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NATIONAL PROGRAMME ON PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES

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NATIONAL PROGRAMME ON PRE-VENTION AND CONTROL OF NON-

COMMUNICABLE DISEASES

ULAANBAATAR 2007


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CONTENT1. GOVERNMENT RESOLUTION OF MONGOLIA Adoption of the “National Programme on Integrated Prevention and Control of Noncommunicable diseases” .................................. 7

2. NATIONAL PROGRAMME ON PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES..................................................................8

One.Justification.......................................................................................... 8

Two. Goal, duration, principles and financingoftheprogramme......................................................................... 9

Third. Objective, framework of activities and expected outcomes..................................................................................... 10

Four. Programme management structure ................................................. 13

Five. Monitoring, evaluation of the program implementation and its indicators ............................................................... 20

3. ACTION PLAN FOR IMPLEMENTATION OF THE NATIONAL PRO-GRAMME ON NCD PREVENTION AND CONTROL........................... 23


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GOVERNMENT RESOLUTION OF MONGOLIA

14.12.05 Resolution No. 246 Ulaanbaatar city

Adoption of the “National Programme on Integrated Prevention and Control of Noncommunicable diseases”

The Government of Mongolia is annexed hereto:

1. ADOPTS, the “National Programme on Integrated Prevention and Control of Non-communicable diseases” by annex 1 and the Plan of action for implementation of the programme, by annex 2.

2. ENDORSES, T. Gandhi, the Minister of Health, N. Altanhuyag, the Minister of Finance, D. Terbishdagva, the Minister of Food and Agriculture and the Governors of Capital City and provinces to involve some part of loans and assistance from international organizations and donor agencies in the measures, directed to implementation of the programme and include and provide funds from internal sources, necessary for activities implementation of the programme into the Guidelines on Economic and social development and annual state and local budget .

3. ENDORSES, T. Gandhi, the Minister of Health, to organize an implementation of the programme at the national level and to report its progress and achievements to the Gov-ernment every second quarter of year.

4. In relation to adoption of this programme, RESERVES, the Government resolutions 5-“Adoption of National Programme on Health Education” dated 15 January, 1998, resolu-tion 80 - “Adoption of National Programme on Fighting Against Cancer“ dated 26 March, 1997, resolution 139-“ Adoption of National Fitness Programme “ dated 4 July, 2002.

Prime Minister of Mongolia Ts. Elbegdorj Minister of Health T. Gandi


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Annex 1


ONE. JUSTIFICATION

The number of people affected by noncommunicable diseases, or NCDs have dramati-cally increased in relation to unhealthy diet, physical inactivity, alcohol and tobacco misuse which in turn is a result of changing social and cultural characteristics of our civilizations, and lifestyles. This imposes a double burden on economic development and health of the people worldwide including Mongolia thus becoming one of the priority public health problems which needs our full attention for future action.

According to the estimation of WHO, from a projected total deaths from all causes in 2005, it is estimated that chronic diseases such as cardiovascular diseases (CVD), stroke, type 2 diabetes, cancer and chronic respiratory diseases will account for 35 million or 60%, which is double the number of deaths from all infectious diseases (including HIV/AIDS, tuberculosis and malaria), maternal and perinatal conditions, and nutritional defi-ciencies combined.

The primary risk factors accounting for the high disease burden for the world’s popula-tion are unhealthy diet, physical inactivity, alcohol, and tobacco use. Intermediate risk fac-tors are overweight, high blood pressure, high cholesterol and high blood glucose which are common causes of disease and death as reported by the WHO.

Conclusive evidence now exists to indicate that with individual efforts to change life-style factors, half of the chronic disease caused disability and deaths would be prevented. Furthermore, according to WHO estimation, at least 80% of cases of coronary heart diseases, 90% of type 2 diabetes and about one third of cancers would be prevented by keeping healthy behavior such as being on healthy diet, reducing alcohol and tobacco use, maintaining normal weight and being physically active throughout the life span.

According to the Report of Health Indicators, cardiovascular diseases and cancer were rated as second and third causes of death in 1990. Since 1993, cardiovascular diseases rate has sharply increased and become the leading cause of death. Cancer was rated second and injury/poisoning as third cause of death. According to the research findings, in recent years, there is notable tendency in the increase of prevalence for diabetes.


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The high prevalence of NCD caused deaths has impact on life expectancy of Mongolians. In 1990, life expectancy of Mongolians was 63.7 and 62.8 in 1992. In 2003 life expectancy has reached to 63.6 and in 2004 64.5, however, overall there is no specific changes in the average life expectancy of Mongolians as compared to 1990. There are several separate national programs were implemented in Mongolia to combat with the increasing number of NCDs over years. It was noted that but this has been counterproductive due to poor use of a limited budget and capacity and indicates a lack of cooperation between agencies.

There are surveys and studies have been done on NCDs, however they were mainly risk-specific studies. Thus, there was a lack of activities directed towards establishing sustain-able system on control and surveillance of risk factors.

Therefore, in line with WHO recommendations, there is a need to move from old risk/disease specific approaches towards cost-effective and integrated NCD risk factors pre-vention and control programme approach in order to challenge reduction of several risk factors.

TWO. GOAL, DURATION, PRINCIPLES AND FINANCING OF THE PROGRAMME

2.1. Goal

Reduce deaths caused by major NCDs through improving control and surveillance of NCDs and their risk factors and through effective health promotion action

2.2. Duration

The program will be implemented in two stages splitting into stage one as to be imple-mented during 2006-2009 and two as for 2010-2013

2.3. Principles to be directed for implementation of this programme a/. be based in enabling healthy supportive environment in community to adopt healthy

behavior and reduce NCD risk factors and multisectoral cooperation directed to reduce NCD risk factors

b/. provide comprehensive approaches towards reducing common risk factors of major NCDs including policy making, capacity building, partnership, information dissemination and implementation in all aspects

c/. ensure participation of individuals, families, communities, governmental and non-


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governmental organizations, economic entities/organizations and civil society d/. provide comprehensive approaches towards patient-, people at risk- and popula-

tion-oriented and impact of evidence based intervention e/. provide health promotive and preventive actions and continued primary health

care and clinical services based on current resources and infrastructuref/. improve effectiveness of the programme implemenation in interconnection with

activities of other public health programmes 2.4. Financing of the programme

a/. in-country and local budgetb/. budget from the Government Funds for Special Purposes such as Scientific and

Technology Fund, Fund for Fighting against Alcoholism and Health Promotion Fund etc.;

c/. support from national and foreign governmental and non-governmental organiza-tions, economic entities and individual contributions and support;

d/. contributions and support from international organizations and donor countries; e/. other sources

THIRD. OBJECTIVE, FRAMEWORK OF ACTIVITIES AND EXPECTED OUTCOMES

3.1. Objective 1. To create sustainable mechanism for coordination on prevention and control of major NCDs such as cardiovascular diseases, cancer and diabetes mellitus

3.1.1. To set up a sustainable professional and methodological management and coordina-tion mechanism for the National NCD Prevention and Control Programme;

3.1.2. To strengthen health information system in order to control expenditures and re-porting for morbidity and mortality of major NCDs on a regular basis;

3.1.3. To establish surveillance system for monitoring of risk factors for NCDs.

Expected outcomes: Established mechanism for management and coordination of the prevention and control activities on major NCDs and their common risk factors thus enabling a surveillance system for monitoring morbidity and mortality of those.

3.2. Objective 2. To reduce risk factors of major NCDs by promoting healthy lifestyles and supportive environment


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3.2.1. provide intensive information, education and communication (IEC) activity towards acquiring healthy diet behavior among population through reducing consumption of ani-mal fat, salt and sugar and increasing fruit and vegetables intake in the diet

3.2.2. take measures directed towards increasing physical activity of the population by improving accessability and quality of sport related roads/areas, sport equipment/facilities and improving their safety and lighting

3.2.3. reduce tobacco use by increasing tax on tobacco continuosly, by establishing to-bacco free environment through improving control of tobacco advertising, promotion and sponsorship and tobacco sale and

3.2.4. enhance proper use of alcoholic beverages by increasing step by step taxes of al-coholic beverages rationally in accordance with their content and amount of spirit and quality and improving control of all kind of advertising, promotion and sponsorship of al-coholic beverages and their production, trade and service and by establishing the alcohol free environment

3.2.5. support healthy lifestyle by improving capacity of organization and communities and increasing number of ‘healthy” cities, khoroos, soums, bags, schools, workplaces, hospitals, communities and families; 3.2.6. take the following measures to enhance healthy lifestyle - proper use of diet: 1/ to acquire the skills to control of calories of diet in accordance with age and profes-sion 2/ to reduce the usage of the following: a/ animal fat b/ salt c/ sugar and candy 3/ to increase the usage of the following : a/ fruit and vegetables intake b/ dietary fiber 4/ proper amount of food for single use: a/ not to eat fullyb/ to avoid regular use of food with high calories like fatty and sugary 5/ to prepare and use of food by appropriate technology; a/ to reduce the usage of fried and conserved food b/ to avoid use of too hot tea and meal


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3.2.7. to take the following measures to enhance healthy lifestyle – improve physical activ-ity:

1/ to do active movement by walking or cycling at least 30 min a day for every per-son

2/ to do fitness exercise 3 times a week at least 20 minutes for children and youth3/ to do moderate exercise at least 1 hour a day in order to keep body weight 4/ to do active movement or exercise during the lunch break at kinder garden, school

and workplaces regularly

3.2.8. to take the following measures to enhance healthy lifestyle – reduce tobacco con-sumption:

1/ to avoid use of any form of tobacco products, due to their harmful effects for health ;

2/ nicotine, contained in tobacco products is addictive substance, therefore to avoid to test tobacco products;

3/ prevent from second hand smoking; 4/ not to smoke in presence of other persons5/ in order to improve health, to quit smoking

3.2.9. to take the following measures to enhance healthy lifestyle – reduce alcohol con-sumption 1/ children and youth - not to start drinking of alcoholic beverage 2/ adults - moderate use of alcoholic beverage 3/ drinkers - in order to improve health, stop drinking

Expected outcomes: To be improved capacity for establishment of health promotion en-vironment, increased number of ‘health promotion” settings, production and services and enhanced healthy life style among population and reduced NCD risk factors

3. Objective 3. To make reorientation of health services (towards community-based, appropriate, accessible and effective) for major NCD-s

3.3.1. to introduce effective method of early detection, screening and control of major NCD-s

3.3.2. to develop and implement evidence based clinical guideline and standard of car-diovascular diseases, diabetes and cancer, which considered primary health care, build a capacity at the secondary and tertiary level of care


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3.3 3. to expand system of registration, monitoring, auditing of clinical service for major NCD-s

3.3 4. to develop and implement treatment-training program for the people at risk in-cluding smoking cessation, reduction of high blood pressure and overweight, to deter-mine and treat causes of obesity etc

3.3.5. to improve capacity and resources of the palliative care for persons with terminal stages of NCD-s.

Expected outcomes: To be introduced community based health service for prevention and control of major NCD’s and improved its continuity, quality and accessability.

FOUR. PROGRAMME MANAGEMENT STRUCTURE

4.1 In order to improve participation of other sectors, the National Council of Public Health shall be responsible for overall coordination and management of collaboration and cooperation of economic entities, organizations and international organizations in implementation of the programme.

4.2. The State Central Administrative Body in Charge of Health Matters in collaboration with other professional Agencies (Public Health Institute, Center for Health Development, National committee for Physical Culture and Sport, National Cancer Center etc) shall be responsible for professional management, coordination, information and monitoring of implementation of the programme. There, under the State Central Administrative Body in Charge of Health Matters, will be operated NCD Technical Working Group, in order to provide organization, coordination of inter-sectoral activities for implementation of the programme and submit a report on the implementation and executive unit for dealing with its every day activities.

4.3. Local Sub-council of Public Health headed by the local Governors shall be responsible for management, coordination and monitoring of the programme at the local level in col-laboration with professional organizations. There, under the Governors office at aimag, city, soum and district level will be established inter-sectoral working group for organiza-tion of implementation of the programme and reporting its outcomes. Local Sub-council of Public Health will be submitted progress report and outcomes of implementation of the programme to the State Central Administrative Body in Charge of Health Matters whiting the I quarter of every year.


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4.4. The State Central Administrative Body in Charge of Health Matters will be respon-sible for summarizing and making a progress report on the implementation and outcome of the activities conducted at the national and local levels and submit to the National Council of Public Health and Government Cabinet of Mongolia whiting the II quarter of every year.

4.5. Participation of organizations, economic entities and individuals in implementation of the programme.

4.5.1. The State Central Administrative Body in Charge of Health Matters: 1/ to make necessary change in policy and strategy by conducting a survey and estab-

lishing the surveillance system for on-going tracking of NCD risk factors; 2/ to explore and appoint an institution, responsible for integrated management and

organization of NCD prevention and control measures at the professional level;3/ to establish an Information Databasa and review and update NCD related indica-

tor; 4/ to increase funding for NCD prevention and control and mobilize resources;5/ to promote participation and initiative of organizations, economic entities and

individuals in implementation of the programme and provide management and methodological advise;

6/ to improve effectiveness of the programme through the collaboration of its activi-ties with activities of other national programmes;

7/to develop and enforce training program of informal and distance learning, manual, guideline and recommendation oriented to provide knowledge and skills on im-portance of proper diet, physical activity, tobacco and alcohol free lifestyle to the population in collaboration with concerned ministries and organizations;

8/ to improve proportion of preventive measures in the care and service for major NCD-s, establish legislative environment for financial and other support for health promotive and preventive measures;

9/ to train human resources at the local and international level in NCD prevention and management and health promotion and updating their qualifications;

10/ to develop and enforce standards and guidelines for diagnosis and treatment of major NCD-s;

11/ to develop and enforce mechanism for integration and evaluation of an integrated prevention and control measures of major NCD-s with primary health care , provided at the soum and family clinics (FGPs);

12/ to take measures, directed to improve community participation in prevention of complication of NCD-s such as conduct training for individuals in control of blood pressure, blood cholesterol, blood glucose and weight control themselves,


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to improve supply of available apparatus for control of NCD risk factors on their own, to involve family members in programs for patient, to whom needs behavior change etc;

13/ to plan and conduct a study on NCD prevention and control policy and measures, undertaken, effectiveness of programs and projects, behavioral and environmental change and monitoring;

14/ to provide evidence based advocacy for policy makers and decision makers on the importance of reduction of risk factors;

15/ to develop sub-program on reduction of NCD risk factors and conduct training for the people with high risk;

16/ to develop guideline and standard of active movement, appropriate to the different age and profession of the population and provide professional and methodological advise to promotional measures of physical culture and active movement;

17/ to take in to consideration the licensing of economic entities and centers, which provide an activities, directed to reduction of overweight of the people;

4.5.2. The State Central Administrative Body in Charge of Foreign Affair Matters

1/ to collaborate actively with international agencies and donor countries in imple-mentation of the national programme;

2/ to reflect national policy on NCD prevention and control in contract and protocol, will be made with foreign countries and international organizations and provide monitoring for them;

4.5.3. The State Central Administrative Body in Charge of Justice Matters

1/ to provide support to make reorientation of legislation, related to implementation of the programme;

2/ to intensify implementation of the National Alcohol Prevention and Control Pro-gramme;

4.5.4. The State Central Administrative Body in Charge of Finance Matters1/ to take the tax measures and market incentives directed towards promotion of

proper and healthy diet, active movement and reduction of alcohol and tobacco consumption;

2/ to review and make decisions on funding of the running costs of the program, based on request of State Central Administrative Body in Charge of Health Matters, reflect it into the economic and social development guideline as well as into the state budget and provide financing every year;

3/ to establish conditions for sustainable financing of NCD prevention and health promotion activities;


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4/ to provide financial support for some activities of the program through foreign loan and donations;

4.5.5. The state central authority in charge of education:1/ to introduce the basic knowledge of students on healthy diet, physical activity, harm

of alcohol and tobacco consumption into the curriculum of secondary schools;2/ to provide opportunity to serve “healthy” hot meals, boiled hot water at educa-

tional institutions of all levels through contracting with catering and food produc-ing companies;

3/ to implement the day meal program at basic education schools;4/ to renew kitchen equipment at the basic education schools and dormitories; to

improve knowledge of chiefs on nutrition and daily meal need for children; 5/ to provide students with opportunity to stay physically active and fit as well as to

prevent physical inactivity;6/ to establish alcohol and tobacco free environment at schools 7/ to train specialists on prevention of NCD prevalent risk factors and health promo-

tion 8/ to review and update the academic curriculum of the medical and nursing schools

on NCD prevention and health promotion; 9/ to select and finance a research work on NCD prevention policy, its implementa-

tion outcomes, population behavioral features and environmental changes.

4.5.6. The state central authority in charge of food and agriculture:1/ to review and adhere food labeling standards in accordance with “The Recom-

mendation of the Committee on Food Legislation and Regulation” and “Guidance Law on Food Labeling’ in order to provide population with opportunity of healthy choice and access to full information on nutrition facts.

2/ to promote healthy diet by reviewing and updating food standards in order to reduce salt, sugar and fat content;

3/ to distribute the international and domestic nutrition handbooks, to impose eco-nomic incentives for production, advertisement of new food products promoting healthy diet;

4/ to ensure fulfillment of the storage technology for grains, potato, vegetables and other food products; to prevent food infesting by aflatoxin-producing fungus which causes cancer development;

5/ to accelerate implementation of the National Program on Food Supply, Safety and Nutrition;

4.5.7. The state central authority in charge of trade and industry:


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1/ to coordinate foreign trade policy in order to support usage of low salt, sugar, fat content food, vegetables and fruits; to monitor its implementation;

2/ to support, cooperate with programs, activities which focus on active lifestyle; 3/ to take policy measures to increase production of salt which satisfies consumption

standards of population; 4.5.8. The state central authority in charge of social welfare and labor:

1/ to introduce new provisions to the Labor Law, other legislative acts on duties and responsibilities of employer and employee, which would require to conduct employee’s medical checkup at least once a year, to undergo medical treatment if necessary, and to evaluate its results;

2/to conduct training, promotion campaign on issues of workplace hygiene, safety and healthy environment with participation of relevant institutions and civil society;

3/ to link the program implementation with activities of the population development committees on national and sector level, to include in the year plan and ensure its implementation;

4/ to collaborate with professional institutions and attract NGO’s in reduction of NCD risk factors among socially vulnerable people

4.5.9. The state central authority in charge of construction and urban development:

1/ to study and decide aspects of creating pedestrian, cycling roads and squares suit-able for other physical activities;

2/ to include pedestrian, cycling roads and squares while planning of new construc-tions, buildings and roads;

4.5.10. The state central authority in charge of roads, transportation and tourism:1/ to expand public transportation service, improve service culture and advertise its

significance; 2/ to organize physical activities among people; to provide population with proper

conditions for physical activities;

4.5.11. The state central authority in charge of defense:1/ to conduct NCD risk factor (unhealthy diet, physical inactivity, smoking and alcohol

consumption) prevention training, promotion activities and establish a health-ori-ented environment within army, special rescue forces and military officers;

4.5.12. The state central authority in charge of professional inspection:


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1/ to monitor the implementation of the legislative acts and programs on NCD risk factor prevention and establishment of the health-oriented environment, to take proper measures if necessary;

2/ to improve the border control on imported food products in par with interna-tional standards, to solve the gradual implementation of allowing

import of products, which fully satisfy the quality and sanitary norms;3/ to establish an environmental control at organizations, factories where contact

with radioactive, cancer-causing substances /carcinogens/ is present; 4/ to control the practice of the diagnostic procedures, treatment standards and

guidelines on major NCD-s.

4.5.13. The state authority in charge of standardization and metrology:1/ to update, approve and implement the food standard with reduced level of salt,

sugar and fat content; 4.5.14. Governors of aimags, capital city, soums and districts:

1/ to organize the implementation and monitoring of the program at local level;2/ to develop and implement sub-program on NCD prevention and control based on

local needs in compliance with the national program;3/ to initiate, support, advertise and provide incentives for public activities aimed at

enhancing healthy lifestyle and prevention of NCD-s;4/ to consider and implement the enhancing healthy lifestyle and prevention of NCD-

s as one of the work performance indicators for the affiliate organizations; 5/ to allocate annual budget for financing free of charge medical service to patients

with cancer and diabetes based on estimation and proposal of the local health authority.

4.5.15. Mass media organizations:1/ to include into publication, broadcasting policy such issues as NCD risk factor pre-

vention, self-control of patients through establishing health-oriented environment and healthy lifestyle.

2/ to deliver a simple, clear message of promotion healthy diet, physical activity and reduction of tobacco, alcohol consumption; and to support and cooperate with other organizations in this field;

4.5.16. Business entities and organizations:1/ to estimate and allocate funds for health promotion and NCD risk factor preven-

tion, to estimate its health and economic cost-effectiveness;2/ to improve knowledge and skills of employees on healthy lifestyle and NCD risk


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factor prevention through dedicated training, to involve employees in medical checkup 1-2 times a year and take necessary measures needed;

3/ to plan and implement measures to provide employees with hot meal, boiled hot, fresh drinking water, to create an environment promoting physical activity, fitness exercise, and in same time free of alcohol and tobacco; afterwards endorsement measures to be taken in order to fortify results achieved.

