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Table 1 Priority-setting criteria for NCD surveillance at first referral hospital. We considered all conditions included in the Mozambique’s NCD Control Plan and added COPD and Mental Illnesses

From: Incorporating selected non-communicable diseases into facility-based surveillance systems from a resource-limited setting in Africa

Condition Data Available Rational for Choice MGH Readiness
Arterial Hypertension 33% prevalence in adults nationwide 2005 [1]
39% prevalence in adults nationwide 2015 [3]
Low rate of control
High burden; high cost for the individual and the health system; high morbidity and mortality Easily recognizable;
Initial target of national action plan
Stroke 1.7 strokes/day with high mortality rate [2] High morbidity and mortality; high cost for the individual and the health system; Poor management Easily recognizable
Diabetes 2.9% prevalence in adults nationwide 2005 [3]
7.8% prevalence in adults nationwide 2015
Low rate of control
High burden; high morbidity and mortality; high cost to the individual and the health system; Poor management Tools available for diagnosis;
Initial target of national action plan
Cancers Cervical first cause of cancer in women [12, 13]
Prostate
Breast
High burden on national registries
Preventable infection with vaccine
Screening available;
Poor management
VIA test in place
Easily recognizable
PSA
Mammography
Asthma 13.3% prevalence in 67y and 13-14y [14]
2nd reason for in-patient treatment in Maputo
High burden on individuals and health system; high morbidity; Poor management Easily recognizable; Target of national action plan
Chronic Obstructive Pulmonary Disease No data available in the literature [15] High use of biomass fuels; Need to assess role of occupational health; High prevalence of pulmonary tuberculosis Tools available for diagnosis
Mental Illnesses Alcohol abuse [16]
Epilepsy [17, 18]
Depression/Suicide [19]
Psychosis
High burden; High proportion of hospital admissions; High cost on individual and health system; Poor management Target of national action plan; doctors & mental health clinical officers deployed;
  1. PSA Prostatic Specific Antigen, VIA visual inspection with acetic acid