Ischemic Heart disease (IHD) is a type of cardiovascular disorder of the heart caused by narrowing of the arteries leading to reduced blood reaching the heart, and eventually a reduction in oxygen supply to the heart muscles ( Silent Ischemic and Ischemic Heart Disease, 2017). Most cardiovascular diseases can be prevented by taking into consideration risk factors such as smoking tobacco, unhealthy diet and excessive use of alcohol. 37% of the 17 million premature deaths below the age of 70 worldwide are caused by cardiovascular diseases (Cardiovascular diseases (CVDs), 2017).
World Health Organisation (WHO) is an international organization whose primary goal is to build a much better and healthier future for the world (Who we are, what we do, 2017). Who operates in more than 150 countries globally partnering with governments to combat diseases and providing health services.Global key policies
Through the guidance of WHO, systems have been put in place to protect people from CVDs. The Millennium Development Goals did not address the impact of non-communicable diseases (NCDs), but fortunately, the 2030 Sustainable Development managed to emphasize the need to treat these disorders including CVDs worldwide. Sustainable Development Goals aim to reduce premature deaths from NCDs by one third by 2030. The United States Centers for Disease Control and Prevention (US- CDCP) in partnership with WHO launched Global Hearts and Initiative driven to prevent and control CVDs. It comprises of MPOWER which is a technical package for tobacco control, HEARTS which is a package sysytem for cardiovascular disease management in primary health care and SHAKE which is a functional package for salt reduction (Global Hearts Initiative working together to beat cardiovascular diseases, n.d.).
National Key Policies
Malaysia has witnessed an increase in NCD and risk factors associated with it in the last two decades. Owing to this national health threat, Malaysian Ministry of Health developed The National Strategic Plan for Non- Communicable Diseases ( NST- NCD) 2010- 2014 and the NCD Prevention 1Malaysia (NCDP- 1M) initiative ( Mustapha et al., 2014). Recently, The Malaysian plan was developed in partnership with the Ministry of Health which focuses on reducing risk factors that leads to the occurs of communicable diseases (CD) and non- communicable diseases (NCDs) through the provision of efficient health care service delivery. This policy also focused on cancer prevention.
Effectiveness or Evaluation of Policies
The Global Hearts Initiative was developed primarily to fight non- communicable disease. Tobacco and alcohol use has been associated with increased cases non- communicable diseases. (Goal 3.: Sustainable Development Knowledge Platform, 2013). MPOWER initiative created by WHO Framework Convention on Tobacco Control (WHO FCTC) developed guidelines for countries to implement and manage tobacco by reducing demand (MPOWER, 2017). Furthermore, MPOWER aims at protecting people from tobacco smoke by pushing for the setting up of smoking zones, rehabilitating addicts to quit tobacco use and warn about dangers of tobacco (Global Health, 2017).
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References
Silent Ischemia and Ischemic Heart Disease. (2017). Heart.org. Retrieved 1 December 2017, from http://www.heart.org/HEARTORG/Conditions/HeartAttack/TreatmentofaHeartAttack/Silent-Ischemia-and-Ischemic-Heart-Disease_UCM_434092_Article.jsp
Cardiovascular diseases (CVDs). (2017). World Health Organization. Retrieved 1 December 2017, from http://www.who.int/cardiovascular_diseases/en/
Who we are, what we do. (2017). World Health Organization. Retrieved 1 December 2017, from http://www.who.int/about/en/
Working together to beat cardiovascular disease. (2017) (pp. 2-6). Retrieved from https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwj0-qii6OnXAhXIyRQKHbwdCO4QFggnMAA&url=http%3A%2F%2Fwww.who.int%2Fcardiovascular_diseases%2Fglobal-hearts%2FGHI_Brochure.pdf&usg=AOvVaw2ma7vwFf0vtIMoohQ03qX2
Mustapha, F. I., Omar, Z. A., Mihat, O., Noh, K. M., Hassan, N., Bakar, R. A., ... & Rahman, L. A. (2014). Addressing non-communicable diseases in Malaysia: an integrative process of systems and community. BMC Public Health, 14(Suppl 2), S4.
Goal 3 .:. Sustainable Development Knowledge Platform. (2017). Sustainabledevelopment.un.org. Retrieved 1 December 2017, from https://sustainabledevelopment.un.org/sdg
3MPOWER. (2017). World Health Organization. Retrieved 1 December 2017, from http://www.who.int/tobacco/mpower/en/
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