MENA Region In The Coming Triennium

Prof. ADEL A EL-SAYED MD Chair

IDF-MENA Region

Professor of Internal Medicine

Sohag Faculty of Medicine

Sohag-EGYPT

Introduction

• Diabetes is a major 21st century health and development challenge. No country, rich or poor, is immune to the epidemic. Its impact on individuals and economies is enormous and continues to grow.

• The greatest burden of diabetes is increasingly falling on low- and middle-income countries

• And the cost of the disease to health services will continue to rise with catastrophic consequences for vulnerable economies and people with diabetes.

• We live in an area –the Middle East and North Africa Region- with very high prevalence of diabetes.

The Top 10s (number of people with diabetes)

IDF Diabetes Atlas 5th Edition 2012 Update

New estimates for 2012 of diabetes prevalence, mortality, and healthcare

expenditures

IDF

• IDF is the global advocate of the people with diabetes.

• Strategic Plan 2013-2015: Goals and priorities

• Goals

1. Improve health outcomes for people with diabetes

2. Prevent the development of type 2 diabetes

3. Stop discrimination against people with diabetes

IDF

• Strategic Plan 7 priorities:

1. Support and strengthen IDF’s regions and Member Associations for global people’s movement.

IDF

• To achieve the strategic plan we need:

1- Political recognition.

2- Immediate action.

IDF Political Recognition

• The 2006 UN Resolution on Diabetes

• the 2011 UN High-Level Summit on NCDs

• the WHO Formal Member State Consultation on the Global Monitoring Framework 5-7 November 2012

Global Monitoring Framework

Global Outcome Targets

• Halt the rise in diabetes and obesity • 10% relative reduction in prevalence of physical

inactivity • 30% relative reduction in prevalence of

current tobacco use in persons aged 15 years+ • 80% availability of affordable basic technologies and

essential medicines, including generics, required to treat major NCDs in both public and private facilities

• 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes

• In addition to other targets.

Political Recognition

Insufficient

St. Vincent Declaration story

IDF Immediate Action

• Who will act: Regions and member

associations

• Role of IDF: Support and strengthen IDF’s regions and Member Associations for global people’s movement.

We Are Responsible…

• No body can work alone: Huge work required.

• We have to determine national specific targets.

• You have to find out the best strategies.

We Are Responsible…

No body can work alone: Collaboration.

• Collaboration within the IDF:

National

Regional

International

• Collaboration with other stakeholders: WHO

We Are Responsible…

You have to determine the national specific targets.

Global Monitoring Framework

Global Outcome Targets

• Halt the rise in diabetes and obesity • 10% relative reduction in prevalence of physical

inactivity • 30% relative reduction in prevalence of

current tobacco use in persons aged 15 years+ • 80% availability of affordable basic technologies and

essential medicines, including generics, required to treat major NCDs in both public and private facilities

• 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes

• In addition to other targets.

We Are Responsible…

finding out the best strategies

• Ideas

• Working groups

• Funding

• Follow up

Ideas Examples

• Surveys

• Specialized clinics

• Studies

• Education: Diabetes Diploma

• Technology: e-medicine, m-medicine

• …………………..More

IDF/WHO Collaboration

2.5 Strengthen partnerships and collaboration with all stakeholders, including United Nations agencies and civil society organizations, in order to implement the regional Framework for Action.

• Implement/strengthen the WHO surveillance framework that monitors exposures (risk factors), outcomes (morbidity and mortality), and health system capacity and response (interventions)

• Develop national targets and indicators based on WHO guidance

• Integrate surveillance and monitoring schemes for noncommunicable diseases into national health information systems

• Develop clear indicators to measure the engagement of non-health sectors

Funding

7

Moroco2003

8

Algeria2001

4

Tunisia1988

3

Mauritania 1998

14

Libya2001

13

Egypt1997

7

Yemen2002

24

Saudi Arabia 2004

26

UAE2006

15

Qatar

19

Bahrain

16

Jordan2004

9

Syria1999

13

Lebanon1997

3

Sudan1996

5

Iraq 1979 16

Oman 2000

<10%

10-20%

>20%

November 4, 2009

We Are Responsible…