Georgia NCD Prevention and Control Activities 7 May

Georgia NCD Prevention and Control Activities 7 May 2012, Lausanne, Switzerland WHO – IUMSP International Seminar On the Public Health Aspects of Non-communicable Diseases 6 th Nia Giuashvili National Center for Disease Control and Public Health

üIn Georgia 91% of all deaths are caused by Non-communicable diseases üGeorgia belongs to TOP 5 WHO Member Countries with the highest mean blood pressure üMain Diseases: IHD (42%); CVD (26%) üHalf of newly diagnosed cancer cases are on IV stage

q 28% of Georgia adult population is daily smoker, q 70% consumes less than 5 servings of fruit and/or vegetables, q 22% is physically inactive, 56% is overweight and 25% obese, q 33% has hypertension, 16. 3% has high level of blood glucose, q 18. 1% has high cholesterol level, 25% has hypertriglyceridemia q The majority (94%) of Georgian population has one or more risk-factor 17% of the overall disease burden and 19% of all deaths in Georgia are attributable to environmental risk factors.

Structure and organization of prevention and care services and resources available üMinistry of Labour, Health and Social Affaires üNational Center for Disease Control and Public Health üPrimary Healthcare (public/private) üHospital Sector (public/private) üInsurance companies üNGOs üResources üState budget üInternational Donations

Main achievements üNCD Division at the NCDC üBreast , cervical and colorectal cancer screening programs üCVD screening program üGEORGIA - NATIONAL HEALTH CARE STRATEGY 2011 -2015 üNCD Strategic Highlights üNCD Prevention and Control Conception for Georgia üCancer Registry design and concept elaboration

Main lessons learnt over the last 5 years üLow Budget allocation üLack of Action Plans for realization strategies üCultural sensitive intervention üAdvocacy & political commitment üSurveillance system

Next Steps q NCD Prevention and Control Action Plan q Establish an effective and sustainable surveillance and health information system (national health statistics, registers, surveys for health status, health behavior and risk factors) with clear description of tasks and responsibilities. q Continue and expand national NCD screening programs and evidence-based preventive initiatives q Continue and reinforce national tobacco control initiatives, expand smoking prevention strategies and promote smokefree environment

Next Steps q Develop a comprehensive multisectoral strategy to limit consumption of unhealthy food; incorporate healthy nutrition programs into school education programs on healthy behavior. q Design a strategy to create opportunities for physical exercise and encouraging people to exercise, with age specific measures. This includes planning of space for play and sports, especially in urban areas, implementation healthy cities and healthy stadia programs. q Continue and expand monitoring, development and implementation of measures to limit negative environmental impact on human health. q Continue development and implementation of comprehensive measures for improvement of road safety. Following successful introduction of seat belts additional activities will focus on education to reduce risky behavior on the roads.

Thanks for your attention!