1. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 1 |1 | NCDs in the context of the revised Health Promotion Strategy

2. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 2 |2 | 2 Major Milestones: 2011 Year of NCDs WHO African Region Ministerial Consultation on the preparation for the Moscow Ministerial Consultation and the High Level Summit on Noncommunicable Diseases Brazzaville, Congo, 4-6 April 2011 United Nations high-level meeting on Noncommunicable Disease prevention and control. Political declaration on the Prevention and Control of Noncommunicable Diseases adopted New York, September 2011 First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control Moscow, April 2011

3. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 3 |3 | Causal chain of NCDs Disability & death Chronic diseases Intermediate conditions Risk factors Social & economic determinants

4. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 4 |4 | There will be an estimated 37% increase in NCD deaths by 2025 4

5. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 5 |5 | Today’s risk factors are tomorrow’s diseases NCDs risk factors are many (behavioral and biological) The four behavioral risk factors are modifiable

6. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 6 |6 | The burden of tobacco use in the Region is growing Tobacco use is a leading cause of NCDs Current tobacco use prevalence ranges 2.4-23% Adult males are much more likely to smoke than females

7. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 7 |7 | Alcohol is among the leading NCD risk factors in the Region 7 out of 10 adults in the Region do not drink alcohol Per capita consumption ranges 0.1 to 12.3 liters of pure alcohol, with an overall consumption of 6.2 liters 3.3% of all death in the Region is attributable to alcohol use

8. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 8 |8 | Physical inactivity leads to overweight and obesity Physical inactivity prevalence in the region, ranges from 6.6% to 66.5% with a median of 22% Levels are usually higher in women especially in urban areas Wide difference within and between countries

9. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 9 |9 | This region faces double burden of malnutrition: under nutrition and obesity Consumption of unhealthy diet and physical inactivity results in overweight and obesity Obesity impacts on multiple organs Prevalence ranged 1% to 31% with a median of 6%

10. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 10 | The foundation of effective NCD control program is to have a national control program with adequate funding Across the Region: 93% MOH have NCD program/units 59% funding for NCD treatment and control 63% for prevention and health promotion 48% for strategic information Source: 2010 NCD capacity survey

11. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 11 | Inclusion of NCDs and related risk factors in national reporting mechanisms is critical Across the Region: 70% of countries did include mortality in national reporting systems 74% included morbidity 30% included risk factors 20% have national population-based cancer registry Source: 2010 NCD capacity survey

12. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 12 | Very few countries had NCD-related policy and/or action plan in 2010 Across the Region: 22% for CVD, 28% for cancer, 17% for CRD, 33% for diabetes, 22% for alcohol, 33% unhealthy diet/overweight/obesity, 28% physical inactivity, and 37% for tobacco Source: 2010 NCD capacity survey

13. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 13 | 13 AFR NCDs Prevention & Control Strategic directions Move from individual disease programmes to integrated NCDs programmes Scale up by pooling limited resources Strengthen and reorient health system for NCDs prevention and control Promote NCD risk factors reduction (tobacco use, physical inactivity, unhealthy diets and harmful use of alcohol) based on common risk factors approach Forge multi-sectorality and strengthen public and private partnerships at regional and country levels to combat NCDs

14. 4 th SIDS Meeting, Sao Tome & Principe 16-18 April 2013 14 | Thanks