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Domain Brazil score Brazil Interpretation Overall UMICs score Overall UMICs interpretation
Governance 52% Moderate performance Click here for full results 52% Moderate performance
Risk factors 44% Moderate performance Click here for full results 35% Low performance
Surveillance & research 48% Moderate performance Click here for full results 38% Low performance
Health system response 64% High performance Click here for full results 71% High performance

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Worldwide performance:

       - Very low performance ≤20%
       - Low performance 21%-40%
       - Moderate performance 41%-60%
       - High performance 61%-80%
       - Very high performance > 80%

Commentary from Gerson Ferrari, Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul (CELAFISCS)

"Non Communicable Disease (NCD) is the leading cause of death in Brazil, accounting for 74% of deaths – of which 31% are cardiovascular diseases, 17% cancers, 6% diabetes, 6% Chronic Respiratory Diseases and 15% other NCD. (Source: WHO country profile 2014)."

"Brazil's Scorecard results show moderate performance in the fight against NCD; the highest score is for health system response (64%). Performance scores on governance, risk factors and surveillance and research all show moderate performance, and fall in the range of 50%."

"For prevention, current focus includes implementing a programme of hepatitis B vaccination and cancer prevention, and includes nationwide anti-tobacco campaigning. This campaign, which has focused on banning tobacco advertisements, implementing policies on smoke free environments, and taxation on the retail price of tobacco, will require enforcement of the ban on smoking in public places to be considered truly successful. The Hepatitis B vaccine protocol for children in the first year of life is regulated, which represents a system improvement. In addition, a national cancer registry has been set up and programs have been developed to manage and prevent various types of cancers."

"An alarming aspect of Scorecard results is the high percentage of overweight and obesity identified in the 18+ population. The challenge of obesity will increase the risk of multimorbidities in Brazil and across the world."

"In order to move forward and advance the NCD prevention agenda, the national focus must turn to developing and implementing programs that raise awareness about the risk factors, particularly highlighting the importance of healthy nutrition (including increasing fruit and vegetable consumption) and the benefits of physical activity. Multisectoral work on national and regional levels focusing on increasing understanding of the impact of sugar sweetened beverages and trans fats will be an important step."

"There is much work to be done to improve health system response. Specific line items within the national heath budget devoted to prevention and control of NCDs, improving the plan for control of cardiovascular disease and increasing the availability of the 8 drugs essential for treating NCDs in primary healthcare facilities are necessary to move Brazil forward."

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