1. ATITUDE UJA TABAKU ESTRATEGIA PREVENSAUN IHA TIMOR LESTE
Many Hands International, 10 July 2015

2. Ezbosa/Outline Aprezentasaun
Profile Organizasaun MHI
Projetu Advokasia Kontrolu Tabaku
Konkluzaun Peskija Prevene Uja Tabaku
Prevalensia Uja Tabaku Iha Timor Leste
Dalan ba prevensaun

3. Profile Organizasaun MHI
Many Hands International (MHI) ( Organizasaun husi Australia nebe registradu ona nuudar Organizasaun Non-Govermantais
MHI promove Kultura liu husi projetu komunidade, trainamento profisional, nomos advokasaun publiku
Parseria ho komunidade hodi promove dezemvolvimentu kultura.
Projetu dahuluk liu mak harii sentru kultura no arte kontemporeneu iha Lospalos -Timor Leste.

4. 2. Projetu Advokasia Kontrolu Tabaku
Parseria
Iha inisiu tinan 2014 Many Hands International parseria ho Universidade Deakin Australia hodi dezemvolve Projetu Peskija Prevene Uja Tabaku
Objetivu
Projetu ne’e prepara data-base no konsulta organizasaun relevante no pesoal sira kona ba dalan prevene uja tabaku.
Bolu atensaun ba prevalensia uja tabaku iha Timor Leste
Implementasaun projetu ida ne’e halo parseria ho matenek na’in husi parseiru lokal sira, nasional, nomos parseiru internasional

5. Many Hands Organigram Directors 1. Dr Kim Dunphy 2. Holy Schauble
Country Manager & Project Supervisor
Lucia Pichler
Mentor
Early Child Education program
Officer
Cultural Heritage Preservation & Development
Youth Creative Art Development
Health Promotion & Tobacco Control Advocacy
Woman Empowerment & Physical wellness development
Finance & Adminstration
Advisors & Members

6. 3. Konkluzaun Peskija Prevene Uja Tabaku
INTRODUSAUN
Globalmente Epidemia tabacco hamate ema besik miliaun 6 kada tinan
Mortalidade > /tinan husi ema fumador pasivu.
Bainhira la foti asaun ruma, epidemia bele hamate ema liu husi miliaun 8 iha tinan 2030.
>80% husi menus halo prevensaun ba mortalidade mak ema ne’ebe moris iha nasaun sira nebe rendementu kiik inklui mos Timor Leste
Industria tabaku iha maneira oi-oin hodi dada konsumedor foun sira hodi nune’e bele mantein no hasa’e faan tabaku no hetan lukru.

8. Expozisaun ba fuma passivu iha uma entre labarik foin sa’e sira ho idade 13-15

9. Fator Risku ba Moras La Hadaet
Condition
Cardiovascular diseases
Diabetes
Cancer
Respiratory Conditions
Uja Tabaku/Fuma √
Alkohol
Menus han ai fuan & modo tahan
Konsume masin barak
Menus aktividase fizika
Obesity
Tensaun ran sae
Masmidar barak iha ran
Lipido ran la normal

10. Kauza mate tamba Moras Hadaet no Moras La Hadaet iha Timor Leste
GBD PROFILE: TIMOR-LESTE

11. * La inklui mate fetal intrauterina
Mortalidade no Morbilidade tanba MLH iha Hospital Timor Leste (Jan-Dez 2012) Fonte: Relatóriu Anual Estatistika Saúde
Kategoria Moras
Admisaun/Baixa
Mate
Númeru %
Moras La hada’et
17193
49.9
272
22.2
Moras Kardiovaskular inklui Stroke
1307
3.8
147
12.0
Diabetes Melitus
115
0.3 16
1.3
Moras Respiratória Krónika
531
1.5 29
2.4
Moras Hepátika no Renál
608
1.8 73
6.0
Moras Nutrisionál
563
1.6 21
1.7
Moras Mental no neurolójiku
183
0.5
0.0
Kanek
1416
4.1 39
3.2
Kauza moras la-definidu ka La-espesífiku
12504
36.3
626
51.2
TOTAL
34420
100.0
1223*
* La inklui mate fetal intrauterina

12. B. Dalan ba Prevene
Uja Tabaku

13. Resultadu Survey MHI Metode Delphi Study Technique
Treinu iha Deakin University Australia hodi devemvolve abilidade peskija.
Dezemvolve no Analiza Questionariu iha lian Tetum no Inglesh no aprejenta ba supervisor iha Deakin University
Identifika Lista Sample Liu husi Belun org. data base no Departementu Administrasaun Distritu Lautem
Revizaun Literatura Sistematika
Intervista Pessoal no Grupu Diskusaun
Analiza Data

