REPUBLIC OF KENYA
MINISTRY OF HEALTH
2015 - 2020
KENYA NATIONAL STRATEGY
FOR THE PREVENTION AND CONTROL OF
NON-COMMUNICABLE DISEASES
2015 - 2020
KENYA NATIONAL STRATEGY
FOR THE PREVENTION AND CONTROL OF
NON-COMMUNICABLE DISEASES
KENYA NATIONAL STRATEGY FOR THE PREVENTION AND CONTROL OF NON-COMMUNICABLE DISEASES 2015 - 2020
Funded by: Ministry of Health, MOH/CDC CoAg, IANPHI, RedCross and WHO.
Copyright 2015 Ministry of Health
Any part of this document may be freely reviewed quoted, reproduced or translated in full or in part so long as the source is acknowledged. It is not for sale or for use in commercial purposes..
Enquiries regarding the Kenya National Strategy should be addressed to the:
Division of Non-communicable Diseases, Ministry of Health
P.O. Box 30016 – 00100 Nairobi, Kenya
Telephone: +254 202717077/+254202722599 Email: ps@health.go.ke
Website: www.health.go.ke
Supported by :
MINISTRY OF HEALTH
DIVISION OF NON-COMMUNICABLE DISEASES
CONTENTS
TABLE OF CONTENTS ...
ABBREVIATIONS ...
PREFACE ...
ACKNOWLEDGEMENTS ...
EXECUTIVE SUMMARY ...
SCOPE ...
RELATIONSHIP TO EXISTING GLOBAL INITIAVIES,
NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES ...
SECTION 1: INTRODUCTION ...
VISION ...
GOAL ...
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Epidemiology of Non communicable Diseases ...
NCDs Risk factors in Kenya ...
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Harmful use Alcohol ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Cancer ...
Diabetes ...
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NCD STRATEGY KENYA
Table of Content
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3
2015-2020
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Harmful use Alcohol ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Cancer ...
Diabetes ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Major Non-communicable Diseases ...
GOAL ...
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
SECTION 1: INTRODUCTION ...
VISION ...
GOAL ...
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Epidemiology of Non communicable Diseases ...
NCDs Risk factors in Kenya ...
NCDs Risk factors in Kenya ...
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Harmful use Alcohol ...
Tobacco use ...
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Harmful use Alcohol ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Cancer ...
Diabetes ...
Cancer ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Harmful use Alcohol ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Cancer ...
Diabetes ...
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
NCDs Risk factors in Kenya ...
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Harmful use Alcohol ...
Epidemiology of Non communicable Diseases ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Epidemiology of Non communicable Diseases ...
NCDs Risk factors in Kenya ...
ACKNOWLEDGEMENTS ...
EXECUTIVE SUMMARY ...
SCOPE ...
RELATIONSHIP TO EXISTING GLOBAL INITIAVIES,
NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES ...
SECTION 1: INTRODUCTION ...
VISION ...
GOAL ...
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
GUIDING PRINCIPLES ...
Cancer ...
Cancer ...
Major Non-communicable Diseases ...
Major Non-communicable Diseases ...
Major Non-communicable Diseases ...
Major Non-communicable Diseases ...
Cancer ...
Diabetes ...
Cancer ...
Cancer ...
Cancer ...
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŽŶƐƵŵƉƟŽŶŽĨhŶŚĞĂůƚŚLJŝĞƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Cancer ...
Cancer ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Cancer ...
Diabetes ...
Cancer ...
Cancer ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
KƚŚĞƌŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Major Non-communicable Diseases ...
Major Non-communicable Diseases ...
Cancer ...
SCOPE ...
NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES ...
NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES ...
SECTION 1: INTRODUCTION ...
NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES ...
SECTION 1: INTRODUCTION ...
NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES ...
SECTION 1: INTRODUCTION ...
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Tobacco use ...
/ŶĂĚĞƋƵĂƚĞWŚLJƐŝĐĂůĐƟǀŝƚLJ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Epidemiology of Non communicable Diseases ...
Epidemiology of Non communicable Diseases ...
Epidemiology of Non communicable Diseases ...
Epidemiology of Non communicable Diseases ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Epidemiology of Non communicable Diseases ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
GOAL ...
GUIDING PRINCIPLES ...
BACKGROUND ...
ŚĂƉƚĞƌϭ͗/ŶƚƌŽĚƵĐƟŽŶ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
CONTENTS
ĂƌĚŝŽǀĂƐĐƵůĂƌĚŝƐĞĂƐĞƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŚƌŽŶŝĐKďƐƚƌƵĐƟǀĞWƵůŵŽŶĂƌLJŝƐĞĂƐĞ;KWͿ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
Injuries and Violence ...
Mental disorders ...
Linkages between major non communicable diseases and Communicable diseases ...
^LJŶĞƌŐŝĞƐďĞƚǁĞĞŶŵĂũŽƌŶŽŶĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐĂŶĚŽƚŚĞƌĐŽŶĚŝƟŽŶƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
&ƌĂŵĞǁŽƌŬĨŽƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
SECTION 2: STRATEGIC OBJECTIVES ...
STRATEGIC OBJECTIVE 1:
dŽĞƐƚĂďůŝƐŚŵĞĐŚĂŶŝƐŵƐƚŽƌĂŝƐĞƚŚĞƉƌŝŽƌŝƚLJĂĐĐŽƌĚĞĚƚŽEƐĂƚŶĂƟŽŶĂůĂŶĚ ĐŽƵŶƚLJůĞǀĞůƐĂŶĚƚŽŝŶƚĞŐƌĂƚĞƚŚĞŝƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŝŶƚŽƉŽůŝĐŝĞƐĂĐƌŽƐƐ
ĂůůŐŽǀĞƌŶŵĞŶƚƐĞĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
STRATEGIC OBJECTIVE 2:
dŽ&ŽƌŵƵůĂƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶůĞŐŝƐůĂƟŽŶƐ͕ƉŽůŝĐŝĞƐĂŶĚƉůĂŶƐĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ
ĐŽƵŶƚLJĂŶĚŶĂƟŽŶĂůŐŽǀĞƌŶŵĞŶƚƐ͘...
