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ConferenceLife Style & Public Health NutritionPublic HealthPublic Health Events

The Kathmandu Declaration Scaling Up Nutrition (SUN) Movement Global Gathering 2019

by Public Health Update November 13, 2019
written by Public Health Update

The Kathmandu Declaration Scaling Up Nutrition (SUN) Movement Global Gathering 2019

The Scaling Up Nutrition (SUN) Global Gathering brought together over 1,000 global leaders from 101 countries, 1 Indian State, and representatives from the over 3,000 civil society organisations, 600 small, medium, and large enterprises, 5 UN agencies and the international donors and foundations that form the SUN Networks to intensify the response to ending malnutrition.

Preamble

We, the member countries and states that lead the Scaling Up Nutrition (SUN) Movement, met in Kathmandu, Nepal, from 4 to7 November 2019, hosted by the National Planning Commission, Government of Nepal, to make united efforts to prevent a global malnutrition crisis, while protecting the planet.

Recognising that the triple burden of malnutrition – undernutrition, hidden hunger, overweight and obesity – threatens the survival, growth and development of children, young people, women, economies and nations. Affirming that nutrition is a maker and marker of development, and is crucial for achieving the 2030 Agenda for Sustainable Development, member countries of SUN and all stakeholders1 committed to:

  1. Stepping up efforts to improve nutrition during the critical 1,000-day window, from pregnancy to a child’s second birthday, throughout the lifecycle, and targeting all forms of malnutrition;
  2. To transform global and local food systems, so that they deliver nutritious, safe, affordable and sustainable diets within planetary boundaries;
  3. Institutionalise a coordinated multi-sectoral, multi-stakeholder approach, at all levels, needed for a country-led, country-driven SUN Movement – as it enters its third phase (2021-2025).

Outcomes

Anticipating the 2020 Tokyo Nutrition for Growth Summit, to be hosted by the Government of Japan, every SUN country and stakeholder should make Specific, Measurable, Achievable, Relevant, and Timebound (SMART) commitments towards a healthier, better-nourished future. At the mid-point of the UN Decade of Action on Nutrition, with five years to achieve the World Health Assembly nutrition targets, and with 10 years to deliver the Sustainable Development Goals, all stakeholders need to champion convergence, alignment and accountability for impact – through their governments, organisations, companies and networks.

As members and stakeholders of the SUN Movement, we commit to:

From planning to practice: Delivering throughout the policy cycle
  • Securing the highest level of political commitment with heads of government in SUN countries convinced of the necessity of good nutrition for the physical and cognitive development of all people and translating it into a coordinated multi-sectoral response;
  • Appointing focal points, at political and technical levels, to bring together government and stakeholders and linking implementation of the 2030 Agenda for Sustainable Development.
  • Placing the national nutrition plan at the heart of the national development plan and ensuring stakeholder alignment;
  • Securing the buy-in of finance ministers, the involvement of parliaments, and a nutrition budget code, where relevant, while increasing domestic nutrition investment;
  • Ensuring nutrition financing is channelled into multi-sectoral and costed national nutrition
  • Plans, with easily tracked, accountable commitments and disbursements.
Advocating and mobilising for mass change: Making nutrition everyone’s business
  • Involving and increasing community engagement and ownership, particularly young people, for the most appropriate and sustainable actions to ensure that citizens can claim their right to adequate nutrition.

Strengthening capacity for impact at scale: Multi-stakeholder action on universal challenges

  • Adhering to the SUN Movement’s Principles of Engagement and holding each other to account for the innovative approaches and behaviour change that is required to achieve systemic results;
  • Scaling up comprehensive, evidence-based nutrition packages, at national and sub-national levels;
  • Incorporating health, water and sanitation, agriculture, education and social protection systems, and promoting good nutrition for children, adolescents and women;
  • Supporting a well-functioning and positioned multi-stakeholder platform – with the active participation of relevant government sectors, civil society, private sector, UN agencies, donors, among others;
  • Active outreach to regional social and economic organisations to engage them in national nutrition planning, resourcing and planning cycles;
  • Intensified engagement of the UN Resident Coordinators and their ‘whole-of-UN’ representation roles;
  • Establishing a ‘SUN Academy’, accessible to all, that will involve technical training, preserving institutional memory and the SUN Principles of Engagement – inspiring country-based leadership.