14. Survey iha Municipiu Lautem
Lista ema nain 50 nebe nuudar opiniaun lider no kaer papel lideransa iha Distritu Lautem no iha nivel Nasional hodi kompleta questionariu, liu husi intervista ho Offisial Promosaun Saude MHI.
Data halao survey husi
8 July 2014 too 29 Agusto 2005

15. Sampel Baboot I. Karakteristika Organizasaun
Opsaun Respondente N %
Lideransa Komunidade Suco 12
24%
NGO 7
14%
Departmento Edukasaun
Governo Distritu 5
10%
Ofisial Saude Lokal
Organizasaun Sosiedade Civil 4 8%
Governo Nasional 3 6%
Universidade 1 2%
Seluk* 6
12%
Total 50
100%
* Refere ba profesores da escolas, estudantes, no Lider Relijaun

16. II. Nivel Edukasaun Response Options N % Masters, PhD or Equivalent 24%
Bachelor, Diploma or Equivalent 23
46%
Secondary School Completion 17
34%
Up to 11 Years Secondary School
Below 10 Years Secondary School 6
12%
Total 50
100%

17. III. Status servisu partisipantes
Opsaun Respondentes N %
Servisu Full Time 42
84%
Servisu Part Time 5
10%
Servisu iha Kapasidae Voluntariu 3 6%
Total 50
100%

18. Prevene uja tabaku sai isu proridade

19. Importansia halao Program prevensaun utiliza tabaku

20. Aksaun nebe bele foti hodi hatan ba prioridade nee

21. Opsaun no Potensia nebe iha hodi halao prevensaun

22. Kapasidade nebe persija hodi kontrola Tabaku

23. Konklusaun
Problema tabaku sai ona isu global nebe seriu no dezafiu ba dezemvolvimentu iha Timor Leste
Prevalensia uja tabaku iha Timor Leste fo alarma 70% tuir dadus GYTS 2013
Tabaku kontribui ba risku MLH nebe oho ema Timor Leste
Fasil atu prevene, maibe difisil atu kura
Governu iha komitmentu maibe falta iha instrumentu legal (Legislasaun)

24. ATITUDE UJA TABAKU ESTRATEGIA PREVENSAUN IHA TIMOR LESTE
Many Hands International, 10 July 2015

25. Obrigado

26. Objetivos
Atu Komprende baze legal no prevalensia Global no Nasional ba Tabaku
Atu komprende Efeitus husi Tabaku ba Saude
Atu Koñese Bareiras no Dezafius atu kontrolu Tabaku iha Timor Leste
Atu Kompriende Estrategia kombate Tabaku iha Timor Leste

27. Baze Legal
Decreto Lei No 9 / 2006: Avisos de Saúde e Controlo Fiscal do Tabaco Manufacturados
Timor Leste asina ona Plataforma Konvensaun ba Kontrolu Tabaku iha loron 25 Maio (FCTC) no ratifika ona iha loron 22 Dezembru 2004
Lejislasaun Tabaco Komprensivo Draf ona no sei submete ba konsellu ministro iha tempo badak .
Rejime publisidade ba Tabaku no alkohol 2011
Planu estrategiku ba kontrolu Moras la Hada’et

28. DNSP
DSCD
D. CDNC
U.Idosos, Moras Cronica no Disabilidade
U.Saude Matan
U. Saude Mental
U.Saude Oral
U. Prevensaun Injuria, Controlo Tabaco no Alcohol
DPHO NCDC 13 DISTRITOS

29. INTRODUSAUN
Globalmente Epidemia tabacco hamate ema besik miliaun 6 kada tinan
Mortalidade > /tinan husi ema fumador pasivu.
Bainhira ita la foti asaun ruma, epidemia bele hamate ema liu husi miliaun 8 kada tinan iha 2030.
>80% husi menus halo prevensaun ba mortalidade mak ema ne’ebe moris iha nasaun sira nebe rendementu kiik inklui mos Timor leste
Industria tabaku iha maneira oi-oin hodi dada konsumedor foun sira hodi nune’e bele mantein no hasa’e fan tabaku no hetan lukru.

