2022-10-18-世界卫生组织-Physical_activity_Central_African_Republic_the_2022_country_profile_2页_1mb

Central African Republic Summary

Core Information

• Total Population (2022): 5,580,000
• Population Aged <20%: 60%
• Population Aged >60%: 4%
• World Bank Income Group: Low
• Gross Domestic Product per Capita (INT$): 989

Non-Communicable Diseases (NCDs) and Mortality

• NCD Mortality: Includes diabetes, other NCDs, and injuries.
• Healthcare Costs:
  • Direct Healthcare Costs per Year: US$296,227 (INT$593,688)
  • Cumulative Costs between 2020 and 2030: US$3,258,496 (INT$6,530,565)

Physical Inactivity

• Prevalence of Physical Inactivity:
  • Adolescents (11-17 years): Data not available
  • Adults (18+ years): Data not available
  • Adults (70+ years): Data not available
• Gender Disparities:
  • Male: Data not available
  • Female: Data not available

Policy and Governance

• Active Societies: Changing Knowledge and Mindsets

  • National physical activity communications campaigns are in place, with links to community programs, environmental improvements, and promotion of co-benefits of physical activity.

• Active Environments: Enabling Environments

  • Infrastructure and policies are being developed to support active lifestyles.

• National Policy on Walking and Cycling

  • Exists but is not operational.

• National Policy on Public Transport

  • Exists but is not operational.

• National Road Safety Strategy

  • Exists but is not operational.

• Legislation on:

  • Speed Limits: Yes
  • Driving and Alcohol Use: Yes
  • Driving and Drug Use: Yes
  • Driving and Mobile Phone Use: Best practice not available

• Street Design Standards for:

  • Separate Walking and Cycling Infrastructure: Yes
  • Safe Pedestrian and Cycling Crossings: Yes
  • Management of Speed: Yes

Promotion of Physical Activity

• In Workplaces: Yes
• In Childcare Settings: No
• Through Community Sports: Yes
• In Public Open Spaces: Yes
• Through Walking and Cycling: Yes
• For Older Adults: Yes
• For People with Disability: Not available

Brief Intervention on Physical Activity in Primary Health

• With Referral: Used in >50% of facilities

Use of Digital Programmes

• mHealth for NCD Prevention: Exists

School-Based Approaches

• Quality Physical Education: Not available

Active Systems: National Policy and Governance

• National Policy and Governance: Exists but is not operational

National NCD Policy Including Physical Activity

• Exists: Yes
• Operational: Yes

National Physical Activity Policy

• Exists: Yes
• Operational: Yes

National Guidelines on Physical Activity for:

• Children under 5 years: Available
• Children and Adolescents: Available
• Adults: Available
• Older Adults: Available

National Surveillance of Physical Activity in:

• Children: Available
• Adolescents: Available
• Adults: Available

National Target for Physical Activity

• Exists: Yes

Main Points

• The Central African Republic has a young population, with over 60% under the age of 20, and a low proportion of older adults.
• The country is classified as a low-income nation with a low GDP per capita.
• There is a significant burden of non-communicable diseases and injuries, with associated healthcare costs.
• Physical inactivity is a major concern, though data is limited for specific age groups.
• Policies and guidelines exist for promoting physical activity, but many are not operational.
• There is a focus on creating safe environments for walking and cycling, along with legislation on road safety and speed management.
• Digital health programs (mHealth) are being used for NCD prevention.
• School-based physical activity promotion is limited, with quality physical education not available.
• Primary healthcare systems are using brief interventions for physical activity, with referral support in over 50% of facilities.
• National surveillance systems are in place for physical activity in children, adolescents, and adults.
• A national target for physical activity is established.