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Non-Communicable Disease Prevention & Control in Afghanistan

Non-Communicable Disease Prevention & Control in Afghanistan. Dr. Ashfaq Ahmed Team Leader, Primary Health Care WHO Country Office - Afghanistan. Total Population: 25,985,600 (CSO 2011). Introduction: health indicators. *Afghanistan Mortality Survey (AMS) 2010. Economy.

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Non-Communicable Disease Prevention & Control in Afghanistan

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  1. Non-Communicable Disease Prevention & Control in Afghanistan Dr. Ashfaq Ahmed Team Leader, Primary Health Care WHO Country Office - Afghanistan

  2. Total Population: 25,985,600 (CSO 2011)

  3. Introduction: health indicators *Afghanistan Mortality Survey (AMS) 2010

  4. Economy • Low income country (WB classification) • GDP per capita on purchasing power parity = 900 USD (2010) • Annual revenues: $2 billion (Ministry of Finance 2011) • Annual expenditures: more than $3.3 billion • Unemployment rate: 35% (2008 est.), 40% (2005 est.) • Population below poverty line: 36% (FY08/09)

  5. Health care delivery Public Private Regional and specialized hospitals 1. Traditional 2. Modern: Rapidly growing Tertiary Health Care District and Provincial Hospitals Secondary Health Care Health Post, Sub-center, Basic Health Center, Comprehensive Health Center Primary Health Care

  6. Health expenditures • Per Capita health expenditure USD 42 (NHA 2010) • Total health expenditure as % of GDP 10% (NHA 2010) • Government expenditure on health as % of total government expenditures 4% (NHA 2010)

  7. Main health problems • High MMR & IMR, though AMS results are promising • High burden of communicable disease • Increasing burden of non-communicable disease - Contribute to 35% of all deaths (AMS 2010)

  8. Deaths due to NCDs in different age groups % Age Groups AMS 2010

  9. Causes of deaths: NCDs vs. others AMS 2010

  10. Opportunities for the control of NCDs • Availability of new data on burden of NCDs (e.g. AMS 2010), which indicates NCDs should be a priority • Establishment of a new directorate for the control of NCDs in MoPH • For the first time NCDs control will be part of National Health Policy 2012-2020 (draft) • Afghanistan has signed and ratified FCTC

  11. Policy statement on NCDs • The MoPH will consider the inclusion of non-communicable diseases (NCD) in the BPHS and EPHS, keeping national priorities in mind. Much emphasis will be given to promotive and preventive measures. The MoPH will increase skills for NCD diagnosis and treatment among human resources and increase the level of infrastructure for basic NCD management.

  12. Barriers to the control of NCDs • Lack of capacity at national level • Inadequate information regarding the burden of NCDs • Inadequate resources allocation • Competing priorities • Donor dependency---- therefore donor driven initiatives---- NCDs not apriority for donors

  13. Thank You

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