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Title page 1
Contents 4
ABBREVIATIONS 12
MESSAGE 13
FOREWORD 14
ACKNOWLEDGEMENT 15
EXECUTIVE SUMMARY 18
I. INTRODUCTION 23
II. METHODS 28
III. RESULTS 40
IV. DISCUSSION 139
V. CONCLUSION AND RECOMMENDATIONS 144
VI. REFERENCES 146
VII. ANNEX 148
Annex I: Sampling methodology 148
Annex II: Survey instrument used in household survey 155
Annex III: Tool- Facility survey for availability and readiness of NCD services in health facilities 210
Annex IV: Detailed results - Household survey 260
Annex V: Detailed results- Availability and readiness of NCD services in health 301
Figure 3.1. Percentage of current tobacco users among respondents, by sex and type of tobacco, Timor-Leste 2023 42
Figure 3.2. Percentage of current tobacco smokers among respondents, by sex and age group, Timor-Leste 2023 43
Figure 3.3. Proportion of never smokers, ever smokers, non-daily and daily smokers among respondents, by sex, Timor-Leste 2023 43
Figure 3.4. Mean age of initiation of smoking among current daily smokers, by sex, Timor-Leste 2023 44
Figure 3.5. Mean duration of smoking among current daily smokers, by sex and age group, Timor-Leste 2023 44
Figure 3.6. Percentage of current smokers who have tried to stop smoking, by sex and age group, Timor-Leste 2023 45
Figure 3.7. Percentage of current smokeless tobacco users, by sex and age group, Timor-Leste 2023 45
Figure 3.8. Proportion of never users, former users, non-daily and daily users of smokeless tobacco products among respondents, by sex,... 46
Figure 3.9. Exposure to second hand smoke among respondents, by sex, Timor-Leste 2023 47
Figure 3.10. Percentage of respondents who noticed information during the past 30 days on the media about the dangers of smoking that... 48
Figure 3.11. Percentage of respondents who noticed cigarette promotions during the past 30 days, Timor-Leste 2023 48
Figure 3.12. Percentage of alcohol consumption status among respondents, by sex, Timor-Leste 2023 49
Figure 3.13. Frequency of alcohol consumption in the past 12 months among current drinkers, by sex, Timor-Leste 2023 50
Figure 3.14. Frequency of alcohol consumption in the past 7 days among current drinkers, by sex, Timor-Leste 2023 51
Figure 3.15. Proportion of drinkers by amount and sex among current drinkers, Timor-Leste 2023 51
Figure 3.16. Percentage of consumption of unrecorded alcohol during the past 7 days among current drinkers, by sex and age group,... 52
Figure 3.17. Mean number of standard drinks and standard drinks of unrecorded alcohol on average per day in the past 7 days among current... 53
Figure 3.18. Mean maximum number of standard drinks consumed on one occasion in the past 30 days among current drinkers, by sex and... 53
Figure 3.19. Percentage of respondents consuming six or more drinks on a single occasion at least once during the past 30 days, by sex and... 54
Figure 3.20. Mean number of Times with six or more drinks during a single occasion in the past 30 days among current drinkers, by sex and... 55
Figure 3.21. Percentage of former drinkers (those who did not drink during the past 12 months) who stopped drinking due to health reasons,... 55
Figure 3.22. Percentage of respondents reporting the affordability of buying the same quantity of alcohol now compared to the past year... 56
Figure 3.23. Percentage of respondents who currently smoke and drink, by sex and age group, Timor-Leste 2023 57
Figure 3.24. Mean number of fruit, vegetables and combined fruit and/or vegetables servings on average per day among respondents,... 58
Figure 3.25. Percentage of respondents who ate less than 5 servings of fruit and/or vegetables on average per day, by sex, Timor-Leste 2023 58
Figure 3.26. Frequency of consumption of carbonated soft drinks during the past 7 days among the respondents, by sex, Timor-Leste 2023 59
Figure 3.27. Frequency of consumption of sugar sweetened drinks during the past 7 days among respondents, by sex, Timor-Leste 2023 59
