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Practical Examples for Implementing WHO NCD Strategy Action Plan

This seminar discusses practical examples and strategies for implementing the WHO NCD Strategy Action Plan objectives, including raising the priority of noncommunicable diseases, establishing national policies, promoting interventions, and monitoring progress.

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Practical Examples for Implementing WHO NCD Strategy Action Plan

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  1. 4th International Seminar on the Public Health Aspects of Noncommunicable Diseases Lausanne, 7-12 March 2011 Practical examples for proposed action concerning the WHO NCD Strategy Action Plan objectivesDr. Tiina Laatikainen, Director CVD prevention/ Tiina Laatikainen

  2. Objective 1:To raise the priority accorded to noncommunicable disease in development work at global and national levels, adn to integrate prevention and control of such diseases into policies across all government departments

  3. Health in All Policies – The Finnish Initiative

  4. What is Health in All Policies (HiAP) approach? • Horizontal, complementary policy related strategy • The core of HiAP is to examine determinants of health -> are mainly controlled by policies of sectors other than health • Addresses policies in the context of policy-making at all levels of governance (global, European, national, regional and local levels) • The ultimate aim of HiAP is to improve evidence informed policy-making Ståhl et al. (eds) 2006

  5. alcohol policy tax on alcohol alcohol consumption health and social harms Focusing on policies • Key concern: policies • The broad economic, social, environmental and cultural health determinants are the bridge between policies and health outcomes • For example, alcohol policy (tax) influences the price of alcohol that has an effect on alcohol consumption that (alcohol abuse) in turn has an effect on harms, both health and social • Less concerned with single programmes and projects

  6. Broad determinants of health • Social, economic, structural, environmental, cultural • Present everywhere in the society • Often beyond the control of individuals • Same determinants are linked with many major public health problems (nutrition, physical activity, tobacco, alcohol, psychosocial situation, stress) • Mostly a responsibility of other government sectors • Impossible to target effectively through sectorial health policies alone

  7. Intersectoral mechanisms/tools for implementing HiAP • Formal consultations on e.g. legislation • Horizontal public health committees • Ad hoc committees on specific initiatives • Cross-sectorial programmes • Public health reporting (with co-operation of other sectors) • Formal communication between sectors (e.g. bilateral meetings of Permanent Secretaries) • Informal contacts at desk level • EU co-ordination • Health impact assessment Stahl T (2009) Is health recognized in the EU's policy process? An analysis of the European Commission's impact assessments. The European Journal of Public Health 2009; doi: 10.1093/eurpub/ckp082

  8. Objective 2:To establish and strengthen national policies and plans for the prevention and control of noncommunicable diseases

  9. Prevention and management of cardiovascular disease Action Plan for Promoting Finnish Heart Health

  10. Prevention of type 2 diabetes From clinical trial to National Programme and Action Plan

  11. National Allergy Programme 2008 -2018 – time to act and change the course Asthma Programme 1994-2004 Focus: (1) inflammation, (2) early intervention, (3) guided self-management, and (4) networking Haahtela T, et al. Thorax 2006 Finn Med J 2008,Suppl 14:1-22; Allergy 2008;63:634-645; Allergy 2008;63:631-633, Editorial; Allergy 2009;64:678-701 In association with the WHO GARD Programme = Global Alliance against Respiratory Diseases Focus: (1) children, young people, (2) from treatment to prevention, (3) tolerance, (4) diagnostic quality, and (5) early intervention to control severe allergies Ministry of Health; National Public Health Institute; NGOs: Allergy & Asthma Federation, Finnish Lung Health Association, Finnish Pulmonary Association HELI

  12. Objective 3:To promote interventions to reduce the main shared modifiable risk factors for noncommunicable diseases: tobacco use, unhealthy diets, physical activity and harmful use of alcohol

  13. www.sydanmerkki.fi

  14. Objective 4:To promote research for the prevention and control of noncommunicable diseases

  15. To reduce cognitive impairment in an at risk population through a 2-year multi-domain life-style intervention including: Nutritional guidance Strength training and aerobic exercise Cognitive training, increased social activity Intensive monitoring and management of metabolic and vascular risk factors: hypertension, dyslipidemia, obesity, impaired glucose tolerance OBJECTIVE: Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability Funding from the special Public Health Programme of Academy of Finland 19/12/2019

  16. Objective 5:To promote partnerships for the prevention and control of noncommunicable diseases

  17. POPULATION PUBLIC POLICY PRIVATE SECTOR HEALTH PROGRAMME

  18. Objective 6:To monitor noncommunicable diseases and their determinants and evaluate progress at the national, regional and global levels

  19. Systolic blood pressure in women (30–59 y) mmHg North Karelia project evaluation and FINMONICA and the National FINRISK Studies 1972 - 2007

  20. National FINRISK Study • every five years since 1972 • risk factors of cardiovascular diseases, diabetes, cancer and astma and allergy • stratified random samples from population register • population aged 25-64 years • stratified by age and sex • sample size 8000 – 12 000 / survey • participation rate 67 – 88 % • questionnaire, anthropometrics and laboratory analyses

  21. BMI by education, women 25-64 years kg/m2

  22. www.terveytemme.fi • Lisätiedot • Painike avaa valitun osoittimen lisätiedot uuteen ikkunaan • Teemakartta • Teemakartta esittää osoittimen arvot väri-sävyinä kartan alueilla • Tulosta • Painike avaa tulostuksen esikatselun • Luokittelu • Painike avaa valikon, josta voi valita kartalla käytettävän luokittelun ja väripaletin • Ohje • Painike avaa käyttöohjeen • Luokkarajat • Esittää kartalla ja pylväskaaviossa käytetyn luokittelun ja värityksen • Lähde • Tietoaineisto, jonka perusteella osoitin on muodostettu • Vertailualueet • Esittää osoittimen arvot muilla kuin kartan alueilla • Valitse vertailualue klikkaamalla Aloita tästä • Osoittimet • Painike avaa Osoittimet-valikon • Valitse valikosta osoitin, väestöryhmä ja aikajakso • Osoittimen arvot tulevat nyt näkyviin • Valitun osoittimen nimi näkyy kartan yläpuolella • Taulukko • Järjestä taulukon rivit klikkaamalla sarakeotsikkoja • Avaa osoittimen ryhmävertailu klikkaamalla pientä dokumentti-kuvaketta • Korosta haluttu alue hiirellä osoittamalla • Valitse haluttu alue hiirellä klikkaamalla Terveyden ja hyvinvoinnin laitos (THL)Terveytemme-projektiryhmäterveytemme@thl.fi • Aikasarja • Klikkaa haluttua aluetta, osoittimen aikatrendi tulee näkyviin aikasarjakuvaajaan • Vertaile eri alueita valitsemalla useampi alue tai vertailualue aktiiviseksi • Pylväskaavio • Pylväät esittävät osoittimen arvot eri alueilla suuruusjärjestyksessä • Luottamusvälit esittävät tulosten virhemarginaalin 19.12.2019 Alueellinen terveys- ja hyvinvointitutkimus, ATH 22

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