1. Non-Communicable Disease Prevention & Control in Afghanistan
Dr. Ashfaq Ahmed
Team Leader, Primary Health Care
WHO Country Office - Afghanistan

2. Total Population: 25,985,600 (CSO 2011)
Wednesday, January 24, 2018Wednesday, January 24, 2018
Total Population: 25,985,600 (CSO 2011)

3. Introduction: health indicatorsNO
Indicator
Coverage 1
Life expectancy (years)
Male 62, Female 61.5* 2
Annual growth rate (%)
2.1 3
Under 5 Mortality Rate (Deaths/1,000 live births)
97* 4
Infant Mortality Rate (Deaths/1,000 live
births)
77* 5
Total Fertility Rate (Births/Woman)
5.1* 6
Maternal Mortality Ratio (Maternal
Deaths/100,000 live births)
327*
*Afghanistan Mortality Survey (AMS) 2010
Wednesday, January 24, 2018Wednesday, January 24, 2018

4. Economy Low income country (WB classification)
GDP per capita on purchasing power parity = 900 USD (2010)
Annual revenues: $2 billion (Ministry of Finance 2011)
Annual expenditures: more than $3.3 billion
Unemployment rate: 35% (2008 est.), 40% (2005 est.)
Population below poverty line: 36% (FY08/09)
World Bank definitions:
a) Net official development assistance (ODA) consists of disbursements of loans made on concessional terms (net of repayments of principal) and grants by official agencies of the members of the Development Assistance Committee (DAC), by multilateral institutions, and by non-DAC countries to promote economic development and welfare in countries and territories in the DAC list of ODA recipients.
Wednesday, January 24, 2018Wednesday, January 24, 2018

5. Health care delivery Public Private Regional and specialized hospitals
1. Traditional
2. Modern: Rapidly growing
Tertiary Health Care
District and Provincial Hospitals
Secondary Health Care
Health Post, Sub-center, Basic Health Center,
Comprehensive Health Center
Primary Health Care
Wednesday, January 24, 2018Wednesday, January 24, 2018

6. Health expenditures Per Capita health expenditure USD 42 (NHA 2010)
Total health expenditure as % of GDP 10% (NHA 2010)
Government expenditure on health as % of total government expenditures 4% (NHA 2010)
Wednesday, January 24, 2018Wednesday, January 24, 2018

7. Main health problems High MMR & IMR, though AMS results are promising
High burden of communicable disease
Increasing burden of non-communicable disease
- Contribute to 35% of all deaths (AMS 2010)
Wednesday, January 24, 2018Wednesday, January 24, 2018

8. Deaths due to NCDs in different age groups%
Age Groups
AMS 2010
Wednesday, January 24, 2018Wednesday, January 24, 2018

9. Causes of deaths: NCDs vs. others
AMS 2010
Wednesday, January 24, 2018Wednesday, January 24, 2018

10. Opportunities for the control of NCDs
Availability of new data on burden of NCDs (e.g. AMS 2010), which indicates NCDs should be a priority
Establishment of a new directorate for the control of NCDs in MoPH
For the first time NCDs control will be part of National Health Policy (draft)
Afghanistan has signed and ratified FCTC
Wednesday, January 24, 2018Wednesday, January 24, 2018

11. Policy statement on NCDs
The MoPH will consider the inclusion of non-communicable diseases (NCD) in the BPHS and EPHS, keeping national priorities in mind. Much emphasis will be given to promotive and preventive measures. The MoPH will increase skills for NCD diagnosis and treatment among human resources and increase the level of infrastructure for basic NCD management.
Wednesday, January 24, 2018Wednesday, January 24, 2018

12. Barriers to the control of NCDs
Lack of capacity at national level
Inadequate information regarding the burden of NCDs
Inadequate resources allocation
Competing priorities
Donor dependency---- therefore donor driven initiatives---- NCDs not apriority for donors
Wednesday, January 24, 2018Wednesday, January 24, 2018

13. Thank You
Wednesday, January 24, 2018Wednesday, January 24, 2018