Non-Communicable Diseases (NCDs) related diseases in the country are increasing due to its related risk factors such as smoking, inadequate access to good Nutrition, Excessive alcohol intake and Physical inactivity
Summary of Services
Lifestyle Unit consist of NCD, Mental Health, Nutrition and DR (Eye) Programs. The Unit is fully established in 2016.The primary function of the Unit is to ensure the public health services of each programs under the unit must provide at all level from National level to community level. The key activities which each programs must implemented based on the expected services delivery are:
- Develop and implement of National Policies and Strategic Plan nationally
- Manage all the NCD,MH, Nutrition and DR programs trainings from National to provincial levels
- Develop and implemented NCD,MH, Nutrition Unit annual Business plan according to planned activities against budget allocation
- Coordinate any surveys and researches undertaken by the Unit from national to provincial levels
- Provide the update of the progress of the unit to Director of Public Health Office and to Director General Office base on the quarterly and annual reports provided
All the objectives of the unit planned under the 2017 Business Plan, are summarised below:
- Non Communicable Disease, Mental Health and Nutrition Policies and Plans are implemented
- Tobacco Control Law and regulations are enforced
- Laws related to road safety are gradually enforced pending health and other sector capacity
- New Mental Health Legislation is drafted
- Public health and clinical team from National to community level plan and implement activities in an integrated manner.
- NCD, Mental Health, DR (Eye) and Nutrition Programs are effectively managed with proper coordination and support at national level and decentralised activity delivery at provincial level.
- NCD, Mental Health and Nutrition, DR (Eye) Information, Education and Communications (IEC) materials and related documents are available to the general population
- Partnership with other stakeholders in NCD, MH and Nutrition are maintained and used to deliver health services.
Means of Service Delivery
The Objectives were to be achieved through completing the following activities / outputs throughout the year. These have been split programmatically:
- Conduct first ever mhGAP Version 2 training of trainers workshop in the world and also in Vanuatu at Port Vila
- Conduct National Mental Health Committee meeting
- Conduct the consultation meetings with the stakeholders and community for new mental health legislation.
- Develop and disseminate monthly newsletter on different mental health issues
- Conduct provincial hospital mental health services to Santo hospital, Lenakel hospital and Lolowai hospital by psychiatrist
- Conduct mental health and psychosocial support trainings with Teachers, Police and Churches
- Engage mental health and psychosocial support emergency responses with National Youth Council, Gender and child protection cluster and Education psychosocial support cluster.
- Roll out first provincial mhGAP version 2 training for community nurses in Penama
- Conduct community mental health and psychosocial support advocacy through trained community leaders
- Conduct World Health Day (April 7th) activities across the province
- Conduct world Mental Health Atlas Report
- Conduct community awareness using radio media and newspaper
- Submit mental health indicators to HIS Unit to insert into existing review HIS record book
- Reprint and distribute mental health IEC materials and related documents
- Two mental health nurses to undertake post grade certificate in Psychiatric nursing
- Conduct for the first time community rehabilitation outreach program around Efate for Old Ageing
- Conduct the meetings to review National Community Based Rehabilitation Action Plan
- Manage the affairs of the National Office to ensure smooth running of the National Unit to provincial level
- Assist NCD coordinator with NCD related programs
- Establish monthly integrated NCD Management meeting
- Develop Physical Activity Guidelines and physical activity planning meeting
- Engage partners to address NCDs through various sports discipline
- Revive Walk for Life program
- Conduct PEN supervisory visits in 3 Provinces (Torba,Penama,& Malampa)
- Establish Eye (DR) Care postion within the Unit
- Conduct NCD related World related events such as World No Tobacco Day, World Diabetes Day, World Heart Day and World Day at National level and sometimes at Provincial levels
- Conduct NCD screening amongst Gov. Departments, five corporate bodies and 5 community at Provincial levels.
- Complete GSHS and GYTS nationally
- Printed and disseminate all NCD related IEC materials and teaching manuals
- Assist with Pentecost community NCD screening including awareness during LINI’s Day
- Assist VAN2017 to promote the healthy Lifestyle to community across the country
- Conduct community NCD screening including awareness at NDUIDUI, West Ambae
- Conduct meetings with stakeholders to develop COM Policy to review the Vanuatu Traffic Control Act
- Conduct one week road safety awareness around Efate
- Conduct global status report on Vanuatu Road Safety
- Conduct Global status report on Vanuatu Alcohol
- Conduct Global report status on Alcohol
- Launch and dissemination of Salt Survey Report in Efate
- Conduct food safety and nutrition training with school chief cooks and principal around Port Vila
- Conduct National MYCF and IMAM training of trainers with national staff, Doctors and nurses in VCH
- Conduct provincial MYCF and IMAM training for provincial nurses in Shefa and Malampa
- Conduct baby friendly hospital initiative training in VCH
- Develop and print IEC materials
- Opening of new eye clinic at Saupia Health Centre
- Conduct Eye teams visits during the last six months
- Conduct World Sight Day at North Efate
- Conduct Primary Eye care and DR Training
- Print and distribute IEC materials
Means of Service Delivery
The program continued scale up of the LLIN distribution in order to maintain LLIN coverage and provide effective preventive measures for the population in priority areas. These are some of the service delivery activities such as;
- Supply management
- Operational planning
- And information management.
Case management covers all activities related to diagnosis and treatment of malaria. These are some of the means of services delivery;
- Supervisory visit
- Repairs of microscopy
- Stock management – RDT & Coartem
NMSP Objective 3 – Once a province has entered the elimination phase, to investigate and manage all malaria cases and identify, investigate and manage foci of infection according to national Guidelines for Malaria Elimination.
- Case investigation / classification
- Foci control and management (& response)
- Foci investigated, classified every year >Target 100%
- Case detection –PCD, ACD (& response)
- The case management information is registered in the Monthly Malaria Line Lists (MMLL) and includes results captured from the Rapid Diagnostic Tests (RDTs) and Microscopy blood test registers, as well as patient treatment data from the inpatient and outpatient treatment registers.
- All this data is compiled and summarized in the MMLL which are channelled from health facilities to Provincial office every month. The provinces then enter the MMLL data into a central operating system (DHIS2) on a monthly basis.