Profile of Capacity and Response to Noncommunicable Diseases and Their Risk Factors in the Region of the Americas

Country Capacity Survey Results, 2017

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• Publisher: Pan American Health Organization
• Year: 2021
• Print ISBN: 9789275122617
• eBook ISBN: 9789275122600
• Topic: Medicine
• Subtopic: Nutrition, Dietics & Bariatrics

Noncommunicable diseases (NCDs) are the leading cause of death in the Americas, accounting for 81% of all deaths in the Region in 2016. Of the estimated 5.5 million NCD-related annual deaths, 39% of these are premature deaths (occurring between the ages of 30–70) and are largely a result of the four main NCDs: cardiovascular diseases, diabetes, cancers, and chronic respiratory diseases. NCDs and related premature deaths can be significantly reduced through government policies that prevent, treat, and control these diseases.To monitor countries' capacities to address NCDs, including progress and trends over time, various tools are implemented, including the World Health Organization Country Capacity Survey (WHO-CCS). The survey captures information related to NCD infrastructure, policies, surveillance, and health systems. Conducted in 2001, 2005, 2010, 2013, and in 2017, this 6th edition of the CCS incorporates new validation processes to verify country responses through the submission of official policy documents and a data comparison to global health databases. These protocols were introduced to enhance data quality and provide an accurate reflection of the country capacity to combat NCDs. It is important to recognize that for the first time in the Americas, 100% of the Member States (35 countries) and 76% of the Associate Members and Participating States (13 of 17 countries) completed the survey. As such, the 2017 CCS provides a comprehensive assessment of the entire Region and demonstrates the political commitment of the Americas to reduce the burden of NCDs. This report presents results of the 2017 CCS and offers an updated review of progress in the Region of the Americas including gaps and recommendations for improvement to strengthen countries' capacities to address NCDs and their risk factors. While advancements have been made, without an acceleration of commitments and significant investments, it is anticipated that some countries in the Americas will not meet their global targets.

Table of contents

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• Figure 1. Distribution of countries according to the number of full-time technical/professional staff in their NCD units, Region of the Americas, 2017
• Figure 2. Percentage of budget allocated by governments for activities to address NCDs and risk factors, Region of the Americas, 2017
• Figure 3. Sources of funding for NCDs/risk factors, Region of the Americas, 2017
• Figure 4. Percentage of respondents that reported having any fiscal intervention for the major risk factors, Region of the Ame icas, 2017
• Figure 5. Status of the 28 multisectoral commissions, agencies, or mechanisms to oversee NCD engagement, policy coherence, and accountability of sector beyond health, Region of the Americas, 2017
• Figure 6. Structure of the NCD multisectoral commissions, Region of the Americas, 2017
• Figure 7. Inclusion of NCDs in the outcomes or outputs in national health plans and national development agenda, Region of the Americas, 2017
• Figure 8. Distribution of the nine voluntary targets related to the WHO Global Monitoring Framework for the Region of the Americas, 2017
• Figure 9. Distribution of integrated policies, strategies, or action plans for NCDs and their risk factors, Region of the Americas, 2017
• Figure 10. Percentage of countries/territories with specific plans for the main NCDs and their risk factors, according to thei implementation status, Region of the Americas, 2017
• Figure 11. Percentage of countries/territories that reported having surveys of risk factors among adolescents, by category*, Region of the Americas, 2017
• Figure 12. Percentage of countries/territories that reported having surveys of risk factors among adults, by category*, Region of the Americas, 2017
• Figure 13. Percentage of countries that reported having surveys of risk factors that needed measurement (physical or biochemical), among adults by category*, Region of the Americas, 2017. 
• Figure 14. Distribution of evidence-based national guidelines/protocols/standards for the management of NCDs, Region of the Americas, 2017
• Figure 15. Availability of basic technologies to address of NCDs in public and private health care facilities, Region of the Americas, 2017
• Figure 16. Distribution of NCD screening programs among responding countries/territories of the Region of the Americas, 2017
• Figure 18. Distribution of basic procedures for the treatment of NCDs in the public health system, Region of the Americas, 201
• Figure 19. Availability of cancer diagnosis and treatment services in the public sector, Region of the Americas, 2017
• Figure 20. Proportion of primary health care facilities offering cardiovascular risk stratification, Region of the Americas, 217
• Table 1. NCD selected risk factors: worldwide and the Region of the Americas
• Table 2. NCDs selected risk factors, continued: worldwide and the Region of the Americas.
• Table 3. List of countries that completed and validated the 2017 Country Capacity Survey, by PAHO subregion.
• Table 5. Distribution and characteristics of cancer and diabetes registries, Region of the Americas, 2017
• Table 6. Percentage of surveys of the NCD risk factors reported by the countries and territories, independently of the year of implementation, Region of the Americas, 2017
• Table 7. Categories for classification of adult and youth population surveys
• PREFACE
• ABBREVIATIONS AND ACRONYMS
• EXECUTIVE
• SUMMARY
• INTRODUCTION
• METHODOLOGY
• RESULTS
• PROGRESS INDICATORS 2017
• DISCUSSION
• CONCLUSIONS
• REFERENCES
• ANNEXES