Approved with the Decree 13662 of the President of Turkmenistan on May 23D, 2014

Approved with the decree 13662 of the President of Turkmenistan on May 23d, 2014

"APPROVE" "AGREE" N. Amannepesov, S.Toyliyev, The Minister of Health Care and Medical Industry of Deputy Chairman of Turkmenistan The Cabinet of Ministers of Turkmenistan

"AGREE" "AGREE" G. Mammedova, B.Orazov Minister of Education of Turkmenistan The Chairman of State Sport Committee of Turkmenistan

"AGREE" "AGREE" D. Sadykov, B. Taganov,

The Minister of Finance of Turkmenistan The Minister of Economy and Development of Turkmenistan

"AGREE" "AGREE" B. Abayev, A. Garajayev, The Minister of Trade and External Economy Relations of The Minister of Culture of Turkmenistan Turkmenistan

"AGREE" "AGREE" D. Sadykov, B. Ovezov, The Minister of Agriculture of Turkmenistan The Minister of Communications of Turkmenistan

"AGREE" "AGREE" S. Orazmuradov, B. Shamuradov, The Minister of Industry of Turkmenistan The Minister of Labor and Social Welfare of Turkmenistan

"AGREE" "AGREE" D. Hojamuradov, S. Batyrov, The Chairman of the State Fishery Industry Committee of The Minister of Textile Industry of Turkmenistan Turkmenistan

"AGREE" "AGREE" M.Altayev, A. Mamedov, The Chairman of State Committee of Television, Radio and The Chairman of State Statistic Committee of Cinema of Turkmenistan Turkmenistan

"AGREE" "AGREE" N. Kadyrov, The Head of State «Türkmenhimiýa» concern O. Ishangulyeva, of Turkmenistan The Head of State «Türkmenhaly » association of Turkmenistan

"AGREE" "AGREE" A. Muradov, The Head of State Livestock Association of N. Sapardurdyev, Turkmenistan The Head of State «Türkmengallaönümleri» association

"AGREE" "AGREE" O. Gurbannazarov, G. Muradov, The Head of State Food Industry Association of The Chairman of Central Bank Board of Turkmenistan Turkmenistan

"AGREE" Sh. Hummedov, "AGREE" The Head of the State Tax Service A. Tachmamedov, of Turkmenistan The Head of the State «Türkmenstandartlary» Service of Turkmenistan

"AGREE" "AGREE" A. Hudayberdiyev, B. Amansaryyev, The Head of the State Publishing Service of Turkmenistan The Head of the State Information Service of Turkmenistan

"AGREE" "AGREE" G. Mezilov, A. Amanmedova, The President of the Academy of Science of Turkmenistan The Head of the State Insurance Organization of Turkmenistan

"AGREE" "AGREE" K. Babayev, G. Bayramova, The Chairman of the Democratic Party of Turkmenistan The Head of the National Center of Trade Unions of Turkmenistan, the Head of Central Council of the Women's Association of Turkmenistan

"AGREE" O. Enermuradov, "AGREE" Head of the Central Council of the Youth organization of A. Dadayev, Turkmenistan named after Magtumguly The Head of the Industrial and Entrepreneurs' Union of Turkmenistan

"AGREE" "AGREE" M. Achilova, G. Nepesov,

The Head of the National Society of the Red Crescent of The Head of the Central Council of the Organization of the Turkmenistan War Veterans' of Turkmenistan

« "AGREE" G. Myradov, "AGREE" Vice President of the Humanitarian Association of World Ch. Seryayev, Turkmens, The Manager of the Elders' Council of The Head of the Council of the Religious Affairs under the Turkmenistan President of Turkmenistan

ACTION PLAN for implementation of the National Strategy to Prevent and to fight non-communicable diseases in Turkmenistan in the years of 2014-2020 according to the objectives of the Ashgabat Appeal

№ Actions Date of action Responsible ministries, sector institutions, local municipalities and organizations

Objective 1: to raise the priority of the prevention and control of noncommunicable diseases, to increase the possibilities on the national level, also on the government level to increase the effectiveness of work of the intersection group on the prevention and control of noncommunicable diseases, their cooperation and harmoniously relations 1 Start the work of the National Coordination Council for The Ministry of Health and implementation of the National Strategy for prevention and 2014-2020 Medical Industry of control of non-communicable diseases in Turkmenistan to years Turkmenistan, related fulfill the obligations mentioned in the Ashgabat Appeal ministries and sector (from now-National strategy) in the years 2014-2020 in the institutions of Turkmenistan, framework of the World Health Organization's „Health-2020“ and international Policy organizations. 2 Create a specialized permanent working group which consists 2015 year The Ministry of Health and of the specialists of ministries and other institutions related to Medical Industry of the prevention and control of non-communicable diseases Turkmenistan, related together with the specialists of health care institutions in ministries and sector Turkmenistan institutions of Turkmenistan, and international organizations

3 Related ministries and sector Conduct the works to develop the sector on prevention and 2014-2020 institutions of Turkmenistan, control of non-communicable diseases and to develop health years and international organizations care system according to the action plan, for this in order to improve the quality of health care services provided to the 7

population, refugees, mentally ill people and handicapped persons to satisfy their needs.

4 To learn about the effect of the life-economy policy started in 2014-2020 The Ministry of Health Care our country to prevent the NCD and protect the health of the years and Medical Industry of population for learning the effectiveness of research Turkmenistan, Ministry of institutions which are not related to the health care sectors justice, Ministry of Agriculture (such as agriculture, communication, education, energy, of Turkmenistan, Ministry of finance, trade industry, labor, sport, transport, etc), to know education, Ministry of about the organization of work, the possibilities of work Communications of protection, epidemiological observations constantly evaluate Turkmenistan, , Ministry of effect of implementation of health care policy energy, Ministry of Economy and Development of Turkmenistan, Ministry of Labor and Social Welfare of Turkmenistan, State Sport Committee of Turkmenistan, also other related ministries and sector institutions of Turkmenistan

5 Add questions related to non-communicable diseases to 2014-2020 The Ministry of Health Care bilateral and multilateral agreements and related programs, years and Medical Industry of including the program United Nation Organization Turkmenistan, Ministry of Development Program. (UNDP) Foreign Affairs of Turkmenistan, Ministry of Justice of Turkmenistan, Community organizations, the international organizations, also other related ministries and sector institutions of Turkmenistan

