Epidémiologie des Maladies Cardiovasculaires et Métaboliques en République Démocratique du Congo

In the context of epidemiological transition in tropical zones, the Democratic Republic of Congo (DRC) lacked up-to-date scientific data on the epidemiology of cardiovascular disease (CVD) and metabolic diseases (diabetes) to support decision-making. Thus, the aim of this thesis was to describe the epidemiology of CVD and diabetes in the DRC. Specifically, to study the progression of hypertension (HTN) and diabetes over five years, to estimate the proportion of mortality linked to CVD and diabetes, and to assess the level of preparedness of Healthcare Facilities (HF) to manage these diseases. Survey and routine data were used for this purpose, applying standardized tools and methods: The Routine Data Analysis approach established by John Hopkins University, The Medical Certification of Causes of Death approach established by the World Health Organization (WHO), The Service Availability and Readiness Assessment (SARA) survey approach also established by the WHO. It was found that hypertension (HTA) and diabetes progressed rapidly over five years (15.1% and 16.3%), and that CVD and diabetes represented a significant burden of mortality (20.4% and 5.4%). In contrast to this double burden, it was found that HFs were not readiness to manage CVD and diabetes. As CVD and metabolic diseases are an epidemiological burden in the DRC, public health actions should be integrated, with equal consideration given to the fight against communicable diseases (CD) and non-communicable diseases (NCD), and the health system should be strengthened.