STRATEGIC OBJECTIVE 3:
dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů ŝŶĂĐƟǀŝƚLJ͕ƵƐĞĂŶĚĞdžƉŽƐƵƌĞƚŽƚŽďĂĐĐŽĂŶĚŚĂƌŵĨƵůƵƐĞŽĨĂůĐŽŚŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
STRATEGIC OBJECTIVE 4:
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
control of non-communicable diseases ...
STRATEGIC OBJECTIVE 5
dŽƉƌŽŵŽƚĞůŽĐĂůĂŶĚŝŶƚĞƌŶĂƟŽŶĂůƉĂƌƚŶĞƌƐŚŝƉƐĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
control of non-communicable diseases...
STRATEGIC OBJECTIVE 6
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ
of non-communicable disease and their determinants...
STRATEGIC OBJECTIVE 7:
WƌŽŵŽƚĞĂŶĚŝŵƉůĞŵĞŶƚĞǀŝĚĞŶĐĞďĂƐĞĚƐƚƌĂƚĞŐŝĞƐĂŶĚŝŶƚĞƌǀĞŶƟŽŶƐ
ĨŽƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨǀŝŽůĞŶĐĞĂŶĚŝŶũƵƌŝĞƐ...
NCD STRATEGY KENYA
Table of Content
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4
2015-2020
control of non-communicable diseases ...
dŽƉƌŽŵŽƚĞůŽĐĂůĂŶĚŝŶƚĞƌŶĂƟŽŶĂůƉĂƌƚŶĞƌƐŚŝƉƐĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
control of non-communicable diseases...
STRATEGIC OBJECTIVE 6
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ of non-communicable disease and their determinants.
WƌŽŵŽƚĞĂŶĚŝŵƉůĞŵĞŶƚĞǀŝĚĞŶĐĞďĂƐĞĚƐƚƌĂƚĞŐŝĞƐĂŶĚŝŶƚĞƌǀĞŶƟŽŶƐ STRATEGIC OBJECTIVE 6
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ dŽ&ŽƌŵƵůĂƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶůĞŐŝƐůĂƟŽŶƐ͕ƉŽůŝĐŝĞƐĂŶĚƉůĂŶƐĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ
ĐŽƵŶƚLJĂŶĚŶĂƟŽŶĂůŐŽǀĞƌŶŵĞŶƚƐ͘...
dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ ĐŽƵŶƚLJůĞǀĞůƐĂŶĚƚŽŝŶƚĞŐƌĂƚĞƚŚĞŝƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŝŶƚŽƉŽůŝĐŝĞƐĂĐƌŽƐƐ
ĂůůŐŽǀĞƌŶŵĞŶƚƐĞĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
STRATEGIC OBJECTIVE 2:
dŽ&ŽƌŵƵůĂƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶůĞŐŝƐůĂƟŽŶƐ͕ƉŽůŝĐŝĞƐĂŶĚƉůĂŶƐĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ ĐŽƵŶƚLJĂŶĚŶĂƟŽŶĂůŐŽǀĞƌŶŵĞŶƚƐ͘
STRATEGIC OBJECTIVE 3:
dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů ŝŶĂĐƟǀŝƚLJ͕ƵƐĞĂŶĚĞdžƉŽƐƵƌĞƚŽƚŽďĂĐĐŽĂŶĚŚĂƌŵĨƵůƵƐĞŽĨĂůĐŽŚŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ŝŶĂĐƟǀŝƚLJ͕ƵƐĞĂŶĚĞdžƉŽƐƵƌĞƚŽƚŽďĂĐĐŽĂŶĚŚĂƌŵĨƵůƵƐĞŽĨĂůĐŽŚŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
STRATEGIC OBJECTIVE 4:
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ control of non-communicable diseases
STRATEGIC OBJECTIVE 5
dŽƉƌŽŵŽƚĞůŽĐĂůĂŶĚŝŶƚĞƌŶĂƟŽŶĂůƉĂƌƚŶĞƌƐŚŝƉƐĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ control of non-communicable diseases.
STRATEGIC OBJECTIVE 4:
dŽƉƌŽŵŽƚĞůŽĐĂůĂŶĚŝŶƚĞƌŶĂƟŽŶĂůƉĂƌƚŶĞƌƐŚŝƉƐĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
...
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ
of non-communicable disease and their determinants...
WƌŽŵŽƚĞĂŶĚŝŵƉůĞŵĞŶƚĞǀŝĚĞŶĐĞďĂƐĞĚƐƚƌĂƚĞŐŝĞƐĂŶĚŝŶƚĞƌǀĞŶƟŽŶƐ ĨŽƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨǀŝŽůĞŶĐĞĂŶĚŝŶũƵƌŝĞƐ
of non-communicable disease and their determinants.
