Diabetes prevention and control: National Action Plan for NCD Prevention, Control and Health Promotion in Pakistan.
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.
Nishtar
Sania
S
Shera
Samad
S
Raffique
Ghazala
G
Mohamud
Khalif Bile
KB
Ahmed
Ashfaq
A
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