1. prevention and control of non communicable diseases in Iraq

2. NONCOMMUNICABLE DISEASES A Recent Public Health Concern in Iraq
NCDs form a major public health problem in Iraq
Iraq is passing through a transitional epidemiological period with increasing burden of Non communicable diseases NCDs and their contributory risk factors.

3. Current Situation of Noncommunicable Diseases
Mortality Attributed to Noncommunicable Diseases:
Five -six of the ten leading causes of mortality are attributed to NCDs. Mostly, cardiovascular diseases
Every year people die with cardiovascular diseases,
7000 with cancer, 4000 with diabetes and 1500 with chronic respiratory diseases/asthma.
Morbidity Imposed by Non communicable Diseases: Public Clinics:
Hypertension 20,000/,Diabetes: 16,000,Ischemic heart diseases: 7,000,Asthma 4,500/ Year. Hospital record: Ischemic heart diseases leading cause of hospitalization.
Iraqi cancer registry:
more than 14,000 new cases of cancer are recorded yearly.
Breast cancer first ranked among the top 10 cancers in Iraq followed by lung cancer then Leukemia.

4. Non Communicable Diseases Risk Factors Among Adults (25-65 yrs), Iraq 2006
Female
Male
Both
Behavioural risk factors *
Tobacco consumption
6.9
41.5
21.9
Less than 5 servings of fruit and/or vegetable/ day
91.5
Physical inactivity
52.7
61.8
56.7
Biological factors      
Overweight
31.4
37.4 34
Obesity
38.2
26.2 33
Raised blood pressure
38.3
43.1
40.4
Hyperglycaemia
9.9
10.9
10.4
Hypercholesterolemia
36.5
37.5

5. Integration of NCD Care into Primary Health Care Services
Screening and comprehensive care for hypertension and diabetes
Early detection of breast cancer
Primary care for asthma
Development of National evidence based guidelines
Introduction of essential drugs and laboratory tests and diagnostic procedures for major NCDs into PHCcs.
Services for prevention and control of avoidable blindness with a focus on primary eye care.

6. Challenges/requirements:
Active Multi-sectoral participation to support addressing social determinants,Globalization ,Social norms ,Legislations
Sustained resources especially for health promotion campaigns and intervention on social determinants. Access to target population .Availability of resources for national surveys
Updating information and upgrading skills.

7. Tobacco Control
. monitor tobacco use and tobacco-prevention policies protect people from tobacco smokee in public places and workplaces offer help to people who want to stop using tobacco warn people about the dangers of tobacco enforce bans on tobacco advertising, promotion and sponsorship raise tobacco taxes and prices Challenges/requirements(Tobbaco control)
Maintenance of the Multi sectoral commitment at the decision making level
Sustainability of funding source for intervention and tobacco control campaigns.
Technical cooperation with national sectors and international organizations

8. Promotion of healthy diet, physical activity and health
Screening and primary care for obesity for school children
Promotion of physical activity addressing a variety of age spectrum with emphasis on school children
School based nutrition education program
Production of guidelines
Public awareness approaching different target group in collaboration with the media and other governmental and nongovernmental sectors.

9. Annual review of NCD programs preventing department of DOH , DOHUK ,2010

11. PHCs included in NCD programs (2009-2010)

12. NCD Activities 2010 No. Activity 19 Training course 245 Participant 18
seminar 5
Celebration
40(1:cervical ca.,28: DM&HTand11:Mental health
PHCs newly Included in NCD programs 45
Monitoring visit

13. Community eye health center (bahdinan) statistics 2009-2010

14. Primary mental health program
2009
2010
12 worker/
11unit
22 worker/
21unit

15. screeningD.M,HT

16. Breast ca.

17. Breast cancer program Breast cancer screening Program for 2010
Total no. of women Attending the breast cancer clinic2009:1292
Total no. of women Attending the breast cancer clinic 2010:1962

18. Breast cancer 2010

19. Breast cancer 2010 No. of female examind on ( 58): PHCs 53574
No. of female refered to the breast cancer clininc from PHCs 1234
No. of female refuse refering to the breast cancer clininc 85
Referal cases from PHCs reach the breast cancer clinic 903

20. Diabetes center
The total number of patients during the year 2010 :
Male 6288
Female 10834
Number of files done at year : 1546
Male 572
Female 974

22. DOHUK,IRAQ
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