1. NCD in Islamic Republic of Iran
Dr Behzad Damari
Director of NCD(MOH)
Assistant Professor of Tehran University of Medical
Sciences (TUMS)

2. General Aspects population : 76000.000 31 provinces and 420 districts
30% for Rural area
70% for Urban area (10% Suburb)
PHC in rural area developed
4000 health centers in urban
100 research center related NCD

3. National Average of inactivity in IRI Based on STEPs 2011 : 33%
<600 MET-minutes/week

4. High Health and Food Security Council (HHFSC)
According 4th development plan of country established.
10 year experience with 80 policy statements on :
Food security e.g. Fatty acid
Environmental issue e.g. air pollution
President is head of council and health minister responsible for secretariat.
All notifications order by president.
Secretariat in health ministry established as Health Policy Unit(HPU).

5. Country profile for NCD
Smoking: (10%) water pipe
High Cholesterol: (28%)
IPA: (33%)
High Blood Pressure : (19%)
Diabetes : (14%)
Obesity : (17%)
Overweight : (28%)
Fruits and vegetables(5 units not consume): (88%)
Mental Disorder prevalence : 23.6%

6. Key achievements
Integrating blood pressure and diabetes care in PHC (8 years)
Intersectoral collaboration for fatty acid
Genetics programs especially for Thalassemia
STEPs survey : 5 times
Advocacy initiatives from 2013 :
NCD Policy approved by Health Policy Council : 2014
$ for integration NCD to PHC
Recommend healthy life style by supreme leader
Establish Risk Factor Taskforce under HH&FSC
MoUs with food industry (40 societies) for decreasing fat ,salt and sugar

7. Challenges Fragmented initiations on NCD
Large service gaps in PHC level for NCD, mental health and social problem
Weakness in CP and IA link to PHC
Budgets and human recourses especial for NCD

8. Future directions 3 major interventions Heath Literacy
PHC(each heath center cover and care people )
Intersectoral action: policy for
IPA
SMOKING
FOOD AND NUTRITION

9. Community participation and selfcare unit
Health Center
Basic level
Level 1
Behzad Damari.New PHC direction based on NCD
mental health
unit
SCREENING
NCD RF
COMMUNITY NURSE
12500 PEOPLE
With health messengers
Care
for nutrition and PA
MIS
Social health care
unit
Refer to GP or FP
Communicable care
unit
Mother and child
Care unit
Start
treatment
of NCD
Level 3
Oral health
Unit
Lal
Community participation and selfcare unit
Refer to second level
پزشک درمانی را باید از پزشک مراقبت مزمن جدا دید و یا فکری برای حجم کار کرد
غربالگر باید یک نفر باشد تا سیستم را بشود نظارت کرد
Health protection
unit
Second level
Model for integrating NCD to PHC
General hospital

10. Risk Factor card

11. Individual Risk Factors Profile

12. Risk factor Card

14. Thanks for your attention
For further information
Thanks for your attention