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Iniciativa Melhor Atenção às DNTs

Acelerando Ações na Atenção Primária à Saúde


Strengthening the integration of NCDs into Primary Health Care represents a key milestone in a country’s health system response to the Sustainable Development Agenda, with the aim of leaving no one behind.

Familia

Purpose: 

Expand equitable access of integrated and comprehensive Noncommunicable Diseases services within Primary Health Care in the Americas

 

Objectives:

1.- To strengthen the capacity of health authorities to plan and implement comprehensive NCD services in primary health care.

2.- To increase the capacity of primary health care services to deliver comprehensive quality NCD screening, diagnosis, treatment and continuous follow-up care, including referral and counter-referral services. 

3.- To strengthen data collection and monitoring of NCD diagnosis, treatment, and care outcomes, for people with NCDs.

What are the recommended NCDs services in primary care settings?

 

NCD services in primary care include a range of essential services from health promotion to prevention, screening, treatment, rehabilitation, and palliative care. The WHO package of essential noncommunicable diseases intervention (WHO PEN), which includes the HEARTS package for hypertension control, provides a framework for a minimum set of interventions to address the main NCDs in primary care. This PAHO initiative will build on and expand country´s current efforts to integrate NCDs into PHC, including HEARTS.

The interventions are for the detection, diagnosis, treatment, and care of cardiovascular diseases, diabetes, asthma and other chronic respiratory diseases, and cancer, healthy lifestyle counseling, self-care, and palliative care. They will be scaled up at the primary health care level. As most persons known to have an NCD frequently have more than one chronic condition, it is required a multidisciplinary approach to their diagnosis and management. 

Comprehensive NCD service interventions

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CVD risk assessment based on the WHO CVD risk chart during clinical encounters; hypertension screening and diagnosis through blood pressure measurement; lifestyle change and drug therapy for hypertension control delivered in primary health care.

More information on:

CARDIOVASCULAR DISEASES

HYPERTENSION

Click on the image to open HEARTS in the Americas

Hearts in the Americas

Diabetes⬇️

 

 

 

 

Early diabetes diagnosis; pharmacological treatment and clinical follow up to achieve blood glucose control; prevention of complications through retinopathy screening, diabetic foot evaluation, cardiovascular screening, delivered in primary health care.

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DIABETES

CHRONIC KIDNEY DISEASE

 

 

 

 

 

Cervical cancer screening with HPV testing; ablative treatment of precancerous cervical lesions in primary health care; breast cancer screening through physical exam and referral for mammography if indicated.

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CANCER

CERVICAL CANCER

BREAST CANCER

 

 

 

 

Nutrition and healthy diet counseling, physical activity promotion, weight management, tobacco cessation, alcohol brief interventions, self-management disease or condition support, healthy schools, workplaces and community settings and linkages from community to health services.

More information on:

ALCOHOL

OBESITY PREVENTION

TOBACCO CONTROL

TRANS-FATTY ACIDS

SALT REDUCTION

PHYSICAL ACTIVITY

 

 

 

 

 

 

Asthma and chronic obstructive pulmonary disease diagnosis and management in primary health care.

 

 

 

Strategic Areas

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Toolbox

Better Care for NCDs: Accelerating Actions in Primary Health Care

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Noncommunicable disease facility-based monitoring guidance

Noncommunicable disease facility-based monitoring guidance: framework, indicators and applicat

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Operational framework for primary health care: transforming vision into action

Operational framework for primary health care: transforming vision into action

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