WHO-PEN

Resource
This presentation has been developed from :
1. WHO package of essential noncommunicable (PEN) disease interventions for primary health care.
https://www.who.int/publications/i/item/who-package-of-essential-noncommunicable-(pen)-
disease-interventions-for-primary-health-care

WHO-PEN
BE PHYSICALLY ACTIVE
• Progressively increase physical activity to moderate
levels (such as brisk walking); at least 30 minutes
per day on 5 days of the week
• Control body weight and avoid overweight by
reducing high calorie food and taking adequate
physical activity

WHO-PEN
EAT A HEART HEALTHY DIET

Sa lt (so d iu m ch lo rid e )
– Re strict to le ss th a n 5 g (1 te a sp o o n ) p e r d a y
– Re d u ce sa lt wh e n co o kin g, lim it p ro ce sse d a n d fa st fo o d s

Fru its a n d ve ge ta b le s
–5 se rvin gs (400-500 g) o f fru its a n d ve ge ta b le p e r d a y
– 1 se rvin g is e q u iva le n t to 1 o ra n ge , a p p le , m a n go , b a n a n a o r 3 ta b le sp o o n s o f co o ke d
ve ge ta b le s

Fa tty fo o d
– Lim it fa tty m e a t, d a iry fa t a n d co o kin g o il (le ss th a n two ta b le sp o o n s p e r d a y)
– Re p la ce p a lm a n d co co n u t o il with o live , soya , co rn , ra p e se e d o r sa fflowe r o il
– Re p la ce o th e r m e a t with ch icke n (with o u t skin )

Fish
– Ea t fish a t le a st 3 tim e s p e r we e k, p re fe ra b ly o ily fish su ch a s tu n a , m a cke re l, sa lm o n

WHO-PEN
STOP TOBACCO AND AVOID
HARMFUL USE OF ALCOHOL
Encourage all non-smokers not to start smoking
Strongly advise all smokers to stop smoking and support them in their
efforts
Individuals who use other forms of tobacco should be advised to quit
Alcohol abstinence should be reinforced.
People should not be advised to start taking alcohol for health reasons
Advise patients not to use alcohol when additional risks are present, such
as
– driving or operating machinery
– pregnant or breast feeding
– taking medications that interact with alcohol
–medical conditions made worse by alcohol
–difficulties in controlling drinking

WHO-PEN
ADHERE TO TREATMENT

If the patient is prescribed medication

– teach the patient how to take it at home
– explain the difference between medicines for long- term control (e.g. blood
pressure) and medicines for quick relief (e.g. for wheezing)
– tell the patient the reason for prescribing the medication
Show the patient the appropriate dose
Label and package the tablets
Check the patient’s understanding before the patient leaves
the health centre
Explain the importance of
– keeping an adequate supply of the medication
– the need to take the medication regularly as advised even if there are no
symptoms

WHO-PEN
WHO-PEN
Thank you

WHO-PEN