1. COSTA RICA 51.200Km Guatemala Honduras El Salvador Nicaragua
Panamá
Costa Rica
51.200Km

2. COSTA RICA Population: 4,600,000 (four million six hundred thousand)
Life expectancy: 79 years old
Social Security coverage: 90% of population
Margarita Claramunt
Ministry of Health
National coordinator of Non Communicable
Disease (NCD

3. Five principle causes of mortality in Costa Rica
Ministry of Health, 2011

4. BIOLOGICAL RISK FACTORS ECNT OF NCD IN COSTA RICA, 2010
Overweight and obesity in adults
Total 62% , men 58,4 %
women 65, 8%
Hipertention in adults 37,8 %
CCSS
Overweight children< 5 años 8,1% ENN 2009
Diabetes en adultos
10,5 % CCSS
Overweight and obesity in adolescentes
21,0%, ENN 2009

5. BEHAVIOURAL RISK FACTORS ECNT OF NCD IN COSTA RICA, 2010
Fruits and vegetables consumption (>o= 5 portions per day )
Total 22,3%
Adult smokers of tobacco
Total 14%,
Smoking teenagers of tobacco
Total 8,9 %
Low physical activity in adults 50 %
MEN 38%
WOMEN 63%
Low physical activity in
Adolescentes 72%
EGA

6. Some main achievements in Costa Rica in tackling NCDs
and their risk factors
Law antitbacco and regulation
Food regulation in student cafeterias
Elimination of trans fats in processed foods
Food guide diffusion
Food security Policy and National Plan
National Plan in Physical Activity
National Plan to reduce consmption of salt sodium

7. IMPROVEMENT OF THE QUALITY OF ATTENTION IN HIPERTENTION
Intervention to improve NCD in health care system
IMPROVEMENT OF THE QUALITY OF ATTENTION IN HIPERTENTION
AND DIABETIC PATIENTS
CROSS SECTION METHODOLOGY
Establish national standards to measure quality attention using indicators and instruments in different phases: diagnosis, process and results.
Elaboration of Guidelines in Hipertention and Diabetes

8. Results of the evaluation in health services Net
Equipments badly calibrated in 3 levels of attention (local, regional and national)
Lack of knowledges of health professionals in the levels of hypertention and diabetes
Lack of knowledges in the correct measurement of the arterial pressure
by doctors and nurses
Lack of information to the patients on the management of their disease
ACTIONS
Implementation of a Plan to improve the quality attention of the patients
Calibration of equipments every 6 months in public health services
Training to health professional in measuring the arterial pressure
and knowledge of the hypertention levels and diabetes levels
- Group methodology of innovative nutritional education

9. Multisectorial intervention to reduce risk factors in NCD
Food regulation in school cafeteria
Decree of Ministry of Education and Ministry of Health (2012) to regulate saturated fat, sugar, sodium and calories of food that is offered in school cafeterias
Results
Food industry started to reduce fat, sugar and sodium in some processed food
Training to supervisors of cafeterias in schools
Information, education and communication to students, teachers,parents and
education community about healthy food and food that is not allowed because
of its high content in sugar, salt and fat.
No evaluation yet about nutritional habits but is in process.

10. THANK YOU