Equity, equality and empowerment: Leave no one behind

  • Delivering results by holding each other accountable, guided by the SUN Movement call to action to scale up gender equality and the empowerment of women and girls;
  • Involving youth to make the SUN Movement more inclusive, innovative and effective;
  • Focus on transforming food systems to be healthy, sustainable, and equitable – nourishing people and planet:
  • Ensuring national Universal Health Coverage plans and multi-sectoral nutrition plans are aligned. Essential nutrition services must be part of a strong primary health care system;
  • Bridging the gap between humanitarian and development support in fragile situations.
November 13, 2019 0 comments
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Maternal, Newborn and Child HealthPH Important DayPublic Health

A Global call to action on childhood pneumonia #WorldPneumoniaDay

by Public Health Update November 12, 2019
written by Public Health Update

A Global call to action on childhood pneumonia #WorldPneumoniaDay

Pneumonia claimed the lives of more than 800,000 children under the age of five last year, or one child every 39 seconds, according to a new analysis. Most deaths occurred among children under the age of two, and almost 153,000 within the first month of life. (1) Sounding the alarm about this forgotten epidemic, six leading health and children’s organisations are today launching an appeal for global action. (2)

A global call to action on childhood pneumonia

  1. Develop pneumonia control strategies as part of wider plans for universal health coverage and commit to reducing child pneumonia deaths to fewer than three per 1,000 live births, the target set by the Integrated Global Action Plan for Pneumonia and Diarrhoea (GAPPD).
  2. Strengthen quality primary health care and action on pneumonia as part of national multi-sectoral plans and through integrated strategies (including nutrition, water, sanitation and hygiene, and air pollution), including at community level, focusing on the most deprived and marginalised children.
  3. Increase domestic government investment in health and nutrition (to at least 5% of GDP on health) and ensure that increased spending improves access to child health and nutrition services, including by removing user fees, addressing non-financial barriers to accessing care, and prioritising primary health services.
  4. Improve health governance by ensuring accountability, transparency and inclusiveness in planning, budgeting and expenditure monitoring, including for pneumonia control strategies.
  5. Accelerate vaccination coverage by supporting Gavi’s 2020 replenishment and ensuring the investment drives more equitable vaccination coverage and improves vaccine affordability.
  6. Enhance official development assistance by increasing allocations to child health services and advancing the achievement of universal health coverage (aligned with national priorities and plans), including through pledges as part of Gavi replenishment and Nutrition for Growth.
  7. Engage the private sector to improve access to affordable, quality vaccines, diagnostic tools, new antibiotics, medicines and medical oxygen, especially for the most deprived and marginalised children.
  8. Measure and report progress in achieving universal health coverage to promote accountability for the development of stronger health systems that deliver quality primary health care and reduce child deaths, including from pneumonia, as well as against SDG child survival and GAPPD targets.
  9. Prioritise research, development and innovation to improve access to the most affordable and cost-effective pneumonia prevention, diagnosis, referral and treatment technologies and services.
  10. Champion multi-sectoral partnerships between the child health and nutrition communities and the broader infection control, clean air, water, sanitation and hygiene, and development financing communities.

PREVENT pneumonia in children

  • Increase vaccination coverage
  • Reduce air pollution
  • Improve access to safe water, sanitation and hygiene

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PROTECT children from pneumonia

  • Ensure adequate nutrition
  • Improve breastfeeding practices
DIAGNOSE AND TREAT children with pneumonia
  • Increase care seeking
  • Scale up integrated service delivery and quality of care
  • Ensure access to essential commodities
  • Invest in health workers
  • Achieve universal health coverage to deliver for all children

Fighting for Breath – A Call to Action to Stop Children Dying of Pneumonia
Download report


1- UNICEF analysis produced in September 2019, based on WHO and Maternal and Child Epidemiology Estimation Group (MCEE) interim estimates and the United Nations Inter-agency Group for Child Mortality Estimation estimates for the year 2018.

2- ISGlobal, Save the Children, UNICEF, Every Breath Counts, Unitaid and Gavi, the Vaccine Alliance are calling for concrete commitments from high-burden countries and international donors to tackle pneumonia. Together with the ”la Caixa” Foundation, the Bill and Melinda Gates Foundation and USAID, the group will host the Global Forum on Childhood Pneumonia in Spain on 29-31 January.

 


World Pneumonia Day– We are championing the fight against pneumonia!

