title: Diabetes prevention and control: National Action Plan for NCD Prevention, Control and Health Promotion in Pakistan.
abstract: More than 10% of the adult population in Pakistan suffers from diabetes. The National Action Plan for Non-communicable Disease Prevention, Control and Health Promotion in Pakistan (NAP-NCD) incorporates prevention and control of diabetes as part of a comprehensive and integrated national non-communicable disease (NCD) prevention effort. Building on existing data, the diabetes surveillance process has been integrated with a comprehensive population-based NCD surveillance system using waist circumference as a proxy indicator for the risk of diabetes in the short term; however, the surveillance strategy makes a case for future efforts to upgrade surveillance to allow a more comprehensive assessment incorporating biochemical assessments. The programme focuses on diabetes prevention by maximizing risk factor control as a common theme across the range of NCDs and lays emphasis on integrating prevention of'diabetes and intensified case finding in high-risk groups into health services as part of a comprehensive and sustainable, scientifically valid, culturally appropriate and resource-sensitive Continued Medical Education (CME) programme for all categories of healthcare providers. The programme also focuses on ensuring availability of anti-diabetics (insulin, sulphonylureas, metformin) at all levels of healthcare. Building capacity in the health system and coalitions in support of diabetes prevention has also been regarded as being critical.
authors.forename: Sania
authors.initials: S
authors.lastname: Nishtar
authors.forename: Samad
authors.initials: S
authors.lastname: Shera
authors.forename: Ghazala
authors.initials: G
authors.lastname: Raffique
authors.forename: Khalif Bile
authors.initials: KB
authors.lastname: Mohamud
authors.forename: Ashfaq
authors.initials: A
authors.lastname: Ahmed
mesh_terms: D003140:Communicable Disease Control / Q000379:methods / Q000592:standards; D003919:Diabetes Insipidus / Q000453:epidemiology / Q000517:prevention & control*; D004194:Disease / Q000145:classification; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D006801:Humans; D009313:National Health Programs; D010154:Pakistan / Q000453:epidemiology; D011314:Preventive Health Services / Q000379:methods / Q000458:organization & administration* / Q000592:standards