...
dŽƉƌŽŵŽƚĞůŽĐĂůĂŶĚŝŶƚĞƌŶĂƟŽŶĂůƉĂƌƚŶĞƌƐŚŝƉƐĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
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dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ
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WƌŽŵŽƚĞĂŶĚŝŵƉůĞŵĞŶƚĞǀŝĚĞŶĐĞďĂƐĞĚƐƚƌĂƚĞŐŝĞƐĂŶĚŝŶƚĞƌǀĞŶƟŽŶƐ
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dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
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ŝŶĂĐƟǀŝƚLJ͕ƵƐĞĂŶĚĞdžƉŽƐƵƌĞƚŽƚŽďĂĐĐŽĂŶĚŚĂƌŵĨƵůƵƐĞŽĨĂůĐŽŚŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
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ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ
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dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů ŝŶĂĐƟǀŝƚLJ͕ƵƐĞĂŶĚĞdžƉŽƐƵƌĞƚŽƚŽďĂĐĐŽĂŶĚŚĂƌŵĨƵůƵƐĞŽĨĂůĐŽŚŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
^LJŶĞƌŐŝĞƐďĞƚǁĞĞŶŵĂũŽƌŶŽŶĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐĂŶĚŽƚŚĞƌĐŽŶĚŝƟŽŶƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
&ƌĂŵĞǁŽƌŬĨŽƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
SECTION 2: STRATEGIC OBJECTIVES ...
dŽĞƐƚĂďůŝƐŚŵĞĐŚĂŶŝƐŵƐƚŽƌĂŝƐĞƚŚĞƉƌŝŽƌŝƚLJĂĐĐŽƌĚĞĚƚŽEƐĂƚŶĂƟŽŶĂůĂŶĚ ĐŽƵŶƚLJůĞǀĞůƐĂŶĚƚŽŝŶƚĞŐƌĂƚĞƚŚĞŝƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŝŶƚŽƉŽůŝĐŝĞƐĂĐƌŽƐƐ
ĂůůŐŽǀĞƌŶŵĞŶƚƐĞĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
dŽ&ŽƌŵƵůĂƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶůĞŐŝƐůĂƟŽŶƐ͕ƉŽůŝĐŝĞƐĂŶĚƉůĂŶƐĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ
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dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ dŽ&ŽƌŵƵůĂƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶůĞŐŝƐůĂƟŽŶƐ͕ƉŽůŝĐŝĞƐĂŶĚƉůĂŶƐĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ
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ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ of non-communicable disease and their determinants.
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ of non-communicable disease and their determinants.
WƌŽŵŽƚĞĂŶĚŝŵƉůĞŵĞŶƚĞǀŝĚĞŶĐĞďĂƐĞĚƐƚƌĂƚĞŐŝĞƐĂŶĚŝŶƚĞƌǀĞŶƟŽŶƐ STRATEGIC OBJECTIVE 4:
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ control of non-communicable diseases
STRATEGIC OBJECTIVE 4:
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ control of non-communicable diseases
STRATEGIC OBJECTIVE 4:
STRATEGIC OBJECTIVE 4:
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ control of non-communicable diseases
STRATEGIC OBJECTIVE 5
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ
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of non-communicable disease and their determinants.
of non-communicable disease and their determinants.
control of non-communicable diseases.
STRATEGIC OBJECTIVE 6
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ STRATEGIC OBJECTIVE 6
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ of non-communicable disease and their determinants.
dŽĞƐƚĂďůŝƐŚĂŶĚƐƚƌĞŶŐƚŚĞŶĞīĞĐƟǀĞŵŽŶŝƚŽƌŝŶŐĂŶĚĞǀĂůƵĂƟŽŶƐLJƐƚĞŵƐ of non-communicable disease and their determinants.
SECTION 2: STRATEGIC OBJECTIVES ...
dŽĞƐƚĂďůŝƐŚŵĞĐŚĂŶŝƐŵƐƚŽƌĂŝƐĞƚŚĞƉƌŝŽƌŝƚLJĂĐĐŽƌĚĞĚƚŽEƐĂƚŶĂƟŽŶĂůĂŶĚ ĐŽƵŶƚLJůĞǀĞůƐĂŶĚƚŽŝŶƚĞŐƌĂƚĞƚŚĞŝƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŝŶƚŽƉŽůŝĐŝĞƐĂĐƌŽƐƐ dŽĞƐƚĂďůŝƐŚŵĞĐŚĂŶŝƐŵƐƚŽƌĂŝƐĞƚŚĞƉƌŝŽƌŝƚLJĂĐĐŽƌĚĞĚƚŽEƐĂƚŶĂƟŽŶĂůĂŶĚ ĐŽƵŶƚLJůĞǀĞůƐĂŶĚƚŽŝŶƚĞŐƌĂƚĞƚŚĞŝƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŝŶƚŽƉŽůŝĐŝĞƐĂĐƌŽƐƐ
ĂůůŐŽǀĞƌŶŵĞŶƚƐĞĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
dŽĞƐƚĂďůŝƐŚŵĞĐŚĂŶŝƐŵƐƚŽƌĂŝƐĞƚŚĞƉƌŝŽƌŝƚLJĂĐĐŽƌĚĞĚƚŽEƐĂƚŶĂƟŽŶĂůĂŶĚ ĐŽƵŶƚLJůĞǀĞůƐĂŶĚƚŽŝŶƚĞŐƌĂƚĞƚŚĞŝƌƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŝŶƚŽƉŽůŝĐŝĞƐĂĐƌŽƐƐ
ĂůůŐŽǀĞƌŶŵĞŶƚƐĞĐƚŽƌƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
dŽƉƌŽŵŽƚĞĂŶĚĐŽŶĚƵĐƚƌĞƐĞĂƌĐŚĂŶĚƐƵƌǀĞŝůůĂŶĐĞĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚ
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dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
ŵŽĚŝĮĂďůĞƌŝƐŬĨĂĐƚŽƌƐĨŽƌŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐ͗ƵŶŚĞĂůƚŚLJĚŝĞƚƐ͕ƉŚLJƐŝĐĂů ĐŽƵŶƚLJĂŶĚŶĂƟŽŶĂůŐŽǀĞƌŶŵĞŶƚƐ͘
STRATEGIC OBJECTIVE 3:
dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ STRATEGIC OBJECTIVE 3:
dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ dŽ&ŽƌŵƵůĂƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶůĞŐŝƐůĂƟŽŶƐ͕ƉŽůŝĐŝĞƐĂŶĚƉůĂŶƐĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨŶŽŶͲĐŽŵŵƵŶŝĐĂďůĞĚŝƐĞĂƐĞƐͬŽŶĚŝƟŽŶƐĂƚďŽƚŚ ĐŽƵŶƚLJĂŶĚŶĂƟŽŶĂůŐŽǀĞƌŶŵĞŶƚƐ͘
STRATEGIC OBJECTIVE 3:
dŽƉƌŽŵŽƚĞŚĞĂůƚŚLJůŝĨĞƐƚLJůĞƐĂŶĚŝŵƉůĞŵĞŶƚŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞƚŚĞ
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CONTENTS
STRATEGIC OBJECTIVE 8:
dŽƉƌŽŵŽƚĞŝŶƚĞƌǀĞŶƟŽŶƐƚŽƌĞĚƵĐĞĞdžƉŽƐƵƌĞƚŽĞŶǀŝƌŽŶŵĞŶƚĂů͕ŽĐĐƵƉĂƟŽŶĂů͕
genetic and biological risk factors ...