6 To conduct necessary work to include the tasks which were 2014-2020 The Ministry of Health Care pointed out into the Ashgabat Appeal to prevent and control years and Medical Industry of of noncommunicable diseases in the Framework Plan Turkmenistan, Ministry of (UNDAF) of the UN Development Support program Foreign Affairs, Ministry of Justice of Turkmenistan, Community organizations, the international organizations, also other related ministries and sector institutions of Turkmenistan

7 The Ministry of Health Care mprove the laws on prevention and control of non 2014 year and Medical Industry of communicable dressiest, including: Turkmenistan, Ministry of Justice of Turkmenistan repare corrected version of the project of the Law of Turkmenistan "About the effect of the tobacco smoke on the 2018 year health of citizens and prevent effect of use of the tobacco products". Submit the proposals to the Cabinet of Ministries of Turkmenistan about the improvement of health care insurance. 2014 year 8 Develop continuously harmoniously methods of prevention 2014-2016 The Ministry of Health Care and treatment of communicable and non-communicable years and Medical Industry of diseases Turkmenistan, World Health Organization Objective 2: to create the conditions for the strengthening of health to decrease the effect of the dangerous circumstances causing non communicable diseases. 9 Provide sustainable funding to the national Strategy 2014-2020 years The Ministry of Health Care and Medical Industry of Turkmenistan, Ministry of Finance of Turkmenistan, Ministry of Economy and Development of Turkmenistan, Ashgabat and welayat

municipalities, World Health Organization.

10 2014-2020 year The Ministry of Health Care Help to strengthen and widen the social rights of and Medical Industry of people and society; widen the communication, Turkmenistan, Ashgabat and hurry up the establishment of changes in society, welayat municipalities, improve the conditions which affects to non World Health Organization, communicable diseases into the life, ecology and and other related ministries economy, earn the justice in health protection, and sector institutions of establish all the possibilities for conducting the Turkmenistan national measures on public health. Objective 3: Create the conditions for establishment the interest among the population to a healthy life habits, for promotion a healthy lifestyle, for implementation of informative works and for increasing the literacy about health

11 Strengthen the work on tobacco control according the 2014-2016 The Ministry of Health Care and Ashgabat Appeal and World Health Organization years Medical Industry of Turkmenistan, Framework Convention Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization.

12 Fulfill all the tasks which are shown in World Health 2014-2020 The Ministry of Health Care and Organization Framework Convention on Tobacco years Medical Industry of Turkmenistan, 11

Control by World Health Organization together with Ashgabat and welayat municipalities, related ministries and sector institutions of related ministries and sector institutions Turkmenistan and other institutions. Also regularly of Turkmenistan, World Health report the Secretariat of World Health Organization Organization. Framework Convention on Tobacco Control. 13 Implement a law of Turkmenistan "About the effect of 2014-2020 The Ministry of Health Care and the tobacco smoke on the health of citizens and years Medical Industry of Turkmenistan, prevent effect of use of the tobacco products", which Ashgabat and welayat municipalities, was adopted in December, 2013 related ministries and sector institutions of Turkmenistan, World Health Organization. 14 2014-2020 The Ministry of Health Care and Join to the Plan of World Health Organization "To years Medical Industry of Turkmenistan, prohibit the sale of illegal tobacco products" and Ashgabat and welayat municipalities, continue to work on it. related ministries and sector institutions of Turkmenistan, World Health Organization.

15 Concerning the law of Turkmenistan "About the effect 2014-2020 Ministry of Trade and External of the tobacco smoke on the health of citizens and years Economy Relations of Turkmenistan, prevent effect of use of the tobacco products", put the Ministry of Health Care and Medical pictograms about the negative harm of tobacco on the Industry of Turkmenistan, Ashgabat cigarette cover boxes and change them each three and welayat municipalities, related

months. Also regulate the maximum limits of allowed ministries and sector institutions of harm substances in the cigarettes' smoke (nicotine 0,6 Turkmenistan, World Health mh/per cig, adhesive 6 mh/per cig, monoocside of Organization. carbonate)

16 Prepare the international plan on implementation of 2014 year Ministry of Health Care and Medical Ashgabat Appeal together with World Health Industry of Turkmenistan, , World Organization European Region Health Organization. 17 Prepare and adopt a law about "Proclamation 2015 year Ministry of Health Care and Medical Turkmenistan as tobacco-free country till 2025 " Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 18 2014-2020 Ministry of Health Care and Medical Constantly raise taxes on the sale of tobacco and years Industry of Turkmenistan, the State Tax alcohol products, and use these funds for the Service of Turkmenistan, Ministry of implementation of measures to prevent and control Economy and Development of NCDs Turkmenistan, Ashgabat and welayat municipalities, World Health Organization. 19 For access limitation of tobacco and its products 2014-2015 Ministry of Health Care and Medical restrict a sale points and work time, determine the age years Industry of Turkmenistan, the State Tax

of buyers. Service of Turkmenistan, Ministry of Internal Affairs, Union of Industrialists and Entrepreneurs of Turkmenistan 20 Support the breast feeding and continue to do that, 2014-2017 Ministry of Health Care and Medical inform parents about additional feeding which years Industry of Turkmenistan, Ashgabat should be given in time and correctly, develop and welayat municipalities, related ecology clean areas to supply the baby food ministries and sector institutions of factories by the raw materials. Raise the producing Turkmenistan, World Health of the special products for the babies and small Organization. children 21 Follow and monitor the rules of World Health 2014-2017 State Food Industry Association of Organization on the sale of baby food and alcohol years Turkmenistan, Ministry of Trade and free beverages. Develop the methods of food External Economy Relations of preparation according the scientific basis for all Turkmenistan, Ministry of Health Care level of population and begin to produce them. and Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 22 Develop special educational materials for 2014-2017 State Food Industry Association of achievement the below goals and for support years Turkmenistan, Ministry of Trade and different producers with technology instructions External Economy Relations of for new products and sale recommendations. Turkmenistan, Ministry of Health Care

Introduce on the label of products the information and Medical Industry of Turkmenistan, about the value of product and amount of its protein, Ashgabat and welayat municipalities, carbohydrate and oil. related ministries and sector institutions of Turkmenistan, World Health

Organization. 23 Achieve the supply all the setting of our country 2014-2017 Ministry of Education of Turkmenistan, including the schools and institutions with high years Ministry of Health Care and Medical quality and healthy food Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan. 24 Grow the producing of the agricultural products 2014-2017- which are fully safe for producing main food years Ministry of Agriculture of products. Improve the methods of growing the Turkmenistan, State Food Industry vegetables and fruits with purpose to decrease the Association of Turkmenistan, Ministry amount of harmful substances of the products (poison of Health Care and Medical Industry of substances, pesticides, herbicides, nitrate, etc). Turkmenistan, Ashgabat and welayat Develop an action program for the agricultural, food municipalities, related ministries and processing, food marketing institutions and for any sector institutions of Turkmenistan and companies which are connected with food, state World Health Organization. establishments on usage of healthy agricultural products and products which are produced in our country.

