NCD Strategic plan

1. NCDs STRATEGIC PLANS IN
FIJI
GROUP MEMBERS: POOJA SHARTI KUMAR
BULOU MISIKINI
DEVIKA ANJANI

2. NCD Strategic Plan 2015-2019
AIM
• The aim of this wellness(NCD) plan is to
achieve a healthier Fiji, but more
importantly to reduce premature
mortality by 25% for the four key areas
of NCD for the 5-year time period.

3. OBJECTIVES
• To reduce the salt intake of persons aged 18+ by 20%
• Increase the daily average intake of fruits and vegetables in
adolescents and adults by 10%
• Decrease obesity prevalence in adults and adolescents
• Decrease diabetes prevalence in adults by 10%
• Increase the no-tobacco setting free policy by 20%
• Reduce prevalence of physically inactive adults and
adolescents by 20%

4. INTERVENTION AREAS
Diet
Physical
activity
Tobacco use
Alcohol and
kava
Clinical and
public health
services

5. DIET
• Increase average daily
serves of fruits and
vegetables in adults by 10%
• Adopt and implement draft
regulations to control the
marketing of foods and non-
alcoholic beverages to
children
• Have no increase in obesity
prevalence by 2027

6. PHYSICAL ACTIVITY
• Age-standardized prevalence of
people with insufficient
exercise to reduce by 20% (
having less than 150mins a
week)
• Reduce the prevalence of
insufficiently active adolescents
(less then 60 mins or vigorous
exercise daily) by 5%

7. TOBACCO
• Reduce the prevalence of
tobacco related diseases by 20%
• Decrease the age-standardized
prevalence of current tobacco
use among persons aged 18+ by
15%
• Increase the number settings-
based tobacco free policies by
10% by the year 2027

8. ALCOHOL &KAVA
• Reduce the annual per capita
intake of alcohol per person by
5% for the ages 18+
• Age standardized prevalence of
heavy episodic drinking among
adults to be decreased by 10%

9. Clinical and public health services
• Increase the availability of basic technology and
medicines for treating NCD in clinics and private
facilities by 85%
• Identify the high-risk factors for stroke, heart attack and
diabetes and treat 50% by the year 2027

10. Cross-sector targets
• A few of the cross-sector target plans include:-
1. Healthy settings which includes schools, home,
workplaces, churches and the community
2. Work towards getting a share of taxes from revenue to
promote health , especially focusing on tobacco use,
alcohol and physical activity.
3. Continue informing the key stakeholders of NCD crisis .

11. Cross-sector targets
• The relevant curricula for teachers, FBO and health
professionals should be reviewed and revised to keep a par
with relevant NCD strategies which includes behavioral
change
• Improving the human resource capacity for NCDs
• Identify champions for NCDs
• Having planned and proactive engagement with appropriate
civil society organizations such as faith-based organizations.

12. NCD Strategic Planing 2020-
2025

13. AIM
• The strategy primarily ensures that health and
well-being is improved in all aspects of people’s
lives by focusing on the health sector, working
with external stakeholders and other ministries.

14. Stragetic Priority 1- Reform Public Health Services
to provide a population-based approach for
diseases and the climate crisis.
Aims:
● Reduce NCD disease prevalence, especially for
vulnerable groups.
● Improve the physical and mental well-being of all
citizens with particular emphasis on women, children
and young people through prevention measures.

15. 1) Reduce CD & NCD Prevalence, especially for
Vulnerable Groups
Reducing the burden of NCDs is key to the Strategic Plan, focusing on
preventive action from community to hospital levels.
• A more integrated approach to NCDs is needed, to help case detection,
screening and diagnosis of morbidities before they become long-term
conditions.
• A dramatical reduce and to start controlling the burden of NCDs.
• The main focus is on decreasing lifestyle risk factors, improving health-
seeking behavior among population. This also includes improving
health-seeking behavior of men- need to improve awareness and
identification of prostate cancer.

16. • Ways to expand the availability of promotive,
protective and preventive care in communities, and
innovative ways of doing this for people living in
hard-to-reach locations are looked after.
• Strengthening the surveillance, case detection and
diagnosis for NCDs, across all levels of the health
system from community to hospital will be the core
aspect of the outcome.
Outcome by 2025
Shown evidence that Fiji has reduced NCD burdens.

