry of Health Samoa, Apia, Samoa.
Bull World Health Organ. 2018 Aug 1;96(8):578-583. doi: 10.2471/BLT.17.203695. Epub 2018 Jun 28.
Samoa has been struggling to address the burden of noncommunicable diseases at the health system, community and individual levels.
The World Health Organization (WHO) package of essential noncommunicable disease interventions for primary health care in low-resource settings was adopted in seven villages throughout Samoa in 2015. The National Steering Committee Members designed and implemented a screening process, and local facilitators and health-care workers collected health and lifestyle data. The WHO/International Society of Hypertension risk assessment was used on villagers older than 40 years to identify people at high risk of noncommunicable disease.
Samoa is a small island developing state with increasing morbidity and mortality due to noncommunicable diseases. A national representative survey indicated that 50.1% (595/1188) of the Samoan adult population is at high risk of such diseases. High numbers of noncommunicable diseases are undiagnosed or untreated, because of shortage of health-care staff and lack of awareness of risk factors.
The teams collected data from 2234 adults. For people older than 40 years, 6.7% (54/804) were identified as being at high-risk and were encouraged to seek treatment or manage risk factors. Community members developed an awareness programme to improve understanding of lifestyle risk factors.
Engaging community members was crucial in conducting a successful screening campaign. By identifying those villagers at high risk of developing noncommunicable diseases, early intervention was possible. Education improved awareness of the symptom-free nature of early-stage noncommunicable diseases.
萨摩亚一直努力在卫生系统、社区和个人层面解决非传染性疾病负担问题。
2015 年，萨摩亚在七个村庄采用了世卫组织基本非传染性疾病干预措施一揽子计划，用于资源匮乏环境中的初级卫生保健。国家指导委员会成员设计并实施了一个筛选程序，当地促进者和卫生保健工作者收集了健康和生活方式数据。对 40 岁以上的村民使用了世卫组织/国际高血压学会风险评估方法，以确定有患非传染性疾病高风险的人群。
萨摩亚是一个小岛屿发展中国家，非传染性疾病发病率和死亡率不断上升。一项全国代表性调查表明，50.1%（595/1188）的萨摩亚成年人口有患此类疾病的高风险。由于卫生保健人员短缺和对危险因素缺乏认识，大量的非传染性疾病未得到诊断或治疗。
各团队共收集了 2234 名成年人的数据。对于 40 岁以上的人群，有 6.7%（54/804）被确定为高风险人群，鼓励他们寻求治疗或管理危险因素。社区成员制定了一项宣传计划，以提高对生活方式危险因素的认识。
让社区成员参与是开展成功筛查活动的关键。通过确定那些有患非传染性疾病高风险的村民，可以进行早期干预。教育提高了人们对无症状的早期非传染性疾病的认识。
