Monitoring the goals of the plans for coping with Chronic Non-Communicable Diseases: results of the National Health Survey, Brazil, 2013 and 2019

Malta, Deborah Carvalho; Silva, Alanna Gomes da; Gomes, Crizian Saar; Stopa, Sheila Rizzato; Oliveira, Max Moura de; Sardinha, Luciana Monteiro Vasconcelos; Caixeta, Roberta Betânia; Pereira, Cimar Azeredo; Rios-Neto, Eduardo Luiz Gonçalves

Deborah Carvalho Malta

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0002-8214-5734

Alanna Gomes da Silva

Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Enfermagem, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0003-2587-5658

Crizian Saar Gomes

Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Saúde Pública, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0001-6586-4561

Sheila Rizzato Stopa

Ministério da Saúde, Departamento de Análise de Situação de Saúde, Brasília, DF, Brazil

http://orcid.org/0000-0001-8847-665X

Max Moura de Oliveira

Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Goiânia, GO, Brazil

http://orcid.org/0000-0002-0804-5145

Luciana Monteiro Vasconcelos Sardinha

Ministério da Saúde, Departamento de Análise de Situação de Saúde, Brasília, DF, Brazil

http://orcid.org/0000-0002-3679-3618

Roberta Betânia Caixeta

Pan American Health Organization, Washington, DC, United States

http://orcid.org/0000-0003-3943-8176

Cimar Azeredo Pereira

Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0001-6183-1607

Eduardo Luiz Gonçalves Rios-Neto

Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0002-3161-5791

Correspondence
Deborah Carvalho Malta. dcmalta@uol.com.br

Associate editor

Maryane Oliveira Campos

Authors’ contribution

Malta DC; Silva AG; Gomes CS; Stopa SR; Oliveira MM; Sardinha LMV; Caixeta RB; Pereira CA and Rios-Neto E made substantial contributions to the conception and design of the study, analyses and interpretation of data, drafting the preliminary versions of the manuscript and critically revising it, and also approved its final version. The authors are responsible for all aspects of the work, ensuring its accuracy and integrity.

Conflicts of Interest

The authors declared that they have no conflicts of interest.

Indicators	Targets of the Brazilian National Plan (2011-2022)	Targets of WHO Global Plan (2013-2025)	Targets of the SDGs (2015-2030)	Targets of the PAHO Plan (2014-2019)
Premature mortality due to NCDs	Reduce the rate of premature mortality (30 to 69 years of age) due to NCDs by 2% per year.	Reduce premature mortality from cardiovascular disease, cancer, diabetes or chronic respiratory diseases by 25%.	Reduce premature mortality from NCDs by one third through prevention and treatment, and promote mental health and wellbeing.	a
Consumption of alcoholic beverages	Reduce the prevalence of harmful use of alcohol by 10%.	Reduce the harmful use of alcohol, as appropriate, within the national context by at least 10%.	Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.	Reduce harmful use of alcohol by 5%, as appropriate within the national context.
Physical activity	Increase the prevalence of leisure time physical activity by 10%.	Reduce the prevalence of insufficient physical activity by 10%.	a	Reduce the prevalence of insufficient physical activity in adults by 5%.
Tobacco use	Reduce the prevalence of smoking in adults by 30%.	Reduce the prevalence of current tobacco use in persons aged 15 or over by 30%.	Strengthen the implementation of the WHO^c Framework Convention on Tobacco Control in all countries, as appropriate.	Reduce the prevalence of current tobacco use in individuals aged 15 or over by 30%.
Consumption of fruits and vegetables	Increase the consumption of fruits and vegetables by 10%.	a	a	a
Salt/sodium intake	Reduce the mean consumption of salt/sodium to 5g.	Reduce mean population intake of salt/sodium by 30%.	a	Reduce mean population intake by 30%.
Blood pressure (hypertension)	a	Reduce the prevalence of raised blood pressure or contain the prevalence of raised blood pressure, according to national circumstances, by 25%.	a	Increase the percentage of controlled hypertension at population level (< 140/90 mmHg) among persons 18+ years of age to 35%.
Diabetes	a	Halt the rise in diabetes.	a	Halt the rise in diabetes.
Obesity	Halt the rise of diabetes in adults.	Halt the rise in obesity.	a	Halt the rise in obesity.
Drug therapy to prevent heart attacks and strokes	a	Ensure that at least 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes.	a	a
Essential NCDs basic technologies and medicines	a	Increase, to 80%, the availability of the affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities.	Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and, in particular, provide access to medicines for all.	a
Mammogram	Increase the coverage of mammograms in women aged 50 to 69 years to 70%.	a	a	a
Preventive cervical cancer screening	Increase the coverage of preventive cervical cancer in women aged 25 to 64 years to 85%.	a	a