STRATEGIC OBJECTIVE 9
dŽƐƚƌĞŶŐƚŚĞŶŚĞĂůƚŚƐLJƐƚĞŵƐĨŽƌEƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůĂĐƌŽƐƐĂůů
ůĞǀĞůƐŽĨƚŚĞŚĞĂůƚŚƐĞĐƚŽƌ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
STRATEGIC OBJECTIVE 10
dŽƉƌŽŵŽƚĞĂŶĚƐƚƌĞŶŐƚŚĞŶĂĚǀŽĐĂĐLJ͕ĐŽŵŵƵŶŝĐĂƟŽŶĂŶĚƐŽĐŝĂů
ŵŽďŝůŝnjĂƟŽŶĨŽƌEƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽů͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
^ĞĐƟŽŶϯ͖/ŵƉůĞŵĞŶƚĂƟŽŶĨƌĂŵĞǁŽƌŬ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
E/ŶƚĞƌͲƐĞĐƚŽƌĂůĐŽŽƌĚŝŶĂƟŶŐŽŵŵŝƩĞĞ;E/Ϳ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
WWE/yϭ͗ĐŽŵƉƌĞŚĞŶƐŝǀĞŐůŽďĂůŵŽŶŝƚŽƌŝŶŐĨƌĂŵĞǁŽƌŬ͕ŽĨŶŝŶĞ ǀŽůƵŶƚĂƌLJŐůŽďĂůƚĂƌŐĞƚƐĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨ
non communicable diseases ...
ƉƉĞŶĚŝdžϮ͗ŽŵƉƌĞŚĞŶƐŝǀĞŶĂƟŽŶĂůŵŽŶŝƚŽƌŝŶŐĨƌĂŵĞǁŽƌŬĨŽƌƚŚĞ
ƉƌĞǀĞŶƟŽŶĂŶĚĐŽŶƚƌŽůŽĨEƐĂŶĚƚŚĞŝƌĚĞƚĞƌŵŝŶĂŶƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
ƉƉĞŶĚŝdžϯ͗<ĞŶLJĂEĂƟŽŶĂůŵŽŶŝƚŽƌŝŶŐĨƌĂŵĞǁŽƌŬĨŽƌƚŚĞƉƌĞǀĞŶƟŽŶ
and control of NCDs and their determinats ...
ƉƉĞŶĚŝdžϰ͗DƵůƟƐĞĐƚŽƌĂůĂĐƟŽŶƚŽƌĞĚƵĐĞEƐĂŶĚƚŚĞŝƌĚĞƚĞƌŵŝŶĂŶƚƐ͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘͘
References ...
NCD STRATEGY KENYA
Table of Content
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NCD STRATEGY KENYA
ďďƌĞǀŝĂƟŽŶƐ
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AIDS Acquired Immunodeficiency Syndrome DM Diabetes Mellitus
CSO Civil Society Organization CVD Cardiovascular Diseases
DNCD Division of Non-communicable Diseases GDP Gross Domestic Product
HCP Health care Provider
HIV Human Immunodeficiency Syndrome HIS Health Information System
ICC Inter-agency Coordinating Committee IDF International Diabetes Federation
IEC Information Education and Communication MDG Millennium Development Goals
MOH Ministry of Health MOE Ministry of Education MOF Ministry of Finance
NCD Non-communicable Diseases NGO Non Governmental Organization
NNSP National Non-communicable Diseases/Conditions Strategic Plan NNDSC National Non-communicable Diseases Steering Committee RTI Road Traffic Injury
TCB Tobacco Control Board WHO World Health Organization
ABBREVIATIONS
The Kenya Health Policy 2012-2030 aims at attaining the highest possible standard of health in a manner responsive to the health needs of the population.
This policy will be achieved through six strategic objectives which include halting and reversing the rising burden of NCD’s, reducing the burden of violence and injuries, providing essential health care, minimizing exposure to health risk factors, eliminat- ing communicable diseases and strengthening collaboration with health related sectors which have a bearing on NCD prevention and control.
Within this strategy, several interventions to reduce and manage the burden of NCDs have been included based on the nature of risks. They include “down- stream” interventions which are largely biological and target the individual, “midstream” which target
groups of people such as institutions or communities and “upstream” interventions which focus on society as a whole.
The development of this Kenya National Strategy for the prevention and control of Non- communicable Disease, 2015–2020, gives directions to ensure that there will be significant reduction of preventable burden of NCDs in Kenya. The purpose of this strategic document is to provide a road map towards reducing the preventable morbidity and mortality due to NCDs and to improve the quality of life of all Kenyans in line with vision 2030.
This strategic document focuses on ten strategic objectives that are key to the reduction of the burden of NCDs. It is also aligned to the functional assignments between the two levels of governance (national and county) with respect to accountability, implementation, reporting and management lines.
