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Micronesia - Characteristics

Micronesia - Characteristics. 107,862 population Federalism: Chuuk, Pohnpei, Yap and Kosrae Capital City: Palikir GDP is 310 Million GDP Per capita $3,000 Health is decentralized to States Municipal (islands) – dispensary (primary health care) 86 dispensaries in hard to reach islands.

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Micronesia - Characteristics

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  1. Micronesia - Characteristics 107,862 population Federalism: Chuuk, Pohnpei, Yap and Kosrae Capital City: Palikir GDP is 310 Million GDP Per capita $3,000 Health is decentralized to States Municipal (islands) – dispensary (primary health care) 86 dispensaries in hard to reach islands Chief 70: 70% of general surgery : NCD Related 70% adult admission to general wards 70% renal dialysis unit

  2. Times have Changed

  3. Some Key Risk Factors (25-64 age groups)* Source: WHO Published STEPS Reports (http://www.who.int/chp/steps/reports/en) Note: IP = In Progress * Vary for some countries

  4. Our Approach? Comprehensive and integrated.....

  5. The approach…. • Paradigm shift from mopping the floor to turning off the tap • Children the reason of actions… • Modifiable risk factors and environments • Intervene where ROI is assured……

  6. Multi-sector approach • Tobacco Control • Increase sin and import tax substantially • Ban advertisement and sale to minor and sale of single stick • Ban smoking in public place • Childhood obesity • Ban sale of sugary food/drinks at schools • Mandate PE hours in all school curriculum • Require organized sports opportunities throughout years, especially for youth • Tax incentive for local farmers vs Importers of outside food • 2-1-22 Project – (WHO & SPC (2) – Mission (1) – Country (22) • A Sub-regional project to reduce burden of NCD funded by AusAID and NZAID • Implement best buys at communities • Health education materials, counseling on diet on NCDs • Created environment for PA • Provided foot care • Measure HbA1c

  7. Improving NCD management… • Holds me accountable • Salt reduction – have a strategy but have not come up with an “estimated” prevlence • PEN • opportunity to strengthening PHC • Makes sense for our structure • Protocols appropriate and progressive • Pilot in 8 communities • Healthy Diet • Salt and fat reduction • Alcohol use and access reduction • Encourage “Go Local “ approach – with agricultural departments and NGOs

  8. Best Buys Interventions

  9. The end result? • PEN to be a standardized model of care in ALL dispensaries • A new generation different from our generation • Prevent first generation from dying before their parents

  10. Acknowledgement • Dr. Temo K. Waganivalu, Division of Pacific Technical Support, WHO South Pacific Office in Suva, Fiji • WHO Regional and HQ Offices

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