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Byo hospitals overburdened by non-communicable diseases

Health officials in Bulawayo are calling for a more robust government effort to raise awareness about non-communicable diseases (NCDs) as hospitals grapple with a surge in patients suffering from these illnesses.

Speaking at a stakeholdersโ€™ meeting in the city, Professor Solwayo Ngwenya, the clinical director of Mpilo Hospital, said there is a need for increased public education on the dangers of NCDs.

โ€œWe urgently need to raise awareness about these diseases among the population to save lives,โ€ Prof Ngwenya stated. โ€œWeโ€™re witnessing a concerning rise in non-communicable diseases, which significantly burden our healthcare system. These diseases include hypertension, strokes, diabetes, kidney diseases, HIV, cancer, and even assault cases.โ€

Prof Ngwenya highlighted cancer as a particularly worrying NCD, with many patients seeking treatment only when the disease is already advanced.

โ€œWe have approximately 70 patients on renal dialysis, and that number is steadily increasing,โ€ he said. โ€œSadly, roughly one or two people succumb to cancer every day. This is a major concern for us as clinicians. While Mpilo can offer cancer screening, specifically for cervical cancer, and treatment for early-stage diseases, including surgery for moderately advanced cases, we have limited options for patients with advanced stages (stages three and four). Unfortunately, these patients often die at the rate Iโ€™ve mentioned.โ€

Zimbabwe, along with many other countries in Sub-Saharan Africa, faces a significant burden of NCDs.

In response, the World Health Organizationโ€™s African Region (WHO-Afro) has set ambitious goals. They aim to have 50% of member states implement PEN-Plus services in district hospitals by 2025, 65% by 2028, and 70% by 2030.

PEN-Plus is the WHO-Afroโ€™s regional strategy, adopted by African health ministers in Togo in 2022, to address severe non-communicable diseases in Africa. The strategy is backed by WHO support and represents a commitment to tackling this growing health challenge.

WHO data shows that more than 560,000 preventable deaths occur annually among the worldโ€™s poorest children and young adults. Nearly 100,000 of these deaths are attributed to NCDs such as cancers, Type 1 diabetes mellitus, sickle cell disease, rheumatic diseases, and congenital heart disease.

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