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ICMR made nodal agency to conduct survey for monitoring national noncommunicable diseases targets
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Ramesh Shankar, Mumbai
October 29 , 2015
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Even as noncommunicable diseases (NCDs) are contributing to rising
proportion of sickness and deaths worldwide including India, the Union
health ministry has identified the Indian Council of Medical Research
(ICMR) as the nodal agency for conducting a survey for monitoring
national NCDs targets in the country.
According to senior
officials, the ICMR has received sanction of budget to undertake the
national level survey for monitoring the national NCDs targets during
2015-2016. This will generate country/national level estimates of key
NCD related indicators (risk factors and health system response)
identified in the national NCD monitoring framework for the year 2015,
create a central and regional pool of resources (protocols, standard
tools, training manuals etc.) to support conduct of similar surveys at
state level, and strengthen capacities for monitoring of NCDs at
national and sub-national level.
The 10 NCD targets include 25
per cent relative reduction in overall mortality from cardiovascular
diseases, cancers, diabetes or chronic respiratory diseases; 10 per cent
relative reduction in the harmful use of alcohol; 30 per cent relative
reduction in prevalence of current tobacco use in persons aged over15
years; 10 per cent relative reduction in prevalence of insufficient
physical activity; 30 per cent relative reduction in mean population
intake of salt/sodium; 25 per cent relative reduction in prevalence of
raised blood pressure; halt the rise in obesity and diabetes; 50 per
cent relative reduction in the proportion of households using solid
fuels (wood, crop residue, dried dung, coal and charcoal) as the primary
source of cooking; 20 per cent of eligible people receive drug therapy
and counselling (including glycaemic control) to prevent heart attacks
and strokes; and 80 per cent availability of affordable basic
technologies and essential medicines, including generics, required to
treat major NCDs in both public and private facilities.
The
survey will enable assessment of progress on some of the targets being
made at the country level towards achieving them by 2025 through repeat
surveys. The survey will be done on a nationally representative
population sample drawn from various regions of the country, and will
include face to face interviews with selected male and female
population, aged 15-69 years, residing in urban and rural areas, on key
behavioral risk factors, physical measurements, laboratory assessments
and health facility assessments for national systems response.
The
survey will be implemented in partnerships with key
institutions/agencies with relevant experience. The oversight will be
provided by the national apex committee and national technical working
group on NCD surveillance.
Earlier in September 2011, the UN High
Level Meeting on Prevention and Control of NCDs requested the member
countries to implement strategies to reduce NCDs and their risk factors.
In May 2013, the World Health Assembly proposed 9 global voluntary NCDs
targets along with 25 indicators to be achieved by member countries by
year 2025 keeping the year 2010 as baseline for assessing progress.
In
2014, through series of country-wide consultations with key partners,
the Union health ministry formulated the National Action Plan for the
prevention and Control of NCDs by including 10 NCD targets and their 21
indicators to be achieved by 2025, thus making India the first country
to adopt the global NCD monitoring framework.
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