The Workshop 22 -23 March 2010

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A workshop to strengthen national capacity and to better integrate national prevention and control of Non-Communicable Diseases was convened on March 22nd- 23rd 2010 to bring together national stakeholders and international experts involved in Non-Communicable Diseases to discuss the response on Non-Communicable Diseases from a global, regional and national standpoint and to identify components of an action plan and suggest mechanisms for partnerships. The workshop was a follow up of the action initiated by the PAHO Regional Office aimed at supporting the development of national Non-Communicable Disease prevention and control plan and commitment of the Ministry of Health (MoH) to upgrade the Non-Communicable Disease program.

During the workshop four work groups, along the lines of action mentioned in the Regional Strategy, were established, albeit on an ad-hoc basis: Public Policy and Advocacy, Surveillance, Integrated Management of Chronic Diseases and Risk Factors and Health promotion and Disease Prevention.

There was consensus among certain components of the action plan:

  1. Emphasis on the leadership role of the Ministry of Health;
  2. The need to establish a board, a national coordinating mechanism for Non-Communicable Diseases, with a multi-stakeholders approach;
  3. Focus on major risks: tobacco, healthy diet, physical activity;
  4. Upgrade the integrated management of Non-Communicable Diseases in primary health care.
  5. Data-linkage between technical and structural side.


Outcome

It was decided that the Policy and Advocacy work group should function as a steering group to conduct the process for the development of a Non-Communicable Diseases Policy and Strategic Plan, with support from the other work groups. The steering group will specify tasks and targets and a work plan and will initiate the process of bringing together the workgroups by inviting the responsible persons for each group.

To strengthen health promotion and prevention activities in Suriname, support of the CARMEN network will be needed. The Deputy Director of the Ministry of Health will organize a meeting with several stakeholders to provide information on the CARMEN network and its process. This initiative will be undertaken in close collaboration with PAHO HQ coordinator HSD/NC.

To strengthen and improve Suriname’s epidemiological surveillance capacity, support from Centers for Disease Control (CDC) is required through the organization of training on applied epidemiology. Suriname should start collecting data on Non-Communicable Disease social determinants. It is recommended to reinitiate the publication of the surveillance bulletin, with a section on Non-Communicable Diseases.

Surveys are expensive and time consuming; therefore Rapid Assessment methodologies can be an alternative. Centers for Disease Control and PAHO HQ could collaborate in helping Suriname to review these methodologies.

CAREC will support STEPS surveillance in the area of minimum data set on Non-Communicable Diseases. Mortality data should be used to advocate for Non-Communicable Diseases, with additional information on renal disease, dialysis and amputation.

Improving the public health infrastructure and strengthening of the integrated management remains a priority. WHO will be requested to submit a database of the capacity survey conducted in ten primary health care centers in Suriname and to provide more insight in the collected information? With support from WHO a study on Non-Communicable Diseases costing in primary health care can be conducted.



For more information please contact:

Ms. Esha Marhé, NCD consultant, PAHO/WHO Suriname
at tel. nr. +597 471676, ext 244 or
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