Technical Coordinator (Private Sector Engagement)-Strengthening Systems for Better Health

November 12, 2019 0 comments
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PH Important DayPublic Health

World Pneumonia Day– We are championing the fight against pneumonia!

by Public Health Update November 12, 2019
written by Public Health Update

World Pneumonia Day– We are championing the fight against pneumonia! 

World Pneumonia Day, marked every year on November 12, was established by the Stop Pneumonia Initiative in 2009 to raise awareness about the toll of pneumonia – a leading killer of children around the world – and to advocate for global action to protect against, help prevent and effectively treat this deadly illness.

This year on the 10th anniversary of World Pneumonia Day – 12 November 2019 – we are championing the fight against pneumonia.

Pneumonia is a leading killer of young children

  • Pneumonia continues to be the #1 infectious killer of children under the age of five worldwide – more than HIV, TB, Zika, Ebola, and malaria
  • In 2016, nearly 900,000 children worldwide died from pneumonia before their 5th
  • Today, we celebrate our 10th World Pneumonia Day – and we have reason to reflect on our progress. This year, pneumonia will claim the lives of over half a million fewer children than it did each year when we first recognized World Pneumonia Day.
  • Worldwide, pneumonia, a leading killer of children under the age of five, claims the lives of 2,400 young children every day – 100 children every hour. Pneumonia claims one young child every 36 seconds. 
  • People of any age, in every country, are at risk of contracting pneumonia, but a disproportionate number of all childhood deaths from pneumonia occur in impoverished countries, due to conflict, poverty, and weak health systems.
  • For children who acquire pneumonia in developing countries, 70% of deaths could be prevented with appropriate antibiotic treatment that costs $0.40 for a course of treatment.
  • Equity: Girls in South Asia are 43% more likely to die from pneumonia than are boys.
  • Equity: To make progress in reducing the number of pneumonia-related deaths, significant efforts need to be made to equitably reach, immunize, and provide health services for those hard-to-reach children. This is the only way we can reach our goals of ending preventable child deaths. 
  • Progress: Interventions to prevent and treat pneumonia work! In the last three decades, millions of children’s lives have been saved thanks to access to vaccines, antibiotics, and oxygen. Scaling up pneumonia efforts in the past decade have led to progress – each day, 1,000 fewer children died from pneumonia in 2016 than they did in 2009.

Pneumonia and the global goals

  • As world leaders work to meet the UN Sustainable Development Goals (SDGs), this is the time to take action to make investments that will improve child health. Investing in pneumonia interventions can directly help us achieve multiple SDGs: SDG 3 – Good health and well-being, SDG 1 – No poverty, and SDG 10 – No inequalities.

Call to action

World Pneumonia Day is an opportunity to act on behalf of all the world’s children. Now is the time to invest in child health and save young lives. We must hold governments accountable and provide families everywhere with the tools they need to prevent and treat pneumonia and other illnesses. Everyone has a role to play.

  • Donors must continue and scale up investments to 1) support the identification of the root causes of inequity, and 2) enable the development and implementation of targeted solutions to address those inequities that exist. The global community must create a comprehensive, integrated strategy that addresses the necessary system-level changes to support these highest burden countries in efforts to achieve GAPPD targets for all children
  • Governments can prioritize child health and invest in the fight against pneumonia and diarrhea. They can increase funding to: 1) scale-up existing programs to prevent and treat pneumonia, 2) develop new tools to fight pneumonia, 3) evaluate programs and monitor progress, 4) increase the frequency of collection and the quality of data on progress to aid decision making, and 5) develop programs targeted to areas of inequitable distribution of pneumonia vaccination and treatments.
  • Governments must address inequalities in the distribution of pneumonia prevention and treatments to at-risk children, irrespective of gender and among those living in poverty and in remote locations.
  • Citizens can hold governments accountable and demand they prioritize child health so all families have the tools they need to help their children fight common illnesses.
  • Health workers can continue to employ evidence-based approaches to prevent, diagnose, and treat pneumonia. They can also educate policymakers and the public about the prevalence and consequence of the illness.
  • Researchers need to invest in collecting timely data in all regions to better understand the locations and causes of inequities within each country. Researcher must continue to explore innovations, particularly those that address inequities of access to pneumonia vaccines, diagnostics and medicine. Providing families with the tools they need to keep their children healthy will increase the well-being of families, communities, and countries.
World Pneumonia Day – 12 November 2019

