Ran Annim
Moria Shomour
Chuuk NCD Coordinator



We have identified that food insecurity was
another problem contributing to ncds
Chuuk director request assistance from WHO
thru FSM Health & Social Affairs to conduct a
food summit.
October 2012, Food Security and NCD
Stakeholders Meeting conducted by Richard
Hoes




Chuuk is facing a double burden of
malnutrition with the co-existence of
under-nutrition and obesity within
the state as well as within
households and communities.
the urgent need to map out actions
and mobilise resources to address
the growing burden of NCDs and to
look at measures in place in Chuuk
to control and manage NCD risk
factors
Unhealthy diets and food insecurity
has been identified as one of the
main risk factors to NCDs
With the FSM National Food Security
Policy and NCD Strategy it is an
opportunity to plan on
implementation of the two issues at
state level
'ONLY IN CHUUK (OIC)’
NCD EMERGENCY RESPONSE TOWARDS A
HEALTHY
CHUUK STATE
Action Plan 2011-2015
I
Advocacy and Coordination of NCD
•Government and public sectors
•Hospital and Dept of Health
II
Food Security (Nutrition and Physical Activity)
•Salt Reduction, Fruits and vegetables promotion, Physical Activity
•Policy & Legislation
•Strengthening Community Action
School, Workplace, Church & Villages
III
Tobacco & Alcohol Control)
•Policy, legislation, taxation
•Strengthening Community Action
School, Workplace, Church & Villages
•Cessation initiatives
IV
Primary Health Care and NCD
•Strengthening Primary and secondary health services
•Community Mobilization
V
Monitoring, evaluation & surveillance
•NCD STEPS and Mini-STEPS
•Vital Registration


Gov. Johnson
declared hospital
tobacco, alcohol
& betel nut free
environment
On the premises,
including hospital
vehicles (on and
off the premises)
NCD Screening
NCD
Counseling/education
Exercise
School garden
NCD Education
Climate Change Meeting
Adopt a Community
Project
NGO ( CWC)
Home Garden
Hospital Garden
Home Garden



Provide evidence based
medical care for NCD
patients (core mission)
Develop an evidence
based best care
process for diabetes
type II (Done!)
Support in everyway
possible the
development of an
information system for
clinical care and data
analysis



Identify specific goals based on
evidence based guidelines that can
be monitored by available data.
Partner with government and civic
groups to work on prevention and
screening NCD programs
Forum to resolve on-going
operational issues between
organizations


Bill introduce within
the house of senate
to ban tobacco
products still
pending
Clean indoor Act
passed by house of
representative and
now at house of
senate

Working our ways to
win the support
from our policy
makers
HOOPS n
Other NGOs
National
State govt
Chuuk
Women's
Council
Recreation
Religious
groups
YOUTH
Chuuk
Conservation
Society/
Climate
Change
NCD
Team
Chuuk Nurse's
Association
Land grant
DOE
Environmental
Protection
Agency
Rotary
Legislators
Chuuk Medical
Association
Agriculture