1. POLICIES AND PROGRAMS NCD SITUATION MEXICO
8TH NCD Seminar
Lausanne
2nd-7th June 2014
Enrique Gil

2. NCD MEXICO SITUATION
*70% of the total death by NCD is caused by Diabetes.
Second place, at global level, in adult obesity and forth in childhood obesity (OCDE 2011).
First place, at global level, in soda-sweetened beverages consumption. (164 liters/ year per capita)

3. STRUCTURE AND ORGANIZATION
Mexico Population: 118,397,000 (2013)
32 States and Health System decentralized
Several institutions covering health sector (fragmented)
Ministry of Health: “Seguro Popular” covering 50,000,000 inhabitants
IMSS: Social Security for formal economic sector covering 40,000,000
ISSSTE: Social Security for governmental employees covering 14,000,000
Others coverage systems: Army, Marines, Police, PEMEX, etc.
Having prevention and treatment programs addressing NCD
Strongest capability at hospitals levels

4. MAIN ACHIEVEMENTS
Signed Framework Convention on Tobacco Control (FCTC).
Taxes to soda-sweetened beverages, fatty foods, snacks, fast food. (8-10%).
National Strategy for Prevention and Control of Overweight, Obesity and Diabetes.
To forbid advertising of unhealthy food and beverages addressed to children.
New front labelling: calories and percentage/portion and total content
To regulate food and beverages sold in schools and promote healthy food and physical activities

5. CHALLENGES ENCOUNTERED
Fragmented health system- to unify, then universal access.
Weak PHC.
Industry interference.

6. LESSONS LEARNT
Bring around the same table: civil society, academia, research institutions, government, international organizations.
Coordinate with other governmental sectors different to health sector: Parliament, Education, Treasury, Economy
Involve the Media and their Directors.
Keep a database and share among participants and policy makers updated evidence.

7. MAIN NEXT STEPS TO IMPLEMENT THE NATIONAL STRATEGY FOR PREVENTION AND CONTROL OF OVERWEIGHT, OBESITY AND DIABETES.