World Pneumonia Day – 12 November 2019

World Pneumonia Day – 12 November 2019

World Pneumonia Day – 12 November 2019

World Pneumonia Day – 12 November 2019

World Pneumonia Day – 12 November 2019

 


MORE INFORMATION: STOP PNEUMONIA 


Technical Coordinator (Private Sector Engagement)-Strengthening Systems for Better Health

Vacancy announcement for MS Ladies Supervisor- Sunaulo Parivar Nepal (SPN)

Vacancy announcement for various positions- Modern Technical College

Vacancy announcement for MS Ladies Supervisor- Sunaulo Parivar Nepal (SPN)

November 12, 2019 0 comments
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Public Health

Declaration of The Alliance of Public Health Associations of The Americas

by Public Health Update November 7, 2019
written by Public Health Update

Declaration of The Alliance of Public Health Associations of The Americas

American Public Health Association (APHA) Annual Meeting, Philadelphia

American Public Health Association (APHA) Annual Meeting 2019 concluded with success. The theme for 2019 was Creating the Healthiest Nation: For science. For action. For health. The meeting agreed upon a Declaration containing following key points;

Public health does not have borders. Beyond the cultural differences among countries which comprise the region of the Americas, our responsibility is to confront the current main global public health challenges.

The development of relationships based on solidarity allows us to better understand these challenges to stimulate and generate appropriate responses. Together we can build bridges that allow us to better respond to current challenges.

Economic growth must contribute to full human fulfillment, focusing on the individual, the family and the community, including environmental protection and preservation. Only then can democracy, justice and equity be guaranteed.

It is of concern that current policies result in an increase of inequities, the deterioration of the quality of life, and limit fundamental social rights, threatening human dignity and the common good.

In this context, many governments allow the irresponsible exploitation of their natural resources, thus perpetuating cycles of poverty. Current models of development threaten the environment, working against sustainability, stimulating corruption, and breaking the law.

Predatory practices of industries such as pharmaceuticals, unhealthy foods, tobacco and alcohol, all focus primarily on commercial interests over public health. This is a major public concern.

The violent cycles in our countries are further exacerbated by the greed of multinational corporations, institutions or individuals, and their behaviors which infringe upon legal and/or ethical principles.

Our commitment with Public Health obligates us to act as political subjects in building a better world.

The Alliance of Public Health Associations of the Americas is committed to this mission and invites the entire health community and civil societies to join us in reaching this goal.


Related Declarations


Delhi Declaration on Emergency Preparedness in the South-East Asia Region

Bogor Declaration on Tobacco Control and NCDs Prevention #APCAT2019

Political Declaration of the High-level Meeting on Universal Health Coverage

WHO welcomes landmark UN declaration on universal health coverage

Declaration of Fifth National Summit of Health and Population Scientists in Nepal

Kathmandu Declaration on: National Conference on Family Planning 2075

Global health leaders adopt Delhi Declaration on digital health

Adelaide Statement on Health in All Policies 2010 & 2017

Astana Declaration on Primary Health Care 2018

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National Plan, Policy & GuidelinesPublic Health UpdateResearch & Publication

Basic Health Service Package 2075, DoHS, MoHP Nepal

by Public Health Update November 6, 2019
written by Public Health Update

Basic Health Service Package 2075, DoHS, MoHP Nepal

PDF DOCUMENT

PDF DOCUMENT


Related Documents

  • Health Contents – Constitution of Nepal
  • Public Health Act 2075
  • National Health Policy 2076- MoHP
  • Guideline for Basic Health Service Centre Construction and Operation (Revised)
  • Guideline for Basic Health Service Centre Construction and Operation at Local Level 
  • Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

Recommended document

  • What we need to know about Health in All Policies (HiAP)?

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  • New WHO report to bolster efforts to tackle leading causes of urban deaths
  • WHO mhGAP toolkit for community providers launched
  • WHO calls for urgent action to reduce patient harm in healthcare
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National Plan, Policy & GuidelinesResearch & Publication

Guideline for Basic Health Service Centre Construction and Operation (Revised)

by Public Health Update November 6, 2019
written by Public Health Update

Guideline for Basic Health Service Centre Construction and Operation (Revised)

DOWNLOAD PDF FILEआधारभूत स्वास्थ्य सेवा सम्बन्धी मापदण्ड २०७६ 1 आधारभूत स्वास्थ्य सेवा सम्बन्धी मापदण्ड २०७६ 2 आधारभूत स्वास्थ्य सेवा सम्बन्धी मापदण्ड २०७६ 3

