ueda2103 mena region in the coming triennium-d.adel
TRANSCRIPT
MENA Region In The Coming Triennium
Prof. ADEL A EL-SAYED MD Chair
IDF-MENA Region
Professor of Internal Medicine
Sohag Faculty of Medicine
Sohag-EGYPT
Introduction
• Diabetes is a major 21st century health and development challenge. No country, rich or poor, is immune to the epidemic. Its impact on individuals and economies is enormous and continues to grow.
• The greatest burden of diabetes is increasingly falling on low- and middle-income countries
• And the cost of the disease to health services will continue to rise with catastrophic consequences for vulnerable economies and people with diabetes.
• We live in an area –the Middle East and North Africa Region- with very high prevalence of diabetes.
IDF Diabetes Atlas 5th Edition 2012 Update
New estimates for 2012 of diabetes prevalence, mortality, and healthcare
expenditures
IDF
• IDF is the global advocate of the people with diabetes.
• Strategic Plan 2013-2015: Goals and priorities
• Goals
1. Improve health outcomes for people with diabetes
2. Prevent the development of type 2 diabetes
3. Stop discrimination against people with diabetes
IDF
• Strategic Plan 7 priorities:
1. Support and strengthen IDF’s regions and Member Associations for global people’s movement.
IDF Political Recognition
• The 2006 UN Resolution on Diabetes
• the 2011 UN High-Level Summit on NCDs
• the WHO Formal Member State Consultation on the Global Monitoring Framework 5-7 November 2012
Global Monitoring Framework
Global Outcome Targets
• Halt the rise in diabetes and obesity • 10% relative reduction in prevalence of physical
inactivity • 30% relative reduction in prevalence of
current tobacco use in persons aged 15 years+ • 80% availability of affordable basic technologies and
essential medicines, including generics, required to treat major NCDs in both public and private facilities
• 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes
• In addition to other targets.
IDF Immediate Action
• Who will act: Regions and member
associations
• Role of IDF: Support and strengthen IDF’s regions and Member Associations for global people’s movement.
We Are Responsible…
• No body can work alone: Huge work required.
• We have to determine national specific targets.
• You have to find out the best strategies.
We Are Responsible…
No body can work alone: Collaboration.
• Collaboration within the IDF:
National
Regional
International
• Collaboration with other stakeholders: WHO
Global Monitoring Framework
Global Outcome Targets
• Halt the rise in diabetes and obesity • 10% relative reduction in prevalence of physical
inactivity • 30% relative reduction in prevalence of
current tobacco use in persons aged 15 years+ • 80% availability of affordable basic technologies and
essential medicines, including generics, required to treat major NCDs in both public and private facilities
• 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes
• In addition to other targets.
Ideas Examples
• Surveys
• Specialized clinics
• Studies
• Education: Diabetes Diploma
• Technology: e-medicine, m-medicine
• …………………..More
2.5 Strengthen partnerships and collaboration with all stakeholders, including United Nations agencies and civil society organizations, in order to implement the regional Framework for Action.
• Implement/strengthen the WHO surveillance framework that monitors exposures (risk factors), outcomes (morbidity and mortality), and health system capacity and response (interventions)
• Develop national targets and indicators based on WHO guidance
• Integrate surveillance and monitoring schemes for noncommunicable diseases into national health information systems
• Develop clear indicators to measure the engagement of non-health sectors
7
Moroco2003
8
Algeria2001
4
Tunisia1988
3
Mauritania 1998
14
Libya2001
13
Egypt1997
7
Yemen2002
24
Saudi Arabia 2004
26
UAE2006
15
Qatar
19
Bahrain
16
Jordan2004
9
Syria1999
13
Lebanon1997
3
Sudan1996
5
Iraq 1979 16
Oman 2000
<10%
10-20%
>20%