30. Non-Communicable Diseases (NCDs): 36 million deaths (63% of global mortality)
10 M
20 M
30 M
40 M;
50 M
60 M
28%
16%
47% 9%
Globally, 58 million people died in 2005.
35 million of these deaths were a result of chronic diseases.
This means that 60% of all deaths in 2005 were due to chronic diseases.
2008 estimates
Communicable, maternal, perinatal
and nutritional conditions
NCDs < 60
NCDs > 60
Injuries

31. Low and middle income countries are the most affected
Low-income
Countries
Lower-
Middle-income
Countries
Upper- Middle-income
Countries
High-income
Countries
Communicable, conditions
NCDs < 60
NCDs > 60
Injuries

32. The problem has a serious impact!
NCDs
Have major adverse effects on the quality of life of affected individuals;
Cause premature deaths:
44% of NCD deaths occur at age <70 years
Create large adverse economic effects on families, communities and societies in general.
It is a misunderstanding that chronic diseases would mainly affect high income countries
The reality is that four out of five chronic disease deaths are in low and middle income countries
Looking at the graph you can see that only for the lowest income countries, communicable diseases are a bigger problem than chronic diseases. And even there almost 40% of people die from chronic diseases
For all the other countries, chronic diseases is the main cause of death.

33. Prevention is possible
Largest part of main NCDs can be prevented if risk factors are eliminated
20%
20%
20%
60%
40%
80%
80%
80%
The largest part of the main chronic diseases can be prevented!
80% of type 2 diabetes for example, can be prevented.
(source WHO Chronic disease report from 2005)
Heart disease
Stroke
Type 2 diabetes
Cancer
preventable
not preventable

34. Substansia hirak ne’ebé maka perigu

35. Social determinants of health
Causal links
NCDs
Raised blood glucose
Overweight/obesity
Raised lipids
Raised BP
Harmful use of alcohol
Physical inactivity
Unhealthy diet
Tobacco use
Social determinants of health
Population ageing
Urbanization
Globalization
Metabolic Risk
Behavioral risk factors

36. Mekanismu oinsa tabaku aumenta risku ?
Radical livre—kauza oxidasaun ba plasma LDL
Aumenta LDL
Adesaun ba monosytos ba arteria/veias aumenta ateroesklerosis

37. Risk Factors Common to Major NCD Conditions
Cardiovascular diseases
Diabetes
Cancer
Respiratory Conditions
Tobacco use √
Alcohol
Low fruit & vegetable
High dietary salt
Physical Inactivity
Obesity
Raised blood pressure
Raised blood glucose
Abnormal blood lipids

39. Expozisaun ba fuma passivu iha uma maka entre labarik foin sa’e sira ho idade 13-15

40. Prevalencia konsumo Tabaco no fator risku seluk iha Timor-Leste
Timor Leste seidauk iha Informasaun seluk kona ba Tabaku iha tinan ida ne’e

42. * La inklui mate fetal intrauterina
Mortalidade no Morbilidade tanba MLH iha ospital Timor Leste (Jan-Dez 2012)
Fonte: Relatóriu Anual Estatistika Saúde
Kategoria Moras
Admisaun/Baixa
Mate
Númeru %
Moras La hada’et
17193
49.9
272
22.2
Moras Kardiovaskular inklui Stroke
1307
3.8
147
12.0
Diabetes Melitus
115
0.3 16
1.3
Moras Respiratória Krónika
531
1.5 29
2.4
Moras Hepátika no Renál
608
1.8 73
6.0
Moras Nutrisionál
563
1.6 21
1.7
Moras Mental no neurolójiku
183
0.5
0.0
Kanek
1416
4.1 39
3.2
Kauza moras la-definidu ka La-espesífiku
12504
36.3
626
51.2
TOTAL
34420
100.0
1223*
* La inklui mate fetal intrauterina

43. The UN High-level Meeting Konaba Moras Lahadaet NCDs (New York, 19-20 September 2011)
Badala rua isu saude diskuti husi Estadus Unidus Asembleia Geral (UN GA)
Atende husi Ulun Boot nasaun 113
Chefe Nasaun ka representativu
Hamosu: Declarasaun Politika
As many of you are aware, last year in September, there was a high-level meeting of the UN General Assembly to discuss NCDs. It was only the second time in history that UN GA discussed a health issue, the first time being a decade earlier to discuss HIV/AIDS.
The UN HLM on NCDs was a landmark event attended by heads of states and other high level delegates from113 Member States
The outcome of the UNHLM was the Political declaration which lists many follow-up actions for MS, WHO and partners 43

44. Moras La Hadaet iha Timor-Leste
Moras oin rua mak mosu– Moras Hadaet komesa tun neneik no Moras La Hadaet komesa sae neneik
30% husi pasient moras baixa iha hospital no mate tamba moras sira Lahadaet
Numeru arkivu Hospital hatudu katak moras lahadaet aumenta no pasiente nia tinan menus ba bebeik.
Afeita ba profuktividade ekonomia durante periodu moris.
Pasiente nebe refere ba nasun seluk hatudu gastu makas iha orsamentu Saude.

