Ran Annim

Moria ShomourChuuk NCD Coordinator

The Chuuk Declaration

We have identified that food insecurity was another problem contributing to ncds

Chuuk director request assistance from WHO thru FSM Health & Social Affairs to conduct a food summit.

October 2012, Food Security and NCD Stakeholders Meeting conducted by Richard Hoes

What has happened after the Chuuk declaration?

Food Security & NCD Stakeholders Consultation Meeting

Chuuk is facing a double burden of malnutrition with the co-existence of under-nutrition and obesity within the state as well as within households and communities.

the urgent need to map out actions and mobilise resources to address the growing burden of NCDs and to look at measures in place in Chuuk to control and manage NCD risk factors

Unhealthy diets and food insecurity has been identified as one of the main risk factors to NCDs

With the FSM National Food Security Policy and NCD Strategy it is an opportunity to plan on implementation of the two issues at state level

'ONLY IN CHUUK (OIC)’NCD EMERGENCY RESPONSE TOWARDS A

HEALTHY CHUUK STATE

Action Plan 2011-2015

Chuuk NCD Strategic Action Plan

I Advocacy and Coordination of NCD •Government and public sectors •Hospital and Dept of HealthII Food Security (Nutrition and Physical Activity) •Salt Reduction, Fruits and vegetables promotion, Physical Activity •Policy & Legislation •Strengthening Community Action

School, Workplace, Church & VillagesIII Tobacco & Alcohol Control) •Policy, legislation, taxation •Strengthening Community Action

School, Workplace, Church & Villages•Cessation initiatives IV Primary Health Care and NCD •Strengthening Primary and secondary health services•Community Mobilization V Monitoring, evaluation & surveillance•NCD STEPS and Mini-STEPS•Vital Registration

Chuuk NCD Plan of Action

Gov. Johnson declared hospital tobacco, alcohol & betel nut free environment

On the premises, including hospital vehicles (on and off the premises)

Tobacco, Alcohol & Betel Nut Free Hospital

Governor Elimo With Director Marar Opened New Chuuk Wellness Center(Supported by Chuuk Health Sector Grant FY2011)

Inside the Wellness Center

Services offer at the Wellness Center

NCD Screening

Exercise

NCD Counseling/education

Healthy Workforce Program Launched Within the Department Of Health

Basic NCD Registry is in place

Monthly walkathon

Health Promoting Schools

School Outreach

NCD Education

School garden

“Apach” meeting

Climate Change Meeting

Adopt a Community Project

NGO ( CWC)

Promote fruits & vegetables at department functions.

Promote Gardening

Hospital Garden

Home Garden

Home Garden

NCD Multidisciplinary Committee

Identify specific goals based on evidence based guidelines that can be monitored by available data.

Partner with government and civic groups to work on prevention and screening NCD programs

Forum to resolve on-going operational issues between organizations

Provide evidence based medical care for NCD patients (core mission)

Develop an evidence based best care process for diabetes type II (Done!)

Support in everyway possible the development of an information system for clinical care and data analysis

Diabetes Guideline for HAs

Diabetes Care Process

NCD Policies????? Bill introduce within

the house of senate to ban tobacco products still pending

Clean indoor Act passed by house of representative and now at house of senate

Working our ways to win the support from our policy makers

NCD Team

National

State govtChuuk

Women's Council

Land grant

DOEEnvironmen

tal Protection

AgencyRotaryAgric

ultureChuuk

Medical Association

Legislators

Chuuk Nurse's

Association

Chuuk Conservation

Society/ Climate Change

YOUTH

Religious groups

Recreation

HOOPS n Other NGOs