Indicators/Targets	2013 % (95%CI^b)	2019 % (95%CI^b)	PR^c (95%CI^b)	Target
Harmful use of alcohol	13.6 (13.1;14.2)	17.1 (16.6;17.5)	1.25 (1.19;1.31)	Reduce by 10% (Target will most likely not be attained)
Insufficient physical activity	45.7 (44.9;46.5)	40.3 (39.6;40.9)	0.8 (0.86;0.90)	Reduce by 10% (Target partially attained)
Tobacco use	14.9 (14.4;15.4)	12.8 (12.4;13.2)	0.8 (0.82;0.90)	Reduce by 30% (Target partially attained)
Intake of salt/sodium^a	9.3 (9.27; 9.41)	d	d	Reduce by 30% (Target will most likely not be attained)
Measured hypertension	22.8 (22.1;23.4)	d	d	Reduce by 25% (Target will most likely not be attained)
Self-reported hypertension	21.4 (20.8;22.0)	23.9 (23.4;24.4)	1.1 (1.08;1.16)	Reduce by 25% (Target will most likely not be attained)
Diabetes measured by glycated hemoglobin ≥ 6.5% or use of medication	8.4 (7.6;9.1)	d	d	Halt the rise (Target will most likely not be attained)
Self-reported diabetes	6.2 (5.9;6.6)	7.7 (7.4;8.0)	1.2 (1.16;1.33)	Halt the rise (Target will most likely not be attained)
Overweight	56.9 (56.1;57.9)	60.3 (57.7;62.8)	1.0 (1.01;1.11)	Halt the rise (Target will most likely not be attained)
Obesidade	20.8 (20.2;21.4)	25.9 (22.5;29.6)	1.2 (1.08;1.43)	Halt the rise (Target will most likely not be attained)
Drug therapy to prevent heart attacks and strokes	51.2 (49.7;59.9)	d	d	Reach at least 50% of eligible persons^e (Target attained)
Preventive cervical cancer screening (30 to 49 years of age)	f	f	f	Increase screening coverage to 70% (Target attained)

Indicators/Targets	Male			Female
Indicators/Targets	2013% (95%CI^b)	2019% (95%CI^b)	PR^c (95%CI^b)	2013% (95%CI^b)	2019% (95%CI^b)	PR^c (95%CI^b)
Harmful use of alcohol	21.5 (20.6;22.4)	26.0 (25.2;26.8)	1.2 (1.14;1.27)	6.6 (6.1;7.1)	9.2 (8.7;9.7)	1.3 (1.28;1.52)
Insufficient physical activity	39.3 (38.2;40.4)	32.1 (31.2;32.9)	0.8 (0.78;0.85)	51.3 (50.3;52.4)	47.5 (46.6;48.3)	0.9 (0.90;0.95)
Tobacco use	19.1 (18.3;20.0)	16.2 (15.6;16.9)	0.8 (0.80;0.90)	11.2 (10.6;11.7)	9.8 (9.4;10.3)	0.8 (0.82;0.94)
Intake of salt/sodium^a	9.6 (9.52; 9.74)	d	d	9.0 (8.99;9.17)	d	d
Measured hypertension	25.8 (24.8;26.7)	d	d	20.0 (19.3;20.8)	d	d
Self-reported hypertension	18.1 (17.3;18.9)	21.1 (20.4;21.8)	1.1 (1.10;1.23)	24.3 (23.5;25.2)	26.4 (25.8;27.2)	1.0 (1.04;1.13)
Diabetes measured by glycated hemoglobin ≥ 6.5% or use of medication	6.9 (5.9;7.9)	d	d	9.7 (8.6;10.7)	d	d
Self-reported diabetes	5.3 (4.8;5.9)	6.9 (6.5;7.4)	1.3 (1.16;1.46)	7.0 (6.6;7.5)	8.4 (8.0;8.9)	1.2 (1.10;1.30)
Overweight	55.5 (54.4;56.6)	57.5 (54.6;60.4)	1.0 (0.98;1.09)	58.2 (57.2;59.2)	62.6 (58.6; 66.5)	1.0 (1.01;1.15)
Obesity	16.8 (15.9;17.7)	21.8 (18.8;25.1)	1.3 (1.11;1.51)	24.4 (23.6;25.3)	29.5 (24.9;34.6)	1.2 (1.02;1.43)
Drug therapy to prevent heart attacks and strokes	54.8 (43.4;59.0)	d	d	58.1 (51.4;64.6)	d	e
Preventive cervical cancer screening (30 to 49 years of age)	e	e	e	79.4 (78.3;80.3)	e	e

[1] Correspondence
Deborah Carvalho Malta. dcmalta@uol.com.br

Brasil

Brasil

Monitoring the goals of the plans for coping with Chronic Non-Communicable Diseases: results of the National Health Survey, Brazil, 2013 and 2019

Abstract

Objective:

Methods:

Results:

Conclusion: