Somali Federal Republic Ministry of Health Dr. Mahad Mohamed Hassan Director of Non Communicable Disease Laussane 3rd ---8th june 2013

Brief Background Somalia – World’s most fragile state partially due to absence of an effective public sector for 2 decades National population estimated at 9.5 million people percentage of deaths among children due to preventable diseases Neonatal – 27% Pneumonia – 25% Diarrhea is - 16% Life expectancy (Male and Female ) 51% HIV Prevalence 1% Access to improved sanitation 23% Infrastructural development Schools Hospitals Medical Schools Road network (Opportunities for construction companies) Electricity (still virgin) Impact Peace is returning to majority of country-

OVERVEIW OF NON COMMUNICABLE DISEASE BURDEN IN SOMALIA

Somalia NCDs background In Somalia specifically, based on the scanty data available, the WHO NCD status report (2011) found that NCDs were estimated to contribute to 27% of the total deaths in the country by 2008

WHO NCD status report (2011) found that NCDs were estimated to contribute to 27%total deaths in the country by 2008. NCD mortality 2008 estimates Males Females Total NCD deaths (‘000s) 18.4 19.3 NCD deaths under age of 60 (percentage of all NCD deaths) 50.6 45.7 Age standardized deaths per 100,000 All NCDs 996.6 932.9 Cancers 105.3 97.1 Chronic respiratory diseases 88.4 57.8 Cardioversicular diseass and diabetes 570.7 573.4

Where We Are Somalia is a fragile country globally. The country leads in all level mortality rates and is still highly dependant on aid to finance its budgets..

Over reliance on aid sometimes limits the flexibility budgetary allocations. Therefore, for the NCDs to be given utmost attention, the NCD Unit in the Ministry of Health needs to attract resources to finance it’s activities, from both national and international

NCD unit The NCD Unit was established in late 2012. staff and financing the department’s activities remains its biggest constraint. Once the funding is secured, the NCD treatment and control, prevention and health promotion and surveillance monitoring and evaluation would be assured.

Somalia way foward on NCDs Develop and finalize strategy, plan and guidelines for NCD prevention and control Conduct an NCDs based survey in Somalia to establish the NCDs’ magnitude and range in the country

Way forward Development of NCD surveillance for the country Work on cancer registry Resource mobilization and coordination with stakeholders

Finally these campaigns is about teaming up with all the key stakeholders, including governments, NGOs and the private sector, to create public-private partnerships in preventing and managing Non-communicable diseases

THANKS