This strategy proposes a comprehensive and innovative approach to harness and synergize NCDs prevention and control at all levels of health care service delivery. Its intention is to embrace a multisectoral approach by engaging all government sectors and nongovernmental organizations and signals a radical departure from past approaches in addressing the health agenda. It is also crucial that partnerships be put in place in order to ensure that all is done to decrease the burden caused by NCD.
PREFACE
To this end, the government is committed to working with development partners and civil society organizations to prioritise NCD prevention and control in line with global commit- ments for NCD.
This NCD strategic document also highlights the need for availability of skilled human resource, sustained adequate funding and partnership building at all levels of governance. It will also emphasize the need for mobilizing communities in fighting poverty in order to accel- erate social and economic growth. The time is right for the country to take on NCDs preven- tion and control using the ‘people centred’ approach.
It is my belief that collectively we can make a difference: Let us all join hands in embracing healthy lifestyles towards achieving a NCD free society.
……….
Mr. James Macharia Cabinet Secretary Ministry of Health
NCD STRATEGY KENYA
Preface
|
7
2015-2020
The Kenya Health Policy 2012-2030 aims at attaining the highest possible standard of health in a manner responsive to the health needs of the population.
This policy will be achieved through six strategic objectives which include halting and reversing the rising burden of NCD’s, reducing the burden of violence and injuries, providing essential health care, minimizing exposure to health risk factors, eliminat- ing communicable diseases and strengthening collaboration with health related sectors which have a bearing on NCD prevention and control.
Within this strategy, several interventions to reduce and manage the burden of NCDs have been included based on the nature of risks. They include “down- stream” interventions which are largely biological and target the individual, “midstream” which target
groups of people such as institutions or communities and “upstream” interventions which focus on society as a whole.
The development of this Kenya National Strategy for the prevention and control of Non- communicable Disease, 2015–2020, gives directions to ensure that there will be significant reduction of preventable burden of NCDs in Kenya. The purpose of this strategic document is to provide a road map towards reducing the preventable morbidity and mortality due to NCDs and to improve the quality of life of all Kenyans in line with vision 2030.
This strategic document focuses on ten strategic objectives that are key to the reduction of the burden of NCDs. It is also aligned to the functional assignments between the two levels of governance (national and county) with respect to accountability, implementation, reporting and management lines.
This strategy proposes a comprehensive and innovative approach to harness and synergize NCDs prevention and control at all levels of health care service delivery. Its intention is to embrace a multisectoral approach by engaging all government sectors and nongovernmental organizations and signals a radical departure from past approaches in addressing the health agenda. It is also crucial that partnerships be put in place in order to ensure that all is done to decrease the burden caused by NCD.
To this end, the government is committed to working with development partners and civil society organizations to prioritise NCD prevention and control in line with global commit- ments for NCD.
This NCD strategic document also highlights the need for availability of skilled human resource, sustained adequate funding and partnership building at all levels of governance. It will also emphasize the need for mobilizing communities in fighting poverty in order to accel- erate social and economic growth. The time is right for the country to take on NCDs preven- tion and control using the ‘people centred’ approach.
It is my belief that collectively we can make a difference: Let us all join hands in embracing healthy lifestyles towards achieving a NCD free society.
……….
Mr. James Macharia Cabinet Secretary Ministry of Health
8
NCD STRATEGY KENYA
Preface
|
2015-2020The Ministry of Health wishes to thank all those who contributed to the successful completion of this document. This was a multi-stakeholder effort with numerous meetings and repeated editions over a lengthy period.
We hope that all partners, stakeholders and health care workers will adopt and continue to support us in implementing the National NCD strategy to halt and reverse the burden of NCDs as outlined in this strategy.
Special appreciation goes to the small team at the Division of Non-communicable Diseases that worked tirelessly to draft, consult on and edit this document. With the launch of this strategy, their passion to see a Kenya void of the preventable burden of NCDs has just but began bearing fruit.
We appreciate the special support from the office of the Cabinet Secreatry, Principal Secre- tary, Director of Medical Services and the head of the department of preventive and promo- tive health Dr. Jack kioko. The division of non communicable diseases wishes to also thank the office of the Country representative of the WHO Dr. Custodia Mandlhate and her team for their invaluable technical support.
We are grateful for the support of the health departments in the various Counties and the NCD alliance, APHRC, DMI, AIHD, Local universities, Private hospitals, private practitioners, local NGOs, Civil Society and patient support groups.
We are indebted to the Kenya Red Cross, The International Association of National Public Health Institutes and the MOH/CDC CoAg for funding the process of development, printing, launch and dissemination of this document.
The contribution and dedication of the following individuals and organizations is highly appreciated; Dr. Kibachio Joseph, Dr. Gladwel Gathecha, Zachary Ndegwa, Dr. Izaq Odongo, Dr Joyce Nato, Dr. Waihenya Mwangi, Dorcas Kiptui, Scholasctica Owondo, Dr. Muthoni Gichu, Dr. Carol Ngunu, Dr. Jemima Kamano, Deborah Tulienge, Edward Ndungu, Eva Muchemi, Dr Maina Kiberenge, Dr. Eva Njenga, Lilian Karugu, Caxton Masudi, Dr. Vincent Onywera, Dr. Tom Olewe, Dr. Nelson Muriu, Dr. Wekesa Paul, Angela Ngetich, Dr. Mary Wangai, Dr, Ogara Esther, Dr. Alfred Karagu, Dr. david kiima, Prof. Gerald Yonga, Prof Elijah Ogola, Dr. Mary Nyamongo, Dr. Nancy Ngugi, Dr. Zipporah ali, Dr. Dickens onyango, Dr. elizabeth ogaja, Winnie Muhoro, Dr. Eric Osoro, Angela N'getich,Inganga Mbinji, Sylvia Khamati , Dr. Eva Njenga, Abigael Chakava, dr. Catherine Karekezi, Reuben
ACKNOWLEDGEMENTS
9
NCD STRATEGY KENYA
Acknowledgement
|
2015-2020Magoko, Jane Kigotho, Dr. Mohamed Gaman. Mary Karimi, Dr. Samwel Oti, Dr. Samuel Gathere,
Dr. Duncan Kibogong, Ann Kendagor, Dr. Jutta Mari Adelin Jørgensen, Judy Kinyanjui, Jacqueline Ngiti, Betty Samburu, Dr. Ochiba Lukandu, Wilfred Mwai, Joyce Atinda and Jared Owuor.
