STATUS

กรมวิ�ชาการ

Causes of NCDs

very cost effectivevery cost effective

PovertyAgricultureeducation

PovertyAgricultureeducation

tradetrade

–Later in diseases process–less cost effective–How much can the health system achieve alone?–Rule of halves–Poor effectiveness on obesity–Good evidence on prediabetes and prehypertension (doesn't depend on doctors and nurses)–Biological risk factors?–Strengthening the health system helps patients with other problems,….??

–Later in diseases process–less cost effective–How much can the health system achieve alone?–Rule of halves–Poor effectiveness on obesity–Good evidence on prediabetes and prehypertension (doesn't depend on doctors and nurses)–Biological risk factors?–Strengthening the health system helps patients with other problems,….??

NCD prevention and control

1. National multi-sectoral policy and plan within the national health and development plan

2. Population based, multi-sectoral actions for risk reduction

3. Health system strengthening for NCD prevention and management

4. Surveillance, monitoring and reporting

5. Sustainable partnerships and advocacy

• Health Problem . Multiple Factor Cause . Need Multiple Approach - Health Service Base - Non Health Service Base

Context (Real Situation)

• Commercial Drive –Fast Food Alcohol, Tobacco.. etc.

• Environmental Change • Demographic Change • Competitive Life Style• Urbanization

Global Change

• Isolate Family • HIP (Highly Isolate Person)

Global Change

ROLE

1. National Priority NCD Identify

2. National Monitor Body 2.1 Burden 2.2 Situation 2.3 Trend

ROLE

2.4 Services

2.4.1 Accessibility 2.4.2 Out Come 2.4.3 Impact

ROLE3. National Dis. Control

Agency 3.1 Clinical Epidemiology 3.2 CD Experience - NCD Experience

–

ROLE

3.3 National Expertise . NCD Epidemiologist . NCD Dis.Control - Specialist (s) - Public Health Mans ( Physician ,Non Physician)

ROLE. System Managers - Provincial Managers - Districts Managers - Tambon Managers . Quality Model Leader. Efficiency Model Leader

MANAGEMENT1. Net Working Capacity Development . ประเทศ . เขต . จั�งหวิ�ด . อำ�าเภอำ

MANAGEMENT2. Capacity Building Development . Professional Health Services Base . Non Health Services 3. Advocator ( National Level) 3.1 Policy Public Advocate Driver 3.1.1 Food – หวิาน,ม�น,เค็�ม ,บุ�หร��,สารพิ�ษ แอำลกอำฮอำล%

MANAGEMENT 3.1.2 Physical Activity Policy . Incentive - Finance - Recognition . CSR. 3.2 life Style Modification . Mental Health . Spiritual Health

MANAGEMENT

4. Coordinator . Clinician - มหาวิ�ทยาล�ย - กรมการแพิทย% - รพิศ/รพิท/รพิช/รพิ.สต. . Researcher Network . R to R Developer

MANAGEMENT 5. Strongest Secretarial Office of National Committee . National NCD Broad . นอำก กสธ., กรมใน กสธ. 6. Quality Developer Accreditator