4/ to production and service policy compliant with the objectives and goals of the national program;

5/ to impose a strict fulfillment of the safety standards and sanitary norms by the orga-nizations where a contact with cancer-causing /carcinogen/ and other substances harmful for health occurs;

6/ to carry out an environmental safety control on regular basis, to train employees a constant use of individual and mass protective equipment and facilities at the organizations that handle radioactive substances; to implement other labor pro-tection measures;

4.5.17. Food factory, food market and all types of catering:1/ to provide user-friendly production and service with focusing on: reduction of

NCD risk factors such as consumption of animal fat, salt, sugar, alcohol and to-bacco; promoting fruit and vegetables consumption;

2/ to give customers full information about nutrition facts in a simple and clear way, and to provide with opportunity to make healthy choice;

4.5.18. Customer right protection and other non-government organizations:1/ to control promotions with false information about food consumption such as

advertisements of sweet, salty, conserved, fatty food and carbonated soft drinks; to organize counter-advertising, provide correct information and take other mea-sures in collaboration with professional organizations;

2/ to participate in the implementation monitoring of the program. 4.5.19. Civil and community participation:

1/ to learn and follow guidance, handbooks, instructions by professional organiza-tions aimed at healthy diet and active lifestyle promotion, reduction of tobacco and alcohol consumption, relieving smoking and drinking abuse; to distribute this information to others;

2/ to learn how to keep body weight within normal limits through a healthy diet and active lifestyle, to control blood pressure and glucose yourself, to follow infor-mation, instructions and guidance by professional organization; to participate to related activities;


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3/ to report cases of advertisement with deceitful information on food consumption (such as encouraging consumption of sweet, salty, conserved, fatty food and car-bonated soft drink) to related organizations;

FIVE. MONITORING, EVALUATION OF THE PROGRAM IMPLEMENTATION AND ITS INDICATORS

5.1 The state central authority in charge of health shall be responsible for the program implementation monitoring and evaluation; the Governors’ offices in collaboration with other state authorities and nongovernmental organizations shall be responsible for the program implementation at national and local level.

5.2. An implementation of the program will be evaluated by the following criteria:

Indicator Data Reference Change Source Value as planned (2005) 2009 2013

I. Primary risk factors indicator

1. Prevalence of tobacco smoking ( by percentage) * 25.9 23.4 20.42. Alcohol use percentage among population (last month) * 30.5 29.0 27.03. Salt intake (gram per day) * 10.1 9.6 9.14. Fruits intake (days per week) * 1.6 2.0 2.5 5. People who consume vegetables more than 2 units per day (by percentage) * 44.4 49.4 55.06. People with active lifestyle on regular basis with 30 min as minimum (by percentage) * 15.4 18.4 23.4

II. Interrmediate risk factors indicator

7. Prevalence of people with obesity (Body mass index BMI> 25 kg/m2 * 39.3 38.3 37.08. Blood (arterial) pressure average a/ systolic * a/ 128.5 a/ 128.0 a/ 127.5 b/ diastolic b/ 79.4 b/ 78.9 b/ 78.4


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9. Prevalence of people with high cholestrol (>200 mg/dl or 5.2 mmol/l) ( by percentage) * 12.4 12.2 11.710. Prevalence of people with high blood glucose (>5.6 - <6.1 mmol/l) * 10.2 10.0 9.8

III. Rate of early detection of cancer

11. People with 5-year survival rate of the cervical cancer (by percentage) ** 33.1 34.0 35.012. People with 5-year survival rate of the breast cancer ** 29.1 30.0 31.0

IV. Death rates of NCD-s

13. Death due to the cardial infarction (per 10 000 ) *** 2.7 3.5 3.0-3.414. Death due to the stroke (per 10 000 ) *** 9.7 15.1 12.5-14.015. Death due to the cancer (per 10 000 ) *** 12.1 11.8 11.5-11.7

Notes: • Data Sources: * National integrated NCD risk factors survey (NINCDRFS) 2005 ** National Cancer Center records, 2004 *** National Health Statistics, 2004• One unit of vegetable equals one cup of fresh vegetable or an half-cup of boiled vegetable; • Every year death rate due to cardial infarction is increasing by 0.3 points. But as result of in-

tervention estimated to decrease by 0.1. In year 2009, death rate will be raise up to 3.5 points, however, further 0.3 point decrease is forecasted.

• Annual death rate due to the stroke is increasing by 1.5points. But as result of intervention, this estimated to decrease by 0.8. In year 2009, death rate will reach 15.1points, however, further decrease is forecasted.


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m a

ctiv

ities

to

be

impr

oved

Dec

isio

n on

est

ablis

hmen

t of

w

orki

ng g

roup

4A

ppoi

nt a

n in

stitu

tion,

whi

ch w

ill p

rovi

de w

ith p

rofe

ssio

nal

met

hodo

logy

for

man

agem

ent

and

orga

niza

tion

of a

n in

tegr

ated

N

CD

pre

vent

ion

and

cont

rol m

easu

res

MoH

MoF

2006

-200

7A

n in

stitu

tion

to b

e ap

poin

ted

Dec

isio

n on

app

oint

men

t of

in

stitu

tion

5Collaboratewithotherministriesandorganizationsinthefield

of in

form

atio

n an

d en

cour

agem

ent

of c

olle

ctiv

es, w

ho h

as b

een

achi

eved

suc

cess

in N

CD

ris

k fa

ctor

red

uctio

n

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(NC

HD

)M

oF ,

MoS

W&

L,M

oEC

&S,

PR&

TV,

Mas

s M

edia

Ever

y ye

arC

omm

unity

par

ticip

atio

n in

im

plem

enta

tion

of t

he p

rogr

am

to b

e in

crea

sed

Perc

enta

ge o

f com

mun

ity &

co

llect

ives

, en

cour

aged

6C

arry

out

mon

itori

ng o

f the

pro

gram

me

impl

emen

tatio

n at

the

3-

4 ai

mag

s an

d di

stri

cs

MoH

SPIA

, A

imag

and

Cap

ital

City

Gov

erno

rs

Office

Ever

y ye

ar

Impl

emen

tatio

n of

the

pro

gram

to

be

mon

itore

d an

d ne

cess

ary

furt

her

activ

ities

to

be

dete

rmin

ed

Num

ber

of a

imag

s an

d di

stri

cts,

invo

lved

in

mon

itori

ng a

nd t

heir

rep

orts

7D

ecid

e in

clus

ion

of in

dica

tors

of a

ctiv

ities

dire

cted

to

redu

ctio

n of

mor

bidi

ty a

nd m

orta

lity

of m

ajor

NC

D-s

and

som

e ri

sk

fact

ors

in h

ealth

info

rmat

ion

syst

em

MoH

(NC

HD

, PH

I)

NSO

, MoE

C&

S (H

SUM

)20

06-2

008

NC

D r

elat

ed h

ealth

indi

cato

rs

to b

e up

date

dU

pdat

ed N

CD

indi

cato

rs

Cont

inued

on n

ext p

age


��

#A

ctiv

itie

sR

espo

nsib

le

orga

niza

tion

Coo

pera

ting

or

gani

zati

ons

Dur

atio

n E

xpec

ted

outc

omes

Indi

cato

rs

8Es

tabl

ish

info

rmat

ion

Dat

abas

a w

hich

incl

uded

the

sta

tus

of

mor

bidi

ty, m

orta

lity

and

risk

fact

ors

of m

ajor

NC

D-s

and

m

easu

res,

dire

cted

to

redu

ce t

heir

pre

vale

nce

and

outc

omes

MoH

(PH

I, D

C,

NC

C)

NSO

, MoE

C&

S (H

SUM

)20

06-2

008

NC

D in

form

atio

n D

atab

asa

to

be e

stab

lishe

d

Dec

isio

n on

the

es

tabl

ishm

ent

of N

CD

in

form

atio

n D

atab

asa

9

Enha

nce

qual

ity a

nd a

cces

sabi

lity

of i

nfor

mat

ion

on t

he s

tatu

s of

mor

bidi

ty, m

orta

lity

and

risk

fact

ors

of m

ajor

NC

D-s

and

im

plem

enta

tion

of t

he p

rogr

am a

nd it

s ou

tcom

es t

o de

cisi

on a

nd

polic

y m

aker

s as

wel

l as

com

mun

ity

MoH

(NC

HD

, PH

I)M

oEC

&S

(HSU

M),

PR&

TV

2006

-201

3

Kno

wle

dge

and

att

itude

of

deci

sion

and

pol

icy

mak

ers

as w

ell a

s co

mm

unity

to

be

impr

oved

Perc

enta

ge o

f act

iviti

es,

impl

emen

ted

bas

ed o

n in

form

atio

n.

10C

ondu

ct S

TEP

sur

vey

on p

reva

lenc

e of

NC

D r

isk

fact

ors

MoH

(PH

I, N

CC

, D

C, N

CH

D,

SCPC

&S,

IMS)

MoE

C&

S A

imag

an

d C

apita

l City

GovernorsOffice

2005

,20

09,

2013

The

nat

iona

l bas

elin

e da

ta o

n N

CD

to

be d

eter

min

edSu

rvey

rep

ort

11C

reat

e on

goin

g m

onito

ring

sys

tem

for

risk

fact

or, m

orbi

dity

and

m

orta

lity

of m

ajor

NC

D-s

and

car

ry o

ut m

easu

res,

dire

cted

to

impr

ove

its c

apac

ity

MoH

(PH

I, N

CC

, D

C, N

CH

D,

SCPC

&S)

MoF

, M

oEC

&S

(HSU

M),

2006

-200

8Ev

iden

ce n

eede

d fo

r pl

anni

ng

and

impl

emen

tatio

n of

pol

icy

and

inte

rven

tion

to b

e cr

eate

d

Esta

blis

hed

NC

D

surv

eilla

nce

syst

em

12C

ondu

ct t

rain

ing

for

heal

th w

orke

rs o

n d

etec

tion,

eva

luat

ion

and

cont

rol o

f NC

D r

isk

fact

ors.