The launch of this document is not an end in itself but the beginning of a rigorous process to prioritize NCD prevention and control to halt and reverse the burden of NCDs for the present generation and secure a healthier working and prosperous nation tomorrow.
The implementation of this strategy will take cooperation from all levels of both the National and County governments and across all the sectors in line with the multi-sectoral nature of NCDs.
……….
Dr Khadijah Kassachoon Principal Secretary Ministry of Health
The Ministry of Health wishes to thank all those who contributed to the successful completion of this document. This was a multi-stakeholder effort with numerous meetings and repeated editions over a lengthy period.
We hope that all partners, stakeholders and health care workers will adopt and continue to support us in implementing the National NCD strategy to halt and reverse the burden of NCDs as outlined in this strategy.
Special appreciation goes to the small team at the Division of Non-communicable Diseases that worked tirelessly to draft, consult on and edit this document. With the launch of this strategy, their passion to see a Kenya void of the preventable burden of NCDs has just but began bearing fruit.
We appreciate the special support from the office of the Cabinet Secreatry, Principal Secre- tary, Director of Medical Services and the head of the department of preventive and promo- tive health Dr. Jack kioko. The division of non communicable diseases wishes to also thank the office of the Country representative of the WHO Dr. Custodia Mandlhate and her team for their invaluable technical support.
We are grateful for the support of the health departments in the various Counties and the NCD alliance, APHRC, DMI, AIHD, Local universities, Private hospitals, private practitioners, local NGOs, Civil Society and patient support groups.
We are indebted to the Kenya Red Cross, The International Association of National Public Health Institutes and the MOH/CDC CoAg for funding the process of development, printing, launch and dissemination of this document.
The contribution and dedication of the following individuals and organizations is highly appreciated; Dr. Kibachio Joseph, Dr. Gladwel Gathecha, Zachary Ndegwa, Dr. Izaq Odongo, Dr Joyce Nato, Dr. Waihenya Mwangi, Dorcas Kiptui, Scholasctica Owondo, Dr. Muthoni Gichu, Dr. Carol Ngunu, Dr. Jemima Kamano, Deborah Tulienge, Edward Ndungu, Eva Muchemi, Dr Maina Kiberenge, Dr. Eva Njenga, Lilian Karugu, Caxton Masudi, Dr. Vincent Onywera, Dr. Tom Olewe, Dr. Nelson Muriu, Dr. Wekesa Paul, Angela Ngetich, Dr. Mary Wangai, Dr, Ogara Esther, Dr. Alfred Karagu, Dr. david kiima, Prof. Gerald Yonga, Prof Elijah Ogola, Dr. Mary Nyamongo, Dr. Nancy Ngugi, Dr. Zipporah ali, Dr. Dickens onyango, Dr. elizabeth ogaja, Winnie Muhoro, Dr. Eric Osoro, Angela N'getich,Inganga Mbinji, Sylvia Khamati , Dr. Eva Njenga, Abigael Chakava, dr. Catherine Karekezi, Reuben
NCD STRATEGY KENYA
Acknowledgement
|
10
2015-2020
Magoko, Jane Kigotho, Dr. Mohamed Gaman. Mary Karimi, Dr. Samwel Oti, Dr. Samuel Gathere,
Dr. Duncan Kibogong, Ann Kendagor, Dr. Jutta Mari Adelin Jørgensen, Judy Kinyanjui, Jacqueline Ngiti, Betty Samburu, Dr. Ochiba Lukandu, Wilfred Mwai, Joyce Atinda and Jared Owuor.
The launch of this document is not an end in itself but the beginning of a rigorous process to prioritize NCD prevention and control to halt and reverse the burden of NCDs for the present generation and secure a healthier working and prosperous nation tomorrow.
The implementation of this strategy will take cooperation from all levels of both the National and County governments and across all the sectors in line with the multi-sectoral nature of NCDs.
……….
Dr Khadijah Kassachoon Principal Secretary Ministry of Health
Non-communicable diseases (NCDs) are the lead- ing causes of morbidity and mortality globally, causing more deaths than all other causes com- bined, and they strike hardest at the world’s low and middle-income populations. Currently NCDs causes over 63% of deaths globally, with 80% of these deaths occurring in developing countries.
The World Health Organization (WHO) estimates that NCDs will cause 73% of global deaths and 60% of the burden of disease by 2020.
Besides the burden of deaths and disability, non- communicable diseases pose a greater social and economic burden to the economy. Several factors are implicated in this increasing burden; longer
average lifespan, tobacco use, decreasing physical activity, harmful use of alcohol and increasing consumption of unhealthy foods. Fortunately, non-communicable diseases are largely preventable. Up to 80% of premature deaths from heart disease, stroke and diabe- tes can be averted with evidence based behavioral and pharmaceutical interventions.
Despite the aforementioned, the prevention and control of non-communicable diseases gets inadequate attention particularly in Sub Saharan Africa where the double burden of both NCD and Communicable diseases is being experienced.
In Kenya NCD accounts for more than 50% of total hospital admissions and over 55% of hospital deaths. It is in this regard that the Ministry of Health and partners have developed this strategic document to serve as a comprehensive guide to addressing this emerging epidemic.
The goal of this national NCD prevention and control Strategy is to reduce the prevent- able burden of morbidity, mortality and disability due to Non-communicable diseases through multi-sectoral collaboration at the county and national levels, to ensure the high- est attainable standards of health and productivity throughout the life cycle for sustainable socioeconomic development.
