Multisectoral Action Plan on the Prevention and Control of NCD in Nepal 2014-2020

The UNGA resolution only calls upon member states to develop an action plan for the 4 diseases/ 4 risk factors namely: Cardiovascular diseases (CVDs), Chronic Respiratory Diseases (CRD), Cancers and Diabetes and tobacco use, harmful use of alcohol, unhealthy diet, and physical inactivity. The Nepal action plan in addition would address Indoor air pollution, Road safety, Oral health and mental health as one additional risk factor and 3 additional NCDs.

Vision

All people of Nepal enjoy the highest attainable status of health, well-being and quality of life at every age, free of preventable NCDs, avoidable disability and premature death.

Goal

The goal of the multisectoral action plan is to reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in Nepal.

Specific objectives

1. To raise the priority accorded to the prevention and control of non-communicable diseases in the national agendas and policies according to international agreed development goals through strengthened international cooperation and advocacy
2. To strengthen national capacity, leadership, governance, multisectoral action and partnership to accelerate country response for the prevention and control of non- communicable diseases
3. To reduce modifiable risk factors for non-communicable diseases and underlying social determinants through creation of health-promoting environments
4. To strengthen and orient health systems to address the prevention and control of non-communicable diseases and underlying social determinants through people centered primary health care and universal health coverage.
5. To promote and support national capacity for high quality research and development for the prevention and control of non-communicable diseases
6. To monitor the trends and determinants of non-communicable diseases and evaluate progress in their prevention and control

Targets

In line with the sentiments of South East Asia Regional NCD targets, Nepal also adopts the same 10 targets to be achieved by 2025.

1. 25% relative reduction in overall mortality from cardiovascular diseases, cancers, diabetes, or chronic respiratory diseases
2. 10% relative reduction in the harmful use of alcohol
3. 30% relative reduction in prevalence of current tobacco use in persons aged over 15 years
4. 50% relative reduction in the proportion of households using solid fuels as the primary source of cooking 
5. 30% relative reduction in mean population intake of salt/sodium
6. 25% reduction in prevalence of raised blood pressure
7. Halt the rise in obesity and diabetes
8. 10% relative reduction in prevalence of insufficient physical activity
9. 50% of eligible people receive drug therapy and counseling (including glycemic control) to prevent heart attacks and strokes
10. 80% availability of affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities

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