Professional Documents
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PART I. BACKGROUND
NCD SITUATION IN ILOCOS REGION
LIFESTYLE-RELATED DISEASES INCLUDING HEALTH AND WELL-BEING OF SENIOR CITIZENS
PROGRAM
- LRDS ARE TOP KILLERS COMPRISING MORE THAN 50%OF ALL DEATHS
- ____% OF ALL NCD DEATHS ARE HAPPENING BEFORE THE AGE OF 70
- LRDS CAN CAUSE VARIOUS COMPLICATIONS AND CAN LEAD TO DISABILITY
- MANAGEMENT OF NCDS CAN BE COSTLY AND CAN WORSEN POVERTY
- LRDS WILL LIKELY TO CONTINUE AS A PRIORITY PUBLIC HEALTH PROBLEM BECAUSE
OF CONTINUOUSLY HIGH PREVALENCE RISK FACTORS: PREVALENCE OF SMOKING
AMONG ADULTS MORE THAN 20 YEARS OLD IS 26.5%, HIGHER THAN THE NATIONAL
RATE WHICH IS 25.4%; OVERWEIGHT AND OBESITY AMONG ADULTS IS 27.3%;
OVERWEIGHT AMONG CHILDREN IS ALSO AN EMERGING CONCERN; HYPERTENSION
AMONG ADULTS IS 23.3% HIGHER THAN THE NATIONAL RATE; PREVALENCE OF
DIABETES AMONG ADULTS IS 4.0%
MENTAL HEALTH INCLUDING SUBSTANCE ABUSE PROGRAM
- PLEASE PROVIDE BACKGROUND DATA ON MENTAL HEALTH FOR REGION 1
- SUICIDE IS ALSO AN EMERGING CONCERN (PLEASE PROVIDE DATA)
- PLEASE PROVIDE DATA ON MENTAL HEALTH AND SUBSTANCE ABUSE
VIOLENCE AND INJURY PREVENTION
- VIOLENCE AND INJURIES ARE EMERGING PUBLIC HEALTH CONCERN IN REGION 1
- DEATHS DUE TO TRANSPORT ACCIDENTS ARE NOTED TO BE HIGHER THAN THE
NATIONAL AVERAGE IN RECENT YEARS. THE DEATHS DUE TO TRANSPORT ACCIDENTS
IN REGION 1 WERE 14.9 PER 100,000 POPULATION IN 2011, AND 12.1 PER 100, 000
POPULATION IN 2012.
- DROWNING IS ALSO REPORTED AS AN EMERGING CONCERN. DROWNING DEATHS
WAS REPORTED TO BE 4.7 PER 100,000 POPULATION IN 2011 HIGHER THAN THE
NATIONAL AVERAGE (3.9%).