This strategy has laid emphasis on the four major NCD: cardiovascular conditions, cancers, diabetes, and chronic obstructive pulmonary diseases and their shared risk factors. How- ever, much emphasis has also been given to, haemoglobinopathies, mental disorders, violence and injuries, oral and eye diseases in line the Brazzaville Declaration on Non-
EXECUTIVE SUMMARY
NCD STRATEGY KENYA
džĞĐƵƟǀĞ^ƵŵŵĂƌLJ
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11
2015-2020
Communicable Diseases prevention and control in the WHO African region.
Within this strategy, the Ministry of Health aims to;
1. Establish mechanisms to raise the priority accorded to NCDs at national and county levels and to integrate their prevention and control into policies across all government sectors
2. Formulate and strengthen legislations, policies and plans for the prevention and control of non-communicable diseases at both county and national government levels.
3. Promote healthy lifestyles and implement interventions to reduce the modifiable risk factors for NCDs: unhealthy diets, physical inactivity, harmful use of alcohol, tobacco use and exposure to tobacco smoke.
4. Promote and conduct research and surveillance for the prevention and control of non-communicable diseases
5. Promote sustainable local and international partnerships for the prevention and control of non-communicable diseases
6. Establish and strengthen effective Monitoring & Evaluation (M&E) systems for NCDs and their determinants.
7. Promote and implement evidence based strategies and interventions for prevention and control of violence and injuries.
8. Put in place interventions to reduce exposure to environmental, occupational and biological risk factors
9. Strengthen health systems for NCD prevention and control across all levels of the health sector
10. Promote and strengthen advocacy, communication and social mobilization for NCD prevention and control
This Kenya national NCD Strategic plan 2015-2020 will act as the strategic blue print for the national and county response to non-communicable diseases prevention and control for the next five years in Kenya.
………
Dr. Nicholas Muraguri Director of Medical Services Ministry of Health
Non-communicable diseases (NCDs) are the lead- ing causes of morbidity and mortality globally, causing more deaths than all other causes com- bined, and they strike hardest at the world’s low and middle-income populations. Currently NCDs causes over 63% of deaths globally, with 80% of these deaths occurring in developing countries.
The World Health Organization (WHO) estimates that NCDs will cause 73% of global deaths and 60% of the burden of disease by 2020.
Besides the burden of deaths and disability, non- communicable diseases pose a greater social and economic burden to the economy. Several factors are implicated in this increasing burden; longer
average lifespan, tobacco use, decreasing physical activity, harmful use of alcohol and increasing consumption of unhealthy foods. Fortunately, non-communicable diseases are largely preventable. Up to 80% of premature deaths from heart disease, stroke and diabe- tes can be averted with evidence based behavioral and pharmaceutical interventions.
Despite the aforementioned, the prevention and control of non-communicable diseases gets inadequate attention particularly in Sub Saharan Africa where the double burden of both NCD and Communicable diseases is being experienced.
In Kenya NCD accounts for more than 50% of total hospital admissions and over 55% of hospital deaths. It is in this regard that the Ministry of Health and partners have developed this strategic document to serve as a comprehensive guide to addressing this emerging epidemic.
The goal of this national NCD prevention and control Strategy is to reduce the prevent- able burden of morbidity, mortality and disability due to Non-communicable diseases through multi-sectoral collaboration at the county and national levels, to ensure the high- est attainable standards of health and productivity throughout the life cycle for sustainable socioeconomic development.
This strategy has laid emphasis on the four major NCD: cardiovascular conditions, cancers, diabetes, and chronic obstructive pulmonary diseases and their shared risk factors. How- ever, much emphasis has also been given to, haemoglobinopathies, mental disorders, violence and injuries, oral and eye diseases in line the Brazzaville Declaration on Non-
NCD STRATEGY KENYA
džĞĐƵƟǀĞ^ƵŵŵĂƌLJ
|
12
2015-2020
Communicable Diseases prevention and control in the WHO African region.
Within this strategy, the Ministry of Health aims to;
1. Establish mechanisms to raise the priority accorded to NCDs at national and county levels and to integrate their prevention and control into policies across all government sectors
2. Formulate and strengthen legislations, policies and plans for the prevention and control of non-communicable diseases at both county and national government levels.
3. Promote healthy lifestyles and implement interventions to reduce the modifiable risk factors for NCDs: unhealthy diets, physical inactivity, harmful use of alcohol, tobacco use and exposure to tobacco smoke.
4. Promote and conduct research and surveillance for the prevention and control of non-communicable diseases
5. Promote sustainable local and international partnerships for the prevention and control of non-communicable diseases
6. Establish and strengthen effective Monitoring & Evaluation (M&E) systems for NCDs and their determinants.
7. Promote and implement evidence based strategies and interventions for prevention and control of violence and injuries.
8. Put in place interventions to reduce exposure to environmental, occupational and biological risk factors
9. Strengthen health systems for NCD prevention and control across all levels of the health sector
10. Promote and strengthen advocacy, communication and social mobilization for NCD prevention and control
This Kenya national NCD Strategic plan 2015-2020 will act as the strategic blue print for the national and county response to non-communicable diseases prevention and control for the next five years in Kenya.
………
Dr. Nicholas Muraguri Director of Medical Services Ministry of Health
………
………
………
Courtesy of the Global action plan for the prevention and control of noncommunicable diseases 2013-2020.
This strategic document will mainly focus on the four major non-communicable diseases cardiovascular diseases, cancer, chronic respiratory diseases and diabetes, which make the largest contribution to global morbidity and mortality due to non-communicable diseases.
It will also focus on their four shared behavioral risk factors—tobacco use and exposure, unhealthy diet, physical inactivity and harmful use of alcohol.