DOWNLOAD PDF FILE


List of Health Service Centre approved for construction in FY 2076/077

GANDAKI

KARNALI 

PROVINCE -1 

PROVINCE 2

PROVINCE 3

PROVINCE 5

Guideline for Basic Health Service Centre Construction and Operation at Local Level 2075


Related Documents

  • Health Contents – Constitution of Nepal
  • Public Health Act 2075
  • National Health Policy 2076- MoHP
  • Guideline for Basic Health Service Centre Construction and Operation (Revised)
  • Guideline for Basic Health Service Centre Construction and Operation at Local Level 
  • Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

Recommended document

  • What we need to know about Health in All Policies (HiAP)?

  • Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit
  • New WHO report to bolster efforts to tackle leading causes of urban deaths
  • WHO mhGAP toolkit for community providers launched
  • WHO calls for urgent action to reduce patient harm in healthcare
November 6, 2019 0 comments
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Antimicrobial Resistance (AMR)International Plan, Policy & GuidelinesPublic HealthResearch & Publication

Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

by Public Health Update November 5, 2019
written by Public Health Update

Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A WHO practical toolkit

Key steps in establishing a national AMS programme to enable facility AMS

Audience: Ministry and/or department/s responsible for delivering quality-assured medical care and access to and rational use of medicines

  1. Establish a governance structure – e.g. a national AMS technical working group linked to the national AMR steering committee.
  2. Review and prioritize the national core elements (Chapter 2):
    2.1. Identify what is already in place and the level of implementation required.
    2.2. Identify the short- and medium/long-term priority core elements.
    2.3. Identify the resources required.
  3. Identify pilot health-care facilities (public and private) for initial AMS rollout:
    3.1. Tertiary teaching facilities;
    3.2. Regional/state and/or district facilities; and
    3.3. Primary care and/or community (as part of community AMS programmes not covered in this toolkit).
  4. Develop a national AMS strategy* with national indicators.
  5. Dedicate financial and human resources as required.
  6. Monitor and evaluate implementation of the national AMS strategy.
  7. Facilitate access to and/or support pre- and in-service training on optimized antibiotic prescribing.
    *Include community and/or primary care AMS programmes (not covered in this toolkit).

Key steps to establishing a health-care facility AMS programme

Audience: Health-care facility leadership, AMS committee and/or AMS team

  1. Undertake a facility AMS situational/SWOT analysis of:
    1.1. Health-care facility core elements – identify what is in place and the implementation level required;
    1.2. Available data on antimicrobial consumption (AMC) and/or use, prescription audits and AMR surveillance data; and
    1.3. Existing AMS competencies at the facility.
  2. Establish a sustainable AMS governance structure based on existing structures.
  3. Prioritize the health-care facility core elements based on the situational analysis:
    3.1. Identify the immediate priorities.
    3.2. Identify the resources required.
  4. Identify AMS interventions starting with the low-hanging fruit:
    4.1. Identify who, what, where and when.
  5. 5. Develop a health-care facility AMS action plan that specifies the human and financial resources required.
  6. Implement AMS interventions.
  7. Monitor and evaluate AMS interventions
  8. Offer basic and continued educational resources and training on optimized antibiotic prescribing.

DOWNLOAD PDF FILE (WHO)


Related Readings

  • National Antibiotic Treatment Guideline-2014
  • Think Twice. Seek Advice: World Antibiotic Awareness Week, 13-19 November 2017
  • Change Can’t Wait. Our Time with Antibiotics is Running Out! 
  • High levels of antibiotic resistance found worldwide, new data shows
  • Standard Treatment Protocol for mental health services into the Primary Health Care System
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Communicable DiseasesInternational Plan, Policy & GuidelinesPublic HealthResearch & Publication

People-centred framework for tuberculosis programme planning and prioritization, User guide

by Public Health Update November 5, 2019
written by Public Health Update

People-centred framework for tuberculosis programme planning and prioritization, User guide

Aim of People-centred framework

The aim of the people-centred framework is to help countries to develop fully prioritized and budgeted NSPs based on a culture of making full use of the available data, which are aligned with national planning cycles and which provide the basis for a robust national response that can accelerate progress towards the goal of ending TB. In addition, applying the framework for other possible applications according to the country’s planning and policy cycle encourages the culture of data utilization and evidence translation into decision making and planning.

