Causes of NCDs
very cost effectivevery cost effective
PovertyAgricultureeducation
PovertyAgricultureeducation
tradetrade
–Later in diseases process–less cost effective–How much can the health system achieve alone?–Rule of halves–Poor effectiveness on obesity–Good evidence on prediabetes and prehypertension (doesn't depend on doctors and nurses)–Biological risk factors?–Strengthening the health system helps patients with other problems,….??
–Later in diseases process–less cost effective–How much can the health system achieve alone?–Rule of halves–Poor effectiveness on obesity–Good evidence on prediabetes and prehypertension (doesn't depend on doctors and nurses)–Biological risk factors?–Strengthening the health system helps patients with other problems,….??
NCD prevention and control
1. National multi-sectoral policy and plan within the national health and development plan
2. Population based, multi-sectoral actions for risk reduction
3. Health system strengthening for NCD prevention and management
4. Surveillance, monitoring and reporting
5. Sustainable partnerships and advocacy
• Health Problem . Multiple Factor Cause . Need Multiple Approach - Health Service Base - Non Health Service Base
Context (Real Situation)
• Commercial Drive –Fast Food Alcohol, Tobacco.. etc.
• Environmental Change • Demographic Change • Competitive Life Style• Urbanization
Global Change
ROLE
3.3 National Expertise . NCD Epidemiologist . NCD Dis.Control - Specialist (s) - Public Health Mans ( Physician ,Non Physician)
ROLE. System Managers - Provincial Managers - Districts Managers - Tambon Managers . Quality Model Leader. Efficiency Model Leader
MANAGEMENT2. Capacity Building Development . Professional Health Services Base . Non Health Services 3. Advocator ( National Level) 3.1 Policy Public Advocate Driver 3.1.1 Food – หวิาน,ม�น,เค็�ม ,บุ�หร��,สารพิ�ษ แอำลกอำฮอำล%
MANAGEMENT 3.1.2 Physical Activity Policy . Incentive - Finance - Recognition . CSR. 3.2 life Style Modification . Mental Health . Spiritual Health
MANAGEMENT
4. Coordinator . Clinician - มหาวิ�ทยาล�ย - กรมการแพิทย% - รพิศ/รพิท/รพิช/รพิ.สต. . Researcher Network . R to R Developer
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