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ยุทธศาสตร์ การแก้ไขปัญหาโรคอ้วน PowerPoint PPT Presentation


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ยุทธศาสตร์ การแก้ไขปัญหาโรคอ้วน. โดย นายแพทย์ณรงค์ศักดิ์ อังคะสุวพลา อธิบดีกรมอนามัย กระทรวงสาธารณสุข. กรอบการนำเสนอ. - สถานการณ์ด้านสุขภาพ - การขับเคลื่อนการแก้ไขปัญหาโรคอ้วน ในต่างประเทศ - นโยบายแห่งชาติ : ยุทธศาสตร์สุขภาพดีวิถีไทย - การขับเคลื่อนการแก้ไขปัญหาโรคอ้วน

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ยุทธศาสตร์ การแก้ไขปัญหาโรคอ้วน

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http://www.who.int/chp/chronic_disease_report/contents/part1.pdf

2548

35 60 58

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17 38.8


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http://www.who.int/chp/chronic_disease_report/contents/part1.pdf


Projected main causes of death worldwide all ages 2005

Projected Main Causes of Death,Worldwide, All Ages, 2005

NORDIC FOOD WEEK 19.9.2007


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Incidence Rate of Chronic Disease among Thai people by year, 1994-2006

per 100,000

Year

Source : In patient report. Bureau of Policy and Strategy MOPH,Thailand,2006


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5 10

:..2547

Source: Thai Working group on Burden of Disease. (2007) Burden of disease and injury in Thailand 2004. International Health Policy Program. Bureau of Policy and Strategy. Ministry of Public health.


Prevalence of metabolic syndrome

Prevalence of Metabolic syndrome

Source : Nutrition Division, Department of Health

(sample: n=1737, sedentary employee group, age>30 yrs.)


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Trim and Fit (TAF)

:

14 10

2003


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Information

Public Policy

Participation

R&D The FINAMI Study


Chd mortality in all finland and in north karelia 35 64 year old men

per 100 000

North Karelia

All Finland

CHD mortality in all Finland and in North Karelia35-64 year old men


Coronary heart disease mortality explained by risk factors in finland men aged 35 64

Coronary heart disease mortality explained by risk factors in FinlandMen aged 35-64

Vartiainen E et al. BMJ 1994


Mi and stroke registers in ktl

MI and Stroke registers in KTL

The FINAMI Study

  • Specific MI and Stroke registers

    • FINMONICA MI and stroke registers 1983-92

    • FINAMI register 1993-2002

    • FINSTROKE register 1993-1997

  • Planned for research: standardized data, established QC procedures, accurate and reliable results

  • Expensive and laborious to maintain, cannot cover the whole country and all age groups


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(Thailand Healthy Lifestyle Strategy)


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(Thailand Healthy Lifestyle Strategy)

1 Healthy Public Policy

2 Social Communication

3 Community based program

4 Care & Surveillance

5 Building Capacity


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&

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( )

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, , ,

, , , ,


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7


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1. Individual approach DPAC (Diet Physical Activity Clinic)

2.Community approach HPP (Healthy Public Policy)


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Community intervention model

Commnity

organization

-mass media

-health services

-other org.

-industry; business

-legislation

Population

-knowledge

-motivation

-skills

-social support

-environment support

Opinion leaders

influence

Change

in health

behavior

and risk

factors

Early adopters

diffusion

External

Project

Input

action

maintenance

Changes

in disease

rates

and

health

Community Approach


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/ - - -

Energy out (-)

Energy in (+)

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- PR

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/


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1.

2.

3.

4. (key actor)


Healthy public policy hpp

Healthy Public Policy (HPP)

1. / Healthy meeting

. 15.30.

2. / .

KM

3.

4. 3 .

11

5.

KM HPP

6. /

.


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16. 3 .

(Valuation)

13. /

15

14. 3 .

11.

12. /

9. / / .

(Stakeholder)

10. / /

8. DPAC ()

5.

7.

6.

(Management)

4.

3.

2.

(Learning /Development)

26

1.


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