Professional Documents
Culture Documents
na Republika Makedonija
Arh. br. 21.10. 2005 godina
Minister za zdravstvo
Prof. d-r Vlado Dimov
Od: Prim. d-r Vera Simovska, MD, Ph.D., nacionalen koordinator na programata na SZO SINDI vo
Republika Makedonija
SODRZINA
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VTOR DEL: FORMIRANJE NA CINDI CENTAR
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4. Izvestai za postignat progres kon nacionalnata multisektorska startegija/programa: Fizicka
aktivnost/Dvizenje za zdravje vo Republika Makedonija vo 2003 i 2004 god., isprateni do:
Ministertsvoto za zdravstvo na RM i SZO Kancelarija za vrski-Skopje (20.02.2004),
Regionalen centar za Evropa (24.02.2004), WHO/HQ (9.02.2004) i JZO Zdravstven dom na
Skopje- Skopje (03-1311/1 od 24.03.2004).
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Simovska V.: Situation analysis of Republic of Macedonia. In: Draft-PLAN of ACTION for
development and implementation of CINDI programme for noncommunicable diseases
prevention and control of Republic of Macedonia. Ministry of Health/18.08.2002.
(pp. 50 – 87).
2. Javna prezentacija na Akcioniot Plan za prevencija na cancer na dojakata pred
mediumite, Hotel “Panorama”, 2004.
Reference:
Vera Simovska, FYR of Macedonia: PLAN OF ACTION FOR INTEGRATED
COMMUNITY AND CONTROL OF CARDIOVASCULAR AND OTHER NCD IN FYR
OF MACEDONIA, 2002-2007, 2002. In WHO: Preventing Chronic Diseases: A Framework
for Country Action. Background document 1/7, WHO Expert Consultation Meeting 5-8
February 2007. http://new.paho.org/bra/index2.php?
option=com_docman&task=doc_view&gid=1175&Itemid=423.
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European Conference on Chronic Disease Prevention, Helsinki, 8–10.12 2005
ABSRACT:
Author: Simovska Vera, MD.,PhD., Health Care Centre–Skopje, Macedonia
Background and aim: CINDI Programme in Macedonia began in 2001 with aim to reduce
high mortality/morbidity rate of NCD and increased prevalence of lifestyle risk factors in the
population as consequences of rapid political and socio-economic transition. CVD accounted
for 57% of all deaths in 2002, remains the first leading cause of death. With aim to implement
an integrated, comprehensive and coordinated approaches, and stable intersectoral partnership
as quidelines for public health action was drawn up the first Draft–Action Plan for CINDI
Programme in Macedonia.
Methods: To prevent progressive NCD development, the priority was given to the population
and individual risk reduction at community and primary care levels, rationale use of the
existing preventive services in PHC as integral component of health reforms and referal
system support. Strategic quidances in area of capacity building, establishment of national
coordination, CINDI Health Monitor system and national recommendations for reduction of
lifestyle risk factors are presented on the website (www.cindi.makedonija.com). In focus of
policy development for NCD prevention were major social determinants: unemployment,
poverty and social inequality.
Results: Progress toward NCD prevention using strategic guidances and proposed approaches
within CINDI Action plan was reached in chosen priority areas: multiple NCD risk reduction
through lifestyle changes at community and primary care levels, professional education on the
new topic “Study of sports medicine” (2002) and postgraduate study for “Physical Activity
and Public Health” (2004) at Faculty of Medicine, training courses, lectures, puplic health
education and “pylot” CINDI Health Monitor survey (2002). Cost-effective preventive
interventions: increasing physical activity and healtier nutrition were used as most appropriate
for whole population: “Move for Health Programme”(2003), “Project for reduction of diet-
related NCD risk factors”(2005) and “National CINDI Programme for Children and
Youth”(2004) adopted as state programme in 2005. Also is prepared the new publication on
title "The First Macedonian CINDI Vision on Chronic Disease Prevention" by Simovska
Vera, MD.PhD, national coordinator of CIDNI Programme in Macedonia.
Conglusion: Countrywide implementation of “National strategy for diet, physical activity and
health” through integrated, multisectoral approach with stong partnership is essential for
changes in risk factors, reduction of NCD and major and sustained improvement in population
health, in relatively short-term. National health strategy is urgently needed. Presented
activities in the CINDI Annual Reports (2001–2004) and the First Draft–Action Plan (2002–
2007) were voluntary realized.