Paraguay is in South America, between Brazil, Argentina and Bolivia Population 6,568,290 2011 GDP-PIB $23,836,769,721 GDP growth 6.8% Inflation 8.2% Dr. José Ortellado M joseortelladom@yahoo.com

PREVALENCE FRCV in PARAGUAY survey -2011 INTERVENTION: TOBACO: INFORMATION IN NEWSPAPERS, TV, RADIO, SCHOOLS, UNIVERSITIES AND PLACES OF THE CITY. HYPERTENSION SALT REDUCTION IN THE BREAD RESOLUTION BY A MINISTERIAL ASSOCIATION OF BAKERS PROJECT INTERVENTION HTA HYPERTENSION IN PATIENTS WITH PROVIDE OUTPATIENT PRESSURE APPARATUS FOR 30 DAYS RETURN WITH CONTROLS DURING THE MONTH, NOT COMPARE WITH OTHER APPARATUS FOR HYPERTENSION CONTROL IN THE HOUSE.

Early Mortality (<70 years)

Organization of services of prevention. Resources MINISTRY OF PUBLIC HEALTH AND WELFARE MINISTRY OF EDUCATION AND WORSHIP SECRETARY NATIONAL SPORTS BAKERS UNIONS COMMISSION INTERSECTORAL NCD MINISTRY OF AGRICULTURE UNIVERSITIES

NCD Nacional Action Plan STRATEGIXC AXIS1 STRATEGIC AXIS 2 Prevention and Early Detection STRATEGIC AXIS 3 Integrated treatment and monitoring Preservation Health and promotion Styles healthy life

Strategic framework gender Race / Class social Territories CV CHILDHOOD CV YOUNG CV ADULT CV ELDERLY PROTECCION SOCIAL PHYSICAL ACTIVITY DISABILITY WORK ENVIRONMENT security food ADDICTIONS PDA-ORAL HEALTH PDA-NCD PDA-MENTAL HEALTH PDA-Transmisibles PDA-Traumatismos PDA-SEXUAL AND REPRODUCTIVE HEALTH The Strategic Plan addresses the main threats to the quality of life and independence of people in all life cycles with a focus on gender.

CHALLENGES ¿ How to transform reactive care system designed to address acute problems in a system that provides continuous and comprehensive care and support to patients and their families?

STRATEGY-1- Prevention COMUNITY HEALTHY EDUCATION CENTER HEALTHY WORK ENVIRONMENT

ASSITANCE STRATEGY 2-3 PRIMARY HEALTH CARE POLYCLINICS General Hospital

USF con Modelo de Atención ENT CHRONIC CARE MODEL 704 USF 22 USF 61 USF USF con Modelo de Atención ENT USF con Estrategia de CPCVS USF: Unit Family Health CPCVS: Promotora Community Quality of Life and Health

Cardiovascular Disease Polyclinics NCDs CARDIOMOVIL Autonomy Development Project before? Chronic Noncommunicable Diseases (NCDs)? AREA HEALTHCARE Villa Hayes Santani Cnel Oviedo Caacupé Paraguari Villarrica A network of care with cardiomovil team in 6 regions inside the country that do not have facilities such as echocardiography and specialist cardiologists. Coverage once a week.

LESSONS LEARNED IN THE LAST 5 YEARS We need more media publicity about better reach the general population. Continuous monitoring of the goals in health services and intervene if the goal is reached. Patients interested in performing advanced diagnostic studies as echocardiography, exercise test, ambulatory blood pressure monitoring. People seek services offered, attention, studies and medications

SOME STEPS TO FOLLOW ARE: Include Health in all policies is a solution, ie integrating prevention and control of NCDs into policies across all government sectors. CONTINUE WITH THE PROMOTION AND PREVENTION FROM CHILDHOOD TO THE ELDERLY, STRICT CONTROL OF GOALS IN hypertension, diabetes, OBESITY, SNUFF, SUGAR AND SALT INTAKE, PHYSICAL ACTIVITY.

THANKS FOR THE ATTENTION