Yap State Department of Health Services, Yap, Federated States of Micronesia.
Hawaii J Health Soc Welf. 2020 Jun 1;79(6 Suppl 2):10-12.
The heavy burden of non-communicable diseases (NCD) in Yap State, Federated States of Micronesia overwhelms the resources of this small population. Traditional cultural practices strongly influence all aspects of life, especially in the remote outer islands. The traditional Chiefs must grant permission to perform any type of health outreach or services for about one-third of the population. One key cultural practice promotes tobacco and alcohol use. The Yap Comprehensive Cancer Control Program, in collaboration with other entities in public health, systematically engaged the traditional Chiefs, resulting in a landmark policy that paved the way for other system and environmental interventions to reduce the risks of developing NCD.
雅浦州（Yap State）是密克罗尼西亚联邦（Federated States of Micronesia）的一个州，其面临着沉重的非传染性疾病（NCD）负担，医疗资源极其有限。传统文化习俗强烈影响着生活的方方面面，尤其是偏远的外岛地区。传统酋长必须批准才能为大约三分之一的人口提供任何类型的健康服务。一个主要的文化习俗是促进烟草和酒精的使用。雅浦综合癌症控制计划（Yap Comprehensive Cancer Control Program）与公共卫生领域的其他实体合作，系统地与传统酋长接触，最终促成了一项具有里程碑意义的政策，为其他系统和环境干预措施铺平了道路，以降低 NCD 的风险。
