National Strategy for NCDs Prevention & Control in Egypt

1. Outlines towards National NCDs Prevention and Control Strategy Preventive Affair, Ministry of Health By: Dr Eman Ellabany, MD, PhD Medical Epidemiologist, NFP-NCD, , Egypt

2. www.who.int/chp

3. Did you know?? Prevention of chronic diseases is a vital investement 35 000 000 people died from chronic diseases in 2005

4. There is global attention towards prevention of non communicable diseases. WHO developed the Global Strategy and action plan to prevent NCD MOH is planning to develop the national strategy targeting Egyptians in all governorates Global Strategy

5. Global Situation of ChronicDiseases • The evidence of the increasing burden of chronic disease in low and middle income countries is now very clear. • In 2005, the major chronic, non-communicable diseases accounted for 60% of all deaths and 47% of the global burden of disease. • About half of the 35 million people died from chronic disease in 2005 were under 70 years • By 2020, these figures are expected to rise to 73% and 60%, respectively. • 80% of chronic disease deaths are already occurring in low and middle income countries

6. Causes of chronic diseases

7. Main causes of death, worldwide, all ages, 2005, WHO report, 2005

8. In Egypt • The prevalence of type II diabetes mellitus is (126 mg/dl) 15.8% , while the prevalence of hypertension (≥ 140/90 mmHg)26% • Over weight and Obesity represent66% of Egyptian population aged from 15- 65. about 70% of Egyptian are physically inactive

9. Vision Comprehensive and integrated action for: • health promotion and chronic disease prevention and control. • Slow and reverse the adverse trends in the common chronic disease risk factors.

10. MoHpriorities Adoption and implementation of: • WHO Global NCD prevention and control strategy • WHO Global strategy on Diet, Physical Activity and Healthy life style, which was endorsed by the World Health Assembly in 2004 • These Strategies describe actions needed to support the adoption of • healthy life styles, healthy dietary habits and practicing of regular • physical activity for healthy society

11. Objectives • PROMOTE Promote healthy living (better diet, more physical activity and tobacco cessation) and healthy societies, especially for the poor and those living in disadvantaged populations. • PREVENT Prevent premature deaths and avoid unnecessary disability due to chronic diseases. The solutions exist now, and many are simple, cheap and cost effective. • TREAT Treat chronic diseases effectively, using latest available knowledge. Make treatment available to all, especially those in the poorest settings. • CARE Help provide appropriate care by facilitating equitable, affordable and good quality health care for major chronic diseases.

12. Mission Provide leadership and direction for national efforts to promote health and to prevent and control major chronic diseases and their risk factors Tackling health’s social and economic determinants, reorienting efforts within the health sector, working with other sectors, including finance and education, and engaging the civil society, thus adopting a “health-in-all-policies” approach

13. Corefunctions • Advocacy Coordination and strengthening of advocacy and communication on key messages, resource mobilization, and the development of partnerships. Aim is to ensure increased prominence of chronic disease and health promotion issues on the health agenda; ensure necessary funding to close the knowledge-action gap; and to encourage an integrated chronic disease management model based on primary health care.

14. Corefunctions • Providing information for policy makers and stakeholders Providing information at country level spans the work to all health facilities. The National database will be a tool which collates existing country level data and provides comparable estimates for major chronic disease risk factors

15. Corefunctions • Health Promotion Health promotion aims to address the underlying determinants of population risks; promote multi-sectoral policies and programmes to improve health and reduce health inequalities; and support development of evidence-base for interventions.

16. Corefunctions • Surveillance and Population-based Prevention • Surveillance and primary prevention are fundamental to the Ministry's mission. • The main aims are to reduce population levels of risk by controlling major common risk factors for chronic disease and to assist in monitoring trends of major risk factors.

17. Corefunctions • Prevention and Management Integrated chronic disease prevention and management aims to reduce overall risk in high-risk individuals and provide appropriate health care (affordable, equitable and good quality) for major chronic diseases.

18. Wayforward Collaboration between various Stakeholders is essential for working on evidence to achieve, assist in establishing/ updating programmes and implementing activities on NCD in the following priorities; • Development of NCDs prevention & control Strategies • Comprehensive and synergistic NCDs programmes • Integration of NCDs care into the primary health care system, • Strengthening/updating the existing NCDs services • Legislation related to employment • Health insurance & social security- related issues

19. Thank You