Figure 3.28. Frequency of consumption of energy drinks during the past 7 days among respondents, by sex, Timor-Leste 2023 60
Figure 3.29. Frequency of consumption of 100% fruit juices during the past 7 days among respondents, by sex, Timor-Leste 2023 60
Figure 3.30. Salt consumption habits among respondents, by sex, Timor-Leste 2023 61
Figure 3.31. Self-reported quantity of consumed salt among respondents, by sex, Timor-Leste 2023 62
Figure 3.32. Percentage of respondents who knew the WHO recommendation of maximum intake of salt, by sex and age group, Timor-Leste 2023 62
Figure 3.33. Percentage of respondents not engaged in vigorous physical activity, by sex and age group, Timor-Leste 2023 64
Figure 3.34. Mean and median minutes spent in sedentary activity on a typical day by respondents, by sex, Timor-Leste 2023 65
Figure 3.35. Percentage of respondents (excluding pregnant women) according to the body mass index classification, by sex, Timor-Leste 2023 66
Figure 3.36. Mean waist and hip circumference in centimeters in respondents, by sex, Timor-Leste 2023 66
Figure 3.37. Percentage of blood pressure measurement and diagnosis among respondents, by sex, Timor-Leste 2023 67
Figure 3.38. Percentage of previously diagnosed hypertensive respondents who reported to be on medication for raised blood pressure... 68
Figure 3.39. Mean systolic and diastolic blood pressure (mmHg) among respondents, Timor-Leste 2023 68
Figure 3.40. Percentage of respondents with raised blood pressure, by sex, Timor-Leste 2023 69
Figure 3.41. Percentage of respondents with raised blood pressure by the level of blood pressure and the details of being on medication... 70
Figure 3.42. Hypertension care cascade among respondents with raised blood pressure, by sex, Timor-Leste 2023 71
Figure 3.43. Blood sugar measurement and diagnosis among respondents, by sex, Timor-Leste 2023 72
Figure 3.44. Percentage of respondents with impaired fasting glycaemia and raised fasting blood glucose, by sex, Timor-Leste 2023 73
Figure 3.45. Diabetes care cascade among respondents with raised blood sugar, by sex, Timor-Leste 2023 74
Figure 3.46. Percentage with raised blood pressure and with raised blood sugar, by sex and age group, Timor-Leste 2023 74
Figure 3.47. Total cholesterol measurement and diagnosis among respondents, by sex, Timor-Leste 2023 75
Figure 3.48. Percentage of respondents with three or more risk factors, by sex and age group, Timor-Leste 2023 76
Figure 3.49. Percentage of respondents according to the level of 10-year CVD risk, by sex, Timor-Leste 2023 77
Figure 3.50. Percentage of respondents with a 10-year CVD risk ≥20% or with existing CVD, by sex and age group, Timor-Leste 2023 78
Figure 3.51. Percentage of respondents involved in a road traffic accident (as a driver, passenger, pedestrian, cyclist) in the past 12 months,... 79
Figure 3.52. Percentage of respondents who always wore a seat belt as a driver or passenger of a motor vehicle in past 30 days, by sex and... 79
Figure 3.53. Percentage of respondents who always wore a helmet as a passenger on a motorcycle or motor scooter in past 30 days, by sex and... 80
Figure 3.54. Percentage of respondents who ever visited a dentist, by sex and age group, Timor-Leste 2023 81
Figure 3.55. Percentage of respondents who cleaned teeth daily cleaning of teeth, by sex and age group, Timor-Leste 81
Figure 3.56. Percentage of respondents using tooth paste containing fluoride, by sex and age group, Timor-Leste 2024 82
Figure 3.57. Percentage of respondents whoever had vision/eyes checked by a doctor or other health worker, by sex and age group, Timor-Leste 2023 82
Figure 3.58. Percentage of respondents whoever had hearing checked by a doctor or other health worker, by sex and age group, Timor-Leste 2023 83
Figure 3.59. Percentage of respondents who reported as suffering from one or more major NCDs, by sex and age group, Timor-Leste 2023 84
