… BE IT FURTHER RESOLVED, that the Policy on NCDs shall include benchmarks for ending the Regional State of Health Emergency; … BE IT FURTHER RESOLVED, that the Policy shall provide clear justification for its goals, including clear, accurate and referenced data on NCDs and their impact ; … BE IT FURTHER RESOLVED, that the Regional approach to NCDs shall integrate effectively with other regional, national and local NCD policies and plans ;
… BE IT FURTHER RESOLVED, that the Policy on NCDs shall include benchmarks for ending the Regional State of Health Emergency; … BE IT FURTHER RESOLVED , that the Policy shall provide clear justification for its goals, including clear, accurate and referenced data on NCDs and their impact ; - PowerPoint PPT Presentation
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
… BE IT FURTHER RESOLVED, that the Policy on NCDs shall include benchmarks for ending the Regional State of Health Emergency;
… BE IT FURTHER RESOLVED, that the Policy shall provide clear justification for its goals, including clear, accurate and referenced data on NCDs and their impact ;
… BE IT FURTHER RESOLVED, that the Regional approach to NCDs shall integrate effectively with other regional, national and local NCD policies and plans;
Adaptation & Implementation
Policies(Laws, regs, school, govt agency, church, traditional leader policies)
THE COMMITMENT:Fifteen Essential Policies for Reversing the Epidemic of Non-Communicable Diseases
in PIHOA jurisdictions
Risk Factor: Tobacco Commitment 1: Increase taxes on tobacco products (to extent needed to offset costs)*Commitment 2: Pass and enforce model comprehensive smoke-free air acts *Commitment 3: Restrict all forms of tobacco product advertising*Commitment 4: Establish and sustain tobacco cessation programs Risk Factor: Alcohol Commitment 5: Restrict all forms of alcohol advertising*Commitment 6: Restrict access to alcohol*Commitment 7: Increase taxes on alcohol (to extent needed to offset costs)* Risk Factor: Poor Nutrition Commitment 8: Implement policies that reduce salt consumption*Commitment 9: Implement policies that reduce sugar consumptionCommitment 10: Implement policies that reduce fat consumption*Commitment 11: Implement policies that promote breastfeedingCommitment 12: Implement policies that promote local foods Risk Factor: Lack of Physical Activity Commitment 13: Develop the built environment to promote physical activityCommitment 14: Promote physical activity in the work place [reconsider]Commitment 15: Promote physical activity in the schools
*WHO
“Be
st B
uys”
NCD
Pol
icy
Tool
kit
Regional Road Map
for Ending the Epidemic of Non-Communicable
Diseases
In the United States Affiliated Pacific Islands
Version 9
Updated May 22, 2013
1
Adaptation & Implementation
Policies(Laws, regs, school, govt agency, church, traditional leader policies)
Health Leadership Council Roadmap
USAPI Professional Associations
Youth Risks(obesity, tobacco, alcohol)
NCD Policy Commitment Package(includes WHO “Best Buys”)
↓= Improved (rate decreased) N= No change↑= Worse (rate increased) Blank= Not enough data
Out of 144 measurements: 14=improved, 15=worse, 33=no change, 82=not enough data
USAPINCD Core SurveillanceIndicators
Tobacco Alcohol
↑BMI Diseases(adult)
Deaths(30-69 years)
Cigs- youth
Cigs- adult
Chew- Youth
Chew- adult
Youth
Adult
Youth
Adult
HTN
DM
↑Cholesterol
All Cause
Cardiovascular
Cancer
Diabetes
Chronic Lung
Am Samoa ↓ N ↓ ↑ N N N N N
CNMI ↓ N ↓ N ↓ N ↑ ↑ ↑ N ↓
FSM
Chuuk
Kosrae
Pohnpei
Yap N N N N N ↓ N ↓ N
Guam ↓ ↓ ↑ N ↓ N N N N N N ↑ N ↑ ↑ ↑
Palau ↑ N ↓ N ↓ N N N ↑ ↑ ↑ N N
RMI ↑ ↓ ↑ ↓ N
Take Home Messages• Some progress, especially tobacco and alcohol• Need to do much better overall• Many gaps in surveillance picture, because:
At jurisdiction level-> No clear delegation of responsibility at jurisdiction level> Lack of NCD surveillance plans at jurisdiction level
At regional level-> Surveillance activities initiated by variety of TA agencies> Very long turn-around time for analysis of some surveys> Vital stats problems
Addressing the Gaps- Jurisdiction Level
> Clear identification of surveillance teams in your jurisdiction> Nominate members to attend May Palau EpiTech Workshop (or hold similar activity in your jurisdiction)
- Jurisdiction-level NCD Surveillance Plan- Technical work to harmonize CDC with WHO stuff- Credited Epi course delivery
> Encourage/require enrollment of team members in EpiTech certificate program (for credit!)
NCD SURVEILLANCE STYLES- Your Choices:
WHO- NCD STEPS- Comparisons across Pacific- Fits well with MANA- Face-to-face survey-Does not fit as easily with CDC programs/HP2020
-Costs to come from country budgets
-Analysis support not completely established
-Not very flexible
CDC- BRFSS- Comparisons with US- Fits well with CDC/HP2020- Stable external funding - Good analysis support- Flexible- Telephone survey- Does not fit as well with
MANA- Not as good for Pacific
comparisons
BOTH- Comparisons with both US
and Pacific- More burden on Depts of
Health- Survey fatigue- Difficult to monitor trends
NCD SURVEILLANCE STYLES (Creating another choice)
Harmonizing WHO with CDC Styles
- Adapt BRFSS (and YRBS) to meet WHO needs as well as US program needs - physical measures - fit with new WHO NCD Surveillance Framework
- Secretariats to work more closely to harmonize technical assistance
Addressing the Gaps- PIHOA Board
• Communique to CDC NCDPHP to request:> Assist to provide Epi TA/place epidemiologist in region> BRFSS & YRBS funding support> Adapt BRFSS and YRBS> Help support delivery of EpiTech and Pacific FETP
• Asking WHO to assist with harmonization of BRFSS & YRBS, and harmonizing TA
> ? Formal communique
Regional Surveillance TA Entities
PPHSN (Pacific Public Health Surveillance Network)- Outbreak prone diseases
PHIN(Public Health Information Network)- HIS planning