1. Noncommunicable diseases scenario in the Kingdom of Bhutan
Dr. Tashi Wangdi, M.D.,
National technical advisor for NCDs.
Mr. Yeshe Wangdi
Manager, National Diabetes control programme

2. A NCD Tsunami in the making
Overweight – 54%
Obesity – 12%
HTN – 26%
Diabetes – 8.2%
Impaired Fasting Glucose – 21%
Hypertriglyceridemia – 21%
Dr. Tashi Wangdi,JDWNRH, July 2011

3. How? Prevention Strategies: - relevance of Alma-Ata Declaration Gross National Happiness and Health
Dr. Tashi Wangdi,JDWNRH, July 2011

4. Gross National Happiness and Health
Outer Health: hospitals, doctors, nurses, technicians & technology
Inner Health : appropriate choice of diet, behavior, values,ecological consciousness
Innermost Health: spiritual dimension, “soul-er power”
Dr. Tashi Wangdi,JDWNRH, July 2011

5. MESSAGE TO HEALTH WORKERS
Prescribe Prevention – wide & narrow angle lenses
Lead by example
“New paradigm” (model ) awareness:
Participatory, facilitatory, compassion,
empowerment, relationship, communication, empowerment, dance, etc
Records, M & E
Recognize the complexity of NCDs
Dr. Tashi Wangdi,JDWNRH, July 2011

6. MESSAGE TO POLICY MAKERS
National Policy & Strategic Framework on Prevention & Control of NCDs
National framework on reducing harm from alcohol
Include NCDs in Development Goals
Adopt “Health in all Policies” approach
“Be Big about the Petty stuff and Petty about the Big stuff”
Recognize the complexity of NCDs
“Make the healthy choice an easy choice, the cool choice”
Dr. Tashi Wangdi,JDWNRH, July 2011

7. Message to all stakeholders
Take this crisis as opportunity to join forces against NCDs which threatens health and the economy alike
Courage to take the road less travelled
Remain true to the spirit of GNH in Health and the Alma Ata declaration
Recognize the complexity of NCDs
Dr. Tashi Wangdi,JDWNRH, July 2011

8. Package of Essential NCD (PEN) intervention
Piloting of PEN intervention : From Nov to April & extended from June to Nov 2010
Activities:
Training of health care providers of two districts on WHO/ PEN protocols.
Awareness/Sensitization on NCDs in the community.
BMI & BP checking, Glucose level checking, Health risk prediction using ISH risk prediction chart.
Counselling .
Documentation, records & reporting.
Referral guide for District hospitals.
Dr. Tashi Wangdi,JDWNRH, July 2011