Figure 3.60. Percentage of respondents with NCDs who were hospitalized due to NCDs in last 12 months, by sex and age group, Timor-Leste 2023 85
Figure 3.61. Mean out of pocket expenditure [direct (medical and non-medical) and indirect] on hospitalization due to NCD in the past 12 months... 85
Figure 3.62. Mean out of pocket total expenditure [direct (medical and non-medical) and indirect] on outpatient care due to NCDs in the past... 86
Figure 3.63. Availability of selected manpower in health facilities, Timor-Leste 2023 89
Figure 3.64. Existence of basic infrastructure and systems in health facilities, Timor-Leste 2023 90
Figure 3.65. Existence of NCD related basic laboratory and diagnostic services across facilities, Timor-Leste 2023 92
Figure 3.66. Percentage of facilities providing education services for prevention of NCDs and type of health education provided, Timor-Leste 2023 93
Figure 3.67. Availability of integrated screening services for diabetes, hypertension, CVD and CRD and screening of all adults aged above 40 years... 94
Figure 3.68. Next step if patients are screened positive for NCDs, Timor-Leste 2023 95
Figure 3.69. Availability of services to follow up and manage patients with long term NCDs across facilities, Timor-Leste 2023 96
Figure 3.70. Availability of services to manage patients with acute NCDs across facilities, Timor-Leste 2023 97
Figure 3.71. Availability of services to prevent rheumatic heart diseases across facilities, Timor-Leste 2023 97
Figure 3.72. Availability of cancer screening across facilities, Timor-Leste 2023 98
Figure 3.73. Availability of detailed cancer screening services across facilities, Timor-Leste 2023 99
Figure 3.74. Availability of selected mental health services across facilities, Timor-Leste 2023 101
Figure 3.75. Availability of oral health services across facilities, Timor-Leste 2023 103
Figure 3.76. Availability of eye health services across facilities, Timor-Leste 2023 104
Figure 3.77. Availability of registers for patients screened/managed for diabetes and hypertension, Timor-Leste 2023 105
Figure 3.78. Availability of NCD related guidelines and protocols across facilities, Timor-Leste 2023 106
Figure 3.79. Doctors trained in NCD services in last 5 years across facilities, Timor-Leste 2023 107
Figure 3.80. Nurses trained in NCD services in last 5 years across facilities, Timor-Leste 2023 108
Figure 3.81. Percentage of facilities with at least one unexpired dose of key medicines to treat cardiovascular diseases/hypertension observed,... 109
Figure 3.82. Percentage of facilities with at least one unexpired dose of key medicines to treat diabetes observed, Timor-Leste 2023 110
Figure 3.83. Percentage of facilities with at least one unexpired dose of key medicines to treat asthma/CRD observed, Timor-Leste 2023 111
Figure 3.84. Percentage of HPs with doctors where the diagnostic devices/equipments, Timor-Leste 2023 112
Figure 3.85. Percentage of CHC-1 & 2s with doctors where the diagnostic devices/equipments, Timor-Leste 2023 113
Figure 3.86. Percentage of CHC-3's with doctors where the diagnostic devices/equipments, Timor-Leste 2023 114
Figure 3.87. Percentage of RHs with doctors where the diagnostic devices/equipments, Timor-Leste 2023 115
Figure 3.88. Readiness score for integrated screening services of NCDs, by type of health facility, Timor-Leste 2023 122
Figure 3.89. Readiness score for screening services of CRD, by type of health facility, Timor-Leste 2023 125
Figure 3.90. Readiness score for screening services of diabetes, by type of health facility, Timor-Leste 2023 129
Figure 3.91. Readiness score for follow up and management of hypertension, by type of health facility, Timor-Leste 2023 133
Figure 3.92. Readiness score for follow up and management of chronic respiratory disease, by type of health facility, Timor-Leste 2023 137
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