Table 1.

Summary of results from piloting of the NCD assessment tool in Colombia, the Dominican Republic, and Mozambique.

Area	Indicator	Colombia	Dominican Republic	Mozambique
NCD governance and health system infrastructure	NCD unit or department Coverage of health services	NCD sub-directorate nested in the MOH working with National Institute of Public Health (INS) 98% coverage: 53% in the subsidized regime, 40% in the contributive, the rest (2.3%) affiliated to the military, Ecopetrol, or police. 4.4% are not affiliated (2010)	NCD program nested in the MOH created in 2010 52% coverage (2012) through the Plan Basico de Salud. Contributive 53.7% and subsidized 45.7%	NCD Unit (DDNT) within the MOH (created in 2002) working mostly with academic partners 60% coverage of public services. Mostly public sector
	Provision of health services	Health sector is structured through 'Promoting Health Entities' (Entidades Promotoras de Salud) which offer services through health insurance plans according to the 'Mandatory Health Plan'	Divided into three levels of care: primary (health clinics), secondary (provincial hospitals), and tertiary (reference hospitals)	Structured in four levels: primary healthcare clinics and health posts, district-level hospitals, provincial-level hospitals, and central-level hospitals
Surveillance	Surveillance system in place for NCDs	Complex system that integrates information from various databases: the Unique Registry for Social Security (RUAF) and the Individual Registry for health care services (RIPS) (information provided by insurance companies). Additionally, the National Statistics Department (DANE) compiles the information and analyzes it along with the National Institute of Public Health	There is no formal surveillance system in place, most information obtained by independent surveys	The Department of Health Information is in charge of collecting morbidity data
	Specific NCD information available	Mortality information for Cardiovascular disease (CVD), Cancer, Diabetes, Chronic Obstructive Pulmonary Disease (COPD), and injury is gathered and available at a local, department (state), and national level. There are population cancer registries done by some universities and financed by the MOH through the National Cancer Institute	The mortality data for NCDs available is for cardiovascular disease, cancer, diabetes, COPD, and injury (all at a hospital level). Some information from specific point-in- time surveys. Cancer and renal chronic disease morbidity data are available from the primary level of care	Hospital-based cancer registry since 1992 (three major hospitals). One population-based registry in one city. Surveillance for injury - hospital based
	Risk factor surveys	2007 National Health Survey: blood pressure, tobacco, diabetes, hyperglycemia, and cholesterol. Periodicity: every five years. 2005 and 2010 National Nutrition Survey (Encuesta Nacional de la situación nutricional (ENSIN)): 2010 version includes anthropometry, biochemical indicators, food security, food frequency, physical activity, TV viewing time, and perception of body image. Additionally, there is the Tobacco and Alcohol Survey (ENTAB) based on the Global Youth Tobacco Survey (GYTS) every four years available in some cities	2007 National Demographic and Health Survey (ENDESA): tobacco, alcohol, breastfeeding, self-reported diabetes, hypertension, cancer, and cardiovascular disease. 2003 World health survey Dominican Republic: tobacco, alcohol, intake of fruit and vegetables, and physical activity. 1998 and 2008 Risk Factors for cardiovascular and metabolic syndrome in the Dominican Republic (EFRICARD) I/II: CVD, hypertension, overweight and obesity, glucose and lipid profile	2005 WHO STEPwise approach to Surveillance (STEPS) survey: obesity, tobacco and alcohol consumption, diabetes, hypertension, and CVD
Workforce capacity	NCD workforce capacity	MOH: 35 staff members (four permanent positions). INS: 16 staff members (three permanent positions). Coldeportes: three staff members. the Field Epidemiology Training Program (FETP) NCD courses (basic, short and basic plus) have been adapted and piloted in several locations, one FETP in the MOH working on NCDs and 11 at the INS	National Program for Chronic Diseases (PRONCEC) in the Dominican Republic has three staff members. The head of NCD program is an FETP graduate. FETP is strong in the country with a strong infectious disease focus	DDNT works with three people. Additionally, two FETPs working on cancer and injury projects. FETP is strong for infectious diseases. NCD basic course was taught on 2012 to the NCD local coordinators for the 11 regions in the country
Partnerships and collaboration		There is extensive collaboration between MOH, INS, and Coldeportes. Additional collaboration for specific projects with the Ministry of education, the National Institute for Food Surveillance and Safety (INVIMA), and several universities and research institutions. The NGO side is relatively weak for NCDs, even though some organizations do some work	Some formal agreements with the Nutrition Institute for Central America and Panama (INCAP), the Autonomous University of Santo Domingo and University of Puerto Rico. Partnerships with NGOs are mostly for infectious diseases, but PSI is interested in engaging in diabetes, nutrition and physical activity work	Some links with the department of transportation for injury prevention. Also there are linkages with maternal and child health in tobacco and alcohol areas. NGOs focus is mainly EBV and infectious diseases
NCD policy and guidelines	National NCD policy	Framework document for the management of NCDs is under development	NCD strategic plan 2009-2016	2008-2014 strategic plan for NCD prevention and control
	National guidelines	Cancer treatment and comprehensive care guidelines. CVD guidelines (includes acute myocardial infarction and hypertension). Diabetes treatment guidelines (under review at the moment). Physical activity guidelines (technical document from Coldeportes)	PAHO NCD and risk factor guidelines are used for the country. Available cancer and hypertension guidelines focus on treatment and management	Hypertension, diabetes, and cancer guidelines exist in the country