Priority action Activities Lead Sector Relevant sector Time frame Milestones/ Output 2020 Objective 1: Reduce tobacco use Monitor tobacco use Refer to action 3 in strategic objective 4 Raise tobacco taxes Return to the simple uniform tax system instead of the current tier system MOHP Ministry of Finance WHO of workshops, missions held to raise issue of the simple uniform tax system Implement regular increase in tobacco tax rates on all tobacco products directly proportional to national inflation rate. MOHP Ministry of Finance WHO 2017-2021 governmental documents and fact sheets on tobacco tax status Health earmarking of a portion of the revenues from tobacco taxes, to funding national health system including national tobacco control programs. MOHP Ministry of Finance WHO 2017-2021 of legislations concerning Health earmarking to increase a portion of the revenues from tobacco taxes, to fund health system Provide health Information and Warnings the dangers of tobacco Increase display area of pictorial health warning on all tobacco products packages MOHP WHO 2017- 2021 of workshops, missions held to raise issue of the Increase display area of pictorial health warning on all tobacco products packages Develop and run a Public awareness campaign using new emerging communication formats for mass media campaign as digital media, which includes, SMS, websites and social media tools such as YouTube, Facebook, Twitter, blogging platforms and mobile apps. MOHP MCIT WHO 2018 Available plan of public awareness campaigns using new emerging communication formats Produce Health education material and distribute in all possible facilities all over Egypt. 2018 Developed New health education materials for all possible facilities all over Egypt of new updated health education materials delivered in schools, PHC, centers,… Integrate awareness on tobacco control within the health awareness campaigns conducted by social change agents (Raedat Refeyat) MOHP 2017-2021 of social change agents (Raedat Refeyat) trained/year for household awareness campaigns especially in areas Develop and implement community awareness campaigns with all concerned ministries targeting schools, youth centers, universities MOHP MOE, MOHESR, MOYS, MOSS, Egyptians Scout, WHO 2017-2021 plan of awareness campaign on tobacco prevention and control for different target groups of implemented awareness campaigns in different sectors (schools, youth centers, faculties,…)
Adaptation of educational curricular/extracurricular policies to include tobacco in schools, institutes and faculties. MOHP MOE, MOHESR 2018, curricular/extracurricular policies enacted to include tobacco in schools, institutes and faculties Using Official website of all relevant governmental ministries for promoting educational materials on tobacco control and prevention. MOHP MOE, MOHESR, MOYS, MOSS,Mass Scout, 2018 Promotional material on tobacco control and prevention developed and uploaded on Official website of relevant governmental ministries Capacity building on tobacco prevention and control targeting all concerned as teachers and social workers in schools , trainers from youth centres MOHP MOE, MOYS, MOSS,Mass media, MCIT, Egyptians Scout, 2017-2021 of Capacity building workshops on tobacco prevention and control targeting all concerned staff as teachers and social workers in schools , trainers from youth centres,…. Implement measures to minimize illicit trade in tobacco products Support country to be a party to the WHO protocol for illicit tobacco trade illumination MOHP Ministry of Justice, Egyptian parliament, Ministry of Finance WHO 2017-2021 Number of workshops, missions held to support country to be a party to the WHO protocol for illicit tobacco trade illumination Country Sign and ratify the WHO protocol for illicit tobacco trade illumination Update legislations for rigorous enforcement of existing tobacco laws especially banning selling loose cigarettes and selling cigarettes to minors. . Through recruitment of Tobacco control legislative consultant to work on this update. MOHP Ministry of Justice, Egyptian parliament, WHO 2017-2021 Number of workshop held to raise issue of updating legislations concerning rigorous enforcement of existing tobacco sales laws especially banning selling loose cigarettes and selling cigarettes to minor By 2021 The updated legislation concerning the rigorous enforcement is communicated the health committee of the Egyptian parliament Create Free-Smoking Zone at the workplace and public places Update legislation on smoke-free places to expand coverage and compliance. Through recruitment of Tobacco control legislative consultant to work on this update. MOHP WHO By 2020 Updated legislation on places Communication of the new updates on the smoke free legislation policies with the health committee of Egyptian parliament MOHP Egyptian parliament, 2017-2021 By 2021 The updated legislation on smoke-free places is communicated to the health committee of Egyptian parliament