- IN 2012, DROWNING DEATHS WAS 4.6 PER 100,000 POPULATION, HIGHER THANTHE
NATIONAL AVERAGE WHICH WAS 3.5 PER 100,000 POPULATION
- DEATHS DUE TO ASSAULTS IN REGION 1 WAS 10.8 PER 100,000 POPULATION 2011
AND 8.5 PER 100,000 POPULATION IN 2012
HEALTH AND WELLNESS PROGRAM FOR PWDS INCLUDING BLINDNESS PREVENTION
- PLEASE PROVIDE DATA ON PWDS INCLUDING BLINDNESS
PLEASE PROVIDE NARRATIVE PAST AND CURRENT INTERVENTIONS
PLEASE PROVIDE GAPS AND CHALLENGES
IN ITS CONTINUING EFFORTS TO FIGHT NCDS, REGION 1 HAS DEVELOPED NCDPCP STRATEGIC PLAN FOR
2017 TO 2022.
PART II.THE 2017-2022 NCDPCP STRATEGIC PLAN OF ILOCOS REGION
VISION: A region free from noncommunicable diseases with people of all ages enjoying good health
GOALS:
To reduce by 10% the premature deaths due to most common avoidable NCDs
To reduce the prevalence of NCD risk factors
- To reduce by 15% the prevalence of tobacco useamong adults 20 years old
- To halt the prevalence of overweight/obesity among adults20 years old
- To reduce by 10% the prevalence of hypertension among adults20 years old
- To halt the prevalence of diabetes among adults20 years old
To promote mental well- being, and increase access to mental health services especially
at the primary health care level
To promote health and well-being, and improve access to health services forpersons
with disabilities
OBJECTIVES:
1. To sustain the priority accorded to the prevention and control of NCDs in Region 1
2. To strengthen multisectoral actions for the prevention and control of NCDs
3. To reduce avoidable risk factors and strengthen prevention initiatives for NCDs
5. To promote and support research and development for the prevention and control of NCDs
6. To monitor progress and evaluate results in the prevention and control of NCDs
PROGRAM: LIFESTYLE-RELATED DISEASES, including HEALTH AND WELL-BEING OF SENIOR CITIZENS
OBJECTIVE 1: To sustain the priority accorded to the prevention and control of NCDs in Region 1
Outcome Indicators (with proposed targets):
10% reduction in the premature deaths due to most common avoidable NCDs
RTo reduction ine the prevalence of NCD risk factors as follows:
o - To reduce by 15% reduction in the prevalence of tobacco useamong adults 20 years old
o No increase in the prevalence of overweight/obesity among adults20 years old
o 10% reduction in the prevalence of hypertension among adults20 years old
o No increase in the prevalence of diabetes among adults20 years old
-To halt the50% of eligible adult population(>25y/o) risk assessed (# of >25y/o risk-assessed/estimated number of adults >25y/o in population)
50% of adults with hypertension attended to within the primary health care system (# of adult hypertensive seen at primary health care
level/estimated number of adults with hypertension)prevalence of overweight/obesity among adults20 years old
50% of adults with diabetes attended to at the primary health care unit- To reduce by(# of adult with diabetes seen at primary health care
level/estimated number of adults with diabetes)
50% of eligible women provided VIA + clinical breast examination 10% the prevalence of hypertension among adults20 years old
- To halt the prevalence of diabetes among adults20 years old
STRATEGIES ACTIVITIES Output TARGETS 2017 2018 2019 2020 2021 2022
INDICATORS
Integrate NCD into health and Advocate among members of the Regional Ilocos Regional
development planning RSDC Subcommittee to integrate Development Plan Development Plan
processes and plans NCD and allocate budget in the with NCD 2017-2022 with NCD
Regional Development Plan measures and measures and
interventions, and interventions, and
budget allocation budget allocation
50 barangays per
year
(Target approval of
resolution/circular
will be on Q2 2018)
OBJECTIVE 3: To reduce avoidable risk factors and strengthen prevention initiatives for NCDs
Strengthen health promotion Conduct quad-media campaigns on Number of quad- 4 quad-media
and education for the the importance of healthy lifestyle media campaigns campaigns
prevention and control of NCDs on healthy conducted per year
lifestyle and NCD
conducted
Increased level of
awareness of the
population on
healthy lifestyle
OBJECTIVE 4: To strengthen health systems especially at the primary health care level
Mobilize financing resources for Promote and conduct TSEKAP Percentage of 100% of beneficiaries
NCD program implementation beneficiaries covered by 2022
covered
Ensure the availability and Provide/Procure logistics for Percentage of 100% of RHCs
accessibility of NCD services primary care package for RHCs: RHCs provided provided with
including services for senior NCD medicines (4 molecules) with primary care primary care package
citizens Screening and diagnostic tests package
(for blood glucose and
cholesterol, urine)
Flu and pneumo vaccines for
senior citizens