25 With the purpose to inform about healthy food in 2014- State Television, Radio and Cinema different ways and to reach the users held social 2017years Committee of Turkmenistan , Ministry publicities and events (actions, companies). Work of culture of Turkmenistan, Ministry of closely with population and with specialized Agriculture of Turkmenistan, State establishments until getting positive results. Food Industry Association of Turkmenistan, Ministry of Health Care and Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization.

26 At schools, kindergardens, hospitals, state and private 2014-2017 Ministry of education of Turkmenistan, establishments conduct the information works years State Television, Radio and Cinema connected with healthy food, also strengthen the Committee of Turkmenistan , State health, and organize the conditions for having healthy Food Industry Association of food. Turkmenistan, Union of Industrialists and Entrepreneurs of Turkmenistan, Ministry of Health Care and Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related

ministries and sector institutions of Turkmenistan, World Health Organization.

27 Develop the quality and healthy indicators for the 2014-2020 Ministry of Trade and External food products according World Health Organization, years Economy Relations of Turkmenistan, UN Food and Agriculture Department also according State Food Industry Association of the recommendations of Alimentarius International Turkmenistan, Union of Industrialists Codex. Achieve the recordings on the labels of food and Entrepreneurs of Turkmenistan, products which are going for sale, the indications Ministry of Health Care and Medical about product ingredients, the value of product or its Industry of Turkmenistan, Ashgabat effect to the health. and welayat municipalities, related ministries and sector institutions of Turkmenistan, and World Health Organization. 28 Held works on expanding and raising up the 2014-2020 Ministry of Trade and External commerce of products which supply the healthy food. years Economy Relations of Turkmenistan, State Food Industry Association of Turkmenistan, Union of Industrialists and Entrepreneurs of Turkmenistan, Ministry of Health Care and Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related

ministries and sector institutions of Turkmenistan, World Health Organization.

29 Ensure the implementation of the "The National 2017 year Related ministries and sector Program on healthy eating of Turkmen population in institutions of Turkmenistan, years 2013-2017". International organizations valuate the implementation and the results of the actions which were indicated in that program, also organize the work on development of the National program for the next five years

30 Prepare solutions to increase every day physical 2014-2020 State Sport Committee of Turkmenistan, activities, including the conditions for a rest and years State Television, Radio and Cinema sport. Prepare the plan of traffic of national and city Committee of Turkmenistan. Ministry levels for safe walk and ride bicycles, also to increase of Culture of Turkmenistan , Ministry the infrastructure. of Education of Turkmenistan, Ministry Organize work in all educational institutions of Health Care and Medical Industry of (beginning from the primary school till universities) Turkmenistan, society organizations of

in order to give physical training, including before, Turkmenistan, Ashgabat and welayat during and after the lessons support and fulfill the municipalities, related ministries and slogan "Physical training is for everyone" which sector institutions of Turkmenistan, should be apply to all age people. In schools, World Health Organization. universities, establishments, hospitals for people's physical training arrange infrastructure (to walk, to ride bicycle) from one point to other. Develop and keep safe the anthropogenic and natural environment for a rest and sport. Conduct actions to increase the physical training organized by local municipals and involve the population.

31 To increase physical activity improve physical 2014-2020 State Sport Committee of Turkmenistan, education, keep holding the informative education years State Television, Radio and Cinema on the benefits of physical activities among the elders Committee of Turkmenistan, Ministry and youth and introduce the healthy lifestyle. of Culture of Turkmenistan, Ministry of For good result achievements of this work conduct Education of Turkmenistan, Ministry of additional activities with people on different levels at Health Care and Medical Industry of special places, establishments and organizations. Turkmenistan, society organizations of To increase physical activity continue to keep Turkmenistan, Ashgabat and welayat continuously holding physical education and sports municipalities, related ministries and activities in schools, also maintain safe road traffic in sector institutions of Turkmenistan,

big cities World Health Organization 32 To conduct the intersection program activities on 2014-2020 Ministry of Trade and External national level. To restrict alcohol harm prepare the years Economy Relations of Turkmenistan, activities between the sections, including the State Sport Committee of Turkmenistan, educational materials, collect the data, increase the 2015 year State Television, Radio and Cinema interest of population to use them. Committee of Turkmenistan, Ministry Prepare the activities against driving with presence of 2015 year of Culture of Turkmenistan, Ministry of alcohol. Education of Turkmenistan, Ministry of Control alcohol sale and price. 2014-2020 Health Care and Medical Industry of Reduce illegal alcohol producing and keep it in years Turkmenistan, society organizations of control. Turkmenistan, Ashgabat and welayat Keep treatment and preventive work with the Always municipalities, related ministries and alcoholics and sick people with bad habits. sector institutions of Turkmenistan, Support society by carrying out the activities which 2014-2018 World Health Organization protect the society from the alcohol beverage harm years Decrease illegal alcohol producing or the products 2014-2018 which were made in incorrect conditions by keeping years it under the control. Collect the data about the issues connected with 2014-2018 unhealthy effect of alcohol poison on global and years region level together with World Health Organization. By using the educational materials 2014-2018 carry out stable national monitor works, also prepare years

epidemiological control system. 33 Increase the alcohol beverage taxes constantly and use 2014-2020 Ministry of Health Care and Medical them for healthy lifestyle education and prevention of years Industry of Turkmenistan, the State Tax non-communicable diseases and activities for fighting Service of Turkmenistan, Ashgabat and with them. welayat municipalities, World Health

Organization

34 With the purpose of alcohol unavailability reduce Always Ministry of Health Care and Medical space and time of its sale, determine the age of Industry of Turkmenistan, Ministry of buyers. Culture of Turkmenistan, State

Television, Radio and Cinema Committee of Turkmenistan, Ministry of Education of Turkmenistan, Ministry of Trade and External Economy Relations of Turkmenistan, the State Tax Service of Turkmenistan, Union of Industrialists and Entrepreneurs of Turkmenistan.

