Table 2.
Results of the East African Non-Communicable Diseases (NCD) Alliance Benchmark Survey (2017)
Burundi | Kenya | Uganda | Rwanda | Tanzania | Zanzibar | |
1) Governance | ||||||
NCDs included in the national development plan | ○ | ○ | ● | ● | ● | ● |
NCDs included in national health sector plan | ● | ● | ● | ● | ● | ● |
NCD strategy/action plan available | ○ | ● | ○ | ○ | ● | ● |
Presence of NCD targets/indicators | ○ | ● | ○ | ○ | ● | ● |
Dedicated NCD department | ● | ● | ● | ● | ● | ● |
National multisectoral commission/agency | ○ | ○ | ● | ○ | ○ | ● |
Formal Government systems to engage Civil Society | ○ | ◐ | ● | ○ | ○ | ● |
Government engagement of PLWNCDs | ○ | ◐ | ○ | ○ | ○ | ○ |
Public–private partnerships to improve NCD prevention and control. | ○ | ○ | ○ | ● | ○ | ○ |
2) Prevention and reduction of risk factors | ||||||
Tobacco Legislation | ○ | ● | ● | ● | ○ | ● |
Tobacco legislation on pack labelling and pictorial health warnings | ○ | ● | ● | ● | ○ | ● |
Tobacco taxation policy | ○ | ◐ | ○ | ◐ | ○ | ○ |
Smoke free public policy | ○ | ● | ● | ○ | ○ | ● |
Bans on tobacco advertising and sponsorship | ○ | ● | ● | ○ | ○ | ● |
Comprehensive alcohol control Legislation | ○ | ● | ○ | ● | ○ | ◐ |
Special tax on alcohol | ○ | ● | ○ | ○ | ○ | ○ |
Taxation for domestic brew | ○ | ○ | ○ | ○ | ○ | ○ |
Restriction on alcohol advertising | ○ | ◐ | ○ | ○ | ○ | ● |
Regulation to control access to alcohol | ○ | ○ | ● | ○ | ○ | ○ |
Restrictions on times and dates at which alcohol can be purchased | ○ | ● | ○ | ○ | ○ | ○ |
Restrictions in place government legislated, coregulations, or self-regulated by industry | ○ | ○ | ○ | ○ | ○ | ○ |
Licensing system for retailers | ○ | ● | ● | ● | ● | ● |
National drink driving law | ○ | ● | ● | ● | ● | |
Regulations that address different types of media, format, times and traditional and digital media | ○ | ● | ○ | ○ | ● | ○ |
Established minimum age for purchase and consumption | ○ | ● | ● | ● | ● | ● |
3) Health systems readiness | ||||||
National guidelines/protocols for management of major NCDs | ◐ | ◐ | ◐ | ◐ | ◐ | ◐ |
Guidelines for mental and neurological disorders | ○ | ● | ○ | ● | ● | ○ |
Guidelines for tobacco dependence treatment | ○ | ● | ○ | ◐ | ○ | ○ |
Guidelines for alcohol dependence treatment | ○ | ● | ○ | ◐ | ○ | ○ |
Government initiatives delivering NCD detection, treatment and care | ◐ | ● | ● | ● | ● | ● |
Updated national essential medicines list | ○ | ● | ● | ● | ● | ◐ |
Standards for availability/affordability of NCD essential medicines/technologies | ○ | ● | ● | ● | ● | ○ |
Studies published on availability/affordability of essential medicines and technologies | ○ | ○ | ○ | ○ | ○ | ○ |
NCD prevention and management integrated into training programmes for healthcare professionals | ○ | ◐ | ● | ● | ● | ● |
4) Monitoring, surveillance and evaluation | ||||||
Periodic surveillance on NCDs | ○ | ● | ● | ● | ◐ | ● |
National STEPwise approach to Surveillance (STEPS) survey done | ○ | ● | ● | ● | ● | ● |
Demographic and Health Survey done | ○ | ● | ● | ● | ● | ● |
National Household Expenditure Survey done | ○ | ● | ● | ● | ● | ○ |
Government funded health-cost studies on treatment of NCDs | ○ | ○ | ● | ○ | ○ | ○ |
Periodic assessment of exposure to modifiable NCD risk factors | ○ | ● | ● | ● | ● | ◐ |
Functioning mechanism to respond to WHO or UN NCD surveillance frameworks | ● | ● | ● | ● | ◐ | ○ |
Has the government set up NCD research priorities | ○ | ○ | ○ | ○ | ○ | ○ |
Availability of funding for in-country research into NCDs and their risk factors | ○ | ○ | ○ | ○ | ○ | ○ |
●=fully achieved ◐=partially achieved ○=not achieved.
NCD Benchmark Survey in East African Countries, East African NCD Alliance 2017.
PLWNCD, people living with NCDs.