Strengthen NCD community- Provide technical assistance to Number of 1 HPN and 1 DM club
based support system LGUs on the establishment of HPN functional HPN per LGU
and DM club and DM clubs
Strengthen NCD information Advocate for LGUs/RHCs to adopt Percentage of 80% of RHCs utilizing
system electronic medical recording (EMR) RHCs utilizing EMR system by 2022
system EMR system
OBJECTIVE 5: To promote and support research and development for the prevention and control of NCDs
Strengthen capacity for Conduct pilot study on the NCD survey
research and development development of NCD survey questionnaire
questionnaire developed
OBJECTIVE 6: To monitor progress and evaluate results in the prevention and control of NCDs
Strengthen management and Modify PhilPEN risk assessment PhilPEN risk PhilPEN risk
evaluation system forms assessment form assessment form
modified modified
Conduct local NCD survey Local NCD survey Local NCD survey
conducted conducted
OBJECTIVE 1: To sustain the priority accorded to the prevention and control of NCDs in Region 1
Outcome Indicators (with proposed targets):
Number and percentage of eligible persons provided mental health services (to be further discussed)
80% of LGUs providing mhGAP/mental health services
STRATEGIES ACTIVITIES Output TARGETS 2017 2018 2019 2020 2021 2022
INDICATORS
Integrate NCD into health and Advocate with NEDA-ROI and RDC Regional Ilocos Regional
development planning for integration of mental health and Development Plan Development Plan
processes and plans substance abuse in the Regional with NCD 2017-2022 with
Development Plan measures and mental health and
interventions, and substance abuse
budget allocation interventions, and
budget allocation
OBJECTIVE 3: To reduce avoidable risk factors and strengthen prevention initiatives for NCDs
Strengthen health promotion Conduct multi media campaigns on Number of multi 4 multimedia
and education for the Mental Health and Substance media campaigns campaigns
prevention and control of NCDs Abuse conducted conducted per year
Strengthen NCD information Advocate for the use of EMR(for Number of Number of
system masterlisting of mental health hospitals/LGUs hospitals/LGUs with
andsubstance abuse clients) with updated updated masterlist
masterlist
OBJECTIVE 5: To promote and support research and development for the prevention and control of NCDs
Strengthen capacity for Conduct survey on the actual Number of 1 survey per year
research and development number of mental and substance surveys conducted conducted
abuse clients in the community
through tie-up with
academe/research organization
OBJECTIVE 6: To monitor progress and evaluate results in the prevention and control of NCDs
Strengthen management and Consolidate and update Reports/database Reports/databases
evaluation system reports/database on mental health s consolidated/update
and substance abused cases consolidated/upd d
ated
Conduct Program Implementation # of PIR 1 PIR per year
Review conducted
Develop a simplified and user- Simplified 1 reporting checklist
friendly checklist reporting checklist developed
developed
Review reporting checklist and Reporting Reporting checklist
revise if needed checklist reviewed reviewed and
and revised as revised as needed
needed
Conduct validation of reported Validationconduct 4 validation
mental health and substance ed conducted per year
abused cases
OBJECTIVE 1: To sustain the priority accorded to the prevention and control of NCDs in Region 1
Outcome Indicators (with proposed targets):
20% reduction in the deaths due to violence and injuries
80% of LGUs implementing program measures against violence end injuries
STRATEGIES ACTIVITIES Output TARGETS 2017 2018 2019 2020 2021 2022
INDICATORS
Establish mechanisms for Advocate for the allocation of Budget allocated Budget allocated
continuous/sustainable budget budget for violence and injury in the budget
allocation for NCD prevention prevention measures and inclusion proposal/WFP
and control in the budget proposal/WFP
OBJECTIVE 2: To strengthen multisectoral actions for the prevention and control of NCDs
Establish mechanisms to Conduct multisectoral Number of 4 meetings per year
strengthen multisectoral meetings/consultation onviolence meetings
collaboration in NCD and injury prevention conducted
prevention and control
Develop Inter-agency issuances on Number of 2 issuances
violence and injury prevention issuances developed
(DOH-DSWD-DOTC-DPWH-PNP- developed
DepEd-DILG-BFP-LGU and hospitals)
OBJECTIVE 3: To reduce avoidable risk factors and strengthen prevention initiatives for NCDs
Strengthen health promotion Localization of IEC materials for Number of IEC 1 violence
and education for the violence and injury prevention materials 1 injury prevention
prevention and control of NCDs localized
Conduct health educationin health Percentage of 100% of clients in all
