Epidemiology of Non communicable Diseases … DOLTADE BHARATH MARUTHI GROUP 410-C PUBLIC HEALTH
Smoking Less than S servings of fruit/vegetable per day Physical inactivity Overweight" Obesity” Hypertension 6.9 21.9 2, I 62,707 9,026,091 3,367,502 3,239, 122 3,989,65 I
Dietary Habits 75% use Gee in cooking 95% have <5 servings of fruits or vegetables per day
Male% 'Adults (25- 65) 6.9 2I.9 Youth(13- 15) (GYTS) Cigarettes 3.3% 2.7 /o 6% Shisha 6 .7% 5.0 O o 11.7% Female o /o TOtãI %
Physical Activity among adults (25- 65years) By Gender Low activity Moderate Total Famaìes 30 20 10
Over weight and among adults (25- 65 years) by Gender m Over weig ht g Obesity 26.2 37.4 Males Females Overweight 34.1% Obesity 32.8% 40 35 25 15 10 5
Hyperglycemia prevalence of hyperglycemia among respondents, Iraq 2006 prevalence of hyperglycemia among female respondents, prevalence of hyperglycemia among male respondents, Iraq 2006
Hypercholesterolemia prevalence of hypercholesterolemia among respondents, Iraq 2006 prevalence of hyercholesterolem ia am ong m ale respondents, Iraq 2006
Integrated NCD Eye Health Elderly NCD care surveillance Un Health and Unit Unit Chronic Diseases Iraqi Cancer Council National Mental Health Council
NCD prevention and control program To reduce morbidity and premature mortality attributed to chronic non- communicable diseases Meets the global goal: To prevent and reduce disease, di.sahility, and premature death from chronic conditions. Contributes to the UN Millennium Development Goals (MDG6) through Combating major diseases and (MDGI) through contribution to poverty reduction.
Strategic objecñves To Promote healthy life style To control exposure to contributory risk factors D ee ea h care for major chronic NCDs #n t lenens oi
Scope! chronic noncommunicbale diseases: Cardiovascular diseases : Hype<ension Diabetes Chronic respiratory diseases: Asthma Cancer Risk factors : Tobacco use Unhealthy diet Physical inactivity Other conditions: Blindness and visual impairment
Expected Results ER1: Strengthened surveillance systems that provide data on a regular basis to guide ongoing policy development and provision of health care services ER2: Prevention and control of major NCD are well integrated into primary health care services ER3: Promotion of healthy life style to prevent NCDs will be enhanced in the community ER4: Services for prevention and control of blindness will be strengthened.
Screening and comprehensive care for Hypertension and Diabetes at Primar Care Level o identify undiagnosed asymptomatic conditions of hypertension and diabetes among attendees to selected PHC centers. To provide comprehensive care to the diagnosed cases Results: Screening +ve I So raised blood pressure, 20a hyperglycemia Total confirmed conditions: 4000 hypertension, 2000 diabetes. Diagnosis still unknown in 1/3 of screened +ve
Production of Mana ement Guidelines for PHC Ph sicians
Obesity prevention and control: A national plan is prepared for prevention and control of obesity including Control of overweight/obesity among adults as integral part of Screening for hypertension and diabetes project Prevention and control of overweight/obesity at health promoting schools Community based health education project
'A multisectoral committee Capacity building of medical and other health personnel Capacity building of teaching staP at schools
V I S I O F3 *HS PlUHT TO RIGHT Prevention and Control of Blindness and Visual Impairment Objectives to provide a baseline data for the commonest causes of blindness 2 To promote eye health and integration of primary eye care into PHC services to strengthen comprehensive eye care at different levels of care to develop a centre of excellence for eye care to rehabilitate and develop low vision centers.
Rapid Assessment for Avoidable Blindness: Rapid assessment for avoidable blindness has been implemented at central districts of Sulaimaniya (north) and Bdsra (south). Preliminary report is prepared and submitted to WHO. Plans are made to extend RAAB to other areas of Iraq to give an estimate for the prevalence of blindness and visual impairment in Iraq.
Integrañon of eye care into PHC services: Primary eye care: Eye care provided by trained PHC physicians at selected PHC centers. Community vision centers; 22 community vision centers allo v er Iraq were equipped to provide eye care by ophthalmologists and refractionists to diagnose causes of blindness and poor vision, and to identify cases that need referral and hospitalization.
Prevention of childhood blindness and visual impairment: School enrollment eye screening in collaboration with school health program. Vision screening in preschool children (under processing)
Prevention of Smokin Establishment of the National high committee of tobacco control. Tobacco free schools project • Tobacco free medical college project • Tobacco free Work places project • FCTC ratification • National tobacco control legislation draft is under discussion for agreement in parliament
Tobacco free health insñtutes: The ministry of health is declared to be tobacco free. smoking is prohibited inside the ministry The second step has started in implementing the project in the directorates of health in the governorates
Celebration of the National and global Days production of educational materials Media activities Community based initiatives
Partnership and Sharing an integral part of the Health system Inter-sectoral collaboration at MoH: MCH section, School health section, Health promotion dept and Concerned departments at directorates of Technical Affairs and Planning and Human Resources, KIMADIA. Sharing with other partners: Ministries of Higher Education, Education, Planning, Environment, Women affairs, Sports and Youth, Justice, Trade, Interior affairs, Finance, Media, Baghdad governorate council.. International organizations: WHO NGOs national committees in the areas of Tobacco control, promotion of physical activities, prevention of blindness and visual impairment
FCTC : Iraq ratified FCTC IN 2007. VISION2O2O Ri ht to join it in 2004 • :Siaht