35 Carry out work against alcohol magnification and always advertising in market Ministry of Trade and External Economy Relations of Turkmenistan , State Food Industry Association of Turkmenistan, Union of Industrialists and Entrepreneurs of Turkmenistan, Ministry of Health Care and Medical Industry of Turkmenistan, related ministries and sector institutions of Turkmenistan, World Health Organization. 36 Carry out work against the car owners who are always Ministry of Foreign Affairs of intoxicated, carry out checks on the presence of Turkmenistan, Ministry of Health Care alcohol for drivers according the international and Medical Industry of Turkmenistan, requirements State Television, Radio and Cinema Committee of Turkmenistan, Ministry of Education of Turkmenistan

Objective 4: to improve the health care system put the goal to prevent and control noncommunicable diseases, to provide population with doctors' care and fulfill their satisfaction, improve the work of primary health care points

37 Prepare interviews and articles about the risks that always Ministry of Health Care and lead to non-communicable diseases and their Medical Industry of Turkmenistan, prevention on television and in the press Ministry of Culture of

Turkmenistan, State Television, Radio and Cinema Committee of Turkmenistan, Ministry of Education of Turkmenistan

38 Prepare and publish educational and informational always Ministry of Health Care and materials to increase the literacy rate of citizens about Medical Industry of Turkmenistan, non-communicable diseases and their prevention, Ministry of Culture of hazards leading to non-communicable diseases, as well Turkmenistan, State Television, as using healthy habits in life and separating from bad Radio and Cinema Committee of habits Turkmenistan, Ministry of Education of Turkmenistan, the State Publishing Service of Turkmenistan.

39 Disseminate information and evidentiary work by always Ministry of Health Care and information works. Develop and bring to public Medical Industry of Turkmenistan, education programs to increase the in formative work Ministry of Culture of among the people about dangerous groups of non- Turkmenistan, State Television, 23

communicable diseases, their treatment and Radio and Cinema Committee of prevention. Develop programs for health Turkmenistan, Ministry of professionals, the public, media professionals and Education of Turkmenistan, the teachers. Prepare and distribute a special reminder for State Publishing Service of patients at high risk groups. Arrange for the Turkmenistan. State Statistic prevention of non-communicable diseases by Committee of Turkmenistan, conducting actions, conversations, interviews and Ministry of Economy and cultural events. Assess the impact of these activities, Development of Turkmenistan, using population-checks performed by Ministry of Labor and Social communication and social mobilization. According to Welfare of Turkmenistan the plan to ensure the participation of representatives of relevant organizations at events with patients with a high risk group. Improve literacy of patients with non-communicable diseases and people at high risk of their disease prevention and improvement; provide comprehensive assistance in the control of these diseases. Objective 5: Widely promote and introduce a healthy lifestyle to the society, also support and continue to increase the literacy rate of citizens about health.

40 For manage improvement and to keep records give a 2014-2015 years Ministry of Health Care and quality treatment; watch the patents with NCDs and Medical Industry of Turkmenistan, risky group of people. Involve the people into related ministries and sector activities, prepare an action plan for raising the results 24

of examination and monitoring institutions of Turkmenistan, World Health Organization

41 Keep in mind the effect of life, ecology and economy always Ministry of Health Care and determination to health, and support people according Medical Industry of Turkmenistan, of these changes constantly using health care services related ministries and sector institutions of Turkmenistan, World Health Organization

42 Change payment system: from patients' payment for always Ministry of Health Care and the treatment to the insurance payment, also treat the Medical Industry of Turkmenistan, patients with NCDs using funds collected for this related ministries and sector purpose or using pre treatment money institutions of Turkmenistan, World Health Organization

43 Do the first steps in using innovation and traditional always Ministry of Finance of methods of funding for prevention and treatment Turkmenistan, Ministry of people. Support sick people with all diseases, Economy and Development of including patients with NCDs in prevention, control, Turkmenistan, Ministry of Health treatment, and rehabilitation Care and Medical Industry of Turkmenistan, related ministries and sector institutions of

Turkmenistan, World Health Organization

44 Create new ways for social welfare, including 2014-2015 years Ministry of Health Care and prevention financial risks ( for example, doctor's Medical Industry of Turkmenistan, insurance, tax and money payment) on local and related ministries and sector national level. Develop measures of treatment, institutions of Turkmenistan, prevention, rehabilitation. World Health Organization.

45 For expanding and improvement of the quality of 2014-2020 years Ministry of Health Care and health care service achieve the availability of service Medical Industry of Turkmenistan, system of prevention and treatment Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan.

46 Strengthen the first aid help, achieve close always Ministry of Health Care and communication with population. Conduct help Medical Industry of Turkmenistan, interactive work in health prevention. related ministries and sector institutions of Turkmenistan, World Health Organization

47 Prepare the proposal to Cabinet of Ministries in order 2014-2015 years Ministry of Health Care and to give family doctors the territory of 750-800 people Medical Industry of Turkmenistan, and provide family doctors with 3--4 middle health related ministries and sector care workers institutions of Turkmenistan, World Health Organization

48 Work on NCDs' questions together with other always Ministry of Health Care and programs, carry out this work connected with special Medical Industry of Turkmenistan, diseases. related ministries and sector institutions of Turkmenistan, World Health Organization

49 Meet the needs in long term treatment of sick people always Ministry of Health Care and who have injury in labor hygiene service, health care Medical Industry of Turkmenistan, on society level, first aid health care service, also related ministries and sector because of innovation treatment (experiments) as well institutions of Turkmenistan, as if the person has several NCDs (komorbid) World Health Organization.