However the scope of this NCD strategy is expanded in line with the Brazzaville Declaration to include haemoglobinopathies, mental disorders, violence and injuries, oral and eye diseases plus chronic diseases with an infective origin like rheumatic heart diseases which is a significant challenge in the region.
This strategy will emphasize on an integrated approach addressing non-communicable diseases and their risk factors using evidence based cost effective interventions. It also real- izes the need of integrating non-communicable disease control into communicable disease prevention and control using existing primary health care platforms such as community health services, maternal and child health, school health, disease surveillance, HIV, TB and Malaria as entry points.
Priority for action will be placed on areas of policy development; risk factor reduction;
strengthening and re-orientation of the health care systems to address NCDs; advocacy and community mobilization; health promotion; research; surveillance and the creation of networks and partnerships for disease control across various sectors.
This NCD strategy has embraced multisectoral action by identifying and promoting actions across all sectors that have a stake in the prevention and control of non-communicable diseases. It builds on the successes made in tobacco control and aims at integrating NCD prevention and control in multisectoral platforms in Kenya.
The strategy provides a road map of strategic directions for the national and county govern- ments and all NCD stakeholders, to take coordinated and coherent action to attain the now domesticated nine voluntary global targets, including that of a 25% relative reduction in premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 2025.
RELATIONSHIP TO EXISTING GLOBAL INITIAVIES, NATIONAL LEGISLATIONS, POLICIES AND STRATEGIES
The National Non-communicable diseases strategic plan has been adapted from the global NCD action plan 2013-2020 and it also builds on the implementation of other global reso- lutions thereby mutually reinforcing them. These include:
SCOPE
NCD STRATEGY KENYA
Scope
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Scope
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I. WHO Framework Convention on Tobacco Control (WHO FCTC) (resolution WHA56.1)
II. Global strategy on diet, physical activity and health (resolution WHA57.17) III. Global strategy to reduce the harmful use of alcohol (resolution WHA63.13) IV. Sustainable health financing structures and universal coverage (resolution WHA64.9)
V. Global strategy and plan of action on public health, innovation and intellectual property (resolution WHA61.21)
VI. The Brazzaville declaration on non-communicable Diseases prevention and control in the WHO African region 2011.
VII. Moscow declaration at the first ministerial conference on healthy lifestyles and NCD control 2011.
VIII. Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases :A/RES/66/2(2011) IX. UN Decade of Action for Road Safety 2011-2020 A/RES/64/255 (2010) X. Comprehensive Global mental health action plan 2013-2020
XI. Universal eye health: a global action plan 2014-2019
The strategy also provides a framework to support and strengthen implementation of existing national developmental blue prints and legislations including;
I. Constitution of Kenya 2010 II. Vision 2030
III. Public Health Act Amendment 2012 IV. Tobacco Control Act 2007
V. Cancer prevention and control act 2012 VI. Alcoholic drinks control Act 2010
VII. Breast Milk Substitute Act 2007Children’s act 2001 VIII. Occupational health and safety act 2007
IX. The National Transport and Safety Authority Act 2012 X. Public information and Communications act 2008 XI. Traffic Act Cap 403 Amendment 2012
Lastly, the strategy has close linkages to the following policies, strategies and action plans and implementation of this will lead to significant gains in those interventions and activi- ties highlighted by these documents:
I. Kenya Heath Policy 2012-2030
II. National Health Sector Strategic and Investment Plan 2013-2018 III. Health Sector function assignment and transfer policy paper IV. School health Policy
V. National Reproductive Health Policy VI. National Nutrition Action plan 2012-2017 VII. National Diabetes Control Strategy
VIII. National Cancer Control Strategy
IX. Tobacco Control Action Plan 2010-2015 X. National Road Safety Action Plan
9 GLOBAL NCD TARGETS
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www.ncdalliance.org
SECTION 1:
Introduction
The Kenya National NCD Strategic plan 2015-2020 is the strategic blue print for the national response to non-communicable diseases for the next five years in Kenya. This is the first plan that addresses NCD in the country and is adapted from the Global NCD Action Plan. It aims to inform national, county, sub county and community-level stakeholders on strategic direc- tions to be taken into consideration when developing implementation plans on prevention and control of NCD. Development partners and stakeholders will also use this document to align their priorities and to support the country in its efforts to lower the burden of NCD.
This document establishes the framework for reducing morbidity and mortality from non- communicable diseases (NCD) in the context of broad health reform in Kenya
as well as a “whole of government” and “whole of society” approach to promoting health.
VISION
A nation free of avoidable burden of non-communicable diseases
GOALTo reduce the preventable burden, avoidable morbidity, mortality, risk factors and costs due to Non-communicable diseases and promote the well-being of the Kenyan population by pro- viding evidence based NCD prevention and control interventions in order to ensure optimal health throughout the life course for sustainable socioeconomic development.
GUIDING PRINCIPLES
The strategic plan relies on the following guiding principles and approaches
1. Multi-sectoral approach: The nature of NCDs and their risk factors calls for the involvement of both health and non health sectors in prevention and control measures. Mechanisms needs to be put in place to ensure that there is a coordi nated multi-stakeholder engagement and multisectoral action for health both
within government and by non government actors. Health should be incorpo- rated in all policies and a whole of government approach where appropriate should be considered.
2. Life-course approach: Opportunities to prevent and control non communicable diseases occur at multiple stages of life; interventions in early life often offer the best chance for primary prevention. Policies, plans and services for the preven tion and control of noncommunicable diseases need to take into account the health and social needs at all stages of life.
3. Human rights approach: The constitution of Kenya 2010 states that every citizen has the right to life, the right to the highest attainable standard of health and the right to access information. The National NCD Strategic Plan is firmly rooted in these rights.
4. Equity-based approach: The disparity in occurrence of NCDs is due to unequal distribution of social determinants of health. Action on the determinants of health, both for vulnerable groups and the entire population, is essential to
SECTION 1: INTRODUCTION
NCD STRATEGY KENYA
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2015-2020
