Haley Cash, PhD, MPH March 11, 2015

 Organizational Arrangement TEPHINET (contract agreement) CDC (funding/support) via Island Team and DP PIHOA (office space/support/partnership)  Goal Increase capacity for NCD surveillance in the USAPIs  Ongoing surveillance  Data are reliable and valid  Comparable across the region  Primary Roles Assisting USAPIs with identifying and analyzing existing NCD data sources Development and planning of new data collection strategies Working with USAPIs to use data to propose appropriate programs and policies to promote health Building epidemiological capacity within the region (DDM) Initial Capacity Assessment

 Demographics and NCD Burden  Health Systems and Primary Care  Workforce  Surveillance and Health Info  Planning, Policies, and Programs  Partnerships

1. DEMOGRAPHIC INDICATORS AND NCD BURDEN This section is pre-populated with some statistics, please make sure the data is up to date and correct and complete all the missing data available. Development and demographic indicators 1.1Top 10 causes of death among adults: 1) MalesFemalesTotalYearSource 2) 1.2 Adult literacy rate 3) 4) 5) 1.3 Youth literacy rate 6) 7) 8) 1.4 Life expectancy at birth 9) 10) Year: Source: 1.5 Maternal mortality rates (deaths/100,000 live births) TotalYearSource 1.6 Infant mortality rates (deaths/1,000 live births) Low birthweight newborns (%) <2,500g/5.5 lbs 1.7 urban YearSource 1.8Urbanization (%) 1.9MORTALITY (mortality rate- deaths per 100,000 individuals per year) MalesFemalesTotal Children (when applicable)YearSource If national data (check"x")Comments All causes Communicable, maternal, perinatal conditions NCDs Cancer Top 5 cancers in men: Top 5 cancers in women: 4. SURVEILLANCE AND HEALTH INFORMATION SYSTEMS Access to quality data and information systems is an essential tool for strengthening healthcare systems and setting priorities, so this section seeks to gather an overview of the exisiting data on NCDs and risk factors in the country Surveillance systems 4.1 Are there surveillance systems in place that collect data for: (check "x" all that apply) Vital statistics (births and deaths) Disease reporting/disease registries (morbidity data) Who is responsible of collecting this information? 4.2 What are the funding sources for surveillance in the country? (If many sources, mark "x" all that apply)Explain: National Regional/Local Other (international) MORTALITY 4.3Does the health reporting system includes cause- specific mortality related to NCDs: Yes No If clarification is needed, please use the box below: 4.3.1If yes, please check the boxes that apply in the table below for the following specific diseases: CoverageSourceDissemination Y/NNational levelState level Municipal level Population basedHospital basedOther Published report (Y/N)Year published Weekly(W) Monthly(M) Yearly(Y) CVD Cancer Diabetes COPD Injuries If clarification is needed (i.e. type of cancers reported, injuries, population targeted) please explain:

CDC Orientation Meetings with HI partners Meetings with Guam DOH PBHCC Meeting CNMI Visit CNMI Planning Guam SEOW Meeting FSM (Pohnpei) Visit RMI visit American Samoa Visit WHO PEN Informal Consultation HoH Meeting Palau Visit PIHOA Meeting Guam NCD Meeting CNMI Planning Visit FSM (Yap, Chuuk, Kosrae) Visit Completion of Capacity Assessments Minister’s Meeting in Fiji American Samoa planning on-site Palau NCD survey planning via TC CCPI Meeting DDM4 and DDM5 planning meeting Island Team Meeting

 Pilot regional NCD adult survey in CNMI (to begin summer 2015)  Planning for NCD data collection in other jurisdictions  Completion and summarizing of NCD Capacity Tools  DDM planning and mentoring  Organizing student internships in the region- publish regional work  Hiring FT epidemiologists in all jurisdictions  Supporting regional partners in coordination and collection of data

Surveillance Framework and Core Indicators Regional Epi Profile Technical Working Group AS CNMI FSMRMIPalau Guam NCD Surveillance Team and NCD Epidemiologist NCD Surveillance Plan Data Sources and Collection Data Analysis Processing Timelines Epi Profiles and other Dissemination Products Financial Plans