50 Paying special attention to the first health prevention always Ministry of Health Care and service constantly improve the quality of checking Medical Industry of Turkmenistan, and prevention of NCDs. Use the real facts, treatment related ministries and sector protocols, used methods which were provided for the institutions of Turkmenistan, treatment of NCDs, their causes, also the fact when World Health Organization one person has several NCDs (komorbid) 51 Increase the literacy rate of citizens about the 2014-2016 Ministry of Health Care and determination of non-communicable diseases, prepare years Medical Industry of Turkmenistan, the materials based on real facts and disease statistic, related ministries and sector increase their desire to help themselves and provide institutions of Turkmenistan, them by needed equipments. World Health Organization. Use information and communication technology for help a group treatment including electronically and mobile health care.

52 Prepare National Plan on food, AID, tuberculosis, 2014-2015 years Ministry of Health Care and reproductive health, maternal and prevention NCDs Medical Industry of Turkmenistan, by people themselves related ministries and sector institutions of Turkmenistan, World Health Organization

53 Conduct necessary conferences and trainings on always Ministry of Health Care and quality and behavior improvement of the specialists Medical Industry of Turkmenistan, who are connected with NCDs prevention including related ministries and sector komorbid (physical injury) institutions of Turkmenistan, World Health Organization.

54 To increase the quality of all health care workers always Ministry of Health Care and include the questions about NCDs into the study Medical Industry of Turkmenistan, curriculum; and consider them as the first health related ministries and sector prevention service institutions of Turkmenistan, World Health Organization.

55 Support health workers and young specialist who 2014-2017 years Ministry of Health Care and have interest to work at the outlying districts with a Medical Industry of Turkmenistan, house to live and organize training to increase their related ministries and sector qualification institutions of Turkmenistan, World Health Organization.

56 Send high quality specialist to different places of always Ministry of Health Care and Turkmenistan. To keep them there conduct training Medical Industry of Turkmenistan, and help them to improve their knowledge. related ministries and sector institutions of Turkmenistan, World Health Organization.

57 Working close together with the post diploma faculty always Ministry of Health Care and give an opportunity to the workers of health care and Medical Industry of Turkmenistan, to the workers who graduated schools, to increase related ministries and sector their qualification in different sectors (ex. physician institutions of Turkmenistan, work, work connected with doctors, nursing, World Health Organization. pharmacist, managers of health care, deontology, health care economy, social works)

58 Educate middle and low level health care workers on always Ministry of Health Care and prevention and control of NCDs, and about the Medical Industry of Turkmenistan, avoidance of factors which prevent the fighting related ministries and sector against them. institutions of Turkmenistan, World Health Organization.

59 Support the government establishments, private always Ministry of Health Care and schools, professional units, societies of sick people and Medical Industry of Turkmenistan, the groups which help to each other in teaching about related ministries and sector prevention and control of NCDs institutions of Turkmenistan, World Health Organization.

60 Increase the opportunities of the institutes, pay special 2014-2017 years Ministry of Health Care and attention to the employees and strengthen the work. Medical Industry of Turkmenistan, For this reason: related ministries and sector Increase the quality of the specialists who work on institutions of Turkmenistan, society level, of medical-sanitarian, social service. For World Health Organization. implementation of the national program increase the opportunities of the institutes, for example, teach the doctors, nurses, health care workers of other health care specialties, connect the questions related to NCDs to the responsibilities which can find all the answers.

61 For conducting work on NCDs complexly, fully use 214-2020 years Ministry of Health Care and safe, available, effective drugs, examination methods Medical Industry of Turkmenistan, and other opportunities of the health care related ministries and sector establishments. institutions of Turkmenistan, World Health Organization.

62 Implement the strategy of using available drugs, 2014-2015 years Ministry of Health Care and which are prepared on real data Medical Industry of Turkmenistan, related ministries and sector institutions of Turkmenistan, World Health Organization.

63 Give a treatment using high quality drugs to the ill 2014-2017 years Ministry of Health Care and people, who had coronary infarct or stroke, also to Medical Industry of Turkmenistan, target people whose mortal or extreme dangerous related ministries and sector coronary arteries will take a turn for the worse in next institutions of Turkmenistan, 10 years World Health Organization.

64 During sharp heart attack of myocardium give an 2014-2020 years Ministry of Health Care and injection of salicylic acid, also use atenolol drug and Medical Industry of Turkmenistan, give a thrombolytic treatment related ministries and sector

institutions of Turkmenistan,

World Health Organization.

65 During constant deficiency of coronary arteries give 2014-2020 years Ministry of Health Care and treatment using APF inhibitor, beta-adrenob locators Medical Industry of Turkmenistan, and diuretics, improve and continue this work related ministries and sector institutions of Turkmenistan, World Health Organization.

66 Continue work after sharp heart attack of myocardium 2014-2020 years Ministry of Health Care and according the rehabilitation requirements and Medical Industry of Turkmenistan, improve this work using the advanced experiments of related ministries and sector the world institutions of Turkmenistan, World Health Organization.

67 During heart mersatel arrythmia, stenosis of mitral 2014-2020 years Ministry of Health Care and valve and in case when heart chamber (atrium) Medical Industry of Turkmenistan, probability medium and high fibrillation related ministries and sector disconnected with heart valves illness give quality institutions of Turkmenistan, treatment using anticoagulant (against blood World Health Organization. coagulant) medicine, in future improve this work 33

according international experience

68 During ischemic insult of brain blood circulation use a 2014-2020 years Ministry of Health Care and quarter of aside asetilsalisilisi and continue to treat Medical Industry of Turkmenistan, according the advanced physicians' experiences. related ministries and sector

institutions of Turkmenistan,

World Health Organization.

69 Carry out the actions to improve heart rheumatics and 2014-2020 years Ministry of Health Care and to prevent the second time of rheumatic fever Medical Industry of Turkmenistan, related ministries and sector institutions of Turkmenistan, World Health Organization.

70 Constantly work to determine a hypertonic early, treat 2014-2020 years Ministry of Health Care and and watch it constantly Medical Industry of Turkmenistan, related ministries and sector institutions of Turkmenistan,

World Health Organization.

71 In order to prevent the emergence of malignant 2017 year Ministry of Health Care and neoplasm of the cervix, carry out preventive Medical Industry of Turkmenistan, vaccination of adolescent girls (ages from 12 to14 Ashgabat and welayat years) with "Gardosel" vaccine municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 72 Do vaccinations against B virus hepatitis to prevent 2017 year Ministry of Health Care and dangerous neoplasm in leaver Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization.

