NCD Program VIETNAM Vietnam non communicable diseases prevention

NCD Program VIETNAM Vietnam non communicable diseases prevention and control Program

NCD Program VIETNAM • Pop: 86, 900, 000 • Life expectancy: 73 • % Healthy budget in state budget expenditure: 9, 14%

NCD Program VIETNAM Structure of NCD program Ministry of Health: The Steering Committee for NCD Control Program § Coordination of National target Program of NCDs § Hypertension project § Diabetes Project § Cancer Project § COPD Project § Mental Health Care § Develop the national plan for risk factors prevention § Focal point for multisectoral action

NCD Program VIETNAM Network of the program Steering Committee for NCD Prevention of NCD and Risk factors Clinical management and treatment National Institutes of Health prevention National Hospitals Provincial level 63 province/cities National Institutes of Health prevention National Hospitals District level >700 districts District Health Center District Hospitals Ministry of Health Central level PHC level 12000 commune (Dept of Preventive Medicine) (Dept of Medical Service) Commune Health Stations

Current status of NCDs NCD Program VIETNAM National STEPS survey 2009 -2010 (25 -64 years old) Daily smoking (male) Consumption <5 serv of fruit/vegetable Drinking (male) - Hazardous drinking (4 -5. 9) - Harmful drinking (>=6) 56. 5% 80. 4% Physical inactivity 28. 7% Hypertension 19. 2% BMI>=25 12% Total cholesterol>=5 mmol/L 30. 1% Raise blood glucose 2. 7% 16. 6% 24. 1%

NCD Program VIETNAM Burden of NCD DALY of NCDs (Burden of disease Survey 2008 Hanoi School of Public Health)

NCD Program VIETNAM Achievement § Priority of the government § Five National Target programs (hypertension, cancer, diabetes, COPD, mental health) § Increasing Government budget for NCDs: # 7 millions USD/year § Management § Steering Committee for NCD (within Mo. H) § Official Unit at Mo. H in charge of NCD prevention § The Tobacco control Law: is submitting to national Assembly for approval § Surveillance § STEPS survey 2009 -2010 § Cancer registry based on Hospital

NCD Program VIETNAM Challenges § Lack of national plan for risk factor reduction § Lack of Multi-sectoral action (except Tobacco control) § Role of NCD Steering Committee: limited at Mo. H § Not-integrated and vertical programs for single NCD § Limited capacity of preventive network/PHC for NCD prevention § Surveillance system: § Not the system § Not integrated in existing health system; § Duplication of surveys, not standardizes method § No population based registries

NCD Program VIETNAM Strategy in coming years § Surveillance system § Integrated in existing health surveillance system of Preventive medicine § Develop standard indicator set § Standardize method of survey (STEPwise approach) § Develop National plan for risk factor reduction: Alcohol, Diet, and PA § Strengthening the National steering Committee for NCDs control § Building capacity of Preventive medicine network and Primary Health Care toward NCD prevention

NCD Program VIETNAM Thank you