Section 2: Strategies on Prevention and Control of the NCDs
Strategies on NCD prevention and control are developed after determining risk factors in the community, prioritizing and ascertaining possible determinants and developing measures to minimize their exposure. These include strategies for surveillance, health promotion and capacity strengthening within and outside the health arena. The following broad strategies will be employed:
yy Health promotion
yy Institution based interventions
yy Community based programs
yy Improving the built environment
yy Work based programs
yy Care, treatment and rehabilitation services
yy Ensuring alternatives and choices
yy Strengthening stakeholders’ capacity
yy Legislative, regulatory and enforcement measures
yy Surveillance and research
yy Partnership building
yy Assessing policies for health risk
2.9 Legislative, regulatory and enforcement measures
To ensure effective control and prevention of NCDs and their risk factors, it is necessary to have legislation and regulations.
Further legislative and regulatory initiatives are required to support public health interventions pertaining to tobacco, alcohol, built environment, diet and injury control. Table 2 presents a list of priority legislations and regulations to be developed.
Act pertaining to Diet and Nutrition that can regulate production /import of unhealthy food (high trans-fat content), food labeling legislation
Legislation to limit and control food marketing and advertising to children that have high salt, high sugar and high fat
2.12.3 Unhealthy diet
In order to improve nutrition of the population and promote healthy eating to prevent NCDs, multiple strategies that include food supply, food access and choice, will be employed. Implemented will be through a broad population-based approach and targeted interventions to reach individuals and
communities with high risk dietary habits.
The Ministry of Health, in partnership with line ministries and departments will work towards developing policies that support a healthy diet. The Ministry of Health will also enhance advocacy at population level for healthy dietary practices.
The Ministry of Health will institute a multi-sectoral technical committee to conduct research on food and dietary intake to inform and enable development of information for consumer-based messages. This guideline will be reviewed on a five yearly basis.
The Ministry of Health will work towards increasing capacity of health services to conduct nutritional assessment, early identification of risk and provide brief intervention for pregnant mothers, children and those at risk chronic diseases, provide supportive services for people to encourage a balanced diet, and promote national breast feeding policies.
The Ministries of Agriculture, Economic Affairs and Health, BAFRA and BICMA will collaborate to establish food based guidelines, including labeling, advertising and marketing, to support the healthy composition of food by reducing salt level, trans-fatty acid, and saturated fat.
The Ministry of Education in collaboration with the Ministry of Health will develop education materials for schools (curricula) aiming at enhancing the practice of having a healthy diet in children of all ages. The Ministry of Education shall assess the current diet status and suggest a strategy to ensure a healthy diet for school children.
The Ministry of Agriculture will develop policies and schemes that encourage rural population to increase production and availability of fruit and vegetables at affordable prices
The Ministry of Health, in partnership with judiciary and other regulatory departments, will work towards enhancing laws and regulations that support healthy and balanced diet at all levels and for population groups