73 Carry out work on mass exams, mammographic and 2014-2020 years Ministry of Health Care and effective treatment to prevent dangerous neoplasm in Medical Industry of Turkmenistan, breasts of women of 50-70 years old. Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 74 Carry out work on mass exams and effective treatment 2014-2020 years Ministry of Health Care and to prevent dangerous neoplasm in direct and thick Medical Industry of Turkmenistan, intestine among the people who is over 50. Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 75 Carry out work on mass exams and effective treatment 2014-2020 years Ministry of Health Care and to target people (who smoke or chew gums much) to Medical Industry of Turkmenistan, prevent dangerous neoplasm in the mouth. Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization.

76 With the purpose to keep fresh air in houses regulate 2014-2017 years Ministry of Health Care and the availability of prices of cleaned fuel resources, high Medical Industry of Turkmenistan, quality, today's house heaters and kitchen stove Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 77 Implement a work in order to decrease the bad effect 2014-2020 years Ministry of Health Care and of silicate and asbestos dust Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 78 Treat bronchial and asthma diseases according of 2014-2015 years Ministry of Health Care and WHO' regulations Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization.

79 Provide vaccination against grippe to the ill people always Ministry of Health Care and who have longtime obstructive disease in their lungs Medical Industry of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization. 80 For the effective implementation of the program create 2014-2015 years Ministry of Health Care and information centres in the regions, districts and cities, Medical Industry of Turkmenistan, and to equip them with modern technical equipment Ashgabat and welayat municipalities. 81 Create educational facilities on “patients with 2014-2015 years Ministry of Health Care and diabetes”, “patients with high blood pressure”, Medical Industry of Turkmenistan, “asthmatic patients”, in heath houses of cities, health Ashgabat and welayat houses of district hospitals, regional hospitals municipalities. 82 For implementations of actions on prevention and 2014-2015 years Ministry of Health Care and control of NCDs supply sick people with effective Medical Industry of Turkmenistan, available and safe drugs, held information work related ministries and sector among people about these drugs institutions of Turkmenistan, World Health Organization.

83 In extraordinary cases to safe people's health on the 2014-2017 years Ministry of Health Care and first stage supply with necessary drugs and other Medical Industry of Turkmenistan, medical stuff related ministries and sector institutions of Turkmenistan, World Health Organization.

84 Increase opportunities among citizens of prevention 2014-2017 years Ministry of Health Care and and treatment professional illnesses which are not Medical Industry of Turkmenistan, NCDs and rehabilitation after them, also increase related ministries and sector funding for their treatment. Solve the problems institutions of Turkmenistan, connected with NCDs according international criteria World Health Organization. and local laws. 85 To strengthen health systems, introduce the newest 2014-2016 years Ministry of Health Care and experience in the prevention and treatment of chronic Medical Industry of Turkmenistan, diseases to medical practice in the framework of the World Health Organization. implemented activities 86 Conduct free general medical examination of all always Ministry of Health Care and citizens and patients, who admitted to heath houses Medical Industry of Turkmenistan, Ashgabat and welayat municipalities.

87 Develop standards for the diagnosis and treatment of 2014-2015 years Ministry of Health Care and non-communicable diseases and introduce them into Medical Industry of Turkmenistan. medical practice

88 Enhance the professional skills of health workers 2014-2018 years through improved pre- and post graduate training, Ministry of Health Care and continuously improve the knowledge of health Medical Industry of Turkmenistan ,

professionals in this area, including curricula lead to Ministry of Education of world standards and continually improving the Turkmenistan. educational system in the prevention and control of Non-Communicable Diseases 89 On the base of the bilateral agreement between 2014-2020 years Ministry of Health Care and Ministry of Health Care and Medical Industry of Medical Industry of Turkmenistan , Turkmenistan and clinics of the international Ministry of Foreign Affairs of developed countries in framework of the service, Turkmenistan, Ministry of Finance involve advanced doctors and scientists form that of Turkmenistan, World Health countries to use their rich experience in the prevention and control of NCDs in national practical medicine Organization.

90 Implement effective actions aimed at early detection of 2014-2015 years Ministry of Health Care and cardiovascular disease, obesity, diabetes, chronic lung Medical Industry of Turkmenistan , disease, neurological diseases, malignant neoplasm, Ministry of Culture of diseases facing the early stages of health care in the Turkmenistan, State Television, prevention and control of non-communicable diseases Radio and Cinema Committee of Turkmenistan, Ministry of Education of Turkmenistan

91 Enter sensitive screening programs, including 2014-2015- Ministry of Health Care and screening programs for early diagnosis of cardio years Medical Industry of Turkmenistan , vascular diseases, malignant of the thorax and cervix Ministry of Culture of Turkmenistan, State Television, Radio and Cinema Committee of Turkmenistan, Ministry of Education of Turkmenistan, the State Publishing Service of Turkmenistan.

92 According to the experience of the developed 2016 year Ministry of Health Care and countries of the world, for the prevention and early Medical Industry of Turkmenistan, diagnosis of malignant neoplasm, conduct medical Ashgabat and welayat examinations of all citizens who reached 40 at his own municipalities, related ministries expense on a quarterly basis, as well as discharge of and sector institutions of official duties or work performed the citizens that have not undergone a medical examination Turkmenistan. 93 Add medical examinations such as screening for 2014-2015 years Ministry of Health Care and glucosylated haemoglobin, insulin, and “C” peptides Medical Industry of Turkmenistan, to the number of health examinations conducted for Ashgabat and welayat population municipalities, related ministries and sector institutions of Turkmenistan.

94 For the prevention of congenital diabetes, constantly always Ministry of Health Care and make blood tests on for detection of glucose for all Medical Industry of Turkmenistan, women who are 26 weeks pregnant Ashgabat and welayat municipalities.

