The first subregional meeting on CNCD surveillance was organized for the Andean region with the presence of the Andean Health Organism (Organismo Andino de Salud /ORAS). Among the participants were representatives from the Ministries of Health of Peru and Ecuador, the National Institute of Health (Instituto Nacional de Salud / INS) of Colombia, the Andean Health Organism, and PAHO. The participants reached consensus in that the Director of ORAS to propose the formation of a CNCD surveillance working group and its integration into the ORAS agenda during the next CARMEN Biennal meeting, on October 2009.
- Learn of the progress made by each country in CNCD surveillance in terms of the Regional Strategy and Plan of Action for an Integrated Approach on Chronic Disease Prevention and Control, the conclusions of the CARMEN Biennial Meeting 2007, and the subregional context of ORAS.
- Discuss subjects of mutual interest, opportunities, and mechanisms for collaboration at the subregional level (support among countries, joint projects) and receive contributions from the countries and from PAHO.
- Discuss the subject of data harmonization at the subregional level and receive contributions from the countries and from PAHO (list of basic indicators, modalities for data collection, collaboration in data analysis).
Representatives of the Ministries of Health of Peru and Ecuador, the National Institute of Health (Instituto Nacional de Salud / INS) of Colombia, the Andean Health Organism, and PAHO (see the List of Participants).
At this very collaborative and productive meeting, representatives of the participating countries showed a high interest in the collective progress made in terms of the agenda for strengthening the area of CNCD surveillance, as well as mutual support within the ORAS framework. There was a review of the progress of each country and of the ORAS platform, in order to explore opportunities for introducing this subject (see the Agenda).
During the afternoon of the last day of the meeting, there was a plenary workshop on the PAHO/WHO stepwise methodology for CNCD surveillance, Pan American STEPS, where manuals were distributed as well as a CD with the different types of software available for the sampling and data input and analysis.
By the end of the meeting, a joint workplan was established and a list was prepared of the priorities of each country where support is needed from PAHO and other countries in the Organization (for details, see the final report (available in Spanish only)). Agreement was reached on the next CARMEN Biennial Meeting, which will be held in Lima in October 2009, so that it will includes a session with the Director of ORAS to propose the formation of a CNCD surveillance working group and its integration into the ORAS agenda.
Support will be provided to the three volunteering countries ( Peru, Colombia, and Ecuador) for the pilot of the list of basic CNCD indicators, for finalization by September 2009. Their observations will be reported during the session on CNCD surveillance at the upcoming CARMEN Biennial Meeting.
Preparations will be made for the PAHO involvement in the First National Technical Meeting on CNCD Surveillance, to be held in Bogotá on 19–21 August 2009, and at the Epidemiology Workshop in September 2009, where a seminar will be organized on the application of different types of software that can be used for Pan American STEPS.
Contact person: Branka Legetic, PAHO Regional Advisor for CNCDs.