Message from the Country Representative for Sri Lanka, World Health Organization
2. 5 Promote healthy behaviours and reduce NCDs in key settings
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
Availability of a revised NCD
2.5.1.a Design and launch a public education
HEB
2016-2017
communication strategy
campaign on NCD
NCD Unit
promoting healthy behaviours
• revise the NCD communication strategy
• conduct mass media campaign through
NCD Unit
2016-2020
electronic, print and online media
HEB
No. of functioning healthy villages
2.5.1. b Establish health promotion settings • establish healthy villages
HEB
2016-2017
No. of functioning healthy schools
2.5.1 Reduced risk of
NCD Unit
NCDs among school
PDHS
No. of functioning healthy work
children university
places
RDHS
students students in
• establish healthy promoting schools
Ministry of Education
2016-2020
vocational institutions Availability of guidelines for a
FHB
healthy village
and among the
NCD unit
workforce
Availability of guidelines for a
PDHS
healthy school
Availability of guidelines for a
• establish healthy workplaces
PDHS RDHS
healthy workplace
of work places with inter sectoral • develop guidelines for a healthy village
HEB
working groups
• conduct workshops at MoH level with other
HEB
2016-2020
officials to map stakeholders and to design
NCD unit
health promotion activities
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
Continued.
• develop guidelines for a healthy
Ministry of Education 2016
develop guidelines for a healthy
EOH
2017-2018
workplace NCD unit
•
establishment of inter sectoral working Relevant Ministries 2016
groups in work places to promote healthy behavior
• conduct experience sharing events:
NCD unit
2016-2020
healthy dish exhibitions, PA competitions
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
2.6 Reduce household air pollution
Desired outcome
Time frame
2.6.1.a Advocate and introduce a policy to reduce air pollution
Proportion of households with
• advocacy meetings with all
Ministry of Environment
2016 – 2017
solid fuel as primary source of
relevant stake holders to
Central Environmental Authority
cooking
reduce air pollution
Department of Sustainable Energy
• introduce a policy to reduce air NCD Unit
pollution
NPTCCD
Percentage of households using
• advocacy with stakeholders to EOH
improved cook stoves
promote clean fuel for cooking • introduction of cleaner
Ministry of Environment
2016 – 2020
2.6.1 Household air
Percentage of households using
technologies and ovens with
Central Environmental Authority
pollution due to solid
LP gas for cooking
less fume, improved cook
Department of Sustainable Energy
fuel use for cooking is
stoves
reduced
2.6.1.b Conduct training
NCD Unit
2016- 2020
programmes for Medical Officers
EOH
and other health staff on reducing NPTCCD indoor air pollution
Availability of indoor air quality
2.6.1.c Develop indoor air quality
Ministry of Environment
Central Environmental Authority Department of Sustainable Energy
Availability of data on effective
2.6.1.d Conduct research on
Ministry of Environment
2016- 2020
interventions to reduce air
interventions to reduce indoor air
Central Environmental Authority
pollution in local context
pollution in local context
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Time frame
2.6.2.a Improve public awareness on passive smoking • conduct awareness
NATA
2018 – 2020
programmes on second hand
NCD unit
smoking at home for School
NCCP
children and for community
Ministry of Environment
groups
Central Environmental Authority Department of Sustainable Energy
2.6.2 Passive smoking is Knowledge on passive smoking, its reduced
harm and how to prevent
• conduct mass media campaign HEB
2017-2020
on passive smoking
EOH
o telecast commercials on indoor NPTCCD
air pollution
NCD Unit
o develop IEC materials
Ministry of Environment
o publish paper advertisements
Central Environmental Authority Department of Sustainable Energy Professional Colleges
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Strategic Action Area 3: Health system strengthening for early detection and manage- ment of NCDs and their risk factors
3.1 Access to health services
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
3.1.1a Increase availability and access to NCD screening services
• change the service hours of HLCs
NCD unit
• revise the upper age limit for NCD
screening
NCD unit
Professional Colleges
• revise the HLC guideline
NCD unit
Proportion of eligible people
• make available free downloadable
NCD unit
2016-2020 49
screened for NCDs
application to assess cardiac risk (to be
3.1.1. Improved
used in electronic devices)
access to services for
• revise the basic package for NCD
early detection and
NCD unit
screening
management of NCDs
o HLCs
and their risk factors
Proportion of screened people
o workplaces
assessed for cardiac risk
o mobile clinics • introduce health record for every one
above 20 yrs
NCD unit
