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Global Health Econ Sustain Non-communicable diseases household survey
However, the 2017 Household Survey analysis has Author contributions
some notable limitations. First, it lacks data on the exact
number of members in each household, necessitating the Conceptualization: Ghamdan Gamal Alkholidy
use of estimated 2017 household member figures based on Formal analysis: Ghamdan Gamal Alkholidy
2004 National Census data. Furthermore, while the survey Investigation: Ghamdan Gamal Alkholidy
Methodology: Ghamdan Gamal Alkholidy
was intended to encompass all households in Sana’a City Writing – original draft: Ghamdan Gamal Alkholidy
(estimated to be 477,430 households in 2017), only 241,310 Writing – review & editing: All authors
households were surveyed. Nevertheless, the sample size
remains sufficiently large to derive valid conclusions. Ethics approval and consent to participate
5. Conclusion Ethical approval to conduct this study was obtained from
the Directorate of Health Statistics at the MoPHP, Sana’a
The overall prevalence of the five NCDs was found to City, Yemen.
be 4.4%. The specific PRs for each NCD were as follows:
HTN at 2.3%, DM at 2.2%, BA at 0.4%, MD at 0.27, Consent for publication
and epilepsy at 0. 19%. Notably, the overall prevalence,
as well as the prevalence of HTN, DM, and BA, was Not applicable.
significantly higher in females, while the prevalence Availability of data
of MD was significantly higher in males. However,
the prevalence of epilepsy did not significantly differ The raw data from the 2017 Sana’a City National NCDs
between genders. Nearly 18% of NCD patients had more Household Survey, conducted by the Ministry of Public
than one disease, with the most common comorbidity Health and Population (MoPHP), was obtained from the
being among HTN patients, where 35.2% of them also Directorate of Health Statistics at MoPHP (https://doi.
had DM. In all NCDs, the PR progressively increased org/10.5281/zenodo.10028723).
with age. One-quarter of the surveyed households References
had at least one member with one or more of the five
NCDs, contributing to an overall PR of NCDs at 4.4%. Abebe, S.M., Andargie, G., Shimeka, A., Alemu, K., Kebede, Y.,
However, these data reflect only the tip of the iceberg, as Wubeshet, M., et al. (2017). The prevalence of non-
the findings rely on self-reported diagnosed cases rather communicable diseases in Northwest Ethiopia: Survey of
than standardized measures. To address this growing dabat health and demographic surveillance system. BMJ
Open, 7(10):e015496.
concern, more attention to NCDs, strengthened health-
care provision, the acquisition of high-reliability data, https://doi.org/10.1136/bmjopen-2016-015496
the implementation of an NCDs stepwise survey, and Alavinezhad, A., & Boskabady, M.H. (2018). The prevalence of
the establishment of an NCD surveillance system are asthma and related symptoms in Middle East countries. The
strongly recommended. Clinical Respiratory Journal, 12(3):865-877.
Acknowledgments https://doi.org/10.1111/crj.12655
Aryal, K.K., Mehata, S., Neupane, S., Vaidya, A., Dhimal, M.,
I express my thanks and gratitude to the MoPHP in Dhakal, P., et al. (2015). The burden and determinants of non
Yemen. I also have great pleasure in thanking the Yemen communicable diseases risk factors in Nepal: Findings from
Field Epidemiology Training Program (YFETP) and the a Nationwide STEPS survey. PLoS One, 10(8):e0134834.
Training Programs in Epidemiology and Public Health https://doi.org/10.1371/journal.pone.0134834
Interventions Network (TEPHINET) for their support in
the analysis of this study. Asadi-Pooya, A.A., Brigo, F., Lattanzi, S., & Blumcke, I. (2023).
Adult epilepsy. The Lancet, 402(10399):412-424.
Funding https://doi.org/10.1016/S0140-6736(23)01048-6
Financial support is generally in the form of mini-grants Beghi, E., Giussani, G., Nichols, E., Abd-Allah, F., Abdela, J.,
funded by the Training Programs in Epidemiology and Abdelalim, A., et al. (2019). Global, regional, and national
Public Health Interventions Network (TEPHINET). burden of epilepsy, 1990–2016: A systematic analysis for the
Global Burden of Disease Study 2016. The Lancet Neurology,
Conflict of interest 18(4):357-375.
The authors declare there is no potential conflict of interest https://doi.org/10.1016/S1474-4422(18)30454-X
relevant to this article. Benamer, H.T.S., & Grosset, D.G. (2009). A systematic review of
Volume 1 Issue 2 (2023) 10 https://doi.org/10.36922/ghes.1191

