2. GROUP MEMBERS
1. GANESH POUDEL (LEADER)
2. BIJETA KHATIWADA (CO-LEADER)
3. MADAN NEPAL
4. NISHUM RAI
5. PUJA THAPA
6. SUSMITA SINGH
7. PADAM GIRI
2
3. PRESENTATION OUTLINE
INDIVIDUAL EFFORT
ROLE FOR DIFFERENT
SECTORS
MSNP 2021-25
SHORT OVERVIEW
TREND ANALYSIS OF
NCDS
DRUG
DEPENDANCE
INTRODUCTION TO
NCD & RISK FACTOR
DISEASE BURDEN
4. Presentation Objectives
• To provide information on rising burden
of NCDs
• To present relevant data and facts on
the NCDs
• To discuss about the trends and
burden of Non Communicable
Diseases
5. ARE WE ABLE TO IMAGINE GOOD
HEALTH WITH THE WAY WE ARE
LIVING OUR LIFE???
6. Non-communicable diseases
(NCDs), also known as chronic
diseases, tend to be of long
duration and are the result of a
combination of genetic,
physiological, environmental and
behavioral factors
9. Non-communicable diseases are a major
public health problem in Nepal accounting
for around 60% of the total annual deaths in
2016 (WHO).
Nepal Burden of Disease 2017 shows that
NCDs are the leading causes of death with
two thirds (66%) of death attributed to NCDs,
and an additional 9% to injuries.
15. More than 15 million
people die from a
NCD between the
ages of 30 and 69
years.
16. Every 2 seconds
someone aged 30 to
70 years dies
prematurely from
NCDs.
In 2013, WHO developed a
global action plan with a
vision to reduce preventable
and avoidable burden of
morbidity, mortality and
disability caused by NCDs by
2030.
17. NATIONAL BURDEN
A total of 193,331 deaths
were estimated in Nepal for
the year 2019, of which 71.1 %
of deaths were due to NCDs.
18. Cardiovascular diseases
(CVDs) were the leading
cause of death, with 24% of
total deaths being
attributable to CVDs.
• The proportion of deaths attributable to
CVDs was 26.8% in males and 20.7% in
females.
19. The deaths due to NCDs
have increased from 60%
of all deaths in 2014 to
66% in 2018
In 2019, 61.2% of total
DALYs were due to
NCDs, 29.3% were due to
CMNN diseases and 9.6%
were due to injuries.
20. Cancer was responsible
for 6.8% of total DALYs
in both sexes, 6.7% of
total DALYs in males and
6.8% of total DALYs in
females.
28. Introduction
A state in which
individual uses the
drug so frequently &
consistently that it
appears difficult for the
person to get along
without using the drug.
28
36. PUBLIC HEALTH IMPACT OF
DRUG DEPENDENCE
More Emphasis On
Drug Than
Lifestyle Modification
Mass Drug
Resistance/ Tolerance
Increased Adverse Drug
Reaction Among People
Increase Economic
Burden
Increased
Comorbidity
42. ● Raise the priority accorded to the prevention and
control of non communicable diseases in global,
regional and national agendas and internationally
agreed development goals, through strengthened
international cooperation and advocacy.
● Strengthen national capacity, leadership, governance,
multisectoral action and partnerships to accelerate
country response for the prevention and control of non-
communicable diseases.
● Reduce modifiable risk factors for non-communicable
diseases and underlying social determinants through
creation of health-promoting environments.
43. ● Strengthen and orient health systems to address the
prevention and control of non-communicable diseases
and the underlying social determinants through people-
centered primary health care and universal health
coverage.
● Promote and support national capacity for high-
quality research and development for the prevention
and control of non-communicable diseases
● To monitor the trends and determinants of non-
communicable diseases and evaluate progress in their
prevention and control.
46. ● Coordinate for Annual national steering
Committee meeting and circulate
guidance of the committee to
stakeholders.
● Promotion of national guidelines got
physical activities and diet.
● Enforcement of tobacco, alcohol and
road traffic regulation.
47. ● Regulate ban on tobacco advertisement
and sponsorship by alcohol, tobacco
and food
● Pricing and taxation of tobacco, alcohol
and food production.
● Enforcement and implementation of
urban design drinking water and
sanitation.
49. Vision: Healthy and productive citizen free
from NCDs.
Goal: The goal of the multisectoral action
plan is to reduce preventable morbidity,
avoidable disability and premature mortality
due to NCDs and reduce the burden of
NCDs in Nepal.
49
50. To reduce morbidity and premature
mortality caused by NCDs through
prevention and control and uplift the living
standard of Nepalese citizens.
50
51. Strategic objectives for MSAP
2021-2025 AD
• Reduce the cause of NCDS and address the
social factors associated with NCDs.
• Improve the citizen friendly health delivery
systems for effective prevention and control
of NCDs.
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52. Targets (At the end of 2025 AD)
• 25% relative reduction in overall mortality
from CVD, cancers, diabetes, or COPD.
• 10% relative reduction in the harmful use
of alcohol.
• 30% relative reduction in prevalence of
current tobacco use in persons aged over
15 years.
52
53. • 50% relative reduction in the proportion of
households using solid fuels as the primary
source of cooking
• 30% relative reduction in mean population
intake of salt/sodium.
• 25% reduction in prevalence of raised blood
pressure Halt the rise in obesity and
diabetes. 53
54. • 10% relative reduction in prevalence of
insufficient physical activity.
• 50% of eligible people receive drug therapy
and counseling (including glycemic control)
to prevent heart attacks and strokes.
• 80% availability of affordable basic
technologies and essential medicines,
including generics, required to treat major
NCDs in both public and private facilities.
55.
56.
57.
58.
59.
60.
61.
62.
63. References
● DOHS REPORT 2076/77
● MSNP REPORT 2021-2025
● BURDEN OF DISEASE NHRC-2019
● GLOBAL ACTION PLAN NCD 2013-2020
● MOHP/EDCD
● WHO ANNUAL REPORT