To strengthen collaboration with NGOs Organization of national sports days with NGOs (Ex. Cairo runners MOYS MOSS 2017-2022 2 events/year Strategic objective 3: Improve early detection and effective treatment of people with NCDs or at high risk early detection through primary care approach Priority action Target diseases Current Status Setting/ Target group/. Guidance/ Protocols Interventions /Operational plan Referral system/ patient pathway unit Indicators by end of 2018 Objective 1: to improve early detection of NCDs through primary health care approach Improve early detection of CVD, diabetes and cancer through PHC CVD 4 centres for early detection of CVD in district hospitals Lack of national guidelines for CVD. District hospitals catchment areas To implement National protocols for hypertension To develop national guidelines for CVD. Implement national CVD package in 4 and additional 2 new CVD centres. Using algorithm. that are screened & at high risk will receive counselling/life style modifications. Detected cases will be referred to district hospital in case of PHC. NCD unit + PHC + curative sectors Number of population covered. Number of screened population Number of detected cases Number of detected and controlled 6 centres
Cancer Available new manual for social change agents Refeyya) for raising awareness on breast PHCs catchment areas To implement National protocols for cancer diagnosis and management Training & raising capacity of social change agents to raise public awareness about early signs and symptoms of cancer breast (breast cancer early detection awareness ) Implement a dual way referral system for suspected Suspected cases referred to general hospital for confirmation of diagnosis. back with feedback for following up at PHC PHC sector Number of covered population Number of suspected & referred Cases Number of diagnosed and managed cases. Trained 4000 social change agents (Raaeda Refeyya). A pilot of cervical cancer detection through acetic acid swab in district hospital Implement In pilot areas To develop technical guide for cervical cancer screening Screen cervical cancer for age+40 to 59 women in selected areas Suspected to be referred to tertiary care hospital for final diagnosis Chosen district hospital Number of screened population Number of suspected & referred cases Number of diagnosed cases unit for early detection of cancer cervix opportunistic screening of cancer breast through 10 mobile clinics High risk group To develop National protocol for early detection & diagnosis of cancer breast in high risk groups Raising capacity of medical teams in mobile clinics and PHC to detect early signs of cancer Diagnosed are referred to tertiary care hospital for further investigation & confirmation Radiology Number of screened population Number of cases referred Number of managed cases Working 10 mobile clinics Diabetes 12 centers for early detection in PHCs and district hospitals PHCs & district hospitals catchment areas Implement National protocols for diabetes diagnosis and management Implement Diabetes screening programme in 24 centres for early detection, including lifestyle interventions Using algorithm. that are screened & at high risk will receive counselling/life style modifications. Detected cases will be referred to district hospital in case of PHC NCD unit + PHC sector MOH + Number of population covered. Number of screened population Number of detected cases Number of detected and controlled.
200000 recruited diabetic patients Implemented awareness program All diabetic patients Raising public awareness about diabetes & its complications Development of data base of diabetic patients Sending mobile SMSs to diabetic patients MOHP MOC IT Monitoring and evaluation report of Number of diabetic patients receiving educational SMSs Number of disseminated SMSs Level of awareness Lab testing of glycosolated haemoglobin CRD Available specialized chest hospitals distributed all over the country - PHC (family medicine units), School, Chest and Outpatient clinics in chest hospitals To develop National protocols for management of chronic respiratory diseases Staff training and orientation on the updated guidelines of case develop algorithm for CRD GD of chest diseases Availability of national protocol for CRD Available National guideline for CRD Scaling up NCD in PHC CVD Limited capacity of PHC to manage NCDs due to insufficient equipment and untrained health care workers Healthcare workers in selected PHC . Unavailability of CVD protocols Training of healthcare workers. Review and update the national essential drug list and Ensuring its availability. Integrate NCD management in the basic benefit package of PHC . NCD + Curative Care Sector Number of trained healthcare workers in the CVD centres. Ensure availability of essential drug list in 200 Family Health Centres Trained healthcare workers in 6 centres for CVD in district hospitals. Fully equipped 6 centres. diabetes PHC equipped to deliver diabetes management in PHC Healthcare workers in PHC To and implement diabetes guidelines Review and update the national essential drug list and Ensuring its availability. NCD + PHC Ensure availability of essential drug list in 200 Family Health Centres National protocols for diabetes available
