Ministry of Health and Social Development, Victoria, Republic of Seychelles.
Glob Health Promot. 2010 Jun;17(2 Suppl):37-40. doi: 10.1177/1757975910363930.
This article reviews the different steps taken during the past 20 years for the prevention and control of non-communicable diseases (NCDs) in the Seychelles. National surveys revealed high levels of several cardiovascular risk factors and prompted an organized response, starting with the creation of an NCD unit in the Ministry of Health. Information campaigns and nationwide activities raised awareness and rallied increasingly broad and high-level support. Significant policy was developed including comprehensive tobacco legislation and a School Nutrition Policy that bans soft drinks in schools. NCD guidelines were developed and specialized 'NCD nurses' were trained to complement doctors in district health centers. Decreasing smoking prevalence is evidence of success, but the raising so-called diabesity epidemic calls for an integrated multi-sector policy to mould an environment conducive to healthy behaviors. Essential components of these efforts include: effective surveillance mechanisms supplemented by focused research; generating broad interest and consensus; mobilizing leadership and commitment at all levels; involving local and international expertise; building on existing efforts; and seeking integrated, multi-disciplinary and multi-sector approaches.
这篇文章回顾了塞舌尔在过去 20 年中为预防和控制非传染性疾病（NCDs）而采取的不同措施。全国性调查显示，一些心血管危险因素的水平很高，促使塞舌尔做出了有组织的回应，首先在卫生部设立了一个非传染性疾病股。信息宣传活动和全国性活动提高了认识，并获得了越来越广泛和高级别的支持。制定了重要政策，包括全面的烟草立法和禁止学校出售软饮料的学校营养政策。制定了 NCD 指南，并培训了专门的“NCD 护士”，以在地区卫生中心协助医生。吸烟率的下降证明了这一举措的成功，但所谓的“糖尿病肥胖症”的出现呼吁采取综合多部门政策来营造有利于健康行为的环境。这些努力的基本组成部分包括：有效的监测机制，辅以有针对性的研究；激发广泛的兴趣和共识；在各级调动领导力和承诺；利用当地和国际专业知识；利用现有努力；并寻求综合、多学科和多部门的方法。
