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Federated States of Micronesia PIHOA 14-18 November 2011 Honolulu, Hawaii, USA

Federated States of Micronesia PIHOA 14-18 November 2011 Honolulu, Hawaii, USA. COUNTRY DEMOGRAPHIC PROFILE (SNAP SHOT OF FSM) - 2011. HEALTH SYSTEM FRAMEWORK – FSM SDP -2003-2023. National Level (FSM National Government, Department of Health and Social Affairs) Mandates:

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Federated States of Micronesia PIHOA 14-18 November 2011 Honolulu, Hawaii, USA

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  1. FederatedStates of MicronesiaPIHOA14-18 November 2011Honolulu, Hawaii, USA

  2. COUNTRY DEMOGRAPHIC PROFILE (SNAP SHOT OF FSM) - 2011

  3. HEALTH SYSTEM FRAMEWORK – FSM SDP -2003-2023 National Level (FSM National Government, Department of Health and Social Affairs) Mandates: Policy Direction (national health and social affairs) Program Management/Coordination (national programs and donors’ projects) Monitoring of programs’ activities and funds utilization Technical Assistance Repository of national data (health vital statistics and programs’ data for reporting purposes) Collaboration with regional and international organizations supporting state and community health programs. State Level (State Department of Health Services – Hospital and Public Health): Implementation of day-to-day direct medical and preventive health services Patient Referral (OI and Abroad) State policy on health Data Collection/Reporting Municipal Level (Primary Health Care and Dispensary Services) Community: Primary Health Care (PH and Dispensary services) Data Collection/Reporting Municipal charters on community health

  4. PROFILE OF PUBLIC (GOVERNMENT) HEALTH FACILITIES: FSM 2011

  5. PROFILE OF PRIVATE HEALTH FACILITIES: FSM 2011

  6. Profile of the Four State DHS: FSM 2011

  7. PROFILE OF HEALTH WORKFORCE (SNAP SHOT OF THE FSM HEALTH WORKFORCE: FSM 2011)

  8. NCD Conditions As Leading Causes of Morbidity FSM 2010 Other Heart Diseases Diabetes Hypertension Cancer Kidney Diseases Stroke Chronic Obstructive Pulmonary Disease (COPD) Gout

  9. Leading NCD Conditions as UCOD – FSM 2010 Diabetes Cancer Myocardial Infraction Cerebro-vascular Accident Renal Failure Hypertension Chronic Obstructive Pulmonary Disease

  10. FSMNG Response To NCDs NCD/Chronic Disease Unit (National and State) Diabetes Cancer Tobacco Prevention and Control Nutrition Action Plan (Advocating for “Go Local”) Physical Activity (schools and work-place) Small scheme through SPC for Local Farming and PA 2-1-22 Grant (WHO/SPC) FSM Endorsement to the Regional Declaration on NCD by FSMNG Leadership (Have not nationally declared); Environment – supportive; Need to collaborate with the four states for proper declaration (FSM NCD Meeting/Conference in Yap-12/2011) Secure Political Commitment (Funding Support for sustainability)

  11. What Already Implemented Law/Legislation (Tobacco and Substance Abuse) Clean indoor Law in all public places - all states No Sale to Minors Law – all states No Promotion, Advertisement and Sponsorship Law – all states, except Kosrae No sale of Single Stick Law – Only in Kosrae Importation Tax Law on Tobacco Products – at National No Betel Nut Chew by Minors – Kosrae State Community Smoke Free Nahs – only in EnpeinPowe, Kitti, Pohnpei Sin Tax - All States Bill Packaging and Labelling Bill- at FSM National Ban Tobacco Importation Bill – Chuuk State Policy Second Hand Smoke Policy in all government buildings/office space rentals and government vehicles No Soda Drinks/Drinking in Church Activities (receptions/parties)- KKCC Faith Group MOA Healthy food sections at selected food establishments Draft Policy FSM Nutrition and Physical Policy for schools Guidelines for food served during government hosted workshops, meetings, summit , etc. Executive Directive Two-hour Physical Activity /Exercise – Kosrae State On Going Actvities Sponsored PA (Fun Wallk/Run Land Grant Agriculture and Nutrition Programs

  12. ……What Already In-placed and Needing Review Chuuk NCD Strategic Plan - 2011-2015 Pohnpei NCD Strategic Plan – 2011-2014 FSM National NCD Strategy 2011-2015 – Need Review by 12/2011 - Yap Salt Reduction Program (New) Kosrae and Yap need to develop their NCD Strategic Plan

  13. Objectives for the Next Two-Year Review Draft 2011-2015 FSM NCD Strategy National Declaration of PIHOA NCD State of Emergency Endorsement of FSM National Nutrition and Physical Activity Policy Endorsement of National Guidelines for food served during government hosted workshops, meetings, summit, etc. Review and amend existing NCD policies Fine Tuning the Salt Reduction Program (New Program) Improving Data Management (NCD Data) Hiring of a Pathologist

  14. Practices and Successes – Implementing NCD Policy Clean Indoor Law – through collaboration between governments (national and state) and private sectors; Involvement of stakeholders in the process

  15. Lessons Learned - Challenges Political Commitment and Support (Funding) Conflict of Interest (Policy Makers are business owners) Identifying Champions (devising policies/legislations) Gathering evidenced-based data supporting legislations

  16. Supports Needed for NCD Policy, FSM Technical Assistance Policy Review/Development HIS – SWAT Analysis (Linking of various data registries for an Integrated HIS) HRH – Drafting of HRH Plan - Planning QA/QI Training (on-site) for: community change agents ICS System Funding Opportunities (for Sustainability)

  17. Thank You

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