1. NON COMMUNICABLE DISEASES UNIT Presented by : Mr. Omar Mwalimu

2. NCDs are the leading cause of death and disability worldwide they account for 60 percent of all deaths globally People living in developing countries are more likely to develop and die prematurely from chronic disease Have limited access to comprehensive health services for NCDs Live in countries that do not have effective policies for NCDs (tobacco, alcohol, air pollution, etc.) In addition to their devastating impact on health, NCDs have a major socio-economic impact on individuals, families, communities, and countries The Major Challenge To Development In The 21 st Century A threat to health and development Barrier to Development A Neglected Epidemic NON-COMMUNICABLE DISEASES (NCDs)

3. Raised FBG – 3.7% Raised BP – 33% Fruits and vegs consumption – 2% Physical inactivity – 18% Alcohol consumption – 1.7% Tobacco use – 7.3% Obesity – 14.3% NCD AND RISK FACTOR STATUS IN ZANZIBAR AS REVEALED BY STEP SURVEY – 2011 Prevalence of DR 101(28.3%) Prevalence Sight threatening DR 33(9%) DIABETES RETINOPATHY STATUS IN ZANZIBAR

4. Key planned interventionsAchievements Train 85 health care workers on NCD prevention and management from PHCU+ and above as well as establishment of new 34 NCD clinics Trained 190 HCW from 36 PHCU+, 4 PHCC, 3 DH and MMH Established new NCD clinics at 36 PHCU+ Procure and supply basic equipment for NCD care Procured and supplied equipment for initiating/strengthening NCD clinics Develop NCD Strategic Plan II Developed Integrated Non communicable Diseases Strategy and Action Plan for Zanzibar 2014-19 Conduct KAPB survey Conducted KAPB survey which involved 710 HH and 210 HCW in five selected districts (2 Pemba and 3 Unguja) Conduct community awareness activities Conducted health promotion sessions at various levels Developed Tobacco control regulation MAJOR ACHIEVEMENTS – 2013/2014

5. Key planned interventions Achievements Screen people for eye problem 2,485 were found with different problems 750 were given spectacles 1,516 were given other treatment Percentage of people undergone eye operation 0.9% out of …. people underwent eye operation for various problems MAJOR ACHIEVEMENTS – 2013/2014

6. CHALLENGES – 2013/2014 MULTIPLE AND COMPLEX! Addressing NCDs needs a joint effort from various sectors, but currently confined within the health sector Limited access to comprehensive health services for NCDs Little attention and commitment in creating a health-promoting built environment (No NCD prog. & prevention policies) Limited knowledge about chronic disease and poor understanding of contributing risk factors amongst community High increase of diabetes amongst children

7. POTENTIAL SOLUTIONS TO KEY CHALLENGES Review existing multi-sectoral committee to accommodate NCD issues Advocate for drug availability especially at PHCU+ Engage more higher level authorities/policy makers & develop NCD prevention regulations/policies Increase community awareness on NCD risk factors and specific conditions

8. FINANCES Source of fundsPlanned financesFunds receivedExpenditure RGoZ 1 5,920,000 00 WHO12,675,000 Source of fundsPlanned financesFunds receivedExpenditure RGoZ18,843,00000 WHO10,200,000 2013-2014 2014-2015 o World Diabetes Foundation is the main funder of NCD Unit o 550,000 USD allocated for 3.5 years (July 2012 – December 2015) o 60% of the funds is for equipping HFs, 2% External Auditing and the rest for the implementation of the activities

9. FOCUS VISION To create a healthy and prosperous environment in Zanzibar that will enable sustainable economic and social development, whilst minimising the exposure to the most common NCD risk factors and enabling those needing to access care to do so GOAL To reduce the exposure to the most common risk factors for NCDs and associated morbidity and mortality Outcome 2: General knowledge of population with regards to NCD Risk factors and specific conditions increased Outcome 1: A positive policy environment with regards to NCD Outcome 3: Delivery of NCD care at PHCU is improved Outcome 4: A positive policy environment with regards to NCD Outcome 5: The implementation of ZNCDS II is monitored and evaluated in a timely manner

10. TAKE AWAY MESSAGES NCDs are Killing and Disabling people at their PEAK PRODUCTIVITY NCDs will Slow economic growth rates in poor countries There is an urgent need to raise the profile of NCDs on the national development agenda

11. LIFE STYLE BY CHOICE OR LIFE CONDITIONS? Lifestyle and behaviour does not take place in a vacuum but in a context defined by the political, economic and social reality THANK YOU FOR YOUR ATTENTION!!