• develop criteria to screen persons 20yrs – NCD unit
40yrs for diabetes
Professional Colleges
• facilities to perform OGT in screened
NCD unit
people with FBG 100- 125 mgdl
Professional Colleges
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
3.1 Access to health services
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
3.1.1.b improve availbility and access to essential
Percentage availability of NCD medicine and technologies essential NCD medicines,
• revise the national essential NCD drug list NCD unit
including generics, and basic MSD technologies in both public and PDHS private facilities RDHS
• monitor the availability of essential NCD
Proportion of out of pocket
NCD unit
drugs at central and district levels
expenditure
MSD PDHS
Availability of national
RDHS
• develop revise then basic essential
50 essential
NCD unit
3.1.1. Improved
technology list for management of NCDs
NCD drug list
MSD
access to services for
Biomedical Engineering
early detection and
Percentage of health
Dept (BMED)
management of NCDs
institutions having
and their risk factors
• identify the life saving technologies
NCD unit
technologies and investigation
for managing NCD in initial phase of
MSD
facilities for primary,
emergency response
Professional Colleges
secondary and tertiary
Biomedical Engineering
prevention
Dept (BMED)
• improve the Bio medical Engineering
Availability of a national
essential technology list
NCD unit
2016-2020
• make availability of services to do Fasting MSD
Lipid profile at BH and above Availability of low cost • advocacy to make the basic technologies
effective generic products to
and essential NCD drugs available in the
MSD
treat NCDs
private sector
Director private health
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
• Promote procurement and use of generic MSD
medicine for prevention and control of
National Medicine
NCDs
Regulatory Authority
o establish a mechanism to assure the
Professional Colleges
quality of generic products o educate the prescribers o educate the consumers
Continued. • post marketing surveillance for essential
National Medicine
NCD drugs Regulatory Authority
RDHS
• develop MRI and lab facilities in other
access to services for
RDHS
early detection and
3.1.1.c Improve NCD management at Primary
management of NCDs
Availability of revised NCD
Health Care level
and their risk factors
management guidelines to be
• revise NCD management guidelines to be NCD Unit
used in PHCs
used in PHCs
PHC unit
• reduce risk threshold for starting statins
Availability of a referral and
NCD Unit
back referral system
Professional colleges NCD Unit
• integrate NCD management in to the PHC
Accredited quality assurance
PHC unit
system and identify basic primary care system is available
package for NCD management at PHC • establish a referral and back referral
Availability of a training
NCD Unit
system at PMCU for NCDs
module on management of
PHC unit
NCDs at the PMCU
Quality Assurance Unit
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
• establish a quality assurance system
NCD Unit
for PMCU to improve the quality of care
PHC unit
No. of MOO practice NCD
with focus on clinical services quality
Quality Assurance Unit
management guidelines at
standards , management systems and risk
PMCU
management • develop a training module on
Professional Colleges 2017
Availability of guidelines on
management of NCDs at the PMCU
NCD Unit tools guidelines for self- care • training of the MOO on NCD management
of major NCDs
2016 • develop tools guidelines for self- care of Professional Colleges
at PMCU
NCD Unit
3.1.1. Improved
major NCDs
NCD Unit
access to services for early detection and
3.1.1.d Improve availability and access to
management of NCDs
palliative care
52 and their risk factors
• develop guidelines on the palliative care
Professional Colleges 2017
in NCDs
NCD Unit
Availability of guidelines on the
NCCP
palliative care in NCDs
YED
No. trained on palliative care in • develop terminal and palliative care
Professional Colleges 2018
NCDs
protocols for cancers , CVDs , COPDs,
NCD Unit
diabetes
NCCP
• Training of the MOO on palliative care in
Professional Colleges 2016
NCDs
NCD Unit Cancer control unit
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
2016-2020
Indicator
Proposed actions
Responsibility
Time frame
Desired outcome
No. of trained healthcare
3.1.1.e Capacity building of healthcare
NCD Unit
workers to manage NCDs
workers to manage NCDs
Availability of separate budget 3 .1.1.f Develop policies for sustainable health NCD Unit
allocated for NCD
financing for NCD
Ministry of Finance
3.1.1. Improved ac- cess to services for
No. of TV commercials aired on
3.1.1.g Publicize screening services through a NCD unit
2016-2017
early detection and
screening
mass media campaign
Ministry of Mass Media
management of NCDs
•
telecast commercials to promote
Professional Colleges
and their risk factors No. of TV commercials aired on
screening
HLCs
Continued.
