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THE REPUBLIC OF SUDAN COUNTRY POLICIES AND PROGRAMS Dr.Naiema A bdalla Wagialla NCDs / FMOH

Explore Sudan's efforts in addressing non-communicable diseases (NCDs) through national strategies, integration at primary healthcare level, and challenges related to political commitment and resource allocation. Learn about their achievements, lessons learned, and plans for the future.

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THE REPUBLIC OF SUDAN COUNTRY POLICIES AND PROGRAMS Dr.Naiema A bdalla Wagialla NCDs / FMOH

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  1. THE REPUBLIC OF SUDANCOUNTRY POLICIES AND PROGRAMS Dr.Naiema AbdallaWagialla NCDs / FMOH

  2. THE REPUBLIC OF SUDAN Area = 1.8 million km²Population = 33 millionHealth system in Sudan is of Federal, state (18 states) and local governments. Health care delivered through primary secondary and tertiary Levels.

  3. NCDs SITUATION • hypertension (24.3%), DM (14.5%), asthma (9.2%), and cancers (0.8%) • risk factors: • Smoking 29.1% • snuff 25.9% • physically inactivity 87% • overweight or obese 41.5% of male and 62.5% of female were, • serum cholesterol was 19.7%

  4. NCDs prevention • Organization : ministry of education ,ministry of youth and sport ,school health ,health promotion (physical in activity, tobacco control ) • Minimum resources (human , money ) • In the PHC facilities (integration ): risky group

  5. MAIN ACHIEVEMENTS • NCD national strategy and plan were developed • NCDs Guidelines, protocols ,flow chart and training manuals were developed • NCDs IEC materials were developed • Feasibility study (PEN) for integration of NCDs at PHCs -2 States ,expansion was implemented in N&S Darfur (sensitization , training ,equipping ,materials, renovation ,M&E, raise public awareness)

  6. INTERESTING CHALLENGES • political commitment to NCDS still a huge challenge -competing priorities (double burden) • expansion of integration of NCDs package in all state • Universal health insurance coverage (only 36% ) • Establishment of functioning NCDs surveillance system. • in Sudan 60% of PHC facilities are run by medical assistants • Engagement of other sector in NCDs prevention plan • Skewing of resources for curative aspect

  7. MAIN LESSONS LEARNT OVER THE LAST 5 YRS • In last house hold survey, NCD prevalence indicators were not generated, and NCDs risk factors were not included, hope in the coming survey (2014), all should be covered • In all NCDs surveys(SHHS & Stepwise survey) , children and adolescents were not involved, this time we request to include both of them

  8. The way forward • 500 health centers in all States were planed for expansion -integration of NCDs at PHC /5years - to cover remote arias • To strengthen the HIS, NCD Surveillance system, research implementation and NCDs & RFs step wise survey • National multisectoral plan will cover 5 out the 9 global strategic plan targets on 2014 – 2015. • We plan to make NCD services more responsive to empower the users of the health care system and making providers more accountable and satisfied

  9. Thank you

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