MoH

(PH

I, N

CC

, D

C, N

CH

D,

SCPC

&S)

MoE

C&

S (H

SUM

)20

06-2

011

Kno

wle

dge

of h

ealth

wor

kers

to

be im

prov

ed

The

num

ber

of c

ondu

cted

tr

aini

ng a

nd p

erce

ntag

e of

he

alth

wor

kers

, par

ticip

ated

in

tra

inin

g

13

Supp

ort

rese

arch

act

iviti

es o

n to

bacc

o, a

lcoh

ol c

onsu

mpt

ion,

the

ir

nega

tive

soci

al a

nd e

cono

mic

con

sequ

ence

s, be

havi

oral

cha

nge,

econom

icalandhealthbenefitsandeffectivenessofactivities,

dire

cted

to

redu

ce N

CD

ris

k fa

ctor

MoH

(PH

I, N

CC

, D

C, N

CH

D,

SCPC

&S,

IMS)

MoE

C&

S (H

SUM

)20

07-2

013

Poss

ibili

ty t

o ca

rry

out

evid

ence

ba

sed

plan

ning

and

inte

rven

tion

to b

e im

prov

ed

The

num

ber

of r

esea

rch

stud

y an

d th

eir

repo

rt

Obj

ecti

ve 2

. Mea

sure

s, di

rect

ed t

o re

duce

NC

D r

isk

fact

ors

by

prom

otin

g he

alth

y lif

esty

les

and

supp

orti

ve e

nvir

onm

ents

14R

evie

w a

nd u

pdat

e le

gisl

ativ

e ac

ts, s

tand

ards

in o

rder

to

redu

ce

risk

fact

ors

(fat,

salt,

sug

ar,

alco

hol a

nd t

obac

co u

se a

nd p

hysi

cal

inac

tivity

)M

oJM

oH, M

oF,

MoF

&A

, M

oT&

I, N

CS&

M, N

GO

20

06-2

008

Lega

l env

ironm

ent,

dire

cted

to

red

uce

risk

fact

ors

to b

e up

date

d

Ado

pted

res

olut

ion,

dec

isio

n an

d st

anda

rd

15

Car

ry o

ut m

easu

res

dire

cted

to

crea

te s

usta

inab

le fu

ndin

g m

echa

nism

for

activ

ities

to

redu

ce t

he N

CD

ris

k fa

ctor

s an

d cr

eatio

n of

“he

alth

pro

mot

ing”

env

ironm

ent

for

enha

ncin

g he

alth

y lif

esty

le b

y es

tabl

ishi

ng H

ealth

pro

mot

ion

foun

datio

n fr

om p

ortio

n of

exc

ise

tax

of t

obac

co a

nd a

lcoh

ol

MoH

MoJ

, MoF

, NTO

, M

oF&

A, M

oT&

I,M

oEC

&S

2005

-200

7

The

sus

tain

able

fund

ing

mec

hani

sm fo

r re

duct

ion

of

NC

D, i

ts r

isk

fact

ors

and

hea

lth

prom

otio

n to

be

esta

blis

hed

Dec

isio

n ab

out

esta

blis

hmen

t of

foun

datio

n an

d its

bud

get

com

posi

tion

16D

evel

op a

nd im

plem

ent

the

natio

nal g

uide

line

for

impl

emen

tatio

n of

“ T

he G

loba

l Str

ateg

y on

Die

t an

d Ph

ysic

al A

ctiv

ity”

MoH

(PH

I,DC

, N

CH

D,

SCPC

&S)

MoF

&A

, MoT

&I,

NG

O20

06-2

007

Guideline,reflectedlocal

cond

ition

to

be d

evel

oped

and

im

plem

ente

d

Perc

enta

ge o

f org

aniz

atio

ns,

impl

emen

ted

appr

oved

gu

idel

ine

17

Dev

elop

form

al, i

nfor

mal

and

dis

tanc

e ed

ucat

ion

prog

ram

s, m

anua

l, m

etho

dolo

gy a

nd r

ecom

men

datio

n fo

r th

e pu

blic

di

rect

ed t

o en

hanc

e th

eir

know

ledg

e, a

ttitu

de a

nd p

ract

ice

on

heal

thy

diet

, phy

sica

l act

ivity

, sm

oke

free

and

alc

ohol

free

life

styl

e,

appr

opri

ated

to

thei

r ag

e, s

ex, a

nd p

rofe

ssio

ns

MoH

(NC

HD

, PH

I, SC

PC&

S, D

C,

MN

H&

NC

)M

oEC

&S

2006

-201

3

Form

al&

info

rmal

tra

inin

g

prog

ram

s to

be

upda

ted

.

New

man

ual,

met

hodo

logy

, re

com

men

datio

n an

d IE

C

mat

eria

ls t

o be

dev

elop

ed

App

rove

d tr

aini

ng p

rogr

am,

Num

ber

& q

ualit

y o

f pu

blis

hed

man

uals

, met

hods

, re

com

men

datio

ns a

nd IE

C

mat

eria

ls,

Num

ber

of p

eopl

e pa

rtic

ipat

ed in

lear

ning

pr

ogra

m.


��

18D

evel

op a

nd e

nfor

ce t

he jo

int

min

iste

rs o

rder

dir

ecte

d to

reg

ulat

e he

alth

y fo

od s

ervi

ce,

impr

ove

phys

ical

act

ivity

and

cre

ate

“hea

lth

prom

otin

g” e

nviro

nmen

t at

the

sch

ool a

nd w

ork

plac

es

MoH

(NC

HD

, PH

I, SC

PC&

S,

MoS

W&

L,M

oEC

&S,

2006

-200

8

The

join

t m

inis

ters

ord

er &

gu

idel

ine

on c

reat

ion

of “

heal

th

prom

otin

g” e

nviro

nmen

t to

be

deve

lope

d an

d en

forc

ed

App

rove

d or

der

&

guid

elin

e,

Perc

enta

ge o

f im

plem

ente

d or

gani

zatio

ns

19R

evie

w a

nd u

pdat

e th

e na

tiona

l foo

d st

anda

rd in

ord

er t

o re

duce

sa

lt, s

ugar

and

fat

cont

ent,

appr

opri

ate

to p

opul

atio

n ag

e

NC

S&M

MoH

(PH

I),M

oF&

A, M

oT&

I,N

GO

2006

-200

7Fo

od s

tand

ard

appr

opri

ate

to

popu

latio

n ag

e t

o be

upd

ated

Upd

ated

& a

ppro

ved

stan

dard

Perc

enta

ge o

f ent

ities

and

or

gani

zatio

ns im

plem

ente

d a

stan

dard

20Pr

ovid

e ad

voca

cy c

ampa

ign

on c

reat

ion

of h

ealth

pro

mot

ing

envi

ronm

ent

for

deci

sion

mak

ers

and

polic

y m

aker

sM

oH(N

CH

D, P

HI)

MoE

C&

S (H

SUM

)PR

&T

VO

ther

mas

s m

edia

20

06-2

008

Kno

wle

dge

& a

ttitu

de o

f pol

icy

mak

ers

and

deci

sion

mak

ers

to

be im

prov

ed

Num

ber

of a

dvoc

acy

cam

paig

n

Num

ber

of p

olic

y m

aker

s an

d de

cisi

on m

aker

s in

volv

ed

21U

pdat

e th

e ex

istin

g re

gula

tion

on c

reat

ion

of “

heal

th p

rom

otin

g”

scho

ol, w

orkp

lace

and

hos

pita

l and

enf

orce

M

oH(N

CH

D)

MoE

C&

S, M

oSW

&L,

Busi

ness

ent

ities

&

orga

niza

tions

N

GO

2006

-200

7R

egul

atio

n to

be

upda

ted

&

enfo

rced

Num

ber

& p

erce

ntag

e of

“he

alth

pro

mot

ing”

or

gani

zatio

ns,

impl

emen

ted

the

upda

ted

regu

latio

n

22C

ondu

ct a

mee

ting

and

cons

ulta

tion

with

food

pro

duce

rs a

nd

impo

rter

s on

impr

ovin

g of

nut

ritio

n qu

ality

ass

uran

ce o

f foo

d pr

oduc

ts

MoH

(PH

I)

SPIA

,M

oF&

A, M

oT&

I, 20

06-2

012

Col

labo

ratio

n to

be

impr

oved

Rec

omm

enda

tion&

de

cisi

on o

f mee

ting

or

cons

ulta

tion

and

its s

tatu

s of

impl

emen

tatio

n.

23St

udy

on p

ossi

bilit

y to

est

ablis

h na

tiona

l ref

eren

ce c

hem

ical

la

bora

tory

of f

ood

prod

ucts

, and

impr

ove

it’s

capa

city

M

oH(P

HI)

MoF

, MoF

&A

, M

oT&

I,SP

IA,

MoF

A,

2006

-200

9Su

stai

nabl

e co

ntro

l of f

ood

and

nutr

ition

qua

lity

to b

e es

tabl

ishe

d

Dec

isio

n on

est

ablis

hmen

t na

tiona

l ref

eren

ce

labo

rato

ry

24D

evel

op a

nd e

nfor

ce o

rder

dire

cted

to

eval

uate

hea

lthy

food

pr

oduc

er-b

usin

ess

entit

y, or

gani

zatio

n.

MoH

(PH

I, N

CH

D,

DC

)

MoF

, MoF

&A

, M

oT&

I, S

PIA

, N

GO

2006

-201

3Pr

oduc

tion

of h

ealth

y fo

od a

nd

nutr

ition

to

be in

crea

sed

Perc

enta

ge o

f hea

lthy

food

pr

oduc

er-b

usin

ess

entit

ies

25Ev

alua

te a

nd in

form

org

aniz

atio

n an

d co

llect

ives

whi

ch e

stab

lishe

d sp

ecia

l pla

ces,

room

s di

rect

ed t

o im

prov

e ph

ysic

al a

ctiv

ity o

f w

orke

rs, s

tude

nts

and

cust

omer

s

MoH

(N

CH

D,

SCPC

&S)

MoS

W&

L,M

oEC

&Sc

, M

oD,

PR&

TV,

Oth

er m

ass

med

ia

2006

-201

2N

umbe

r of

age

ncie

s w

here

pl

aces

, roo

ms

are

avai

labl

e fo

r ph

ysic

al a

ctiv

ity t

o be

incr

ease

d

Num

ber

of a

genc

ies

with

ph

ysic

al a

ctiv

ity r

oom

s an

d pl

aces

26Tr

ain

natio

nal t

rain

ers-

teac

hers

who

pro

vide

with

met

hodo

logy

fo

r im

plem

enta

tion

of a

n in

tegr

ated

NC

D p

reve

ntio

n an

d co

ntro

l ac

tiviti

es in

cen

tral

and

loca

l lev

el.

MoH

(NC

HD

,SC

PC&

S, PH

I,D

C)

MoE

C&

Sc,

(HSU

M)

2006

-200

7Tr

aine

rs -

teac

hers

to

be t

rain

edTr

aini

ng r

epor

t. Pe

rcen

tage

of

tra

ined

peo

ple

27Updatetesttodeterminefitnessstatusofpopulation.