Major Components

This approach includes three major components:

  1. Evidence is reviewed and analysed with a people-centred perspective along the continuum of care. This is to ensure that priority gaps and opportunities are identified according to community and patient perspectives, as a basis for designing and providing high-quality services for TB prevention, diagnosis and care that are accessible to all who need them.
  2. TB programme planning is based on data and priorities are set to optimize the impact of investments. Extraction and review of all relevant data for use in planning should help countries to identify programmatic priorities and to design effective, evidence based interventions.
  3. Evidence is generated according to programme needs. Countries identify programmatic gaps and generate/compile evidence that will help them to decide how best to allocate resources and to use data to continuously and critically assess and improve their work.

Inside this Guide

THE PEOPLE-CENTRED FRAMEWORK FOR TB PROGRAMME PLANNING AND PRIORITIZATION

  • The continuum of care
  • Three types of data
  • Three planning steps

APPLICATION OF THE PEOPLE-CENTRED FRAMEWORK FOR TB PROGRAMME PLANNING AND PRIORITIZATION

  • Preparation of a national strategic plan
  • Prioritization for additional funding or programme revisions
  • National TB programme review
  • Annual/quarterly review meetings
  • Harmonization of support for the NTP
  • Setting research priorities and routine data collection
READ MORE: DOWNLOAD PDF FILE(WHO Website)

 


Related readings
  • National Tuberculosis Management Guideline 2019, Nepal
  • Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic
  • Dissemination of Findings and Recommendations of Joint External Monitoring Mission(JEMM) of Nepal National Tuberculosis Program
  • National Tuberculosis Programme Annual Report 2018
  • World Tuberculosis Day 2019 – It’s time ! ”Find Treat All #EndTB”
  • TB Vaccine results announce a promising step towards ending the emergency
  • 7 million people receive record levels of lifesaving TB treatment but 3 million still miss out
  • Childhood TB for Healthcare Workers: an Online Course
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Environmental Health & Climate ChangeInternational Plan, Policy & GuidelinesPublic HealthReportsResearch & Publication

New WHO report to bolster efforts to tackle leading causes of urban deaths

by Public Health Update October 31, 2019
written by Public Health Update

New WHO report to bolster efforts to tackle leading causes of urban deaths

World Health Organization launched a new report ”The power of cities: tackling noncommunicable diseases and road safety” on World Cities Day. It offers tools for city leaders to tackle deaths through non-communicable diseases and road traffic injuries.

A new report by the World Health Organization offers guidance and tools for urban leaders to tackle some of the leading causes of death in cities.

Non-communicable diseases (NCDs) – like heart disease, stroke, cancer and diabetes – kill 41 million people worldwide every year, and road traffic crashes kill 1.35 million.

“Over half the world’s people live in cities, and the numbers are rising,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

“City leaders take decisions that impact on the health of billions, and for cities to thrive, everyone needs access to services that will improve their health – public transport, safe, clean and attractive outdoor spaces, healthy food, and, of course, affordable health services.”

The report, titled ‘The Power of Cities: Tackling Non-Communicable Diseases and Road Traffic Injuries’ is geared towards mayors, local government officials and city policy planners.

Funded by Bloomberg Philanthropies, it highlights key areas where city leaders can tackle the drivers of NCDs, including tobacco use, air pollution, poor diets and lack of exercise, and improve road safety.

“By replicating the most effective measures on a global scale, we can save millions of lives,” said WHO Global Ambassador for NCDs and injuries, and three-term New York City Mayor, Michael R. Bloomberg.

“We’re working to raise awareness among city leaders and policy makers about the real gains that can be achieved when effective programs are in place.”

From anti-tobacco actions in Beijing and Bogor, to road safety initiatives in Accra and Bangkok, a bike sharing scheme in Fortaleza, and actions to create walkable streets for seniors that have reduced elderly pedestrian deaths by 16% in New York City, the report aims to share knowledge between urban policy planners.

Of the 19 case studies cited, 15 are from developing countries, where 85% of premature adult deaths through NCDs take place, and over 90% of road traffic fatalities are recorded.

Over 90% of future urban population growth will be in low or middle-income countries, and seven of the world’s 10 largest cities are in developing countries.