Strategic objective 3: Improve early detection and effective treatment of people with NCDs or at high risk--Strengthen NCD management through hospital/secondary health facilities Priority action Target diseases Current situation Guidance/ Protocols Interventions /Operational plan until 2018 Responsible unit Indicators Expected coverage Objective 2: to strengthen health care for NCDs through hospital/secondary health facilities Strengthen NCD management through hospital/ secondary health facilities CVD 5 specialized hypertension clinics delivering services of management and follow up for hypertension according to the national guidelines National protocol for hypertension diagnosis and management is available Implement hypertension prevention and control program in additional 5 hospitals MOHP (NCD + Egyptian Hypertension Society + Private sector) Number of specialized hypertension clinics The programme implemented in 10 hospitals Diabetes 2 centers of excellence for diabetes diagnosis and management and follow up according to the national guidelines. National protocol for diabetes diagnosis and management is available Implement diabetes diagnosis and management programme in 4 excellence centres. MOHP (NCD unit National Diabetes Institute + Private sector) Number of centres of excellence Diabetes diagnosis and management programme in 4 excellence centres. Cancer 10 specialized cancer hospitals that provide all medical services to cancer patients. National protocol for cancer diagnosis and management is available implement cancer control programmes in 12 specialized cancer hospitals MOHP (Specialized Medical Centers) Number of specialized cancer hospitals Cancer control programs in 12 specialized cancer hospitals Improve palliative care There is limited information on palliative care N/A Review and report of status of palliative care in the country MOHP Availability of review report N/A Strategic objective 3: Improve early detection and effective treatment of people with NCDs or at high risk--Strengthening health systems for NCD management Strategic action area Activities Leading agency Relevant agencies Indicators Output/outcomes
Objective 3: to strengthen health system for improving early detection and NCD management Improve health workforce knowledge and skills on NCDs including addressing risk factors Develop National guidelines for CVS MOHP scientific committee of NCDs MOHP& MOHE Number of trained health care workers Approved CVS guidelines -Establish National Program for raising capacity of Health care workers ( doctors , nurses, social workers ) on risk factors , early detection, management and follow up of NCDs MOHP MOHP& MOHE Number of trained health care workers Developed national program for raising capacity of health care workers. Protect from Financial risk caused by NCDs Strengthening the role of department of “treatment on the expense of the state “ to expand coverage of all conditions related to NCDs MOHP Ministry of finance Number of patients covered Allocated budget Improve sustained supply of drugs and equipment defined for NCD related services Develop National technical guidelines for essential drug list for NCDs in PHC . MOHP Availability of national guidelines for essential drug list Availability of essential drugs in PHC Develop National survey for monitoring availability of essential drug list MOHP number of facilities that have all essential medicines and basic technologies from the minimum list availability Available essential drugs in a number of health care facilities Improve Information system for NCD management Incorporate national NCD risk factors surveillance system in PHC & district hospitals MOHP Number of trained taskforce of the national cancer registry program By end of 2018 inclusion of NCD risk factor surveillance system in 50 PHC & district hospital Strengthen cancer registry national program by capacity building of task force ( doctors ,data collectors) MOHP Number of trained task force on data collection an entry Annual reports Strengthen National registry system among all levels of data registration, collection and analysis MOHP Available reports on by cause Annual reports Strategic Objective 4 - To strengthen national capacity for surveillance and monitoring
Priority action Activities Lead sector Relevant sector timeframe Milestones/ Output 2020 Objective 1: to promote high quality research Develop and implement a prioritized national research agenda for NCD prevention and control Develop and implement a prioritized national research agenda for noncommunicable diseases in collaboration with relevant stakeholders MOHP MOHE 2019 Available prioritized national NCD research agenda promote research to generate local evidences related to burden of diseases, health services and health economics Conduct national studies to analyse fat contents in common food consumed MOHP/NNI NNI 2019 Report of fat contents in common food consumes Conduct national studies to detect fat consumption pattern among Egyptians MOHP/NNI NNI 2019 Report of fat consumption pattern among Egyptians Conduct national studies to detect salt content and consumption pattern among Egyptians MOHP/NNI NNI 2019 Report of detect salt content and consumption pattern among Egyptians Strengthen human resources research capacity through cooperation with foreign and domestic research institutes Facilitate international cooperation for NCD research MOHP MOHE 2019 Proposal for international cooperation for NCD research available