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ueda2103 mena region in the coming triennium-d.adel
- 1. MENA Region In The Coming Triennium Prof. ADEL A EL-SAYED MD Chair IDF-MENA Region Professor of Internal Medicine Sohag Faculty of Medicine Sohag-EGYPT
- 3. Introduction • Diabetes is a major 21st century health and development challenge. No country, rich or poor, is immune to the epidemic. Its impact on individuals and economies is enormous and continues to grow. • The greatest burden of diabetes is increasingly falling on low- and middle-income countries • And the cost of the disease to health services will continue to rise with catastrophic consequences for vulnerable economies and people with diabetes. • We live in an area –the Middle East and North Africa Region- with very high prevalence of diabetes.
- 4. The Top 10s (number of people with diabetes)
- 5. IDF Diabetes Atlas 5th Edition 2012 Update New estimates for 2012 of diabetes prevalence, mortality, and healthcare expenditures
- 9. IDF • IDF is the global advocate of the people with diabetes. • Strategic Plan 2013-2015: Goals and priorities • Goals 1. Improve health outcomes for people with diabetes 2. Prevent the development of type 2 diabetes 3. Stop discrimination against people with diabetes
- 10. IDF • Strategic Plan 7 priorities: 1. Support and strengthen IDF’s regions and Member Associations for global people’s movement.
- 11. IDF • To achieve the strategic plan we need: 1- Political recognition. 2- Immediate action.
- 12. IDF Political Recognition • The 2006 UN Resolution on Diabetes • the 2011 UN High-Level Summit on NCDs • the WHO Formal Member State Consultation on the Global Monitoring Framework 5-7 November 2012
- 13. Global Monitoring Framework Global Outcome Targets • Halt the rise in diabetes and obesity • 10% relative reduction in prevalence of physical inactivity • 30% relative reduction in prevalence of current tobacco use in persons aged 15 years+ • 80% availability of affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities • 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes • In addition to other targets.
- 14. Political Recognition Insufficient St. Vincent Declaration story
- 15. IDF Immediate Action • Who will act: Regions and member associations • Role of IDF: Support and strengthen IDF’s regions and Member Associations for global people’s movement.
- 16. We Are Responsible… • No body can work alone: Huge work required. • We have to determine national specific targets. • You have to find out the best strategies.
- 17. We Are Responsible… No body can work alone: Collaboration. • Collaboration within the IDF: National Regional International • Collaboration with other stakeholders: WHO
- 18. We Are Responsible… You have to determine the national specific targets.
- 19. Global Monitoring Framework Global Outcome Targets • Halt the rise in diabetes and obesity • 10% relative reduction in prevalence of physical inactivity • 30% relative reduction in prevalence of current tobacco use in persons aged 15 years+ • 80% availability of affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities • 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes • In addition to other targets.
- 20. We Are Responsible… finding out the best strategies • Ideas • Working groups • Funding • Follow up
- 21. Ideas Examples • Surveys • Specialized clinics • Studies • Education: Diabetes Diploma • Technology: e-medicine, m-medicine • …………………..More
- 24. 2.5 Strengthen partnerships and collaboration with all stakeholders, including United Nations agencies and civil society organizations, in order to implement the regional Framework for Action.
- 26. • Implement/strengthen the WHO surveillance framework that monitors exposures (risk factors), outcomes (morbidity and mortality), and health system capacity and response (interventions) • Develop national targets and indicators based on WHO guidance • Integrate surveillance and monitoring schemes for noncommunicable diseases into national health information systems • Develop clear indicators to measure the engagement of non-health sectors
- 27. Funding
- 29. 7 Moroco 2003 8 Algeria 2001 4 Tunisia 1988 3 Mauritania 1998 1 4 Libya 2001 13 Egypt 1997 7 Yemen 2002 24 Saudi Arabia 2004 26 UAE 2006 15 Qatar 19 Bahrain 16 Jordan 2004 9 Syria 1999 1 3 Lebanon 1997 3 Sudan 1996 5 Iraq 1979 1 6 Oman 200 <10% 10-20% >20%
- 34. November 4, 2009