facilities clients served health facilities
provided health
education
Promote and adopt national Issuance of circulars to LGUs and No. of LGUs and 129 LGUs and 16
policies and guidelines other partners in health other partners partner agencies
according to local situations issued w/ circulars
and needs Localization of national laws thru No. of LGUs with 125 Mun/Cities and 4
Local Health Board Meetings localized national provinces
laws
OBJECTIVE 4: To strengthen health systems especially at the primary health care level
Mobilize resources for NCD Advocate thru the LHB the Number Of LGUs 4 provinces,
program implementation enactment of an ordinance with enacted 125 Mun/cities with
requiring all business ordinances enacted ordinaces
establishments to enrol their
employees in Philhealth as a
requirement for the issuance of the
Mayors Permit and sanitary permit
Strengthen governance for the DMOs to advocate and conduct Numberof 4 provinces,
NCD prevention and control dialogue with the LCEs re: functional LHB 125 Mun/cities with
importance of LHB functional LHBs
Ensure the availability and Organize Emergency Medical Numberof LGUs 125 LGUs
accessibility of NCD services Teams(EMT) w/ organized EMT
OBJECTIVE 5: To promote and support research and development for the prevention and control of NCDs
Strengthen capacity for Submission of research proposal No of researches 1
research and development from staff and academe or other conducted and
research entities disseminated
OBJECTIVE 6: To monitor progress and evaluate results in the prevention and control of NCDs
Strengthen management and Online collection/submission of Number of 125 (to include
evaluation system data reporting units hospitals)
PROGRAM: HEALTH AND WELLNESS PROGRAM FOR PWDs including BLINDNESS PREVENTION
OBJECTIVE 1: To sustain the priority accorded to the prevention and control of NCDs in Region 1
Outcome Indicators (with proposed targets):
Number and/or percentage of eligible PWDs accessing health services at primary health care level (to be further discussed
% of LGUs implementingor with access to Philheakth package/s for PWDs
% of eligible population screened for blindness prevention (to be further discussed)
STRATEGIES ACTIVITIES Output TARGETS 2017 2018 2019 2020 2021 2022
INDICATORS
Integrate NCD into health and Advocate among members of the Number of Ilocos Regional
development planning RSDC Subcommittee to integrate Regional Development Plan
processes and plans health and wellness measures for Development Plan 2017-2022 with
PWDs including blindness with measures measures and
prevention, and allocate budget in and interventions interventions for
the Regional Development Plan for PWDs PWDs including
including blindness prevention,
blindness and budget allocation
prevention, and
budget allocation
OBJECTIVE 3: To reduce avoidable risk factors and strengthen prevention initiatives for NCDs
Strengthen health promotion Conduct information dissemination Number of Number of
and education for the campaigns on health and wellness information information
prevention and control of NCDs measures for PWDs including dissemination dissemination
blindness prevention: campaigns campaigns
FDS conducted conducted
radio pluggings
social media
health/TSEKAP caravans
ABC Meetings
Number of Number of
Continue information information information
dissemination campaigns on IWAS dissemination dissemination
PAPUTOK through various channels campaigns campaigns
conducted conducted
Promote and adopt national Advocate for localization/adoption No. of LGUs with 125 Mun/Cities and 4
policies and guidelines of national laws and policies (e.g. localized national provinces
according to local situations road safety laws) laws
and needs
OBJECTIVE 4: To strengthen health systems especially at the primary health care level
Mobilize resources for NCD Continuous enrolment of PWDs in Number of of 100% of PWDs
program implementation Philhealth PWDs enrolled enrolled
Strengthen NCD information Continue MOA signing between the Number of LGUs Number of LGUs with
system LGU and DOH for the iClinicSys with MOA with MOA with DOH
DOH
OBJECTIVE 5: To promote and support research and development for the prevention and control of NCDs
Strengthen capacity for Tie up with academe to conduct a Number of Number of
research and development study/research on task-centered studies/researche studies/researches
jobs for PWDs s conducted conducted
OBJECTIVE 6: To monitor progress and evaluate results in the prevention and control of NCDs
Strengthen management and Monitor the LGUs and Number of LGUs Number of LGUs and
evaluation system hospitalsusing the EMR and hospitals hospitals using the
using the EMR EMR
Continue monitoring the PWD Number of LGUs Number of LGUs
Logbook in the RHUs using the PWD using the PWD
logbook logbook