4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 1 |1 | NCDs in the context of the revised Health Promotion Strategy

4th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 1 |

NCDs in the context of the revised Health Promotion

Strategy


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Major Milestones: 2011 Year of NCDsMajor Milestones: 2011 Year of NCDsWHO African Region Ministerial

Consultation on the preparation for the Moscow Ministerial Consultation and the High Level Summit on Noncommunicable

DiseasesBrazzaville, Congo, 4-6 April 2011

United Nations high-level meeting onNoncommunicable Disease prevention and control.

Political declaration on the Prevention and Control of Noncommunicable Diseases adopted

New York, September 2011

First Global Ministerial Conference

on Healthy Lifestyles and Noncommunicable Disease

ControlMoscow, April 2011


Causal chain of NCDs

Disability & death

Chronic diseases

Intermediate conditions

Risk factors

Social & economic

determinants


There will be an estimated 37% increase in NCD deaths by There will be an estimated 37% increase in NCD deaths by 20252025

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Today’s risk factors are tomorrow’s diseases

• NCDs risk factors are many (behavioral and biological)

• The four behavioral risk factors are modifiable

Cardiovascular diseases

Diabetes CancerRespiratory Conditions

Smoking

Alcohol

Low fruit & vegetable

Physical Inactivity

Risk FactorsNon-Communicable Diseases


The burden of tobacco use in the Region is growing

• Tobacco use is a leading cause of NCDs

• Current tobacco use prevalence ranges 2.4-23%

• Adult males are much more likely to smoke than females


Alcohol is among the leading NCD risk factors in the Region

• 7 out of 10 adults in the Region do not drink alcohol

• Per capita consumption ranges 0.1 to 12.3 liters of pure alcohol, with an overall consumption of 6.2 liters

• 3.3% of all death in the Region is attributable to alcohol use


Physical inactivity leads to overweight and obesity

• Physical inactivity prevalence in the region, ranges from 6.6% to 66.5% with a median of 22%

• Levels are usually higher in women especially in urban areas

• Wide difference within and between countries


This region faces double burden of malnutrition: under nutrition and obesity

• Consumption of unhealthy diet and physical inactivity results in overweight and obesity

• Obesity impacts on multiple organs

• Prevalence ranged 1% to 31% with a median of 6%


The foundation of effective NCD control program is to have a national control program with adequate funding

Across the Region:•93% MOH have NCD program/units•59% funding for NCD treatment and control•63% for prevention and health promotion•48% for strategic information

treatment and control

prevention and health promotion

surveillance, M & E

Cape Verde Yes Yes Yes YesComoros Yes No No NoMauritius Yes Yes Yes YesSTP Yes No Yes YesSeychelles Yes Yes Yes Yes

Funding is available for NCD …

MOH NCD programCOUNTRY

Source: 2010 NCD capacity survey


Inclusion of NCDs and related risk factors in national reporting mechanisms is critical

Across the Region: •70% of countries did include mortality in national reporting systems•74% included morbidity•30% included risk factors•20% have national population-based cancer registry

mortality morbidity NCD RFCancer registry

Cape Verde Yes No No NoComoros Yes Yes No NoMauritius Yes Yes Yes YesSTP No No No NoSeychelles Yes Yes Yes Yes

COUNTRY

NCDs included in national reporting systems



Very few countries had NCD-related policy and/or action plan in 2010

CVD Cancer CRD Diabetes Alcohol

Unhealthy Diet and/or Overweight/

ObesityPhysical inactivity Tobacco

Cape Verde Yes** No No Yes** Yes** Yes** Yes** Yes**Comoros No No No No No No No NoMauritius No Yes No Yes No Yes No YesSTP No No No No No No No NoSeychelles No No No No No No No No

COUNTRY

operational policy, programme or action plan

Across the Region: •22% for CVD, 28% for cancer, 17% for CRD, 33% for diabetes, 22% for alcohol, 33% unhealthy diet/overweight/obesity, 28% physical inactivity, and 37% for tobacco



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AFR NCDs Prevention & Control Strategic AFR NCDs Prevention & Control Strategic directions directions

Move from individual disease programmes to integrated NCDs programmes

Scale up by pooling limited resources

Strengthen and reorient health system for NCDs prevention and control

Promote NCD risk factors reduction (tobacco use, physical inactivity, unhealthy diets and harmful use of alcohol) based on common risk factors approach

Forge multi-sectorality and strengthen public and private partnerships at regional and country levels to combat NCDs


Thanks

Documents

4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 1 |1 | NCDs in the context of the revised Health Promotion Strategy