1. Vietnam non communicable diseases prevention and control Program

2. Pop: 86,900,000
Life expectancy: 73
% Healthy budget in state budget expenditure: 9,14%

3. Structure of NCD program
Ministry of Health: The Steering Committee for NCD Control Program
Coordination of National target Program of NCDs
Hypertension project
Diabetes Project
Cancer Project
COPD Project
Mental Health Care
Develop the national plan for risk factors prevention
Focal point for multisectoral action

4. Network of the program Steering Committee for NCD Ministry of Health
Prevention of NCD and Risk factors
(Dept of Preventive Medicine)
Clinical management and treatment
(Dept of Medical Service)
National Institutes of Health prevention
National Hospitals
Central level
Provincial level
63 province/cities
National Institutes of Health prevention
National Hospitals
District level
>700 districts
District Health Center
District Hospitals
PHC level
12000 commune
Commune Health Stations

5. Current status of NCDs
National STEPS survey (25-64 years old)
Daily smoking (male)
56.5%
Consumption <5 serv of fruit/vegetable
80.4%
Drinking (male)
- Hazardous drinking (4-5.9)
- Harmful drinking (>=6)
16.6%
24.1%
Physical inactivity
28.7%
Hypertension
19.2%
BMI>=25
12%
Total cholesterol>=5mmol/L
30.1%
Raise blood glucose
2.7%

6. Burden of NCD DALY of NCDs (Burden of disease Survey 2008
Hanoi School of Public Health)

7. Achievement Priority of the government
Five National Target programs (hypertension, cancer, diabetes, COPD, mental health)
Increasing Government budget for NCDs: # 7 millions USD/year
Management
Steering Committee for NCD (within MoH)
Official Unit at MoH in charge of NCD prevention
The Tobacco control Law: is submitting to national Assembly for approval
Surveillance
STEPS survey
Cancer registry based on Hospital

8. Challenges Lack of national plan for risk factor reduction
Lack of Multi-sectoral action (except Tobacco control)
Role of NCD Steering Committee: limited at MoH
Not-integrated and vertical programs for single NCD
Limited capacity of preventive network/PHC for NCD prevention
Surveillance system:
Not the system
Not integrated in existing health system;
Duplication of surveys, not standardizes method
No population based registries

9. Strategy in coming years
Surveillance system
Integrated in existing health surveillance system of Preventive medicine
Develop standard indicator set
Standardize method of survey (STEPwise approach)
Develop National plan for risk factor reduction: Alcohol, Diet, and PA
Strengthening the National steering Committee for NCDs control
Building capacity of Preventive medicine network and Primary Health Care toward NCD prevention

10. Thank you