1. NCD in Jordan -----------------------------------
Hashemite Kingdom of Jordan
Ministry of Health
NCD in Jordan
Dr. Mohammad Al-Tarawneh
Director of NCD Directorate- MOH
Lausanne 7-12 May , 2012

2. Total population - 6.1 million. Population growth rate 2.2%
Population : 37.3% < 15 years years 59.5% ≥ 65 ( 3.2%
Life expectancy ( year) 73
Crude birth rate Crude death rate / 1000 pop.
Infant mortality rate ( / 1000 live birth)

3. NCD Situation in Jordan Prevalence of NCDs risk Factors ,Jordan/ Stepwise results 2007
Females%
Males%
Total %
Risk factors
21.5
30.9
25.6
Hypertension
16.8 15 16
Diabetes
23.4
24.5
23.8
I.F.G
36.5
35.6 36 TC 22
49.6
33.8
Low HDL-C
22.3
24.2
High LDL-C
44.7
54.2
48.8 TG
27.5
35.5
30.5
Overweigh
42.9
27.8
35.9
Obesity
Stepwise Surveillance Survey, Jordan 2007

4. NCD Situation in Jordan Stepwise Data
Country
Year
Hyper-cholestrolemia %
Smoking %
Low physical activity %
Low intake of fresh fruit & vegetables %
Iraq
2006
37.5
21.6
56.7
92.3
Jordan
2007 36 29
5.2
14.2
Saudi Arabia
2005
19.3
12.9
33.8
91.6
Syria
2003
33.5
24.7
32.9
95.7
Kuwait 42
15.7
91.5 89
Egypt
24.2
21.8
50.4 79
Sudan
19.8 12
86.8
1.7/day

5. NCD -Stepwise Data -Jordan and some EM countries%

6. in a number of EMRO countries
Proportion of population who practice regular physical activity less than 10 minutes per day
in a number of EMRO countries
(as mentioned in their fact sheets and/ or reports)

7. Prevalence of Smoking
Stepwise Surveillance Survey, Jordan 2007

8. NCD Situation in Jordan Mortality Data
Causes of deaths Percentage of deaths by cause of death according to ICD-10 ,Jordan 2008
1- 36% of the deaths attributed to cardiovascular diseases CVD.
2- Cancer 14%

9. National Network of PHC Family Practice Centers
Prevention Services
National Network of PHC
MoH
RMS Ps
NGOs
UNRWA
NCDD
Family Practice Centers
600 HC
85 CHC

10. Main achievements
Stepwise Surveillance Survey Risk Factors-National Data base
National Strategy for prevention of NCDs .2010
National Cancer Registry : Web- Site for Cancer registry 1996
National Breast cancer :Screening and Early Detection. 2006
National Center for Diabetes, Endocrinology and Genetics -an independent non-profit organization.
Implementation of micro clinic Diabetes prevention in collaboration with NGOs .
Adopting National Cancer control programme

11. Challenges Limited financial resources.
Health system is orientated towards curative rather than preventive services.
Increasing burden of NCD.
Instability in the region:
The global financial crises

12. Challenges

13. Main Lessons
-Other sectors can work if tackled properly
Religious places, persons
-High political commitment can faster the plan of NCD prevention

14. Next Steps ( next 5 years ) Strategic directions and actions
Strengthening of surveillance of diseases and their risk factors: Examples:
Stepwise surveys
Cancer registries
Sophisticated health information systems
Advocacy and communications:
Health is a fundamental human right
Obtain political and community support
Advocate for inclusion of health component s in projects outside the health system

15. Next Steps ( next 5 years ) Strategic directions and actions
Policy development, legislation, and regulation:
Governments are responsible for the development of healthy public policies and ensure action across all sectors concerned
Control advertising for tobacco, and energy rich unhealthy diets
All public places should be smoke free
Regulations on diet and smoking
Regulation of environment: create environment conducive to health and make healthy choices easier: walking, cycling, urban planning, sporting places, parks, speed limits.
Licensing of businesses, schools, workplaces
Distribute resources appropriately
Subsidies to encourage healthy food production
Tax unhealthy commodities

16. Thank You