•
telecast commercials to promote
utilizing HLCs
No. of paper advertisements
•
publish Paper advertisements on
published HLCs
•
conduct social media campaign on
screening
•
develop IEC materials on screening
and HLCs
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility Time frame
Availability of a standardized
3.1.1.h Establish a Council to produce clinical guidelines on
Professional Colleges 2019
and efficient system to
NCDs
Academia
produce clinical guidelines
NCD unit
Availability of a well
3.1.1.i Improve access to services to manage Cardiovascular
equipped PCI centre at NHSL Diseases
• provide dug therapy and counseling (including gly
NCD unit
caemic control) for eligible people to prevent heart
MSD
. of trained staff available
attack and stroke
at PCI centres • strengthen the PCI centre at NHSL with provision of
equipment and human resources
MoH
2017 - 2019
of provinces with at least • ensure provision of adequate human resources, tec
nologies and other resources to function cardiac cath
3.1.1. Improved
PCI centre
eterization lab at NHSL for 24 hours in a phased out
access to services
manner
for early detection and management of Availability of equipment for • establish PCI (per cutaneous coronary intervention) NCDs and their risk
emergency management
MoH
2017 - 2020
centres one per province in a phased manner
factors
services
Continued.
• strengthen the transport system and train a team to
manage AMI at provincial level
Availability of emergency
MoH
management services with ambulance facilities
• improve availability of equipment to Cardiology Units in
MoH
2018 - 2019
to manage AMI patients at
cardiology unit, Colombo
selected hospitals
• improvements to the cardiology units of selected hos
MoH
2018 - 2019
Availability of emergency pitals management services with • construction of cardiac operation theatres, procurement
ambulance facilities to
of equipment, development and provision of equipment MoH
2018 - 2019
manage AMI patients in
to cardiac ICUs in selected hospitals
other provinces
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
3.1.1.j Improve access to services to manage Diabetes Mellitus
Availability of criteria to do
• develop criteria to do HbA1C in medical
Professional Colleges
HbA1C in medical clinics
clinics
NCD unit
• provide facilities to do HbA1C in medical
Availability of updated
MOH
clinics Diabetes management
•
guidelines
• develop update the diabetes
Professional Colleges
management guidelines
NCD unit
of diabetes patients
• services to perform monthly FBS or RBC
MOH
investigated for HbA1C once in in diabetes patients in medical clinics
three months • services to perform HbA1C once in three
months until the target is achieved. Once MOH
2018-2020
Availability of a updated
3.1.1. Improved ac-
a year after that
revised diabetes management
cess to services for
• services for yearly 24 urinary protein
early detection and
check in diabetes patients
management of NCDs
• services yearly podiatry review of
of diabetes patients
MOH
and their risk factors
diabetes patients
examined for yearly podiatry
Continued.
