2. Non Communicable Diseases (NCDs) In Kuwait
Dr.Yousef Al-Nesef
Assistant Undersecretary
MOH State of Kuwait
2009

3. Global Burden of NCDs 47% of the global burden of disease,
NCDs such as cardiovascular, diabetes, cancer, renal, genetic and respiratory conditions are major health threat accounting for :
60% of deaths
47% of the global burden of disease,
75 % of deaths in developing countries
“The World Health Report 2004” 

4. EMRO Burden
NCDs are rising dramatically in the EMRO Region accounting for:
45% of the region’s disease burden
60% by the year 2020.

5. Where are we in Kuwait?

7. Prevalence of NCDs in Kuwait*
- Cardiovascular Diseases %
- External causes / Accidents %
- Neoplasm %
- Diabetes mellitus %
* Adult Kuwaitis
Health Kuwait 2006
Y. Elnesef

8. Main Five Causes of Death in Kuwait
2006 Per 100,000
Rate
Causes of Death
106.6
Cardiovascular
40.9
Tumors
18.9
Traffic accidents
13.6
Endocrine Metabolic nutritional disorders
12.7
Diabetes mellitus
10.9
Hypertension
Source: Health Kuwait,2006

9. Prevalence of NCD Risk Factors%
RISK FACTOR 81
Low fruit and vegetable
75.4
Overweight &OBESITY
55.4
Physical Inactivity
38.6
Raise Cholesterol
20.6
Smoking
20.5
Hypertension
12.4
Diabetes Mellitus
2.7
Alcohol Consumption 70
At least 3 risk factors 9
Eman Study, 2008

10. Kuwait’s Commitments

11. 1. Addressing Risk Factors
Targeting All Modifiable Risk Factors (Lifestyle, Obesity, Smoking, Inactive Life etc):
Target = 80%

12. 2. Control and Preventions Activities
National Programs
International and Regional Co-ordination
Health Education
Healthy Clinic
Clinical Practice Guidelines
Referral Policies
Y. Elnesef

13. 3. Cooperation at the International, Regional and National levels
Kuwait MOH is working in collaboration with WHO, UN, UNICEF, GCC Ministerial Council for health and other agencies for exchange of experiences, ideas, planning and implementation of joint researches and programs.

14. Examples of Joint Work at the Regional level
EMAN Imitative to control NCDs
Diabetes plan at GCC Countries to control and prevention the disease
World Health Survey, Global Survey for Tobacco use Among Youth.

15. 4. Need-based Service Provision
82 Primary Health Care centers
6 General Hospitals (2567 Beds)
17 Specialized Hospitals (2134 beds)

16. 5. Special Attention to PHC Role
The Government Program , gave special attention to PHC in prevention, Control of Non-Communicable Diseases .
A unique, well organized, easily accessible and good infrastructure PHC Service enables the integration of all NCD's prevention and control in PHC settings.

17. Preventive Care Through PHC
Health education
screening,
Counseling
preventive clinics :
Smoking cessation,
Obesity control,
Health promotion
Breast feeding promotion.
Retinopathy screening

18. Clinical Guidelines to Ensure
High Quality Care

19. Specific Initiatives

20. Diabetes Mellitus
The National Program for Prevention and Control of DM
Strong Collaboration with NGOs (KDA)
Centre of Excellence (Dasman Centre)

21. Tobacco Control
The National Program for smoking Control is one of the oldest program

22. Obesity Control
The National Program for Prevention and Control of Overweight and Obesity

23. National Program of Physical Activity
According to the partnership conference of the WHO and the U.S. CDC in San Diego 2006, the State of Kuwait has been chosen as one of the 4 countries in the world for the preparation of National plans for physical activity.  

24. The National Cancer Prevention Program
The role of PHC in cancer prevention includes: health education and early detection of cancer clinics. A comprehensive national campaign for raising public awareness about early detection of breast cancer was organized in 2008.
Cancer registry is, also, an important component of the national program for prevention of cancer.
"CAN" is a popular example of community based initiatives for prevention and control of cancer, one of the leading causes of death in Kuwait.

25. National Program for Prevention & Control of CVD
Social Marketing (including HE)
Early detection of risk factors; such as: high blood pressure, high blood lipids & smoking, through screening at PHC settings

26. Conclusion
NCDs are global health and socio-economic threat that needs sustainable multi-sectoral intensive efforts and resources to achieve the target goals.
Close collaboration at National, Regional and International levels is needed for prevention and control of NCDs

27. Conclusion
Big Government and non governmental efforts are exerted to control NCDs .
Modern social approaches are needed.
Kuwait is committed to building capacity, allocate resources and empowering other community partners in order to better control and prevention of Non Communicable Diseases.

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