45. Prevensaun & controla Moras Lahadaet (NCD): Framework Simples
Hahalok sira nebe bele muda:
Tobacco
La halo actividade Physico
Dieta nebe la saudavel
(masin, bokur & midar, afuan/modo)
Patho-physiological Fator Risku
Tensaun As
Kolesterol As
Diabetes
Bokur liu
Atakasaun moras Fuan
Stroke
Diabetes
Cancers
Moras Kroniku Respiratoria
Strategia ba Populasaun:
Envairomentu
Regulamentu/Lei
Edukasaun
Strategia ba Risk-As:
Screening no tratamentu ba ema risku
Kustu efektivu tx ba kasu mora la hadaet akut
+ Surveillance
Matadalan & halao evaluasaun ba intervensaun
Prevensaun Primaria (Hamenus incidensia kasu-kasu foun)

46. Concentración media por pitillo
Komponentes husi Sigaru suar
Componente
Concentración media por pitillo
Alquitrán
1-40 mg
Nicotina
1-2.5 mg
Fenol mg
Catecol mg
Pireno mg
Benzo (a) pireno
20-40 mg
2.4 Dimetilfenol
49 mg
m- y p-Cresol
20 mg
p-Etilfenol
18 mg
Sigmasterol
53 mg
Fitosteroles (toal)
130 mg
Seluk tan

47. Relasaun Tabaco ho Saúde
Sigaru suar nia kontenidu iha sustancia >4000 substancias quimicas :Nicotina, no > 60 Cansirigenos (Provoca Kankru)
Substancia hanesan monóxido de carbono, alquitrán, arsénico no plomo toxiku ba ita nia isin .
Nicotina hanesan Droga Psikoativa ne’ebe provoka Toleransia no Dependensia (Ketagihan)
Hanesan substancia Hidrosoluble ne’ebe absorbe direitamente husi ita nia ibun no vias respiratorias, ran, Aten, Bazo no kakutak
Sigaru nia suar iha Monoxido de Carbono provoca disfunsaun endotelial Generalizada no provoca ateroesclerosis (Sulan uat)
Efeitus Cigarus aumenta Estimulos Nervoso simpatiku, Libera Adrenalina halo oat sai klot no Aumenta Tensaun Arterial

48. Efeitus husi Tabacco ba Saúde
Fuma no Hasae Risku ba Saude
Moras coronaria (fuan) dala 2 to’o dala 4
Stroke dala 2 to’o dala 4,
Mane dezenvolve kankru aten bo’ok to’o dala 23
Desenvolvementu kankru ba Feto to’o dala 13
Hamosu moras respirasaun Kroniku(hanesan Bronquitis Kronika, Enfisema, Asma) dala 12 to’o dala 13.

49. Moras Kankru Kanker iha ibun “Cancer of the oral cavity (mouth)”
Kanker iha Aten Book (Lung cancer)
Kankru iha ran (Acute myeloid leukemia)
Kanker Mamik (Bladder cancer)
Kanker iha Servikal (Cancer of the cervix)
Kanker iha Esofagus (Cancer of the esophagus)
Kanker iha Rins (Kidney cancer)
Kanker iha Laringe “Cancer of the larynx (voice box)”
Kanker iha Pharinx “Cancer of the pharynx (throat)”
Kanker iha Pankreas (Pancreatic cancer)
Kaker iha kabun (Stomach cancer)

50. Types of Cancers
Cancer is known by many different names.
Carcinomas (cells that cover internal and external body surfaces)
Leukemia
(Blood Cells)
Lung
Lymphomas
(Lymph nodes &tissues)
Breast
Colon
Bladder
Sarcomas
Cells in supportive tissues – bones & muscles
Prostate
(Men)

51. Efeitu Seluk husi Tabaku
La iha fertilidade (Laiha oan)
Partus antes (preterm delivery),
Moris mate (stillbirth),
Bebe moris ho todan menus (low birth weight), no
Sinais mate derepente ba bebe depois partus “sudden infant death syndrome (SIDS)”.
Malformasaun konjenita

52. Moras vaskular no moras seluk
Fuma provoka gangrena
Fuma taka arteria no kauza ataka kardiaku no estrok.
Avizu: fuma kauza moras hirak ba ibun
Fuma kauza matan delek
Kankru
Avizu: Fuma kauza 92% husi kankru oral hirak.

