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NCD PROGRAMME IN THE MOH UGANDA

WHO SEMINAR LAUSANNE 9 th March 2011. NCD PROGRAMME IN THE MOH UGANDA. Dr. James Sekajugo Principal Medical Officer (NCDs) MOH. Background: National. The burden of NCDs is sharply increasing in Uganda with time due to multiple factors such as :

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NCD PROGRAMME IN THE MOH UGANDA

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  1. WHO SEMINAR LAUSANNE 9th March 2011 NCD PROGRAMME IN THE MOH UGANDA Dr. James Sekajugo Principal Medical Officer (NCDs) MOH

  2. Background: National • The burden of NCDs is sharply increasing in Uganda with time due to multiple factors such as : • Adoption of unhealthy lifestyles and increased exposure to NCD risk factors secondary to urbanization • Increasing aging population- improving life expectancy • HIV/AIDS and adverse effects of prolonged ART • The treatment of NCDs and their complications is extremely costly. • Prevention is the most cost effective approach to NCD control

  3. MOH Response to NCD threat • In 2006, the MoH established a Unit for NCD Prevention and Control to spearhead the planning, coordination and implementation of interventions targeted against NCDs in the Uganda population. Mandate of NCD Unit: • To reduce the morbidity and mortality attributable NCDs thru’ appropriate health interventions targeting the entire population of Uganda

  4. THE UGANDA NATIONAL HEALTH SYSTEM MINISTRY OF HEALTH HEADQUARTERS Pop.30 million NATIONAL REFERRAL HOSPITALS (2) Pop. = 2million = REGIONAL REFERRAL HOSPITALS (13) Pop =500,000 GENERAL HOSPITALS (110) County level: Pop. =100,000 HEALTH CENTRE IV (PUBLIC or NGO) 161 SUB-COUNTY LEVEL Population: 20,000 HEALTH CENTRE III (HCIII) 955 PARISH LEVEL: Pop. =5,000 HEALTH CENTRE II (HCII) 2008 VILLAGE HEALTH TEAM: Population: 1,000 HOUSEHOLDS/VILLAGES/COMMUNITIES The Uganda National Health System

  5. Distribution of Health Facilities Distribution of HCII Distribution of HCIII

  6. Distribution of Health Facilities Distribution of HCIV Distribution of NRHs, RRHs and GHs

  7. Uganda: Challenges in dealing with NCDs • Lack of awareness about the magnitude of NCDs by policy makers and donors leading to marginalisation of NCDs in terms of attention and resource allocation. • Lack of public awareness about NCD risk factors; NCD prevention, early recognition of signs and symptoms, what to do/where to go when signs are detected • Insufficient quality national data NCDs, particularly community based data. Inappropriate Surveillance tools. Not sufficiently sensitive to capture required data on NCDs and their risk factors

  8. Uganda: Challenges in dealing with NCDs • Insufficient budget and off budget allocation to support NCD interventions • Lack of comprehensive national NCD policy framework & action plan • NCD interventions are predominantly facility based, curative oriented, poorly coordinated and supported. Quality of care undermined by lack of sufficient human resources, infrastructure, equipment and medicines

  9. Core functions of the Ministry of Health (NHP1999) • Policy formulation, setting standards and quality assurance • Resource mobilization • Capacity development and technical support • Provision of nationally coordinated services e.g. epidemic control • Coordination of health research • Monitoring and evaluation of the overall sector performance

  10. MOH NCD Action plan 1.Quantify the magnitude of NCDs. Obtain National data on: • NCD Risk factor prevalence • Disease prevalence (CVD, Diabetes and Cancers) • Major determinants of NCDs in the communities • Assess the capacity of the existing health systems and facilities in the country for NCD prevention and management • Integrate NCD surveillance within the existing surveillance system

  11. MOH NCD Action plan 2. Develop National NCD Policy, Guidelines and standards 3. Conduct advocacy for prevention and control of NCDs • Develop a communication strategy • Develop appropriate IEC materials • Sensitize public (media and special events, public functions)

  12. MOH NCD Action plan 4. Build capacity for prevention and control of NCDs in health facilities • Conduct needs assessment for prevention and control of NCDs in health facilities at all levels • Develop a standard package for early detection and control of NCDs at different levels of health care • Conduct training courses for health workers at all levels of health care • Equip and supply health facilities sufficiently for delivery of quality services

  13. Policies to strengthen health systems • National Health Policy II - Launched December 2011 • Health Sector Strategic and Investment Plan (HSSiP III). The HSSP delivers the Uganda Minimum Health Care Package (UMHCP) to the population –Draft has stressed the following: Inter-sectoral Collaboration; CSOs, PPPH The following components prominent in NHP and HSSiP: • Human resources development • Infrastructure development • Supply of Medicines and equipment • Surveillance systems

  14. MOH NCD Action plan 5. Conduct operational research for community based interventions 6. Conduct support supervision to strengthen prevention and control 7. Inter-sectoral collaboration with stakeholder Ministries, Educational institutions, Health Development Partners, NGOs, Civil Society Organisations. • Establish functional partnerships with stakeholders within and outside the health sector 8. Collaborate and share information with regional and international agencies

  15. THANK YOU FOR YOUR ATTENTION

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