MoH

(SC

PC&

S)M

oEC

&Sc

, NC

S&M

2006

Fitn

ess

test

to

be u

pdat

ed

App

rove

d te

st

28

Take

in t

o co

nsid

erat

ion

the

licen

sing

of o

rgan

izat

ions

and

cen

ters

, whereprovideanactivitiesdirectedtoimprovefitness,bodybuilding

and

wei

ght

loss

and

tra

inin

g of

all

kind

of e

xerc

ises

, de

velo

p an

d en

forc

e st

anda

rd, m

anua

l, pr

ovid

e w

ith m

etho

dolo

gy

MoH

(NC

HD

,SC

PC&

S, PH

I)

SPIA

, N

CS&

M,

Aim

ag a

nd C

apita

l C

ity G

over

nors

2006

-200

7T

he q

ualit

y of

act

ivity

of c

ente

rs

to b

e im

prov

ed.

App

rove

d st

anda

rd, m

anua

l, pe

rcen

tage

of i

mpl

emen

ted

agen

cies

29

Take

a m

easu

res

dire

cted

to

impr

ove

plan

and

pro

ject

of b

uild

ings

an

d ap

artm

ents

to

be n

ewly

est

ablis

hed

and

reco

nstr

ucte

d, b

y m

akin

g op

port

uniti

es t

o cr

eate

spe

cial

roa

ds a

nd s

quar

es p

rom

otin

g ph

ysic

al

activ

ity o

f the

peo

ple

MoC

&U

DA

imag

and

Cap

ital

City

Gov

erno

rsM

oH (

SCPC

&S)

2006

-201

3Ph

ysic

al a

ctiv

ity o

f the

peo

ple

to

be in

crea

sed

Perc

enta

ge o

f bui

ldin

gs a

nd

apar

tmen

ts, p

lann

ed t

o be

hav

e sp

ecia

l roa

ds a

nd

squa

res

Cont

inued

on n

ext p

age


��

#A

ctiv

itie

sR

espo

nsib

le

orga

niza

tion

Coo

pera

ting

or

gani

zati

ons

Dur

atio

n E

xpec

ted

outc

omes

Indi

cato

rs

30

Take

a m

easu

res

dire

cted

to

esta

blis

h pl

aces

and

squ

ares

to

prom

ote

activ

e m

ovem

ent

of t

he p

eopl

e an

d im

prov

e su

pply

of

nec

essa

ry e

quip

men

tM

oC&

UD

Aim

ag a

nd C

apita

l C

ity G

over

nors

Ass

ocia

tion

of

owne

rs o

f the

ap

artm

ent,

Busi

ness

ent

ities

2006

-201

3Po

ssib

ility

of a

ctiv

e m

ovem

ent

to b

e cr

eate

d

Perc

enta

ge o

f apa

rtm

ents

w

ith s

peci

al p

lace

s an

d sq

uare

s an

d ne

cess

ary

equi

pmen

ts

31

Prom

ote

com

mun

ity in

itiat

ive

for

impl

emen

tatio

n of

act

iviti

es,

smal

l pro

ject

s, pr

ogra

mm

es d

irect

ed t

o re

duce

ris

k fa

ctor

s an

d en

hanc

e he

alth

y lif

esty

le

MoH

(PH

I, N

CC

, D

C, N

CH

D,

SCPC

&S)

MoE

C&

Sc,

(HSU

M)

NG

O20

06-2

013

Part

icip

atio

n of

the

com

mun

ity

in a

ctiv

ities

dire

cted

to

redu

ce

risk

fact

ors,

prom

ote

heal

thy

lifes

tyle

to

be in

crea

sed

Perc

enta

ge o

f com

mun

ity

proj

ects

and

pro

gram

mes

32Im

plem

ent

dem

onst

ratio

n pr

ojec

t on

red

uctio

n of

NC

D r

isk

fact

ors

and

heal

th p

rom

otio

n at

som

e ai

mag

s an

d di

stri

cts,

and

info

rm t

heir

bes

t pr

actic

e am

ong

othe

r ai

mag

s an

d di

stri

cts

Aim

ag a

nd

Cap

ital C

ity

Gov

erno

rs

MoH

(PH

I, N

CC

, DC

, N

CH

D,

SCPC

&S)

2006

-201

3

Num

ber

of a

imag

s an

d di

stri

cts

activ

ely

wor

king

in r

educ

tion

of N

CD

ris

k fa

ctor

s to

be

incr

ease

d

Num

ber

of p

eopl

e an

d or

gani

zatio

n, in

volv

ed in

the

be

st p

ract

ice

trai

ning

33

Trai

n hu

man

res

ourc

es a

t th

e lo

cal a

nd in

tern

atio

nal l

evel

in

NC

D p

reve

ntio

n an

d m

anag

emen

t an

d he

alth

pro

mot

ion

and

updatingtheirqualifications

MoH

MoE

C&

Sc,

(HSU

M)

IO20

07-2

013

Cap

acity

of h

uman

res

ourc

es

to b

e im

prov

ed

Perc

enta

ge o

f per

sons

in

volv

ed in

tra

inin

g

34D

evel

op a

nd im

plem

ent

soci

al m

arke

ting

stra

tegy

dire

cted

to

enha

nce

hea

lthy

lifes

tyle

and

red

uce

NC

D r

isk

fact

ors

MoH

(PH

I, D

C, N

CH

D,

SCPC

&S)

PR&

TV

Mas

s m

edia

2006

-200

7So

cial

mar

ketin

g to

be

impr

oved

App

rove

d so

cial

mar

ketin

g st

rate

gy a

nd p

lan

35

Dev

elop

gui

delin

e, m

anua

l and

pro

vide

adv

ocac

y, tr

aini

ng a

nd

info

rmat

ion

on c

reat

ion

of h

ealth

pro

mot

ing

envi

ronm

ent,

enha

ncin

g he

alth

y lif

esty

le a

nd r

educ

tion

of N

CD

ris

k fa

ctor

s fo

r po

licy

and

deci

sion

mak

ers

at a

ll le

vel

MoH

(NC

HD

,PH

I,SC

PC&

S,D

C)

Aim

ag a

nd C

apita

l C

ity G

over

nors

,N

GO

2006

-201

0

Kno

wle

dge

and

att

itude

of

deci

sion

and

pol

icy

mak

ers

to

be im

prov

ed,

Num

ber

of h

ealth

pro

mot

ing

activ

ities

and

org

aniz

atio

ns t

o be

impr

oved

Num

ber

of d

evel

oped

m

anua

ls, c

ondu

cted

tr

aini

ng a

nd n

umbe

r of

peo

ple

part

icip

ated

, N

umbe

r of

hea

lth

prom

otin

g co

llect

ives

and

or

gani

zatio

ns

36

Dev

elop

man

ual a

nd p

rovi

de t

rain

ing

and

info

rmat

ion

on m

etho

dolo

gy o

f app

ropr

iate

cho

ice

of fo

od p

rodu

cts

and

cook

ing

“hea

lthy”

mea

l for

the

food

spe

cial

ists

, foo

d pr

oduc

ers,

impo

rter

s, ho

use

wiv

es, p

aren

ts a

nd c

omm

unity

MoH

(PH

I,N

CH

D)

MoF

&A

, MoT

&I,

PR&

TV

Mas

s m

edia

2006

-200

9

Num

ber

of b

usin

ess

entit

ies

whi

ch p

rodu

ce h

ealth

y fo

od t

o be

incr

ease

d,C

omm

unity

kno

wle

dge

on h

ealth

y nu

triti

on t

o be

im

prov

ed

Num

ber

of b

usin

ess

entit

ies

whi

ch p

rodu

ce h

ealth

y fo

od,

Com

mun

ity k

now

ledg

e on

he

alth

y nu

triti

on

Num

ber

of T

V a

nd r

adio

pr

ogra

mm

es, N

umbe

r of

de

velo

ped

and

publ

ishe

d IE

C m

ater

ials

. Num

ber

of

orga

nize

d tr

aini

ngs

and

num

ber

of p

artic

ipan

ts

37Im

prov

e co

ntro

l on

nutr

ition

qua

lity,

fat,

salt

and

suga

r co

nten

t of

impo

rted

food

pro

duct

s, an

d cr

eate

legi

slat

ive

envi

ronm

ent

dire

cted

to

prom

ote

heal

thy

food

pro

duct

s by

tax

atio

n po

licy.

MoF

(NTO

)

MoF

&A

, MoT

&I,

MoH

(NC

HD

)20

07-2

010

Num

ber

and

type

of “

heal

thy”

fo

od p

rodu

cts

with

min

imal

co

nten

t of

NC

D r

isk

fact

ors

to b

e im

prov

ed

App

rove

d la

w, r

esol

utio

n an

d or

der

38O

rgan

ize

vari

ous

com

petit

ion,

exh

ibiti

on a

nd d

emon

stra

tion

activ

ities

dire

cted

to

impr

ove

heal

thy

diet

and

phy

sica

l act

ivity

am

ong

popu

latio

n

MoH

(NC

HD

,PH

I,SC

PC&

S,D

C)

MoF

&A

,M

oT&

I,M

oJPr

ofes

sion

al

Ass

ocia

tions

NG

O

2006

-201

0

Kno

wle

dge,

att

itude

and

ski

lls

of t

he c

omm

unity

on

heal

thy

diet

and

phy

sica

l act

ivity

to

be

impr

oved

Num

ber

of o

rgan

ised

m

easu

res,

num

ber

of

peop

le in

volv

ed


��

39

Dev

elop

gui

delin

e an

d st

anda

rds

of a

ctiv

e m

ovem

ent

appr

opri

ate

to a

ge, w

ork

and

prof

essi

on, a

nd c

ondu

ct t

rain

ing

of t

rain

ers

and

com

mun

ity a

nd d

isse

min

ate

an in

form

atio

n re

gula

rly

thro

ugh

mas

s m

edia

MoH

(NC

HD

,PH

I,SC

PC&

S)

MoE

C&

Sc,

PR&

TV

Mas

s m

edia

NG

O20

06-2

007

Gui

delin

e an

d st

anda

rds

of a

ctiv

e m

ovem

ent

to b

e de

velo

ped,

Met

hodo

logi

sts

of a

imag

s an

d ca

pita

l city

and

com

mun

ity

to b

e in

volv

ed in

tra

inin

g an

d in

form

atio

n

App

rove

d gu

idel

ine

and

stan

dard

,

Perc

enta

ge o

f peo

ple

invo

lved

in

tra

inin

g,

Num

ber

of p

rogr

amm

es a

nd

mas

s m

edia

org

aniz

atio

ns

prov

ided

an

info

rmat

ion

40Organizeagespecificactivitiesonfitness,physicalcultureandsport,

take

a m

easu

res

dire

cted

to

invo

lve

all a

ge g

roup

s of

the

pop

ulat

ion

MoH

(SC

PC&

S)

MoE

C&

Sc,

MoS

W&

LA

imag

and

Cap

ital

City

Gov

erno

rs,

2006

-201

3A

ll ag

e gr

oups

of t

he p

opul

atio

n inactivitiesonfitness,physical

cultu

re a

nd s

port

to

be in

volv

ed

Num

ber

of a

ctiv

ities

, or

gani

sed,

Num

ber

of p

eopl

e in

volv

ed,

by a

ge g

roup

s

41O

rgan

ize

a ca

mpa

ign

“act

ive

mov

emen

t” fo

r pr

esch

ool a

nd s

choo

l ch

ildre

n, d

evel

op c

arto

on, a

nd o

rgan

ize

com

petit

ion.

