1. Prevention and Control of Noncommunicable Diseases
National Strategy
for
Prevention and Control of Noncommunicable Diseases
In Iraq 1 1

4. Goal: Impact indicators:
To reduce morbidity and premature mortality attributed to chronic non-communicable diseases.
Impact indicators:
Premature mortality attributed to major noncommunicable
Diseases.
Prevalence of high blood pressure among adults 25 years and
more.
Prevalence of hyperglycemia among adults 25 years and more
Prevalence of tobacco smoking among adults 25 years and more
and youth years old
Prevalence of obesity adults 25 years and more.
Proportion of cancers diagnosed in early stages.

5. Vision:
Iraqi community free of preventable NCDs in which all people have access to high quality care to increase life expectancy.
Mission:
Multi-sectoral and multi-level response to control noncommunicable diseases and their contributory risk factors.

6. Scope
Major Chronic Noncommunicable Diseases:
Cardiovascular Diseases
Diabetes
Chronic Respiratory Diseases
Cancers
Risk factors:
Tobacco consumption
Unhealthy dietary habits
Low physical activity
Other related conditions
Blindness and lmpaird vision
Musculoskeletal disorders

7. Objectives
Objective one: To raise the priority accorded to noncommunicable disease in developmental plan at national level, and to integrate prevention and control of such diseases into policies across all governmental departments.
Objective 2: To implement the national policies and plans for the prevention and control of noncommunicable diseases.
Objective 3: To promote interventions to reduce the main shared modifiable risk factors for noncommunicable diseases: tobacco use, unhealthy diet and physical inactivity.
Objective 4: To promote research for the prevention and control of noncommunicable diseases
Objective 5: To promote partnerships for the prevention and control of noncommunicable diseases.
Objective 6: To monitor noncommunicable diseases and their determinants and evaluate progress at the national level

8. Political and Governmental support/ Multi-sectoral response
Introduction into the National Health System Developmental plan
Incorporation into the poverty reduction strategy
Incorporation into the ministerial plans through the national strategy for prevention and control of noncommunicbale diseases
Introduction into the National Public Health Low (draft).
Adaption of global strategies, conventions (FCTC, DPAS, VISION2020…)

9. Strengthening NCD Care
Integration of Primary NCD Care into PHC services:
Screening and Comprehensive Care for Hypertension and Diabetes at PHC level
Primary Care for Asthma
Screening/ early detection of selected cancers (Breast, Ca cervicx).
Guidelines for PHC physicians and paramedical staff
Addition to Essential List of Drugs, Equipments and procedures for PHCs
Premarrital screening/counseling –detection of Thalassemia
Detection and management of blood hereditary diseases (hemophilia and sickle cell anemia)

10. Prevention of Blindness and visual Impairment :
Establishment of 30 community eye health units at main PHCs (Ophthalmologists and Optometrists/refractionst).
Primary eye care:
Preschool eye screening
School enrollment screening
Cases of hypertension and diabetes
Adoption of SAFE Strategy for prevention and control of Trachoma.
Elderly care:
Expansion of elderly clinics at main hospitals in Iraq(18 clinic)
Development of 17 elderly friendly PHCs.
Development of osteoporosis prevention and management for PHC physicians
Introduction of elderly health into Public Health Law.

11. Risk Factors Control
A. Implementation of the National Tobacco Control Program:
FCTC endorsed
National tobacco control law endorsed
Tobacco free places implemented at Ministries
Tobacco cessation clinics under development

12. B. Implementation of the National Strategy for Diet, Physical Activity and Health:
Setting based implementation:
Schools:
Anthropometric measurements are introduced into school enrollment screening system.
Early detection and primary care for obesity among school children implemented at health promoting schools
PHCs:
Capacity building of PHC health workers on nutritional assessment and counseling
Development of guidelines on diet, physical activity
community:
Production of educational materials EIC

13. C. Implementation of the National Programs for National Infant and Young Child Feeding Program
Baby friendly hospitals improved with stepwise expansion and a number of baby friendly PHC centers developed for implementation of the National Exclusive Breast Feeding Program
The National Infant and Young Child Feeding IYCF program Implemented and gradually expanded at PHC centers and hospitals

14. Surveillance, Monitoring, Evaluation:
NCD prevention and control is introduced into the research priority list of the ministry of health in accordance with the regional and global recommendations
NCDs introduced into national surveys (social determinants, family surveys)
Incorporated into research agenda of other ministries and sectors (Academia, Arab board, Iraqi Board) based on the national priorities
Production of the first national NCD report

15. National data on trends of NCDs cause specific mortality and contributory risk factor available
Introduction of NCDs into HIS
Registration system Reinforced based on updated International Classifications for Disease ICD in all health institutes
Strengthening cancer registry
Development of the national ESRD (end stage renal disease) surveillance

16. National and International partnerships
Steering committee for prevention and control of Noncommunicable Diseases
Steering committee for Tobacco Control
National committee for Prevention of blindness and visual impairment
Technical Committee for Diet, Physical Activity and Health
Central Committee on Elderly
National Committee on Prevention of Musculoskeletal Disorders
Medical Associations (Heart and Chest , Diabetes, Osteoporosis)
Specialized Centers and Units (Cardiovascular, Diabetes, Obesity)
NGOs
International Organizations: W.H.O., CBM ,USAID ،

17. Thank You for Listening