Chronic Obstructive Pulmonary Disease

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Contact Person: 
Franklin c. Diza, MD, MPH

Respiratory conditions impose an enormous burden on society. According to the WHO World Health Report 2000, the top five respiratory disease account for  17.4% of all deaths and 13.3% of all Disability Adjusted Life Years (DALYs). Lower respiratory tract infections, chronic obstructive pulmonary disease (COPD), tuberculosis and lung cancer are among the leading 10  causes of death worldwide. Based partly on demographic changes in in the developing world, but also on the changes in health care systemss schooling, income and tobacco use, the burden of communicable diseases is likely to lessen while the burden of CRDs including asthma, COPD and lung cancer will worsen because of tobacco use.

POLICY STATEMENT:

The prevention and control of chronic lifestyle related non communicable diseases shall be guided by the following policy statements:

1.     The country shall adopt an integrated, comprehensive and community based response for the prevention and control of chronic, lifestyle related NCDs.

2.     Health promotion strategies shall be intensified to effect changes that would lead to a significant reduction in mortality and morbidity due to chronic lifestyle related NCDs.

3.     Complementary accountabilities of all stakeholders must be ensured and actively pursued in the implementation of an integrated, comprehensive and community base response to chronic lifestyle related NCDs.

OBJECTIVES

1.     Decrease of morbidity and mortality

2.     Decrease in the economic burden of CVDs to the individual, family and community.

STRATEGIES IMPLEMENTED BY THE DOH

·         Adopted in the context of health promotion in order to decrease the chances of the targeted population to adopt high risk behaviours and habits that may lead to the development of COPD.

·        Will be implemented by setting:

ØCommunity-based

ØSchool-based

ØIndustry-based

ØHospital-based

·        Training, research, environmental support system are important components of the progress

STATUS OF IMPLEMENTATION / ACTION

1.     Development of Administrative Order on the National Policy on the integrated chronic non-communicable disease registry system (cancer, stroke, DM and COPD).

2.     1st public hearing on the Administrative Order on the National Policy on the integrated chronic non-communicable disease registry system with CHD-NCR, government and private hospitals and non-government agencies.

3.     Trained hospitals for the registry system entitled “Users” training for the Unified Registry System.

4.     Trained CHDs for the Registry system.

5.     Establishment of Philippine Coalition on the prevention and control of NCD.

6.     A training manual for health workers on promoting healthy lifestyle.

7.     Healthy lifestyle advocacy campaign.

8.     Manual of operations on the prevention and control lifestyle related non-communicable diseases in the Philippines.

9.     Training manual for Health workers: WHO/ DOH smoking cessation clinic: Helping smokers quit.

FUTURE PLAN/ACTION

·        Implement the program through the institutionalized integrated program of NCD-lifestyle related diseases control program.

·        Development of service package for cardiovascular diseases.

·        Development of clinical practice guideline for cardiovascular disease.

·        Development of strategic framework and five year strategic plan for cardiovascular disease (2012-2016).

MISSION: To ensure that quality prevention and control and LRD services are accessible to all, especially to the vulnerable and at-risk population.

VISION: Improved quality of life for all Filipinos.