• services for two yearly ophthalmology
review of diabetes patients • provisions for all diabetes patients to get
of diabetes patients
MOH
statins examined for two yearly
• screening of mothers who had
ophthalmology review
MOH
gestational diabetes • strengthen post natal programmes to
of diabetes patients on
FHB
target gestational diabetes women statin
• conduct programmes to reduce
gestational diabetes- pre conception
NCD unit
of gestational diabetes screening for overweight and obesity
mothers screened for DM after
• conduct programmes to reduce low birth
the pregnancy
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Indicator
Proposed actions
Responsibility Time
Desired outcome
frame
school children screened for asthma 3.1.1.k Improve access to services to screen Chronic Respiratory Diseases (CRD) - Asthma and chronic obstructive
of work places where workforce is
Pulmonary Disease (COPD)
screened for asthma
• screening for CRD in the
NPTCCD 2016
NCD unit • screening for CRD in the workplaces EOH
schools
2017 NPTCCD NCD unit
3.1.1. Improved access to
• screening adults > 40 years for CRD
NPTCCD 2017
56 services for early detection
NCD unit
and management of NCDs and their risk factors
of asthma patients managed
3.1.1.l Improve access to services to
Continued. manage CRD
according to asthma guidelines
• print and disseminate guidelines
NPTCCD
for the management of CRD
NCD unit
of asthma patients receiving
Professional
essential drugs
College
• improve the knowledge of the
Professional 2017
patients on asthma and using
Colleges
of medical chest clinics with
inhalers
essential equipment to manage asthma
• introduce self management plans
Professional 2016
for CRD patients
Colleges
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
• increase the availability of equipment
MSD
for the diagnosis and assessment of CRD NPTCCD patients
PDHS
o
Peak flow meters
RDHS
o
Pulse oximeters
NCD unit
o Spirometers • establish community based palliative
Professional Colleges
of asthma patients
care for end stage COPD patients
managed according to asthma guidelines
• develop guideline on management of
Professional Colleges
3.1.1. Improved ac-
COPD
cess to services for
of asthma patients receiving 57
o
Pneumococcal and influenza
early detection and
vaccination for COPD patients
essential drugs
management of NCDs
o
referral of COPD patients
and their risk factors Continued.
• training of health staff on CRD
of medical chest clinics
develop a training module
with essential equipment to
Professional Colleges
manage asthma
o
conduct training • improve services for recognizing and
managing asthma in schools
Professional Colleges
o
training of teachers and students
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Indicator
Proposed actions
Responsibility Time frame
Desired outcome
Availability of a documentation
3.1.1.m Improve availability of data on
procedure on asthma patients
CRD •
establish a standardized
NPTCCD
documentation procedure for NCD unit
Availability of data collection system
the CRD patients
Professional
of the asthma patients
College
•
develop a data collection
NPTCCD
system of the CRD patients
NCD unit Professional College
3.1.1. Improved access to
Knowledge of different community
3.1.1.n Increase public awareness on
services for early detection
category on risk factors for asthma
CRD
58 and management of NCDs
•
develop IEC materials on CRD
NPTCCD
and their risk factors
o
TV commercials on CRD
NCD unit
Continued.
o
paper advertisements on CRD
Professional College
•
conduct awareness
NPTCCD
programmes at the community, NCD unit schools and work places on CRD Professional
College
Availability of data on epidemiology
3.1.1.0 Conduct Research to identify
NPTCCD
of CRD in Sri Lanka and occupational
epidemiology of CRD in Sri Lanka and
MSD
hazards
occupational hazards
NCD unit
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
3.1.1.p Improve Cancers screening services
No. of provinces having at least one
• establish comprehensive cancer
NCCP
2016 - 2020
comprehensive cancer screening
screening service at each
Hospital
service out of all provinces
province
Directors of
• increase mammography
capacity
Teaching
• ensure colposcopy services are
Provincial General
No. of provinces having at least one
available at provincial level
Hospitals
mammography facility out of all
3.1.1. Improved access to 2016 - 2020 provinces
• expand the coverage of Well
FHB
Women Clinic Services for cervical NCCP
services for early detection
cancer screening breast cancer
NCD Unit
and management of NCDs
early diagnosis at MoH level
and their risk factors 59
PDHS
No. of provinces having at least
Continued.
