1. NCD in Uzbekistan Zulfia Atadjanova
6th WHO-IUMSP international course on public health aspects of NCD
Lausanne, May 7-12, 2012

2. The total area - ​​447.4 km2
Population – 28 mln
Urban 51.4% and 48.6% rural
0-14 years %
15-64 years %
> 65 years - 4.7%
Life expectancy – 73 years

3. Health system
Structure and organization of prevention and care services:
Health care system is the main player in prevention and health promotion
Current reforms of Primary health care
Inefficient surveillance system for risk factors

4. Incidence of key disease classes registered in the Republic of Uzbekistan in (per 100,000 population).
Groups of Diseases
1991
1995
2000
2004
2008
2009
2010
Respiratory Diseases
Cardiovascular Systems
1014.3
1076.7
Bone and Muscle System
747.8
570.1
765.30
841.63
868.53
842.44
814.85
Blood and Circulatory System Disorders
5897.7
7823.3
8567.1
Digestive Disorders
3996.4
5360.1
Malignant Growths
76.2
68.5
70.8
67.7
68.1
68.4
Urinary System
1617.0
1814.0
Injuries and Poisoning
3903.4
3258.9
Mental Disorders
257.3
232.1
267.81
213.70
194.13
190.39
183.83
Endocrine Disorders
865.6
1330.1
TOTAL
Source: Institute of Health and Medical Statistics of the MOH of the Republic of Uzbekistan

5. NCD situation in Uzbekistan
Top 10 groups of permanent health problems and disability for males and
females in Uzbekistan (2002) according their weight in the total DALY number
Rank
Men
Women
Groups of permanent health problems
Total DALY (%) 1
Cardiovascular diseases
18.7
Neuropsychiatric disorders
21.9 2
16.6
18.3 3
Unintended injuries
12.5
Respiratory infections
7.4 4
9.1
Digestive diseases
6.3 5
6.2
Infectious and parasitic diseases
5.3 6
6.1
Sense organs diseases
4.7 7
Perinatal conditions
5.4
Malignant neoplasms
4.6 8
3.7
4.5 9
Respiratory diseases
3.6
Malnutrition
4.2 10
3.4

6. Main achievements
National strategy on NCD prevention and control and action plan with inter-sectoral consultations;
Law against tobacco/smoking and alcohol endorsed by government;
President signed decree for joining FCTC
National nutirtion investment strategy

7. Main challenges Inter-sectoral collaboration
Ministry of Finance is against tobacco and alcohol taxation
NGOs and community involvement into policy development and implementation;
NCD risk factors surveillance system is not in place;
Mechanism for financial allocation for NCDs not developed

8. Lessons learnt
Involvement of all key sectors into NCD policy development and capacity building makes a big difference in further commitment and decision-making
Good cost-benefits analysis and implementation of good risk factors surveillance system should be conducted and results presented to politicians

9. Lessons learnt (2)
Reforms/initiatives can fail if they do not include such components as creation of supportive environment, self-managing and good monitoring/quality improvement mechanisms
Pilot projects showed that community leaders can play a great role and influence on behavior change

10. Next steps
Endorsement of the National NCD prevention and control strategy and action plan at intersectoral level
Endorsement of the Law against tobacco and alcohol
Launch piloting implementation of some strategic approaches in 3 provinces of the country

11. Thank you