95 To prevent second step of diabetes conduct always Ministry of Health Care and educational works to increase the literacy rate of Medical Industry of Turkmenistan, citizens about health food and using healthy habits in related ministries and sector life institutions of Turkmenistan,

World Health Organization

96 Do the injections against flu to the people with always Ministry of Health Care and diabetes Medical Industry of Turkmenistan, related ministries and sector institutions of Turkmenistan, World Health Organization

97 To prevent diabetes increase the literacy about 2014 year and Ministry of Health Care and diabetes among women of reproductive age, watch to be continued Medical Industry of Turkmenistan, them and provide medical services before they related ministries and sector become pregnant institutions of Turkmenistan,

World Health Organization

98 In order to determine diabetic retinopathy check 2014 year and Ministry of Health Care and pregnant women with eye dilation, if necessary use to be continued Medical Industry of Turkmenistan, photocoagulation related ministries and sector institutions of Turkmenistan, World Health Organization

99 To avoid deficit of kidneys treat diabetic women using 2014- year and Ministry of Health Care and inhibitor of angiotenzin ferments to be continued Medical Industry of Turkmenistan, related ministries and sector institutions of Turkmenistan, World Health Organization

100 Treat people with destroyed brain blood circulation 2014 year and Ministry of Health Care and and with head stroke and help them with to be continued Medical Industry of Turkmenistan, rehabilitation related ministries and sector institutions of Turkmenistan, World Health Organization

101 Carry out special complex of work to prevent 2014 year and Ministry of Health Care and immediate formation of "diabetic foot" in diabetic to be continued Medical Industry of Turkmenistan, disease related ministries and sector

institutions of Turkmenistan,

World Health Organization

102 Introduce modern methods to determine the alcohol 2014 year and Ministry of Health Care and and nicotine addiction, counselling and provision of to be continued Medical Industry of Turkmenistan , health services in health care facilities of the health Ministry of Culture of care system Turkmenistan, State Television, Radio and Cinema Committee of Turkmenistan, Ministry of Education of Turkmenistan

103 Improve the treatment of diseases associated with 2014 year and Ministry of Health Care and alcoholic products, as well as rapid treatment of life- to be continued Medical Industry of Turkmenistan , threatening cases State Television, Radio and Cinema Committee of Turkmenistan, Ministry of Education of

Turkmenistan, Ministry of Internal Affairs of Turkmenistan.

104 Improve the quality of services provided to patients 2014 year and Ministry of Health Care and with chronic diseases to be continued Medical Industry of Turkmenistan , Ministry of Culture of Turkmenistan, State Television, Radio and Cinema Committee of

Turkmenistan, Ministry of Education of Turkmenistan, Ministry of Finance of

Turkmenistan, Ministry of Economy and Development of Turkmenistan

105 Achieve selection, acquisition and use of particularly 2014 year and Ministry of Health Care and important prescript safe medications, drugs aimed at to be continued Medical Industry of Turkmenistan , health care and medical equipment for primary and Ministry of Finance of secondary prevention of Non-Communicable Diseases Turkmenistan, Ministry of Economy and Development of

Turkmenistan, Ashgabat and welayat municipalities, World Health Organization.

106 Increase the amount of funds allocated from the state 2015 year Ministry of Health Care and budget to improve the provision of necessary Medical Industry of Turkmenistan , medicines to villages located far from the regional Ministry of Finance of

centres for the prevention of chronic and non- Turkmenistan, Ministry of communicable diseases Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization.

Objective 6: curry out the works on prevention and control of NCDs by high quality scientific research works, encourage the raising of possibilities of national health prevention science 107 Saving deposits: constantly increase saving deposits always Ministry of Health Care and of scientific- research works for successful Medical Industry of implementation of actions on prevention of NCDs, Turkmenistan, Ashgabat and manage them properly, pay special attention to this as welayat municipalities, a inseparable part of prevention of NCDs related ministries and sector institutions of Turkmenistan.

108 In the frame of cooperation with scientific 2015-2016 years Ministry of Health Care and organizations on prevention and control of NCDs Medical Industry of among the population, and for monitoring the results Turkmenistan, Ashgabat and of this work, prepare and implement a national policy welayat municipalities, measures based on scientific research related ministries and sector institutions of Turkmenistan.

109 Improve the system of the scientific research works 2015-2016 years Ministry of Health Care and and make some improvement in the establishments' Medical Industry of structure which are connected with this work; fully Turkmenistan, Ashgabat and provide them with the equipments and needed welayat municipalities, supplies, also improve the qualification of the related ministries and sector scientists. institutions of Turkmenistan.

110 Support scientific health care facilities and scientific 2015-2020 years Ministry of Health Care and clinical centers which conduct works on prevention Medical Industry of and control of NCDs; support scientific workers and Turkmenistan, Ashgabat and implement innovations in the health care system; welayat municipalities, organize scientific centers and research establishment related ministries and sector to improve their results institutions of Turkmenistan.

111 Receive policy decisions on prevention and control of 2015-2016 years Ministry of Health Care and NCDs, and implement health care policy proved on Medical Industry of the experienced means and scientific basis Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan.

112 Evaluate the results of scientific research works on the always Ministry of Health Care and prevention and control of NCDs and their capacity; Medical Industry of control expenditures of national and international Turkmenistan, Ashgabat and resource funds welayat municipalities, related ministries and sector institutions of Turkmenistan.

113 Organize activities for the prevention and control of 214-2015 years Ministry of Health Care and Non-Communicable Diseases on a scientific basis for Medical Industry of regional employees (county and city) of medical Turkmenistan, Ministry of institutions and related professionals Education of Turkmenistan, World Health Organization

114 Widely introduces scientific and technological 214-2017 years Ministry of Health Care and achievements in the field of the prevention and control Medical Industry of of Non-Communicable Diseases to the health care Turkmenistan, Ashgabat and industry welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization

115 For prevention and control of NCDs pprepare high 214-2017 years Ministry of Health Care and quality specialists of cardiologists, cardiac surgeons, Medical Industry of neurologists, oncologists, prepare specialists of Turkmenistan, Ministry of geriatric and gerontology; develop study curriculum Education of Turkmenistan, on the international level and implement this World Health Organization. curriculum, improve pre and post diploma training system, constantly improve the knowledge of the specialists 116 Organize lessons for workers of all areas of health Always Ministry of Health Care and care to provide practical and palliative care for the Medical Industry of prevention of non-communicable diseases Turkmenistan, Ministry of Education of Turkmenistan, World Health Organization.

117 Explore from a scientific point of view the relationship 214-2015 years Ministry of Health Care and between the use of tobacco and alcohol products, poor Medical Industry of nutrition, lack of physical activity, planned and Turkmenistan, Ministry of preventive vaccination for the prevention of NCDs Education of Turkmenistan, and communicable and non-communicable diseases World Health Organization.

