心血管病管理建议.pptVIP

World Health Report 2003: S h a p i n g t h e f u t u r e WHO 心血管病管理建议刘力生 WHO Mandate WHO has received several global mandates from its governing bodies to take action Global Strategy for Prevention and Control of NCDs Global Strategy on Diet, Physical Activity and Health WHO Framework Convention on Tobacco Control. These provide the basis for taking international action WHOs fundamental role Provide scientific and technical leadership Articulate evidence-based policy options Set norms and standards How do countries achieve the correct balance ? Population wide approach High risk approach Per capita expenditure on health (International dollars ) Out of pocket expenditure on Health Sri Lanka China Indonesia Myanmar Nigeria Imbalance Public health vs Curative care Primary HC vs Tertiary Peripheral vs Central Barriers  Imbalance Insufficiency Inefficiency Inequalities Major challenges Strengthen health systems (equitable and responsive) Health prioritised (within development and economic policies) Design CE strategies (respond to diverse and evolving needs) Mobilize more resources for health Improve quality of health data for monitoring Primary Health Care A renewal of primary health care Support a policy of universal Access to HC Integrate care of CVD into PC Strategies Advocate sustainable approaches Look beyond health- to broad determinants (education, poverty, gender, environment) Position right to health as a human right (new initiative to scale up Rx) Affordability ;No of days wages WHOs role Advocacy; global and regional Promote intersectoral collaboration Position CVD/NCD within CCS Technical assistance for upstream policy Articulate CE and evidence based (quality) care Strengthen capacity at country level Align health with development Context Cardiovascular risk 75% of strokes and HA explained Age Gender WHO / ISH collaboration Quantifying Cardiovascular Risk Subject X