53. Risku maka’as ba ataka kurasaun
BA DALA RUA BELE MATE

54. Feto sira
Fuma bele aumenta liútan oportunidade ba abortu

55. Maski horon fuma uitoan ida mos perigu Laíha nível seguru ba expozisaun ba Fumu Pasivu
Fumu Passivu maka kauza boot ida ba moras fuan, estrok, moras respirasaun, kankru pulmaun, no selu- seluk tan.
Maski so expozisaun 30 minutu de’it ba fuma passivu, produz reasaun fiziku hirak ne’ebé hanesan ne’ebé sei mosu husi fuma ba longu prazu, no aumenta risku ba moras fuan ba ema sira ne’ebé la fuma.
Aumentu ida iha risku ba kankru pulmaun ba ema sira ne’ebé la fuma ne’ebé hetan expozisaun ba fumu passivu iha 20% iha feto no 30% iha mane sira.
Ema sira ne’ebé la fuma ne’ebé hetan expozisaun ba Fumu Passivu iha serbisu fatin iha aumentu husi 16 to’o 19% iha risku husi dezenvolve kankru.
Rizku husi hetan kankru pulmaun aumenta depende ba nível expozisaun.

56. Lakuna
Manufacturas manan profit husi konsumu produtos halo straga ba saúde
Media mos halao publisidade ba productos ne’ebe halo straga ba saúde
Governo generaliza reseita husi faan produtos ne’ebe halo straga saude
Konsumedores gosta uza productos ne’ebe halo straga saúde
Tradisaun/ Situasaun Sociocultural iha Timor Leste fo dalan ba ema atu kontinua konsumo Tabaco
Behaviour modification approaches require changes in social policies, which pose several difficulties. Government generates revenue from industrial production and sale of health damaging products such as alcohol, tobacco, and processed food; media benefits from advertisements of these products; producers of these products profit from their consumption; and consumers enjoy using them. Therefore, any attempt to restrict the production, distribution, and advertisement of these products is foiled by these companies by lobbying. Their argument is that government should educate people for not consuming these products, and let market be regulated by the consumers rather by the government. In reality, government budgets for education never matches with budgets which companies employ for advertisements. However, innovative approaches of public health advocacy keeping in mind the local socio-economic and cultural context can overcome these barriers.

57. Dezafios ba Saúde Pública
Merkado livre/Globalizasaun
Moris Moderna ( Stilos Moris la saúdavel )
Sosiokultura ( Tradisaun moris rai nian )
Asesu Tabaco ne’ebe libre tebes ba populasaun ho idade hotu-hotu.
There are three key public health challenges that the governments have to face to effectively to cope with rising burden of NCDs:
Firstly, Macro-economic policies in agriculture, industry, energy and housing can affect living conditions leading to chronic diseases which need long-term and often expensive care.
Secondly, globalization and trade liberalization process will influence the development policies of nations, some of which will affect health.
Thirdly, inequity is likely to increase as the care of NCDs is long-term and expensive. The poor are less likely to get early screening even when effective preventive treatments are available. They are more likely to seek care at late stage only when symptoms occur mainly from organ involvement or organ failure. The poorer population who need more care would not be able to access it due to high costs, thereby continuing the inequity.
Fourthly, as a result of modern living, chronic diseases will kill and disable both the rich and the poor. Obesity a consequence of physical inactivity results from mechanization which can pervade all sections of the society. Addictions to nicotine, alcohol and other drugs are common lifestyles among both poor and rich.

58. Estratejia Nasional ba Kontrolu no Prevensaun ba Moras la Hada’et D:\PLANU ESTRATEGIKU NCDC TRADUZIDU\PLANU ESTRATEJIKU NCDC PREPARA BA TRADUSAUN_Revisaun\Planu Estratejiku NCDC Final\Final NCD Strategy cum Action Plan Copy.pdf

59. Vision
“Ema Timor oan hotu bele Goja moris saudavel no moris produktivu no livre husi moras, disabilidade no mate sedu relasiona ho Moras La Hadaet (NCDs).”

