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Integration of Non-Communicable Disease Services within Primary Health Care
I. Introduction:
In 2012, the Primary Health Care Department at the Ministry of Public Health in collaboration with WHO, launched a pilot initiative of Non-Communicable Diseases (NCD) in the 26 Primary Health Care (PHC) centers that were classified in the Accreditation Preparedness Phase. By the year 2013, this Initiative was developed further and was integrated as a sustainable service into the package of health care services provided by PHC centers across Lebanon. By the year 2015, the NCD program was integrated into a total of 146 centers. 
This Initiative aims primarily at the early detection of diabetes, hypertension, and dyslipidemia through screening visitors of designated PHC centers who are 40 years and above. It further aims at the prevention of these diseases, promotion of health awareness, management of individuals with these pre-existing diseases, and surveillance of cardiovascular diseases in the Lebanese population. The risk for the development of diabetes, hypertension, and dyslipidemia is assessed by calculating the cardiovascular risk of each individual within the screening criteria. Once risk is calculated, education and referral for medical treatment as per PHC protocol is performed accordingly. 

II- Statistics:
The number of PHC centers provifing the NCD initiative has increased since implementation in 2012 reaching 146 centers in 2015.

Diagram 1. Number of PHC centers implementing NCD program (2012-2015)

Furthermore, the number of beneficiaries benefitting from NCD program have also been accumulating since implementation.

Diagram 2. Number of beneficiaries benfiting from NCD program (July 2013- November 2015)
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