1. Dr Prak Piseth Raingsey Director Department of Preventive Medicine
KINGDOM OF CAMBODIA
MINISTRY OF HEALTH
6th WHO-IUMSP International Seminar on the Public Health Aspects of NCDs
Hotel Aulac, Lausanne May, 2012
Dr Prak Piseth Raingsey
Director
Department of Preventive Medicine

2. NCD SITUATION Area 181,040 sq. km Population 13.4 Million (2008)
Per capita GDP
USD 776 (2010)
Total National Budget on Health
USD Million
RGC spends
6% of GDP on health
Diabetes prevalence
2.9% (STEPS 2010)
Hypertension prevalence
11.2% (STEPS 2010)
Cancer new cases
12,900 (Globocan 2008)
NCD mortality
46% (WHO estimate)

3. NCD Prevention & Control
NCD STRUCTURE
NCD Bureau/MoH
Policy and strategic plan
Resource allocation
Capacity building
Monitoring & Evaluation
National
Multisectoral Collaboration
Provincial Health Department/NCD focal point
NCD primary prevention through reduction of NCD risk factors
NCD care ( eg. diabetes clinics)
Provincial
NCD Prevention & Control
Operational District
NCD primary prevention
NCD screening, treatment, and refer
District
NCD screening
Health Center
NCD primary prevention
NCD screening, treatment and refer
PHC
PHC
PHC
PHC
Communities: peer education
COMMUNITIES

4. ACHIEVEMENT National Strategy for Prevention and Control endorsed
NCD program prioritized in Health Strategic Plan
WHO STEPS Surveillance for chronic disease risk factors including diabetes, and high blood pressure conducted and published
National Cancer Program established and National Strategy for Cancer Prevention and Control drafted
FCTC implementation enforced (IMC for tobacco control established, Sub-Decree on Printing Health Warning on Cigarette Packs, and the measures for banning of Tobacco Product advertising approved, 14 government ministries issued smoke-free circulars ban indoor smoking)
Reduction of harmful use of alcohol in progress
Treatment services for diabetes, cardiology, and oncology established
Peer education for diabetes in communities established

5. CHALLENGES
Mobilization of non-health sectors to engage in NCD prevention and control
National budget allocated for NCD intervention is limited
Human resources, drug and other medical supplies for NCD program is another challenged
Competencies of staff working for NCD program is limited
Limited capacity for enhancing NCD-related data in existing Health Information System contributing to difficult in monitoring and evaluation of NCD program

6. LESSON LEARNT
Tobacco smoking has realized by RGC ( smoke-free indoor workplaces and public place, health information and warnings about tobacco and bans on advertising and promotion)
Population based intervention addressing NCD prevention in PHC ( screening for diabetes, high blood pressure, cervical cancer)
Reduction of alcohol harmful use - traffic land law in drink driving ( 0.25mg/ l breath & 0.050mg/l BAC)
Bans mass media advertizing on lucky draw
Bans alcohol selling at school & university
Community awareness on NCD risk factors

7. NEXT STEP
Develop National Multisectoral Plan for NCD Prevention and Control
Advocate for engagement from relevant ministries contributing NCD prevention
Scale up healthy cities addressing on NCD prevention ( healthy school, healthy work place, healthy market, etc.)
Build capacity of health workers on NCD prevention and management
Strengthen the quality of health services for people with chronic diseases
Priority NCD research agenda

8. Thank you for your attention