STATUS กรมวิชาการ

Causes of NCDs very cost effective Poverty Agriculture education Poverty Agriculture education trade – 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 Accessibility Out Come Impact

ROLE 3. 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

MANAGEMENT 1.Net Working Capacity Development. ประเทศ. เขต. จังหวัด. อำเภอ

MANAGEMENT 2. Capacity Building Development. Professional Health Services Base. Non Health Services 3. Advocator ( National Level) 3.1 Policy Public Advocate Driver Food – หวาน, มัน, เค็ม, บุหรี่, สารพิษ แอลกอฮอล์

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

MANAGEMENT 4. Coordinator. Clinician - มหาวิทยาลัย - กรมการแพทย์ - รพศ / รพท / รพช / รพ. สต.. Researcher Network. R to R Developer

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