The initiatives cited in the report are similar to those implemented under the Partnership for Healthy Cities initiative, a joint WHO, Bloomberg Philanthropies and Vital Strategies initiative that brings over 50 cities together to share policies and plans on tackling NCDs and injuries.

The network, led by Mr Bloomberg, has helped ensure 216 million people are covered by at least one intervention to protect them from NCDs and road traffic injury since 2017.

Some 193 countries have committed to reducing premature deaths from NCDs by a third by 2030, and halving road traffic deaths and injuries by 2020, through the Sustainable Development Goals.

WHO


DOWNLOAD REPORT


Inside this report; 

Priority Areas (Page no. 18)

  1. Eliminating pollution emissions and ensuring clean energy and air.
  2. Designing cities to promote sustainable urban mobility, including active transport (such as walking or cycling) and recreation, robust urban transport infrastructure, and strong road safety laws.
  3. Implementing sustainable and safe food policies that reduce intake of sugars and salt, and reduce harmful use of alcohol.
  4. Making all environments smokefree, as well as banning all forms of tobacco advertising, promotion and sponsorship.

Ten interventions to address NCDs and road traffic injuries in cities(Page no. 20, 21)

  • MONITOR NCD RISK FACTORS 
  • CREATE A SMOKE-FREE CITY 
  • BAN TOBACCO ADVERTISING 
  • REDUCE THE CONSUMPTION OF SUGAR-SWEETENED BEVERAGES 
  • REDUCE SALT CONSUMPTION
  • CREATE WALKABLE, BIKEABLE, LIVABLE STREETS 
  • CLEANER AIR
  • REDUCE DRINK-DRIVING
  • SPEED MANAGEMENT
  • INCREASE SEAT-BELT AND HELMET USE
Examples of cities working on NCDs and road safety interventions (Page no. 28, 29)
Examples of cities working on NCDs and road safety interventions

Examples of cities working
on NCDs and road safety
interventions


WHO mhGAP toolkit for community providers launched

WHO welcomes landmark UN declaration on universal health coverage

WHO calls for urgent action to reduce patient harm in healthcare

WHO South-East Asia Region sets 2023 target to eliminate measles, rubella

Six WHO South-East Asia countries felicitated for public health achievements

October 31, 2019 0 comments
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Communicable DiseasesNational Plan, Policy & GuidelinesPublic HealthResearch & Publication

National Guideline on Drug Resistant TB Management 2019, Nepal

by Public Health Update October 30, 2019
written by Public Health Update

National Guideline on Drug Resistant TB Management 2019, Nepal

Risk Population for DR-TB (Ref. Page no. 11)

The following categories of TB patients are at risk of having DR-TB and need to be screened for drug resistance;

  1. Close contact of DR-TB case
  2. Previously treated patients who either:
    – failed
    – relapsed
    – returned after loss to follow-up
  3. Smear positive at 2 months or subsequent follow up during first-line treatment
  4. Not getting better / getting worse during continuation phase of the first-line treatment and patients with frequent interruptions and irregular first line drugs.
  5. Health care workers with presumptive TB.
  6. PLHIV, DM and other immunocompromised
  7. Belonging to vulnerable groups such as migrants and refugees

Most patients with presumptive DR-TB will be bacteriologically positive pulmonary cases, but clinically confirmed pulmonary or extrapulmonary TB cases may also present with presumptive DR-TB if they show a clinically unfavorable evolution.

Prevention of drug-resistant TB (Ref. Page no. 6)

  1. Early detection and high-quality treatment of drug-susceptible TB.
  2. Early detection and high-quality treatment of drug-resistant TB.
  3. Effective implementation of infection control measures.
  4. Strengthening and regulation of health systems.
  5. Addressing underlying risk factors and social determinants

DOWNLOAD PDF FILE

DOWNLOAD PDF FILE


Recommended readings

  • Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic
  • Dissemination of Findings and Recommendations of Joint External Monitoring Mission(JEMM) of Nepal National Tuberculosis Program
  • National Tuberculosis Programme Annual Report 2018
  • National Strategic Plan for Tuberculosis Prevention, Care and Control 2016 – 2021
  • NTP, Nepal: New TB Treatment Algorithm & Regimen (Updated)
  • WHO announces landmark changes in MDR-TB treatment regimens
  • TB Vaccine results announce a promising step towards ending the emergency
  • 7 million people receive record levels of lifesaving TB treatment but 3 million still miss out

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

October 30, 2019 0 comments
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