60. Estrategia Nacional ba kontrolu Tabaku
Advokasia no Lideransa ba resposta husi multi-setoral
Promosaun Saude no Prevensaun Primaria
Haforsa sistema saude
Surveilencia, Monitorizasaun, Evaluasaun no Pesquija

61. Estrategia ba no prevensaun no kontrolu Tabaku
Introdusaun komprensivu ba lejizlasaun ne'ebé relasiona ho tabaku hodi tau iha kompromisu tuir Konvensaun Enkuadramentu kona-ba Kontrola Tabaku (FCTC) no obriga ninia implementasaun.
Hasa’e impostu kona-ba produtu tabaku inklui taxa importasaun.
Deklara fatin públiku hotu hotu livre tabaku
Halo obrigatoriedade avizu saúde ho imajen iha produtu tabaku
Implementa bandu ka proibisaun komprensivu ba iha publisidade tabaku iha mídia no liu husi Orgaun legal, patrosíniu no promosaun.
Bandu fa’an tabaku ba no husi otas sei ki’ik.

62. Harii sistema vijilánsia tabaku nian hodi monitoriza ninia uzu inklui entre adolesente sira.
Estabelese Servisu Hapara Tabaku iha fasilidade saúde sira.
Hala’o kampaña mídia hodi responde hasoru influensia husi industria tabaku no dezenkoraja uza tabaku.
Backup of PROPOSTA DE LEI DO TABACO, Versao Ultimada docx
Proposta RCT pptx

63. Advokasia Política saudável Edukasaun Saúde
An understanding of the decision-making process among policy makers, politicians and bureaucrats is required for success of health promotion. Political action to change the public policy is of major importance. Therefore, advocacy and lobbying strategies have to be utilized which are backed fully by evidence in favour of change. Without the policy support creating supportive or enabling environment it will be difficult to change behaviours by health education alone. Conversely, taking a somewhat ‘tough’ policy decision is immensely difficult unless there are sufficient public (ballot box) pressures for it which can only be built up by an effective health education campaign also called ‘agenda setting’. The relation between health education and healthy public policy is synergistic.
Muda hahalok
Hili Hahalok saudável hanesan ‘ fasil’ atu hili

64. Asaun Multisetoral no Interministerial
Advokasia / Akonsellamentu
Mudanca hahalok ema lubun ida
Harii sistema vijilánsia tabaku nian hodi monitoriza ninia uzu inklui entre adolesente sira.
Estabelese Servisu Hapara Tabaku iha fasilidade saúde sira.
Politica no Regulamentu
Limitasaun ba Manufaktura
Hasa’e Taxa
Limitasaun husi publisidade
Regulamento ba faan sigaru
Avizu saúde iha label sigaru
Fatin publiku livre husi sigaru
Bandu fa’an tabaku ba no husi otas sei ki’ik.
Komprimentu: kompriende no halo mundansa livre husi fuma

65. Kolaborasaun Interministerial no multisektoral hodi kontrola Tabaku iha Timor Leste
Instituisaun Privadu
Sociendade Sivil
NGO
Igreja
Ministerio Saude
Ministerio Edukasaun
Ministerio Justisa
Ministerio Agrikultura
MTCI
SEJD
Sec.Estado Com. Social
Sec Est.Seguransa
Media
etc

66. Haforsa Sistema Saúde
Haforsa kapasidade rekursu humano iha nivel hotu sistema saude
Fo kontinuasaun servisu liu husi sistema referal inklui tratamentu tersiaria
Establese servisu tratamentu tersiaria iha Hospital Nasional ba moras Fuan, moras rins, stroke no kankru.
Desenvolve solusaun inovativa atu kobre kustu inklui realokasaun husi taxa ba atividade promosaun saude
Estabelese Akonselamentu hapara tabaku (Tobacco Sesasion services)

67. Survelencia, Monitoriza, Evaluasaun & Pesquiza
Halao Survey ba Fator Risku NCDs kada tinan 5
Identifika area sira iha Estudu Demografia Saude (DHS) atu involve dadus Peskiza ba Tabaco.
Haforsa Sistema Informasaun Saude hodi fo suporta ba foti desijaun
Atu haforsa peskisa relasiona ho Fator risku ba Moras la hadaet (NCDs)

68. Kankru iha Ibun

70. PREVENE ESTILO DE VIDA LA SAUDAVEL

71. PREVENE ESTILO DE VIDA LA SAUDAVEL

72. PROMOVE ESTILO DE VIDA SAUDAVEL

73. OBRIGADO WAIN