1. Brunei Darussalam NCDs Prevention and Control
7th WHO – IUMSP International Seminar on the Public Health Aspects of NCDs
Hotel Aulac, Lausanne Switzerland
3 – 8 June 2013

2. Brief Demography Situated northeast Borneo Island, Southeast Asia
Land area of 5,765 sq km
Population ~422,000
~80% lives in urban areas
~55% aged years
Maternal Mortality Ratio 0.0
Under 5 Mortality Ratio 10.0 per 1,000 livebirths
Life expectancy 79 years

3. 10 LEADING CAUSES OF DEATHS 1967 AND 2011
% OF TOTAL DEATHS
(Total Number of Deaths in 1967 and 2011 are 656 and 1235 respectively.)
Cirrhosis of Liver
Congenital Malformations
Bronchitis
Nephritis and Nephrosis
Vascular Lesions Affecting CNS
Gastritis, Enteritis and Colitis
Arteriosclerotic Degenerative Heart Diseases
Cancer
Tuberculosis
Pneumonia
Certain Conditions Originating In The Perinatal Period
Septicaemia
Congenital Malformations, Deformations and Chromosomal Abnormalities
Transport Accidents
Hypertensive Diseases
Bronchitis, Chronic and Unspecified Emphysema and Asthma
Cerebrovascular Diseases
Diabetes Mellitus
Heart Diseases
Beribu ampun.
Tren peralihan penyakit turut dialami di Negara Brunei Darussalam. Rajah ini menunjukkan perbandingan sebab kematian di Negara ini pada tahun 1967 dibandingkan dengan tahun Sejak tiga dekad kebelakangan ini puncu kematian teratas adalah kanser,
Source: Research & Development Division , DPP MOH 3

4. OVERWEIGHT & OBESITY TREND (Adult)
Age > 20yrs
Age > 18yrs
Age > 18yrs

5. SMOKING PREVALENCE

6. POLICIES
GUIDELINES ON SCHOOL FEEDING SCHEMES
1991
ALCOHOL SALE IS BANNED IN PUBLIC
2000
NATIONAL DIETARY GUIDELINES
2002
NATIONAL BREAST FEEDING POLICY (2002)
2004
RATIFICATION OF FCTC
2005:TOBACCO CONTROL ORDER
2007:TOBACCO REGULATIONS
2009
SCHOOL CANTEEN GUIDELINES (Revision)
2010
GUIDELINES ON FOOD AND DRINKS SERVED OR SOLD IN WORKPLACES
Health Promotion Blueprint
NATIONAL PHYSICAL ACTIVITY GUIDELINES
2011 ,
2012
TOBACCO CONTROL ORDER AMMENDMENT (Labelling & extension of smoke free zone )
NATIONAL MULTI-SECTORAL ACTION PLAN FOR NCD

7. 2000
National Committee on Health Promotion
2005
Smoking Cessation Clinics
Klinik Cara Hidup Sihat
2006
Obesity Clinic,
RIPAS Hospital
COMMITTEES &
SERVICES
2009
National Tobacco Control Committee
JAWATANKUASA MEMPROMOSI &MENGAMALKAN CARA HIDUP SIHAT
2012
National NCD Prevention & Control Strategic Planning Committee
1ST Consultative Workshop – National Multi-sectoral Plan for NCDs
Maternal, Infant & Young Child Nutrition Taskforce
2013
NCD Unit
2nd Consultative workshop – National Multi-sectoral Plan for NCDs

8. Brunei Multisectoral NCD efforts
Developing national multisectoral NCD action plan ( ) with targets for 2015 and 2018
2 multisectoral consultations with support from WHO held in Nov 2012 and May 2013
National health promotion committee to support the implementation through different sectors
National NCD unit set up to coordinate

9. Objectives
Targets by 2018 ( baseline value of 2010)
1. To reduce tobacco use in the population
50% relative reduction in prevalence of current tobacco use in males aged 15/ years
2. To promote balance and healthy diet
50% reduction on “regular” consumption of sweetened drinks by children
100% of school canteen operators stop selling sugar sweetened beverages containing > 6G/100ml of sugar
3. To increase physical activity
10% relative increase in prevalence sufficient physical activity in children and adolescent
50% of all ministries having established healthy workplace programme to promote PA
4. To identify people at risk
50% of eligible people receive drug therapy and counseling (including glycemic control) to prevent heart attack and stroke
5. To improve the quality of care and outcome of NCD management
10% reduction in CVD mortality in hospitals

10. Primary care interventions
Primary Care Services: Delivered through a network of health centres and clinics in all districts
Life-course services:
Child health
School health
Maternal health
Primary care (family health)
Chronic care clinics
Specialist Clinics (ophthalmology)
Risk factor interventions:
Dietary counseling
Smoking cessation
Obesity clinics
Primary care interventions
Educational activities:
Health education & awareness
campaigns including screening,
exhibitions
Group talks
Health screening:
Specific eg, cervical cancer,
breast cancer, Integrated Health
Screening Programme for Civil
Servants
General health screening