MoH

(NC

HD

,SC

PC&

S)

MoE

C&

Sc,

PR&

TV

2007

-201

1Ph

ysic

al a

ctiv

ity o

f pre

scho

ol

and

scho

ol c

hild

ren

to b

e im

prov

ed

Num

ber

of o

rgan

ized

ca

mpa

ign,

dev

elop

ed c

arto

on

and

com

petit

ion,

Perc

enta

ge o

f chi

ldre

n in

volv

ed

42Ex

pand

mea

sure

s di

rect

ed t

o co

nduc

t th

e tr

aini

ng o

n ae

robi

cs,

fitnessexerciseanddancingam

ongchildren,youthandpopulation

Aim

ag a

nd

Cap

ital C

ity

Gov

erno

rs,

MoE

C&

Sc,

MoH

(SC

PC&

S,N

CH

D)

2006

-201

2Ph

ysic

al a

ctiv

ity o

f the

pub

lic t

o be

impr

oved

Perc

enta

ge o

f org

aniz

ed

mea

sure

s an

d pa

rtic

ipan

ts

invo

lved

43Im

prov

e po

ssib

ility

to

do a

ctiv

e m

ovem

ent

for

the

com

mun

ity b

y im

prov

ing

light

ing

and

safe

ty o

f roa

ds, s

quire

and

gar

den

Aim

ag a

nd

Cap

ital C

ity

Gov

erno

rs,

SPIA

, MoC

&U

DM

oRT

T,Bu

sine

ss e

ntiti

es20

06-2

011

Phys

ical

act

ivity

env

ironm

ent

for

the

publ

ic t

o be

impr

oved

Perc

enta

ge o

f aim

ags,

dist

rict

s, bu

sine

ss e

ntiti

es a

nd

orga

niza

tions

tak

ing

mea

sure

s

44Pr

ovid

e an

d ev

alua

te c

ompe

titio

n am

ong

orga

niza

tions

and

bus

ines

s en

titie

s on

cre

atio

n of

tob

acco

free

env

ironm

ent,

and

diss

emin

ate

best

pra

ctic

e in

form

atio

n

MoH

(NC

HD

,M

NH

&N

C)

MoE

C&

Sc,

MoS

W&

LA

imag

and

Cap

ital

City

Gov

erno

rs,

Mas

s m

edia

NG

O

2006

-201

1N

umbe

r of

org

aniz

atio

ns,

crea

ted

toba

cco

free

en

viro

nmen

t to

be

incr

ease

d

Perc

enta

ge o

f org

aniz

atio

ns,

esta

blis

hed

toba

cco

free

en

viro

nmen

t

45D

evel

op m

anua

l on

met

hodo

logy

of c

reat

ion

of t

obac

co fr

ee

envi

ronm

ent,

and

prov

ide

trai

ning

.

MoH

(NC

HD

,M

NH

&N

C)

Aim

ag a

nd C

apita

l C

ity G

over

nors

,N

GO

2006

-200

9M

anua

l on

met

hodo

logy

of

cre

atio

n of

tob

acco

free

en

viro

nmen

t to

be

deve

lope

d

App

rove

d gu

idel

ine,

Num

ber

of p

eopl

e in

volv

ed

in t

rain

ing,

Num

ber

of o

gran

izat

ions

, cr

eate

d to

bacc

o fr

ee

envi

ronm

ent

46

Rev

iew

form

al a

nd in

form

al t

rain

ing

prog

ram

me

of e

duca

tiona

l or

gani

zatio

ns a

t al

l lev

el, i

ntro

duce

tob

acco

rel

ated

har

m, i

t’s

prev

entio

n an

d im

port

ance

of t

obac

co c

essa

tion

in t

rain

ing

prog

ram

.

MoE

C&

Sc,

MoH

(NC

HD

,M

NH

&N

C)

2007

-200

9

Trai

ning

pro

gram

me

to b

e up

date

d an

d in

trod

uced

,

Kno

wle

dge

and

attit

ude

of

stud

ents

to

be im

prov

ed

App

rove

d ne

w p

rogr

amm

e,

Perc

enta

ge o

f edu

catio

nal

orga

niza

tions

intr

oduc

ed n

ew

prog

ram

me

47C

ondu

ct t

rain

ing

for

teac

hers

on

toba

cco

harm

MoE

C&

Sc,

MoH

(MN

H&

NC

N

CH

D)

NG

O

2006

-201

1kn

owle

dge,

att

itude

of t

each

ers

on t

obac

co h

arm

to

be

impr

oved

Perc

enta

ge o

f tea

cher

s in

volv

ed in

tra

inin

g

Cont

inued

on n

ext p

age


��

#A

ctiv

itie

sR

espo

nsib

le

orga

niza

tion

Coo

pera

ting

or

gani

zati

ons

Dur

atio

n E

xpec

ted

outc

omes

Indi

cato

rs

48Se

lect

and

mak

e ag

reem

ent

with

bus

ines

s en

titie

s an

d or

gani

zatio

ns d

irect

ed t

o im

prov

e su

pply

of n

eces

sary

m

edic

amen

ts u

sed

in t

obac

co c

essa

tion

base

d on

est

imat

ion

MoH

(MN

H&

NC

)

Org

aniz

atio

n fo

r su

pply

of m

edic

ine,

Busi

ness

ent

ities

2006

-201

3Su

pply

of n

eces

sary

m

edic

amen

ts u

sed

in t

obac

co

cess

atio

n t

o be

incr

ease

d

Perc

enta

ge o

f im

prov

emen

t of

sup

ply

of n

eces

sary

m

edic

amen

ts u

sed

in t

obac

co

cess

atio

n

49Im

plem

ent

trea

tmen

t-tr

aini

ng p

rogr

amm

e on

tob

acco

ces

satio

n an

d es

tabl

ish

hotli

ne b

ased

on

agre

emen

t pe

rfor

man

ce w

ork

MoH

(MN

H&

NC

)

Org

aniz

atio

n fo

r su

pply

of m

edic

ine,

Busi

ness

ent

ities

2006

-201

3Po

ssib

ility

to

get

advi

ce a

nd

trea

tmen

t, w

ho w

ants

to

quit

smok

ing

to b

e es

tabl

ishe

d

Num

ber

of p

eopl

e in

volv

ed in

to

bacc

o ce

ssat

ion

prog

ram

,

Num

ber

of p

eopl

e go

t ho

tline

ad

vice

50

Dev

elop

and

impl

emen

t re

com

men

datio

n fo

r or

gani

zatio

n of

cu

ltura

l sho

w, c

ompe

titio

n, e

vent

s an

d ot

her

mea

sure

s to

be

“tob

acco

free

” su

ch a

s “To

bacc

o fr

ee y

outh

”, “T

obac

co fr

ee

cultu

ral e

vent

”, “T

obac

co fr

ee s

port

“

MoH

(NC

HD

PH

I,M

NH

&N

C)

MoE

C&

Sc,

MoS

W&

LN

GO

PR&

TV

2006

-201

2N

umbe

r of

tob

acco

free

en

viro

nmen

t, ac

tivity

and

m

easu

res

to b

e in

crea

sed

Dev

elop

ed r

ecom

men

datio

n,

Num

ber

of t

obac

co fr

ee

envi

ronm

ent,

activ

ities

and

m

easu

res

51C

eleb

rate

Wor

ld N

o To

bacc

o D

ay (

31 M

ay o

f eve

ry y

ear)

and

ex

pand

info

rmat

ion,

edu

catio

n (IE

C)

for

the

publ

ic a

t th

e ai

mag

an

d ca

pita

l city

leve

l

Aim

ag a

nd

Cap

ital C

ity

Gov

erno

rs,

PR&

TV,

MoH

(MN

H&

NC

N

CH

D)

2006

-201

3

Kno

wle

dge

and

attit

ude

of

com

mun

ity o

n to

bacc

o ha

rm,

impo

rtan

ce o

f tob

acco

ces

satio

n,

redu

ctio

n of

tob

acco

use

an

d cr

eatio

n of

tob

acco

free

en

viro

nmen

t to

be

impr

oved

Perc

enta

ge o

f aim

ags

and

dist

rics

cel

ebra

ted

Wor

ld N

o To

bacc

o D

ay

52D

evel

op a

nd im

plem

ent

trai

ning

and

tre

atm

ent

stra

tegy

on

toba

cco

cess

atio

n fo

r th

e pe

ople

in r

ural

are

as, p

eopl

e w

ith lo

w

livin

g co

nditi

on a

nd h

omel

ess

peop

le

MoH

(MN

H&

NC

N

CH

D )

Aim

ag a

nd C

apita

l C

ity G

over

nors

,M

oSW

&L

2006

-201

3

Kno

wle

dge

and

attit

ude

of t

he

peop

le in

rur

al a

reas

, peo

ple

with

low

livi

ng c

ondi

tion

and

hom

eles

s pe

ople

to

be im

prov

ed

App

rove

d ed

ucat

ion

prog

ram

me,

Num

ber

of p

eopl

e in

volv

ed

in t

rain

ing

53

Cel

ebra

te A

lcoh

ol fr

ee D

ay in

eve

ry m

onth

, dev

elop

man

ual

and

reco

mm

enda

tion

on a

lcoh

ol fr

ee e

nviro

nmen

t, or

gani

ze

com

petit

ion

amon

g or

gani

zatio

ns a

nd b

usin

ess

entit

ies,

diss

emin

ate

info

rmat

ion

for

the

puib

lic

Aim

ag a

nd

Cap

ital C

ity

Gov

erno

rs,

MoH

,SP

IAN

GO

2006

-201

3

Man

ual a

nd r

ecom

men

datio

n to

be

dev

elop

ed.

