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Prevention and Control of Non communicable Diseases in Iraq Directorate of Public Health

Prevention and Control of Non communicable Diseases in Iraq Directorate of Public Health M.O.H/IRAQ. Current situation.

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Prevention and Control of Non communicable Diseases in Iraq Directorate of Public Health

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  1. Prevention and Control of Non communicable Diseases in Iraq Directorate of Public Health M.O.H/IRAQ

  2. Current situation • Iraq, like many developing countries is undergoing a transitional epidemiological period with increasing burden of Non communicbale diseases and their contributory risk factors.

  3. Ten leading causes of mortality, Iraq 2008 • MOH statistics showed that most of the ten leading causes of mortality and the main causes of hospitalization were chronic noncommunicable diseases

  4. Prevalence of Non Communicable Diseases Risk Factors in Iraq, 2006

  5. Dietary Habits 75% use Gee in cooking 95% have <5 servings of fruits or vegetables per day

  6. Smoking

  7. Physical Activity among adults (25-65years) By Gender, Iraq 2006

  8. Over weight and Obesity among adults (25-65 years) by Gender, Iraq 2006 Overweight 34.1% Obesity 32.8%

  9. Raised Blood Pressure

  10. Hyperglycemia

  11. Hypercholesterolemia

  12. Non communicable Diseases prevention and control in Iraq Prevalence of Non Communicable Diseases Risk Factors in Iraq, 2006 Ministry of Health Directorate of Public Health Non communicable Section National Mental Health Council Iraqi Cancer Council Integrated NCD care Unit NCD surveillance Unit Eye Health Unit Elderly Health and Chronic Diseases

  13. NCD prevention and control program • Goal To reduce morbidity and premature mortality attributed to chronic non-communicable diseases • Meets the global goal: To prevent and reduce disease, disability, and premature death from chronic conditions. • Contributes to the UN Millennium Development Goals (MDG6) through Combating major diseases and (MDG1) through contribution to poverty reduction.

  14. 1- To Promote healthy life style2-To control exposure to contributory risk factors3-To strengthening health carefor major chronic NCDs at Different levels of care. Strategic objectives

  15. Scope: chronic noncommunicbale diseases: • Cardiovascular diseases : Hypertension • Diabetes • Chronic respiratory diseases: Asthma • Cancer Risk factors : • Tobacco use • Unhealthy diet • Physical inactivity Other conditions: • Blindness and visual impairment

  16. Expected Results • ER1: Strengthened surveillance systems that provide data on a regular basis to guide ongoing policy development and provision of health care services • ER2: Prevention and control of major NCD are well integrated into primary health care services • ER3: Promotion of healthy life style to prevent NCDs will be enhanced in the community • ER4: Services for prevention and control of blindness will be strengthened.

  17. Screening and comprehensive care for Hypertension and Diabetes at Primary Care Level Objectives: • To identify undiagnosed asymptomatic conditions of hypertension and diabetes among attendees to selected PHC centers. • To provide comprehensive care to the diagnosed cases Results: Screening +ve 18% raised blood pressure, 20% hyperglycemia Total confirmed conditions: 4000 hypertension, 2000 diabetes. Diagnosis still unknown in 1/3 of screened +ve

  18. Production of Management Guidelines for PHC Physicians

  19. Obesity prevention and control: • A national plan is prepared for prevention and control of obesity including : • Control of overweight/obesity among adults as integral part of Screening for hypertension and diabetes project • Prevention and control of overweight/obesity at health promoting schools • Community based health education project

  20. Promotion of Physical Activity • A multisectoral committee • Capacity building of medical and other health personnel • Capacity building of teaching staff at schools

  21. Prevention and Control of Blindness and Visual Impairment Objectives • to provide a baseline data for the commonest causes of blindness • To promote eye health and integration of primary eye care into PHC services • to strengthen comprehensive eye care at different levels of care • to develop a centre of excellence for eye care • to rehabilitate and develop low vision centers.

  22. Rapid Assessment for Avoidable Blindness: • Rapid assessment for avoidable blindness has been implemented at central districts of Sulaimaniya (north) and Basra (south). • Preliminary report is prepared and submitted to WHO. • Plans are made to extend RAAB to other areas of Iraq to give an estimate for the prevalence of blindness and visual impairment in Iraq.

  23. Integration of eye care into PHC services: • Primary eye care: Eye care provided by trained PHC physicians at selected PHC centers. • Community vision centers: 22 community vision centers allover Iraq were equipped to provide eye care by ophthalmologists and refractionists to diagnose causes of blindness and poor vision, and to identify cases that need referral and hospitalization.

  24. Prevention of childhood blindness and visual impairment: • School enrollment eye screening in collaboration with school health program. • Vision screening in preschool children (under processing)

  25. Promotion of Healthy Life Style Prevention of Smoking • Establishment of the National high committee of tobacco control. • Tobacco free schools project • Tobacco free medical college project • Tobacco free Work places project • FCTC ratification • National tobacco control legislation draft is under discussion for agreement in parliament .

  26. - Tobacco free health institutes: • The ministry of health is declared to be tobacco free. smoking is prohibited inside the ministry • The second step has started in implementing the project in the directorates of health in the governorates

  27. Raising public awareness/ Community partipation • Celebration of the National and global Days • production of educational materials • Media activities • Community based initiatives

  28. Partnership and Sharing As an integral part of the Health system • Inter-sectoral collaboration at MoH:MCH section, School health section, Health promotion dept and Concerned departments at directorates of Technical Affairs and Planning and Human Resources, KIMADIA. • Sharing with other partners: • Ministries of Higher Education, Education, Planning, Environment, Women affairs, Sports and Youth, Justice, Trade, Interior affairs, Finance, Media, Baghdad governorate council.. • International organizations: WHO • NGOs • national committees in the areas of Tobacco control, promotion of physical activities, prevention of blindness and visual impairment

  29. Six: Global Framworks :FCTC Iraq ratified FCTC IN 2007. • مبادرة الحق في الأبصار VISION2020 Right to Sight: IRAQ join it in 2004

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