Policy and Advocacy
Policy and Advocacy
The policy line of action in the Regional Strategy for Chronic Diseases encourages and provides technical cooperation for the establishment of sound and explicit public policies that support better health status and a life free of chronic disease-related disability, in initiatives taken to establish public health policies based on key WHO resolutions and recommendations that will address the broad social, economic, and political determinants of health.
Advocacy will be utilized to advance policy and institutional changes that will support chronic disease programs. It will emphasize the key role of governmental functions and empower the health sector to engage other sectors in collaborative actions to ensure that chronic disease issues are collectively addressed.
Health promotion and advocacy are one of the main thrusts of the policy line of action. This involves IEC campaigns (information/education/communication) to help people and health professionals become more aware of health issues. It also means raising awareness among not only the general public but policy-makers as well, as well as capacity-building and intersectorial (public, private, civil society) collaboration.
Cardiovascular diseases are the leading cause of death in the world and in the majority of the countries of the Americas, where they cause 1.9 million deaths per year. However, a high proportion of these diseases can be prevented with a healthy diet, physical exercise...
In Peru, Maximiliana has been herding sheep and goats since she was a small child. But much has changed in the past 60 years. When she was young, grass was plentiful. Now she has to walk 15 kilometers across the parched pastures of the high Peruvian Andes to find enough grazing for her animals. Maximiliana and her husband recently joined a senior citizens' club where they help to work communal fields. This supplements their diet and income. "I still love walking in the mountains with the animals", 65-year old Maximiliana says, "but I’ll need to find some other way to earn money because I won’t be able to keep doing this forever."
The purpose of the high-risk approach is to prevent morbidity, early mortality and improve general of quality of life due to cardiovascular disease (CVD) in individuals with an elevated total CVD risk. Total CVD risk is defined as the probability of a cardiovascular event (e.g. stroke or myocardial infarction) occurring within a given time period. It is determined by the risk factor profile, which is dependent on combined risk factors, as well as sex and age. An individual with several mildly elevated levels may have a higher total CVD risk than of an individual with one elevated risk factor. The intensity of the prevention strategy should be guided by level of total risk. Lifestyle interventions addressing diet, exercise, smoking habits and, when needed, drug treatment will reduce the risk of cardiovascular disease.
Atherosclerosis, the process of plaque building up in the arteries, is the main pathological process contributing to cardiovascular diseases. The process begins early in life, but the rate in which it progresses and potentially leads to CVD is influenced by several factors including:
The WHO/ISH Risk Prediction Charts predict the 10 year risk of a fatal or non-fatal cardiovascular event occurring. The charts allow for risk stratification specific to each region by incorporating the factors listed above.
To read more about the prevention of cardiovascular disease through a high risk approach, please click here.
- Survey on Diabetes, Hypertension and Chronic Disease Risk Factors: Central America 2010-06-21 16:14:45
- Survey on Diabetes, Hypertension, and Chronic Disease Risk Factors: San José, Costa Rica 2010-06-21 12:59:12
- Survey on Diabetes, Hypertension, and Chronic Disease Risk Factors: Managua, Nicaragua, 2010 2010-06-21 12:20:58
- Survey of Diabetes, Hypertension and Chronic Disease Risk Factors: Villa Nueva, Guatemala 2007 2010-06-21 11:48:45
- Compilation of Legislation for the English-Speaking Caribbean Countries and Territories on Prevention and Control of Obesity, Diabetes and Cardiovascular Diseases 2010-06-17 11:53:58
- Collection of Legal Guidelines for Chronic Disease Prevention and Control in Latin America 2010-01-25 14:21:46
- Border Partners' Forum for Action: Prevention of Chronic Diseases & Promotion of Healthy Lifestyles 2009-12-22 11:12:59
- First Meeting of the Expert Group on CVD Prevention through Dietary Salt Reduction 2009-10-29 01:53:20
- Women and Children Must be Shielded Against Impact of Global Food Price Increase 2008-04-27 19:00:00
- Regional Strategy on an Integrated Approach to the Prevention and Control of Chronic Diseases 2008-02-26 17:05:57