1. Non Communicable Diseases Sindh Context

2. The Government prioritized NCD as one of the major health issues of the province. 1.Sindh is expected to have a higher burden of NCDs. 2.Control of NCDs can reduce premature deaths 3.Reduction in premature deaths will enhance the proportion of economically productive cohort 4.Good quality NCD services at public sector will prevent the greater proportion of population from huge health expenditure

3. “How can policymakers be held to account for their actions (or inactions) without accessible data on policies and their implementation?”

4. HYD 10.8% SINDH NCD* CASES (NEW & FOLLOWUP) TOTAL NUMBER in 2013 909,954 NCD Cases Accounted HTN, IHD, DM, RTA & Depression KHAIRPUR 13.7% DADU 7.7% LARKANA 6.7% SANGHAR 5.9%

5. Mainstreaming Of Primary And Secondary Control Of NCD SHC Facilities PHC Facilities Community Health Workers Communication on NCDs including healthy life style, disability prevention Identification / screening Complex Diagnosis Routine Treatment & Referrals Treatment of Complications Advance Treatment

6. Policy Ingredients for Sindh ComponentAction Evidence Development and Implementation of Integrated HMIS Planning Integration Of Primary And Secondary Control Of NCD Interventions And Lifestyle Support Provincial NCD Targets Implementation Development and establishment of Essential Package of Health Services Training the work force Development and Implementation of Tobacco and Injury Policies Improvement Establishment of Provincial NCD Commission Integrated M & E Framework Developing Centers of Excellence at Karachi, Hyderabad and Sukkur

7. ….health policies now exist on the books, de jure, in 72% of the countries…. (Malignant Neglect)