Table 3 Core individual NCD services and global targets
Relevant voluntary global targets by 2025 | Core services |
|---|---|
• At least 50% of eligible people receive drug therapy and counselling to prevent acute myocardial infarction (AMI) and stroke • 25% reduction in the prevalence of raised blood pressure or contain the prevalence of raised blood pressure | • CVD and diabetes – first line ✓ Risk stratification in primary health care, including hypertension, cholesterol, diabetes and other CVD risk factors ✓ Effective detection and management of hypertension, cholesterol, and diabetes through multidrug therapy based on risk stratification ✓ Effective prevention in high-risk groups and secondary prevention after AMI, including acetylsalicylic acid • CVD and diabetes – second line ✓ Rapid response and secondary care interventions after AMI and stroke |
• Diabetes ✓ Effective detection and general follow-up ✓ Patient education and intensive glucose management ✓ Hypertension management among diabetes patients ✓ Prevention of complications (e.g. eye and foot examination) | |
• Cancer – first line ✓ Prevention of liver cancer through hepatitis B immunization ✓ Screening for cervical cancer and treatment of precancerous lesions | |
• Cancer – second line ✓ Vaccination against human papilloma virus as appropriate if cost-effective according to national policies ✓ Early case-finding for breast cancer and timely treatment of all stages ✓ Population-based colorectal cancer screening at age > 50 linked with timely treatment ✓ Oral cancer screening in high risk groups linked with timely treatment |