1. NCD – Kingdom of Saudi Arabia

2. Background Area: 2,250,000 Km2 ( 20 Health Districts )
Population: 26 million (2010)
80 % Saudi (50,1 % male & 49,9 % female
Population Growth: 2.23%
85% urban #12% villages # 3% Bedwins
MOH Financial Resources(GDP): 6.00 % of total Budget
PHC centers accommodate more than 85% of MOH health facilities attendants . (1986 centers )

3. NCD Mortality in Saudi Arabia
Total NCD Deaths in 000s;
Male 46.0, Female 26.6

4. NCD Mortality in Saudi Arabia
Age- Standardized death rate per 100,000
CVD& Diabetes
Chronic Respiratory Disease
Cancer
All NCD
540.6
31.0
79.2
753.1
Male
347.6
20.3
66.0
510.0
Female

5. Current Situation Total (%) Women (%) Men (%) Prevalence26
24.4
27,7
hypertension
17.9
16.6
19,2
diabetes
19.3
19.9
18.7
hyperlipedeamia
36.1
43.3
28.6
obesity
29.4
31.9 27
Central obesity
12.9
1.4
24.7
smoking
33.8
33.2
34.4
Physical inactivity
Step wise - surveillance for NCDs 2005

6. Cost of health care (per capita according to prevention level)
0.5 SR
Community level )Primary prevention)
50 SR
Primary care (PHC)
5.000 SR
Secondary care (hospital) SR
Tertiary care (specialist hospital)

7. Overall Structure & Organization
General Directorate of NCD established in 2004:
1. Planning strategies & policies of NCD.
2. Cooperation and Coordination with: MOH departments, Governmental & NGO, Academic bodies, Committees.
3. Conducting screening & surveillance of NCD.

8. Achievements in tackling NCDs & their RFs
1- Diabetes prevention program
Establishing the national committee on diabetes control and prevention
National Strategic Diabetes Plan (derived from the Arab Gulf plan)
Creating and updating Saudi Diabetes Guideline.
Adapted the national strategy about the food, physical activity of health DPAS (in light of the WHO strategy.
Create a registry for DM.

9. Programs
2-National Premarital Screening program-2004 :screening obligatory for all those couples who plan to marry . 3- Neonatal Screening Program Cancer Control Program 5-Prevention of cardiovascular diseases 6-Diet and Physical activity Prevention of injuries and road traffic accidents Program

10. Challenges Encountered
LACK OF:
RISK FACTOR SURVEILLANCE.
Accurate Mortality Data.
Training for Professionals and Para-medicals on NCD Prevention and Control
Adequate Information on Health Care Services Management for Major NCD’s.
Assessing the cost-effectiveness of the various interventions.

11. Lessons Learnt
DEVELOPMENT OF STANDARDS OF CARE, GUIDELINES FOR SCREENING, EARLY DETECTION AND MANAGEMENT
COMMUNITY-BASED PROGRAMMES
NATIONAL SITUATION ANALYSIS
BASELINE SURVEY FOR NCD RISK FACTORS

12. Next Steps Crown Health Project:
National community based project aimed TO:
Improve health awareness about risk factors of NCDs
Reduce exposure to risk factors.
Early detect of NCDs and risk factors
Reduce NCDs and its complication

13. THANK YOU