Advances in the fight against the non comunicable diseases in Peru: a long way to go

21/09/2015

In Peru, acording to the World Health Organization (WHO), 66% of the total deaths are attribuitable to the non communicable diseases (ENT)1, of which 45% match to premature deaths 2. The challenge taken worldwide is to reduce in 25% the premature mortality attribuitable to the non communicable diseases for the year 2025. Is Peru prepared to respond adequately to a challenge so big like the one mentioned? The results of the implementation of a new tool of monitoring called “NCD Scorecard” show that there is still a very long way to go 3.

The NCD Scorecard presents the progress of the 23 countries in the matter of fighting against the non communicable diseases through the evaluation of 51 indicators distributed in 4 domains: governance, risk factors, monitoring and research, and health system. So, the progress achieved by Peru is located between low and moderate in the different domains evaluated by the NCD Scorecard, similar to countries like Tunisia, Belize, Dominican Republic, Panama and South Africa.

The progress achieved is low when the actions are directed to reduce the main risk factors, just like the development of the information systems and monitoring (For example, to mesure the consumption of tabaco, physical activity, etc.) While the progress is moderated in the answer to the health system ad gobernanze (For example, the existence of programs and politics for non communicable diseases).

It’s important to recognize at the level of the government, there is a commitment to cope with the non communicable diseases, which it has resulted in the creation of policies and plans as well as the creation of a special unit in the Ministry of Health in charge of coordinating efforts in this area. However, it is also important to urge that greater cross-sectoral efforts with more resources available, especially to unfold: to improve information systems for monitoring NCDs and their risk factors; implement actions to reduce the consumption of salt, sugar, saturated and trans fats; adequately supervise the marketing of foods offered to children; and ensure the availability of essential drugs from the primary care level (as blockers of calcium channels, statins, metformin, insulin, etc.).

The way we go missing to achieve slow the progression of NCDs is long and requires a better effort made so far, which is necessary to set clear goals, concrete actions that integrate different sectors and a permanent monitoring of progress . One way to monitor the progress of a country in the fight against NCDs is using tools such as NCD Scorecard, which also allows you to compare how they are facing this struggle the different countries.

Additonal Information:

  • CRONICAS Center of Excelence in Chronical Disease of the Peruvian University Cayetano Heredia participated in the implementation of the NCD Scorecard in Peru
  • The methodologgy and results for the 23 countries that are participating are available in:NCD
  • For more information via e-mail, contact with Maria Kathia Cárdenas: Maria.Cardenas.G@upch.pe
  • For more information via social media: @NCDscore , @cronicasperu , @jjaimemiranda , cronicasperu

 
References

  1. World Health Organization (2014). Global status report on noncommunicable diseases 2014.. Ginebra: World Health Organization. Available in: WHO
  2. World Health Organization. (2014). Global health observatory data repository. Ginebra: World Health Organization. Available in: appsWHO
  3. Roman, Ana Victoria et al. (2015). A scorecard for tracking actions to reduce the burden of non-communicable diseases. The Lancet, Volume 386, Issue 9999, 1131 – 1132. Available in: TheLancet

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