1. NCD situation in the Palestine
Changes in
Life style
Communicable
Epidemiological
profile
changes in pattern of diseases Noncomunicable diseases are becoming increasingly prevalent double burden of disease

2. Latest Surveillance Results
Summary of combined risk factors
current daily smokers
less than 5 servings of fruits & vegetables per day
low level of activity
overweight (BMI ≥ 25 kg/m2)
raised BP (SBP ≥ 140 and/or DBP ≥ 90 mmHg or currently on medication for raised BP)
Both Sexes
Males
Females
Percentage with three or more of the above risk factors, aged 15 to 44 years
41.4%
( )
42.7%
( )
40.0%
( )
Percentage with three or more of the above risk factors, aged 45 to 64 years
75.3%
( )
73.1%
( )
77.4%
( )
Percentage with three or more of the above risk factors, aged 15 to 64 years
47.8%
( )
48.3%
( )
47.3%
( )

3. Percentage of death from NCDs 2010
CVD
25.4
CVA
12.1
Cancer
10.8
Pumonary Infections
8.4
Perinatal & infant Mortality
7.3
Diabetes Miletus
5.7
Kidney Failure
3.8

4. Structure and organizations involved in prevention services and resources available
MoH = NCDs center
Primary health care
Secondary Health Care
NGOs
UNRWA
Private
the national policy and strategic plan for prevention and management of NCDs ,
Anti Smoking law, NCDs center
Human resources = Health care providers

5. main achievements in tackling NCDs and their risk factors
The national policy and strategic plan for prevention and management of NCDs
Media awareness campaign for prevention of NCDs
Establishing the NCDs Center for screening and prevention of complication of NCDs
Stepwise Risk Factor surveillance on NCDs
NCDs conference to show the burden of NCDs in the country
Establishing a tobacco control committee to support enforcing the antismoking law and to be in compliance with the WHO (FCTC)

6. Challenges encountered
Introducing WHO PEN approach into the primary health care clinics
Enforcing the anti smoking law
Israeli occupation enforcing movement restriction through military road blocks

7. main lessons learnt over the last 5 years
Preventing risk factors leads to preventing /delaying NCDs and its complications.
Effective awareness raising is a time and resource consuming effort
Change doctors and nurses attitudes toward prevention of NCDs is a hard job
Lifestyle modification of the general public needs years of hard work
Financial resources +Education are the two main social determinants of health

8. main next steps
Building capacities of the health workers (Doctors and Nurses) to improve the service providing for prevention and control of NCDs
Implement the Antismoking Law By producing bylaws to enforce it
Produce attractive messages at the TV and radio so that people listen to them
Raising public awareness at the clinics on prevention of risk factors
Establish a health information system