Num

ber

of A

lcoh

ol fr

ee

activ

ities

and

alc

ohol

free

en

viro

nmen

t to

be

incr

ease

d

App

rove

d or

der,

Num

ber

of A

lcoh

ol fr

ee D

ays,

alco

hol f

ree

orga

niza

tions

and

bu

sine

ss e

ntiti

es

54D

evel

op a

dvic

e, r

ecom

men

datio

n an

d IE

C m

ater

ials

on

nega

tive

cons

eque

nces

of a

lcoh

olic

bev

erag

es fo

r hu

man

hea

lth a

nd it

’s m

oder

ate

use

and

prov

ide

trai

ning

and

info

rmat

ion

for

the

publ

ic

MoH

(NC

HD

M

NH

&N

C)

MoE

C&

Sc (

HSU

M)

PR&

TV,

NG

O20

06-2

013

Acc

essi

bilit

y of

info

rmat

ion

to

be in

crea

sed

Num

ber

of a

dvic

e,

reco

mm

enda

tion

and

IEC

m

ater

ials

,

Num

ber

of t

rain

ed p

eopl

e

55

Rev

iew

form

al a

nd in

form

al e

duca

tion

prog

ram

me

of e

duca

tiona

l organizationatalllevelandreflectissuesrelatedtonegative

cons

eque

nces

of a

lcoh

olic

bev

erag

es fo

r hu

man

hea

lth, i

t’s

prev

entio

n an

d im

port

ance

of t

reat

men

t of

alc

ohol

dep

ende

nce

MoE

C&

ScM

oH(M

NH

&N

C

NC

HD

)20

07-2

009

Trai

ning

pro

gram

me

to b

e up

date

d,

Kno

wle

dge

and

attit

ude

of

stud

ents

to

be i

mpr

oved

App

rove

d tr

aini

ng

prog

ram

me,

Perc

enta

ge o

f org

aniz

atio

ns

itrod

uced

new

pro

gram

me

56Pr

ovid

e w

ith m

etho

dolo

gy a

nd c

oope

rate

with

org

aniz

atio

ns a

nd

com

mun

ity, i

nitia

ted

to o

rgan

ize

volu

ntee

r cl

ubs

to h

elp

drin

kers

an

d th

eir

fam

ilies

MoH

(NC

HD

M

NH

&N

C)

Aim

ag a

nd C

apita

l C

ity G

over

nors

,N

GO

2007

-201

3A

ssis

tanc

e fo

r th

e dr

inke

rs a

nd

thei

r fa

mili

es t

o be

impr

oved

Num

ber

of v

olun

teer

clu

bs,

Num

ber

of a

ctiv

ities

im

plem

ente

d,

Num

ber

of p

eopl

e in

volv

ed


��

Obj

ecti

ve 3

. Mea

sure

s di

rect

ed t

o m

ake

reor

ient

atio

n of

hea

lth

serv

ices

(to

war

ds a

ppro

pria

te, a

cces

sibl

e, e

ffect

ive,

com

mun

ity-

base

d )

for

com

mon

NC

D-s

57D

evel

op, u

pdat

e an

d im

plem

ent

guid

elin

e an

d st

anda

rd fo

r di

agno

sis

and

trea

tmen

t of

maj

or N

CD

s

MoH

(NC

C,

NC

HD

,PH

I,D

C)

MoE

C&

Sc

(HSU

M)

Prof

essi

onal

as

soci

atio

ns20

06-

2012

Qua

lity

of m

edic

al s

ervi

ce t

o be

im

prov

ed

App

rove

d st

anda

rd a

nd

guid

elin

es

58

Dev

elop

tra

inin

g pr

ogra

mm

e an

d m

anua

l for

impl

emen

tatio

n of

gu

idel

ine

and

stan

dard

for

diag

nosi

s an

d tr

eatm

ent

of m

ajor

NC

Ds

and

cond

uct

trai

ning

for

heal

th w

orke

rs

MoH

(NC

C,

NC

HD

,M

NH

&N

CPH

I,D

C)

MoE

C&

Sc

(HSU

M)

RD

TC

2006

-201

3M

anag

emen

t of

NC

Ds

to b

e im

prov

ed

App

rove

d tr

aini

ng

prog

ram

me

and

man

ual,

Perc

enta

ge o

f hea

lth w

orke

rs

invo

lved

in t

rain

ing

59

Sele

ct m

edic

ines

(sa

fe, e

ffect

ive,

with

rea

sona

ble

pric

es)

for

trea

tmen

t of

NC

Ds

base

d on

clin

ical

res

earc

h ev

iden

ce a

nd

intr

oduc

e th

em in

the

nat

iona

l lis

t of

ess

enci

al m

edic

ines

.

MoH

(NC

C)

MoE

C&

Sc

(HSU

M)

2006

-201

2M

oder

n an

d ef

fect

ive

med

icin

e to

be

intr

oduc

ed

Num

ber

of m

edic

ines

in

clud

ed in

the

list

60

Det

erm

ine

nece

ssar

y in

stru

men

ts, t

echn

ique

s an

d eq

uipm

ents

for

diag

nosi

s an

d tr

eatm

ent

of N

CD

s ac

cord

ing

to t

he le

vel o

f hea

lth

serv

ice

and

take

mea

sure

s to

impr

ove

thei

r su

pply

in c

olla

bora

tion

with

loca

l and

inte

rnat

iona

l don

ors

and

inte

rnat

iona

l org

aniz

atio

ns

MoH

MoF

A,

MoF

,M

oT&

I,Bu

sine

ss e

ntiti

es20

06-2

009

Supp

ly o

f nec

essa

ry in

stru

men

ts

tech

niqu

es a

nd e

quip

men

ts t

o be

impr

oved

Num

ber

of h

ealth

or

gani

zatio

ns w

ith

appr

opri

ate

supp

ly o

f eq

uipm

ents

61D

evel

op m

anua

l, re

com

men

datio

n an

d tr

aini

ng p

rogr

amm

e on

die

t tr

eatm

ent

for

maj

or N

CD

s fo

r co

oks

of k

itche

n at

hos

pita

l and

sa

nato

ry a

nd c

ondu

ct t

rain

ing

and

info

rmat

ion.

MoH

(PH

I)

MoE

C&

Sc

(HSU

M)

Prof

essi

onal

A

ssoc

iatio

ns20

06-2

010

Kno

wle

dge,

att

itude

and

ski

lls o

f co

oks

to b

e im

prov

ed

Num

ber

of d

evel

oped

m

anua

l, re

com

men

datio

n an

d tr

aini

ng p

rogr

amm

e

62

Esta

blis

h m

odel

kitc

hen

for

trea

tmen

t, tr

aini

ng a

nd r

esea

rch

on h

ealth

y fo

od, p

rom

ote

initi

ativ

es o

f bus

ines

s en

titie

s an

d or

gani

zatio

ns in

rel

atio

n to

thi

s, co

llabo

rate

and

pro

vide

the

m w

ith

met

hodo

logy

, and

tak

e a

mea

sure

s to

dis

sem

inat

e be

st p

ract

ices

MoH

(PH

I)

MoF

AM

oT&

I,Pr

ofes

sion

al

Ass

ocia

tions

2006

-200

8M

odel

kitc

hen

to b

e de

term

ined

/est

ablis

hed

Num

ber

of m

odel

kitc

hen,

Num

ber

of p

eopl

e in

volv

ed

in t

rain

ing

63DevelopNCDspecificphysicalactivitymethodologyandintroduce

in t

he p

ract

ice

of h

ealth

ser

vice

MoH

(NC

HD

,SC

PC&

S)

MoE

C&

Sc

(HSU

M)

2006

-200

9NCDspecificphysicalactivity

met

hodo

logy

to

be d

evel

oped

App

rove

d m

etho

dolo

gy,

Perc

enta

ge o

f hea

lth

orga

niza

tions

impl

emen

ted

the

met

hodo

logy

64

Incr

ease

per

cent

age

of p

reve

ntiv

e m

easu

res

in t

he h

ealth

ser

vice

formaiorNCDsandcreatelegislativeenvironm

entoffinancial

and

othe

r ty

pe o

f enc

oura

gem

ent

to t

he h

ealth

pro

mot

ive

and

prev

entiv

e m

easu

res

MoH

(NC

HD

)

MoF

,A

imag

and

C

apita

l City

G

over

nors

,20

06-2

008

Legi

slat

ive

envi

ronm

ent

to b

e cr

eate

d,

Hea

lth p

rom

otiv

e an

d pr

even

tive

mea

sure

s to

be

impr

oved

App

rove

d le

gisl

ativ

e ac

ts,

Impr

oved

per

cent

age

of

heal

th p

rom

otiv

e an

d pr

even

tive

mea

sure

s am

ong

clin

ical

ser

vice

s

65

Dev

elop

and

impl

emen

t m

etho

dolo

gy a

nd g

uide

lines

for

inte

grat

ion

of N

CD

pre

vent

ion

and

con

trol

act

iviti

es w

ith p

rim

ary

heal

th

care

- s

oum

and

fam

ily h

ospi

tal s

ervi

ces

and

for

eval

uatio

n of

it’s

ef

fect

iven

ess.

MoH

(PH

I,N

CH

D,

NC

C

DC

)

RD

TC

2006

-200

7

Inte

grat

ion

and

coor

dina

tion

of

NC

D p

reve

ntio

n an

d c

ontr

ol

activ

ities

with

pri

mar

y he

alth

ca

re t

o be

impr

oved

App

rove

d gu

idel

ine,

ord

er

Perc

enta

ge o

f hea

lth

orga

niza

tions

, im

plem

ente

d

66Pr

ovid

e na

tionw

ide

med

ical

exa

min

atio

n of

the

pop

ulat

ion

in e

very

ye

ar, i

n or

der

to m

ake

earl

y de

tect

ion

of m

ajor

NC

Ds

and

take

ne

cess

ary

mea

sure

s

Aim

ag a

nd

Cap

ital C

ity

Gov

erno

rs,

RD

TC

, HO

MoH

(NC

C,

DC

)

2007

-201

3R

ate

of e

arly

det

ectio

n to

be

incr

ease

d

Perc

enta

ge o

f peo

ple

invo

lved

in m

edic

al

exam

inat

ion Co

ntinu

ed o

n nex

t pag

e


�0

#A

ctiv

ities

Res

pons

ible

or

gani

zatio

nC

oope

ratin

g

orga

niza

tions

Dur

atio

n Ex

pect

ed o

utco

mes

Indi

cato

rs

67

In o

rder

to

enha

nce

the

skill

s of

indi

vidu

als

in c

ontr

ol o

f NC

D

risk

fact

ors

such

as

bloo

d pr

essu

re, b

lood

glu

cose

, nat

rium

sal

ts in

ur

ine

and

wei

ght

cont

rol t

hem

selv

es, t

ake

a m

easu

res,

dire

cted

to

impr

ove

nece

ssar

y su

pply

of a

ppar

atus

and

rea

gent

, and

dev

elop

an

inf

orm

atio

n an

d ed

ucat

ion

mat

eria

l and

con

duct

tra

inin

g an

d in

form

atio

n am

ong

peop

le a

t ri

sk a

nd t

he c

omm

unity

MoH

(PH

I,N

CH

D,

NC

C

DC

SCPC

&S)

