Taking Action on NCD Prevention and Control: Guimaras Leading the Way

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Taking Action on NCD Prevention and Control
Guimaras Leading the Way
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Scope of Presentation
Part One Introduction Part Two The Project
and Implemented Interventions 1.
Objectives 2. Milestones 3. Strategies
Stakeholders Part Three Future Directions
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Location
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Socio-Economic Situation
Fourth class province
Land Area60,465 has.
5 municipalities and 98 barangays
Population 151,238 (NSO2007) with 30,248 HH
Industries are mainly agricultural, fishery,
tourism
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Health Services

• 3 hospitals 1 Provincial Hospital, 1
  Emergency Hospital and 1 District Hospital
• Bed population ratio 12,453
• 5 Rural Health Units
• 80 Barangay Health Stations
• doctor-population ratio 15,934
• midwife-population ratio 11,993

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Non-Communicable Diseases Profile
(Mortality 2001)

• 1st Cardiovascular Diseases
• 4th Cancers
• 7th Diabetes

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and the Baseline Study (2002) shows that

• Initiation of smoking starts at the age of 15
  y.o.
• More alcoholic drinkers in ages 64 74 y.o.
• Zero result for 5 cups or more on the consumption
  of fibers

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The Project
Reduced deaths and diseases from major NCDs
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Milestones
NCD Impact evaluation - 2008
CRD Prevalence Study 2007
Process Evaluation 2006
Integrating NCD Risk Screening Tool in RHU
consultation 2004
Organization of NCD Task Force 2003
Project Launching February 2003
Community awareness and linkage building 2002
onwards
Capability Building of health workers on NCD
June 2002 - 2004
NCD Project Planning for Guimaras April 2002
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Social Preparation
INTERVENTIONS
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Advocacy Social Marketing
INTERVENTIONS
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Linkage and Network Building
INTERVENTIONS
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Creating Supportive Environment
INTERVENTIONS
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Risk Screening Case Management
INTERVENTIONS
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Healthy Public Policy
S T R A T E G I E S A C T I V I T I E S

• Jordan Ordinance 93-005 s. 1993
• Buenavista Ordinance 100 s. 1995,
  amended Ordinance 195 s. 2007
• Nueva Valencia Ordinance 03 s. 1996
• San Lorenzo Ordinance 97-008 s. 1997
• Sibunag Ordinance 97-016 s. 1997
• Province - Ordinance 93-003 s. 1994
• RA 9211 Tobacco Regulatory Act of 2003

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Impact Assessment Result

• Significant decrease in the proportion of smokers
  but problem still lies on the prevalence of
  smoking for age groups 15-24 55-64 years old.
• Increase in the proportion of alcohol abstainers
  but theres still a problem on high risk
  consumption.
• Increase in vegetable and fruit consumption.
• Increase in the prevalence of physical inactivity
• High awareness of risk factors for cancer,
  cardiovascular disease and diabetes.

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CRD Prevalence Study (2006)

• Asthma Prevalence
• 19 in every 100 (all ages)
• 11 in every 100 (20-39 y.o.)
• 21 in every 100 children
• COPD
• 18 in every 100 (adults 40 years old above)
  more in female adult population have possible
  COPD
• 27 in every 100 (adults 40 years old above)
  more in female adult population have suspected
  COPD
• Household Irritants
• Cooking with wood increased the prevalence of
  suspected COPD, possible COPD and current asthma
  in adults

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Non-Communicable Diseases Profile (Mortality
2007)

• 1st Cardiovascular Diseases
• 3rd Cancers
• 6th Cardiovascular Accidents (Stroke)
• 7th Diabetes
• 9th Bronchial Asthma
• 10th Congestive Obstructive Pulmonary Diseases
  (COPD)

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Future Directions
We aspire that People are motivated to modify
their un-healthy lifestyle thus lessening the
burden of the disease on the individual, family
and community as well as the government.
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HEALTHY PUBLIC POLICY

• Exercise programs in all government and private
  offices
• Anti-smoking ordinances and the RA 9211 strictly
  enforced
• Shift to organic agriculture use of
  pesticides/insecticides regulated
• NCD Multi-sectoral Group re-functionalized with
  budget

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Creating a SUPPORTIVE ENVIRONMENT

• Existing LGU facilities like covered gyms as
  badminton courts and other physical activities
• Pesticide-free" foods served at resorts and
  restaurants
• Waste management well maintained
• Bicycle lanes for busy thoroughfares
• Bio-intensive gardens in schools

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EFFECTIVE DELIVERY OF HEALTH SERVICES

• Clinical Practice Guidelines on CRD in all levels
  of health service areas, i.e. BHS-RHU-Hospital
  installed
• Healthy employees program
• Lung function test monitoring for all asthmatics
  and COPDers thru spirometry
• Spiritual compassion for those who have
  degenerative diseases

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ADVOCACY PROMOTION

• Advocacy with program partners to the barangay
  level strengthened using the quad-media with
  uniform messages
• Barangay structures like PCPC, SK, etc. to
  promote HL
• Individual campaign on No Smoking and Smoking
  Cessation
• NCD Prevention Control integrated in classroom
  lessons and school activities Role modelling of
  advocates
• Indoor air pollution control campaign established

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MANAGEMENT SUPPORT

• Competency of health personnel on NCD prevention,
  control management updated
• Local support for the project ensured
• Linkage with DOH and WHO maintained

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With the considerable success and continued
efforts in Healthy Lifestyle Advocacy,
Guimarasnons will enjoy quality of life thus
improving productivity and be managers of their
own health.
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Ikaayong Lawas Ko, Responsibilidad Ko
Hon. Felipe Hilan A. Nava, MD Governor Presented
by Hon. Josefina de la Cruz
Sanggunian Panlalawigan