one colposcopy service out of all
• pilot HPV testing for cervical
cancer screening
NCCP
• strengthen Oral potentially
NCCP
malignant disorders Oral cancer
Coverage of cervical cancer
screening at MoH level
screening out of target population
• introduction of HPV vaccination
Epidemiology
for cervical cancer prevention
Unit
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Indicator
Proposed actions
Responsibility Time frame
Desired outcome
Percentage of cancers detected at
3.1.1.q Improve the diagnostic and
NCCP
2016-2018
an early stage out of all cancers for
treatment facilities for cancer
Professional
breast, oral cervical
• develop clinical management
Colleges including
guideline for common cancers
College of
-Breast Oral cancer
Oncologists
3.1.1.r Strengthen radiotherapy
MoH
2016-2020
facilities at nine cancer treatment centres
60 No. of cancer treatment centres
3.1.1.s Improve palliative care for
NCCP
2016-2020
3.1.1. Improved access to
having palliative care consult service
cancer patients
Hospital Directors
services for early detection
out of all cancer centres
• development of palliative care
of Teaching
and management of NCDs
consult services at cancer treatment Provincial General
and their risk factors
centres in phased out manner
Hospitals
Continued.
• training of health staff on palliative
NCCP
2016-2020
care for cancer patients
Professional colleges
3.1.1.t Improve public awareness on
NCCP
2016-2020
cancer • develop and disseminate audio
video campaigns • develop disseminate IEC materials
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
3.2 Health workforce
Desired outcome
Indicator
Proposed actions
Responsibility
Time Frame
Availability of a
3.2.1.a Improve availability of human resources
MOH
healthcare worker in the • increase the No. of PHMM or identify a new field to do NCD activities
cadre to perform NCD activities at the field level and project the required cadre
3.2.1.b Capacity building of the health workers • development of a training curriculum for
NCD unit
MO(NCD) in NCD • conduct two weeks training programme for
NCD unit
2016-2020
MOO(NCD), annually
3.2.1 Availability of
• develop a training curriculum for other
NCD unit
adequate competent
health staff in NCD
health workforce for
Availability of a training • introduce in service training programme on
prevention, diagnosis
NCD unit
2016-20
curriculum for other
NCD of for all health category; PHNS,PHM,PHI
and management of
health staff in NCD
• revise the available NCD modules in basic
NCD
ETR unit
No. of different staff
training programme of health care workers
NCD unit categories trained on
NCD
• training the paramedics attached to
Academia
2016-2020
emergency care services
Colleges NCD unit
3.2.1.c improve training facilities to train the
NCD unit
2018-2019
health workers • Construction of new Provincial training
centres • Improvement of equipment in regional train NCD unit
2018 - 2019
ing centres
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
3.3 Community based approaches
Desired outcome
Indicator
Proposed actions
Responsibility
Time
3.3.1.a Establish community groups Provincial and district health 2016
to be involved in NCD activities
staff HEB
3.3.1.b Formation of community
HEB
patient groups
NCD unit
3.3.1 Community
3.3.1.c Build the capacity of the
Professional Colleges 2016
is empowered for
Availability of empowered
patient groups
prevention and control
community groups on NCD
of NCD
prevention
3.3.1.d Develop an effective model Professional Colleges 2016
to care for patients who need long term care in NCDs
3.3.1.e.Develop guidelines to
HEB
monitor community based approaches
3.3.1.f Monitor community based
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Strategic action area 4: Surveillance, monitoring, evaluation and research
4.1 Strengthen surveillance
Desired outcome
Time frame
(The section on Aligning National NCD MSAP with Global Monitoring Framework specifies the relevant global impact indicators)
4.1.1.a Improve staff and resources dedicated for data management in NCD • establish national surveillance and monitoring
NCD unit
framework for NCD prevention and control • provide adequate human resourcesto manage
MOH
4.1.1 Availability of
data at the medical Statistics Unit
data on relationship
Availability of timely and quality data on
• initiate a web based data collection system for
NCD unit
of one risk factor and NCD and risk factors
morbidity data
Medical Statistics unit
economical burden year
• improve the quality of returns from HLCs
NCD unit
• obtain a software to monitor availability of
MSD
drugs and equipment
Availability of trained staff for data
• develop an IT system to capture the OPD data
NCD Unit
management
as a pilot project
Medical Statistics Unit
Availability of timely and quality data on
• establish a web based data system in each HLC NCD unit
risk factors and economic burden
• conduct STEP survey every 4- 5 yrs
NCD unit
• improve the quality of IMMR data (diagnosis
Medical Statistics Unit 2016 -
and COD)
• improve the quality of Registrar General ‘s
Registrar General’s
death data
dept
Medical statistics unit
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Desired outcome
Indicator
Proposed actions
Responsibility Time frame
• integrate surveillance of NCD in other national Medical statistics 2016-2020
Availability of timely and quality data on
o Census
NCD and risk factors
• training of MRO
Medical Statistics 2016-2020
Unit
Availability of trained staff for data
• training of pre intern doctors
PHC unit
2016-2020
management
4.1.1 Availability of
Availability of timely and quality data on
• conduct workshops to strengthen the vital
Medical Statistics 2016-2020
data on relationship
risk factors and economic burden
registration system
Unit
of one risk factor and
PHC unit
economical burden
Continued
• conduct workshops to improve the medical
Registrar General’s 2016-2020
year
cause of death reporting
Dept
Continued.
• carry out national school health survey
NCD Unit
2018 Medical Statistics
• capacity building for data analysis Unit
• capacity building for data use
Medical statistics 2016
unit
• disseminate the results of surveillance
Relevant units 2016
• update cause specific mortality statistics by
Medical Statistics 2016
sex and age for the latest available year Unit
NCD unit • review the current cancer registry and
establish cancer registries in 2 regional
NCCP
referral hospitals
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
4.2 Improve monitoring and evaluation
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
Availability of a monitoring
4.2.1.a Develop a monitoring framework NCD Unit
framework to assess progress
to assess progress towards the goal
towards the goal Reports of periodic NCD
4.2.1.b Conduct periodic NCD programme NCD unit
programme evaluation
evaluation
Availability of an integrated NCD
4.2.1.c Integrate NCD monitoring into
Medical Statistic Unit
monitoring system into HMIS
HMIS
4.2.1.d Conduct national review meetings NCD unit
4.2.1.e Conduct district review meetings RDHS
4.2.1 Timely reporting
Availability of a mechanism to
4.2.1.f Develop a mechanism to
NCD Unit
of information and
disseminate results – Quarterly NCD disseminate results – Quarterly NCD
timely review of the NCD
Annual report on NCD prevention
4.2.1.g Publish a yearly report
NCD unit
and control An improvea system to monitor
4.2.1.h Monitoring and evaluation
activities in the MSAP at national,
framework for health system intervention
provincial and district level
• clinical audits to assess the
NCD unit
adherence to guidelines
Academia
Availability of a report on the
• assess the health impact of policies in HITA team
health impact of policies in non
non- health sectors
-health sector • conduct Capacity assessment survey
Availability of a capacity
NCD unit
assessment survey report
WHO
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
4.3 Strengthen research
Desired outcome
Indicator
Proposed actions
Responsibility
Time frame
4.3.1 .a Establish a national multi -disciplinary Planning Unit
2016-2017
research committee
NCD Unit
4.3.1.b Prepare a national research agenda for Academia NCD
4.3.1.c Conduct priority research
4.3.1 Evidence
Availability of a mechanism to generate
4.3.1.d Capacity building of officers on
generated and used
research evidence for NCD policy and
research
for national policy and
programming
4.3.1.eEstablish a forum committee to
programmedevelopment
translate research in to policy action
4.3.1.f Identify the country region specific cut - off points
Eg: cut -off for the overweight and obesity, Total Cholesterol level
4.3.3.g Identify research questions to
PGIM
support the implementation, monitoring and
Academia
evaluation of the NCD action plan
NATIONAL MULTISECTORAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NONCOMMUNICABLE DISEASES 2016-2020
Prioritized National Multisectoral Action Plan for
the Prevention and Control of