MoF

,M

oFA

,A

imag

and

Cap

ital

City

Gov

erno

rs,

RD

TC

, HO

,Pr

ofes

sion

al

Ass

ocia

tions

Busi

ness

Ent

ities

2006

-201

3K

now

ledg

e an

d sk

ills

of

indi

vidu

als

to b

e im

prov

edPe

rcen

tage

of i

ndiv

idua

ls w

ith

know

ledg

e an

d sk

ills

68

Intr

oduc

e co

stef

fect

ive

met

hods

for

earl

y de

tect

ion

of m

ajor

N

CD

s su

ch a

s de

tect

ion

of c

ervi

cal c

ance

r us

ing

3 %

ace

tic a

cid

test

for

wom

en a

nd P

AP

stea

mer

and

det

ectio

n of

bre

ast

canc

er

by u

sing

sel

f exa

min

atio

n an

d m

amag

ram

m

MoH

(NC

CD

C)

Aim

ag a

nd C

apita

l C

ity G

over

nors

,R

DT

C,

HO

2007

-201

3N

ew m

etho

ds o

f ear

ly d

etec

tion

of c

omm

on N

CD

s to

be

intr

oduc

ed

App

rove

d ne

w m

etho

ds,

Perc

enta

ge o

f int

rodu

ced

orga

niza

tion,

Perc

enta

ge o

f det

ecte

d ca

ses

69D

evel

op a

nd im

plem

ent

regu

latio

n on

reg

istr

atio

n an

d re

call

of

peop

le/in

divi

dual

s w

ith m

ajor

NC

Ds

MoH

(N

CC

DC

, PH

I)20

06-2

008

Num

ber

of r

egis

tere

d pa

tient

s to

be

incr

ease

d,Pe

rcen

tage

of r

egis

tere

d

patie

nts

70D

evel

op t

he r

egul

atio

n on

pro

visi

on o

f ext

erna

l aud

it in

the

hea

lth

serv

ices

for

NC

Ds

MoH

(NC

HD

,N

CC

)SP

IA20

06-2

008

Qua

lity

of h

ealth

ser

vice

s fo

r N

CD

to

be im

prov

ed

App

rove

d sy

stem

and

re

gula

tion

on e

xter

nal a

udit,

Perc

enta

ge o

f org

aniz

atio

n in

volv

emen

t

71Ta

ke a

mea

sure

s di

rect

ed t

o ex

tens

ion

of t

ele-

med

icin

e sy

stem

for

diag

nosi

s, co

nsul

tanc

y, tr

aini

ng a

nd m

onito

ring

of N

CD

s.

MoH

(NC

HD

,IM

S,N

CC

)

MoF

,M

oFA

,IO

2007

-201

2A

cces

sibi

lity

of t

ele-

med

icin

e sy

stem

to

be im

prov

ed

Perc

enta

ge o

f hea

lth

orga

niza

tions

invo

lved

in t

ele-

med

icin

e sy

stem

72

Dev

elop

gui

delin

e, p

rogr

amm

e an

d re

com

men

datio

n on

red

uctio

n of

NC

D r

isk

fact

ors

and

prev

entio

n of

con

sequ

ence

s su

ch a

s tr

eatm

ent

of a

lcoh

ol d

epen

danc

e, t

obac

co c

essa

tion,

red

uctio

n of

ov

erw

eigh

t an

d de

tect

ion

and

trea

tmen

t of

cau

ses

of o

besi

ty a

nd

cond

uct

trai

ning

am

ong

peop

le a

t ri

sk a

nd p

atie

nts

MoH

(PH

I,N

CH

D,

DC

,SC

PC&

S,M

NH

&N

C)

MoE

C&

S,(H

SUM

)M

oF&

A,

Prof

essi

onal

s A

ssoc

iatio

nsN

GO

2006

-200

7

Ris

k le

vel a

mon

g ri

sky

popu

latio

ns t

o be

red

uced

an

d th

eir

heal

th s

tatu

s to

be

impr

oved

App

rove

d pr

ogra

ms,

Perc

enta

ge o

f peo

ple

invo

lved

73

Dev

elop

and

impl

emen

t re

gula

tion

on im

prov

ing

supp

ly o

f es

senc

ial m

edic

ine

and

inst

rum

ents

for

the

trea

tmen

t of

NC

Ds

and

coor

dina

tion

of m

edic

al s

ervi

ces

(pri

ce, p

rovi

sion

of s

uppl

y an

d se

lfcon

trol

of p

atie

nts

etc.

)

MoH

MoS

W&

LM

oFO

rgan

izat

ions

for

supp

ly o

f med

icin

es

2006

-200

9Su

pply

of m

edic

ines

and

in

stru

men

ts t

o be

impr

oved

A

ppro

ved

regu

latio

n

74

Dev

elop

IEC

mat

eria

ls, m

etho

dolo

gica

l rec

omm

enda

tion

and

cond

uct

trai

ning

and

info

rmat

ion

dire

cted

to

mak

e a

selfc

ontr

ol

by p

atie

nts

them

selv

es o

n in

term

edia

te r

isk

fact

ors

(suc

h as

blo

od

pres

sure

, blo

od g

luco

se le

vel,

natr

ium

sal

ts in

uri

ne, o

verw

eigh

t et

c.)

and

impr

ove

invo

lvem

ent

of t

he fa

mily

mem

bers

.

MoH

(PH

I,N

CH

D,

DC

,SC

PC&

S)

MoE

C&

S,(H

SUM

)20

06-2

007

Kno

wle

dge

and

skill

s of

pat

ient

s an

d pe

ople

with

ris

k to

be

impr

oved

Perc

enta

ge o

f peo

ple

who

ha

ve k

now

ledg

e an

d sk

ills

of

selfc

ontr

ol.

75Takemeasuresdirectedtoimprovesupplyofspecificfood

prod

ucts

for

diab

etic

pat

ient

sM

oF&

A

MoH

(DC

),M

oT&

I,SP

IA,

Prof

essi

onal

s as

ooci

atio

ns,

Busi

ness

ent

ities

,N

GO

s

2006

-201

3Supplyofspecificfoodproducts

to b

e im

prov

ed

Num

ber

of d

iabe

tic p

atie

nts

whousespecificfood

prod

ucts


��

76

Dev

elop

pal

liativ

e ca

re m

anag

emen

t gu

idel

ines

and

con

duct

tr

aini

ng o

f hea

lth p

rofe

ssio

nals

MoH

(NC

C)

MoE

C&

S,(H

SUM

)N

GO

T

CPC

2006

-200

9

Palli

ativ

e ca

re m

anag

emen

t gu

idel

ines

to

be d

evel

oped

Kno

wle

dge

and

skill

s of

fam

ily

and

soum

doc

tors

on

palli

ativ

e ca

re m

anag

emen

t to

be

impr

ove

Gui

delin

es fo

r pa

lliat

ive

care

m

anag

emen

t,

Perc

enta

ge o

f fam

ily a

nd

soum

doc

tors

, tra

ined

in

palli

ativ

e ca

re m

anag

emen

t

77To

est

ablis

h a

mul

tidisc

iplin

ary

pallia

tive

hom

e ca

re te

am in

all

aim

ags

and

dist

ricts

.

MoH

(NC

C)

HO

NG

O

TC

PC20

06-2

007

Mul

tidisc

iplin

ary

pallia

tive

hom

e ca

re te

am a

t all

aim

ags

and

dist

ricts

to b

e es

tabl

ished

Perc

enta

ge o

f pro

vinc

es a

nd

dist

rict

s w

ith p

allia

tive

hom

e ca

re t

eam

Perc

enta

ge o

f pat

ient

s, to

w

hom

pro

vide

d se

rvic

e

78

Take

a m

easu

res

dire

cted

to

impr

ove

and

prov

ide

sust

aina

ble

supp

ly o

f slo

w r

elea

sed

mor

phin

e fo

r or

al u

se w

ith r

easo

nabl

e pr

izes

MoH

(NC

C)

MoF

, MoF

A,

Mon

gol E

m

Impe

x,

Oth

er

Com

pani

es

for

supp

ly o

f M

edic

ine,

NG

O-s

T

CPC

2006

-200

9Su

pply

of M

orph

in fo

r or

al u

se

to b

e im

prov

edPe

rcen

tage

of p

atie

nts,

user

s an

d th

eir

leve

l of s

atis

fact

ion

79C

ondu

ct t

rain

ing

for

onco

logi

sts,

inte

rnis

ts, g

ynae

colo

gist

s an

d su

rgeo

ns a

t pr

ovin

ces

and

dist

rict

s an

d im

prov

e th

eir

basi

c kn

owle

dge

on p

allia

tive

care

MoH

(NC

C)

HO

NG

O

TC

PC

2006

-200

9

Cap

acity

to

prov

ide

cons

ulta

ncy

for

the

palli

ativ

e h

ome

care

te

am t

o be

impr

oved

Perc

enta

ge o

f doc

tors

in

clud

ing

onc

olog

ists

, in

tern

ists

, gyn

aeco

logi

sts

and

surg

eons

, tra

ined

in p

allia

tive

care

man

agem

ent

80In

ord

er t

o im

prov

e su

pply,

mak

e an

est

imat

ion

and

orde

r th

e nu

rsin

g in

stru

men

ts a

nd s

uppl

ies

nece

ssar

y to

pro

vide

pal

liativ

e ca

re a

nd m

ake

a pr

opos

al t

o th

e do

nor

coun

trie

s

MoH

(NC

C)

MoF

, MoF

A,

Com

pani

es

for

supp

ly o

f M

edic

ine,

NG

O-s

T

CPC

2007

-200

9

Supp

ly o

f in

stru

men

ts,

nece

ssar

y to

pro

vide

pal

liativ

e ca

re t

o be

impr

oved

,

Leve

l of s

atis

fact

ion

of p

atie

nts

to b

e im

prov

ed

Perc

enta

ge o

f hea

lth

orga

niza

tions

with

impr

oved

su

pply

of i

nstr

umen

ts,

nece

ssar

y to

pro

vide

pa

lliat

ive

care

81

Dev

elop

man

ual a

nd r

ecom

men

datio

n on

pal

liativ

e ca

re d

irect

ed

to im

prov

e kn

owle

dge,

att

itude

and

ski

lls o

f fam

ily m

embe

rs a

nd

com

mun

ity a

nd p

rovi

de in

form

atio

n, e

duca

tion

and

trai

ning

M

oH

(NC

C,

NC

HD

)

NG

O-s

T

CPC

2006

-201

3

Kno

wle

dge,

att

itude

and

ski

lls o

f fa

mily

mem

bers

and

com

mun

ity

to b

e im

prov

ed

Leve

l of s

atis

fact

ion

of p

atie

nts

and

thei

r qu

ality

of l

ife t

o be

im

prov

ed

Man

uals

and

rec

omen

datio

ns,

Perc

enta

ge o

f fam

ilies

and

co

mm

uniti

es t

rain

ed in

pa

lliat

ive

care

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