Asthma Section

Asthma affects both children and adults. It is estimated that 300 million people of all ages suffer from asthma. A world map of the prevalence of asthma has been produced based on results of two large multi-national studies including developing countries: The European Community Respiratory Health Survey (ECRHS) in adults and the International Study of Asthma and Allergies in Childhood (ISAAC) in children.

The prevalence of asthma in children aged 13-14 years varies among countries and in the same country among centers. The results of ISAAC Phase I showed that the highest prevalence of asthma was observed in industrialized countries (between 10 and 25%), and that this prevalence is already worryingly high in Latin America, in the Eastern Mediterranean and in Africa (more than 10%).

In addition, an upward trend in asthma symptom prevalence was observed in the majority of big cities in

Section Objectives


  • Measure the burden of asthma and COPD in Sudan.
  • Demonstrates cost-efficacy of a strategy for management of asthma in 14 pilot areas in Khartoum and Algazira states.
  • Develop Epi-lab capacity for training, health education and research by developing a team of five trainers / researchers for asthma.
  • Develop partnership for asthma management and research (at country at regional and international level)
  • Increase awareness on asthma and promote standardized management of asthma.
  • Assist the Ministry of Health in State and Federal for implantation of asthma program (Provide a framework for the extension of the model at country level, technical assistance, training, monitoring, and evaluation).
  • Develop partnership to address risk factors and environmental hazards of asthma in Sudan, and to design interventions to reduce exposure to the environmental hazards.
  • Expand the model to COPD

Section Achievements


In 2006, a comprehensive approach to lung health (CAL) project funded by the World Bank and managed by The Union was implemented in Benin, China and Sudan. As one of its objectives, the CAL project aimed to reduce the burden of lung diseases through the improvement of case management of patients with persistent asthma. Being one of the pioneer countries piloting asthma Standard Case Management (SCM) using The Union’s model, the project was implemented at the first referral level by the Epi-Lab and the National Sudan team. Asthma pilot project was associated with a reduction in unplanned emergency visits as well as hospitalisation.

Epilab is continuously providing asthma trainings and supervisions for health workers in Sudan. The project has been established in Khartoum state and expanded in Gezira state.

An emergency room survey conducted by the section (not published) has addressed factors that contribute to the poor control of asthma in Sudan, which include the absence of an asthma management plan due to lack of asthma guidelines, under-use of corticosteroid inhalers, tendency of the care to be acute rather than a long term one and lack of organization and coordination within the structure.

Section Goals


The asthma section works to promote the understanding and management of asthma in Sudan, the region and internationally through preparation of models for asthma control and scientific research in asthma and COPD which can be expanded for implementation in Wide Nation Scale.

Asthma in Sudan


In Sudan, asthma is a disease of high prevalence, morbidity and economic costs, which affects 12.5% of children and 10% of adults. Standard Case Management Despite some challenges, including shortages of inhaled medicines, high turnover of trained staff and high lost-to-follow-up rates, application of SCM led to improved asthma management in Sudan. read the full report on : The Global Asthma Report 2018


Section Team

Head of Section
Prof.Omar Abdelazeez
Consultant
Dr.Nada Bakry
Coordinator
Dr.Rashid Kamal