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NCD – Kingdom of Saudi Arabia. Background. Area: 2,250,000 Km2 ( 20 Health Districts ) Population: 26 million (2010) 80 % Saudi (50,1 % male & 49,9 % female Population Growth: 2.23% 85% urban #12% villages # 3% Bedwins MOH Financial Resources(GDP): 6.00 % of total Budget
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Background Area: 2,250,000 Km2 ( 20 Health Districts ) Population: 26 million (2010) 80 % Saudi (50,1 % male & 49,9 % female Population Growth: 2.23% 85% urban #12% villages # 3% Bedwins MOH Financial Resources(GDP): 6.00 % of total Budget PHC centers accommodate more than 85% of MOH health facilities attendants . (1986 centers )
NCD Mortality in Saudi Arabia • Total NCD Deaths in 000s; Male 46.0, Female 26.6
NCD Mortality in Saudi Arabia Age- Standardized death rate per 100,000
Current Situation Step wise - surveillance for NCDs 2005
Cost of health care(per capita according to prevention level)
Overall Structure & Organization General Directorate of NCD established in 2004: 1. Planning strategies & policies of NCD. 2. Cooperation and Coordination with: MOH departments, Governmental & NGO, Academic bodies, Committees. 3. Conducting screening & surveillance of NCD.
Achievements in tackling NCDs & their RFs 1- Diabetes prevention program • Establishing the national committee on diabetes control and prevention • National Strategic Diabetes Plan 2008-2018 (derived from the Arab Gulf plan) • Creating and updating Saudi Diabetes Guideline. • Adapted the national strategy about the food, physical activity of health DPAS (in light of the WHO strategy. • Create a registry for DM.
Programs 2-National Premarital Screening program-2004 :screening obligatory for all those couples who plan to marry . 3- Neonatal Screening Program-2005 4-Cancer Control Program 5-Prevention of cardiovascular diseases 6-Diet and Physical activity-2011. 7- Prevention of injuries and road traffic accidents Program -2011.
Challenges Encountered LACK OF: • RISK FACTOR SURVEILLANCE. • Accurate Mortality Data. • Training for Professionals and Para-medicals on NCD Prevention and Control • Adequate Information on Health Care Services Management for Major NCD’s. • Assessing the cost-effectiveness of the various interventions.
Lessons Learnt • DEVELOPMENT OF STANDARDS OF CARE, GUIDELINES FOR SCREENING, EARLY DETECTION AND MANAGEMENT • COMMUNITY-BASED PROGRAMMES • NATIONAL SITUATION ANALYSIS • BASELINE SURVEY FOR NCD RISK FACTORS
Next Steps Crown Health Project: National community based project aimed TO: • Improve health awareness about risk factors of NCDs • Reduce exposure to risk factors. • Early detect of NCDs and risk factors • Reduce NCDs and its complication