17. 2) Improve the physical and mental well-being of all
citizens with particular emphasis on women, children and
young people through prevention measures.
• The well-being support into every contact with women, pregnant mothers
and children as they grow must be integrated. Especially, in the next
generation, investment is necessary early in the people’s lives.
• Emphasis is placed on integrating mental health, nutrition, physical
activity and oral health into reproductive, maternal, newborn, child and
adolescent health.
• Overall, the main focus is on integrating mental health services within
primary health care through the Mental Health Gap (mhGAP) Action
Program to improve detection, clinical management and referral with
particular emphasis on specialist population that includes, mothers,
children and adolescents.

18. • Improved prevention, detection and
diagnosis of childhood illnesses, including
strengthening Integrated Management of
childhood illnesses is ensured. For
adolescents, better support of mental
health, sexual and reproductive health
education and prevention of substance is
provided.
• The improvement of immunization program-
immunization services, high coverage rates,
grabbing opportunities for NCD screening.
• Promotion of breastfeeding and better
nutrition for children.

19. Outcome by 2025
• Reduced number of inpatients
presenting symptoms of NCDs,
especially women, children and
young people.
• Reduced the obesity rate in
school children monitored
during school visits

20. Strategic Priority 2 - Reform Public Health Services
to provide a population-based approach for
diseases and climate crisis.
Aims:
● Improve patient health outcomes, with a particular
focus on services for women, children, young people and
vulnerable groups.
● Strengthen and decentralize effective clinical services,
including rehabilitation, to meet the needs of the
population.
● Continuously improve patient safety, and the quality and
value of services.

21. • Maternal, neonatal, perinatal and child health outcomes
are important measures for a strong health system.
Therefore, the main focus lies on decreasing mortality
rates.
• The decentralization of maternal health services to
subdivisional hospitals to provide quality maternal health
services closer to the community will be continued.
• The provision and strengthening of sexual and
reproductive health services throughout the country, as
well as family planning services will be continued.

22. Outcomes by 2025
• Improved access to services for
women, children, young people
and vulnerable groups. Found
solutions that reduce the risk of
maternal, neonatal, perinatal,
infant and child deaths, leading to
improved quality of service and
reduced mortality.

23. 2) Strengthen and decentralize effective clinical
services, including rehabilitation, to meet the
needs of the population.
• The decentralization of specific services to divisions, will
assist in achieving the aim of reduction in complications.
People will gain access to services more efficiently.
• An effective and effective referral system from the
community to hospital levels is ensured. Improvement on
the use of operating theaters in divisional and subdivisional
hospitals will also be worked out.
• The outreach services for routine clinical services,
rehabilitative services and supporting care in the
community for long-term care are also very important in
supporting clinical services and bringing services closer to
communities and people’s homes

24. Outcomes by 2025
• Reduced the length of stays for inpatient treatment,
especially for women and children, by providing a more
integrated service from the community level upwards,
which will also reduce the risk of complications.
• Provided a more integrated service for rehabilitative
care across the different levels of the health system and
strengthened services for children and the elderly.

25. 3) Continuously improve patient safety, and the
quality and value of services
• The aim is to improve overall experience of our customers. The
focus lies on improving patient safety by reducing variations in
availability and quality of care. Provision of clinical services in a
standardized manner across the nation, including improvement of
clinical governance, competencies of staff, clinical practice
guidance and auditing.
• Engage patient and their families as informed partners in health
care, starting by rolling out the draft patient Charter. This
approach will also improve quality and value by focusing on
decreasing wastage.

26. Outcomes by 2025
• Improved access to standardized treatment
services including timely diagnosis, treatment,
and efficient referral. This will reduce
readmission rates and improve the use of
operating theaters.

27. CONCLUSION
• The strategic plans developed by the Ministry of Health and
Medicine in our country has recognised the heterogeneity
of the NCD burden.
• However, policy agendas emphasise interventions that are
consistent with global plans focused on reducing the
burden and targets of NCD.
• Consequently, strengthening NCD policy will give a better
future for Fiji and it’s citizens.

28. REFERENCE