Noncommunicable diseases scenario in the Kingdom of Bhutan Dr. Tashi Wangdi, M.D., National technical advisor for NCDs. Mr. Yeshe Wangdi Manager, National Diabetes control programme
A NCD Tsunami in the making Overweight – 54% Obesity – 12% HTN – 26% Diabetes – 8.2% Impaired Fasting Glucose – 21% Hypertriglyceridemia – 21% Dr. Tashi Wangdi,JDWNRH, July 2011
How? Prevention Strategies: - relevance of Alma-Ata Declaration 1978 - Gross National Happiness and Health Dr. Tashi Wangdi,JDWNRH, July 2011
Gross National Happiness and Health Outer Health: hospitals, doctors, nurses, technicians & technology Inner Health : appropriate choice of diet, behavior, values,ecological consciousness Innermost Health: spiritual dimension, “soul-er power” Dr. Tashi Wangdi,JDWNRH, July 2011
MESSAGE TO HEALTH WORKERS Prescribe Prevention – wide & narrow angle lenses Lead by example “New paradigm” (model ) awareness: Participatory, facilitatory, compassion, empowerment, relationship, communication, empowerment, dance, etc Records, M & E Recognize the complexity of NCDs Dr. Tashi Wangdi,JDWNRH, July 2011
MESSAGE TO POLICY MAKERS National Policy & Strategic Framework on Prevention & Control of NCDs National framework on reducing harm from alcohol Include NCDs in Development Goals Adopt “Health in all Policies” approach “Be Big about the Petty stuff and Petty about the Big stuff” Recognize the complexity of NCDs “Make the healthy choice an easy choice, the cool choice” Dr. Tashi Wangdi,JDWNRH, July 2011
Message to all stakeholders Take this crisis as opportunity to join forces against NCDs which threatens health and the economy alike Courage to take the road less travelled Remain true to the spirit of GNH in Health and the Alma Ata declaration Recognize the complexity of NCDs Dr. Tashi Wangdi,JDWNRH, July 2011
Package of Essential NCD (PEN) intervention Piloting of PEN intervention : From Nov. 2009 to April 2010 & extended from June to Nov 2010 Activities: Training of health care providers of two districts on WHO/ PEN protocols. Awareness/Sensitization on NCDs in the community. BMI & BP checking, Glucose level checking, Health risk prediction using ISH risk prediction chart. Counselling . Documentation, records & reporting. Referral guide for District hospitals. Dr. Tashi Wangdi,JDWNRH, July 2011