118 Submit proposals to the Cabinet of Ministers of 2015 years Ministry of Health Care and Turkmenistan on the construction of the boarding Medical Industry of house for 50 beds, acting on a fee basis for relatives of Turkmenistan, Ministry of patients receiving outpatient or inpatient treatment at Economy and Development of scientific and clinical cancer centre at a time Turkmenistan, Ashgabat and

welayat municipalities, World Health Organization.

119 Submit proposals to the Cabinet of Ministers of 2016 year Ministry of Health Care and Turkmenistan on the construction of the Hospice, Medical Industry of acting on a fee basis for patients receiving Turkmenistan, Ministry of symptomatic treatment for chronic forms of malignant Economy and Development of neoplasm at scientific and clinical cancer centre Turkmenistan, Ashgabat and welayat municipalities, World Health Organization

120 Submit proposal to the Cabinet of Ministers of 2015 year Ministry of Health Care and Turkmenistan on the creation of a specialized Medical Industry of permanent working group which consists of the Turkmenistan, Ministry of specialists of the ministries and other institutions Justice of Turkmenistan related to the prevention and control of non- communicable diseases; also improve a work in this direction and purchase necessary drugs and prepare the specialists

121 Create diligent (strong) acting groups as parts of the 2014-2018 years Ministry of Health Care and oncology scientific-clinical centers and regional Medical Industry of oncology hospitals. Submit proposals to the Cabinet of Turkmenistan, Ministry of Ministers of Turkmenistan on the purchase of Economy and Development of automobiles equipped with a). automobile ambulance; Turkmenistan, Ashgabat and b). automobile examination room; c). fluorography, mammography, ultrasonography welayat municipalities, World Health Organization

Objective 7: evaluate the measures on the prevention and control of NCDs, pay special attention to the implementation of these works and to the indicators of NCDs

122 Renew law documents on collecting statistic data about 2015-2019 years Ministry of Health Care and health, improve a work of service on registration of the Medical Industry of citizenship, also improve the information about death Turkmenistan, State Statistic reasons; accept and adopt final standards of national Committee of Turkmenistan, plan based on global observation system; direct them to Ashgabat and welayat the prevention and control of NCDs including the informative education of population about the diseases, municipalities, related constantly evaluating the results of work. ministries and sector institutions of Turkmenistan, World Health Organization

123 Evaluate the progress of national Strategy and Program, 2018 year Ministry of Health Care and analyze the situation of NCDs, in order to prevent them Medical Industry of and keep a control in the future, prepare and implement Turkmenistan, related effective directions based on scientific research. Evaluate ministries and sector an implementation of the objectives marked in Ashgabat institutions of Turkmenistan, Appeal which was hold on the 4th of December in 2013 World Health Organization by the countries of the WHO European Region; ensure the implementation of this work in the future, also organize a high quality conference on the 5th anniversary of Ashgabat Appeal on prevention and control of NCDs with the participation of the representatives of the ministries of the WHO European Region

124 Constantly monitor some of the important sectors of the 2019 year Ministry of Health Care and National Strategy Medical Industry of Turkmenistan, State Statistic

Committee of Turkmenistan,

related ministries and sector

institutions of Turkmenistan, World Health Organization

125 Following national and regional requirement prepare, 2014-2015 years Ministry of Health Care and support and strengthen the related indicator collection Medical Industry of on possible new technical forms, and prepare the Turkmenistan, Ashgabat and registers of other NCDs welayat municipalities, related ministries and sector institutions of Turkmenistan.

126 Add prevention measures to the epidemiological Always Ministry of Health Care and observation activities at the primary health care points. Medical Industry of Doing this, collect data about people's behavior, about Turkmenistan, Ashgabat and their bag habits (like alcoholism, less physical activities, welayat municipalities, smoking, poor nutrition, getting weight and fatness, related ministries and sector high blood pressure, raising sugar in blood, and hyperglycemia), control a sale of products, alcohol, institutions of Turkmenistan. tobacco products which can be dangerous for a health.

127 To raise the physical activity evaluate the results of 2014-2015 year State Sport Committee of measures according of collected data Turkmenistan, State Television, Radio and Cinema

Committee of Turkmenistan, Ministry of Culture of Turkmenistan, Ministry of Education of Turkmenistan, Ministry of Health Care and Medical Industry of Turkmenistan, Society

organizations of Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization

128 Achieve the accessibility of high quality data about the 2014-2017 years Ministry of Health Care and dangerous factors of NCDs' existing, analyze them, Medical Industry of forward to the necessary places. For education about the Turkmenistan, Ashgabat and prevention of these diseases organize the society health welayat municipalities, care organizations at the primary health care points and related ministries and sector increase the possibilities of innovation technology institutions of Turkmenistan.

129 Constantly give the information about NCDs' illnesses, Always Ministry of Health Care and death, and their causes, age, sex, type of cripple, related Medical Industry of social group, also give the WHO analyzed report about Turkmenistan, Ashgabat and country situation comparing the global level, about welayat municipalities, implementation of the action plan, and the results of the related ministries and sector strategy and conducted actions on these diseases institutions of Turkmenistan.

130 Increase the amount of funds for epidemiological 2015 year and to Ministry of Health Care and observation of the measures on the prevention and be continued Medical Industry of control of the NCDs and always continue to work on it. Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan.

131 Develop indicators on non-communicable diseases to 2014 year Ministry of Health Care and conduct continuous monitoring and evaluation of Medical Industry of implementation of the “National program of prevention Turkmenistan, State Statistic and control of non-communicable diseases in Committee of Turkmenistan. Turkmenistan for the period of 2014-2020” 132 Create a specialized permanent working group which 2014 year Ministry of Health Care and consists of WHO representatives, the specialists of Medical Industry of ministries and other institutions related to Turkmenistan, Ashgabat and implementation of the national program in years 2014- welayat municipalities, 2020 on the prevention and control of non- related ministries and sector communicable diseases in Turkmenistan institutions of Turkmenistan, World Health Organization

133 Evaluate the implementation of the National Strategy for 2020 year Ministry of Health Care and prevention and control of non-communicable diseases in Medical Industry of Turkmenistan to fulfill the obligations mentioned in the Turkmenistan, Ashgabat and Ashgabat Appeal in the years 2014-2020 in the welayat municipalities, framework of the World Health Organization's „Health- related ministries and sector 2020“ Policy. Also prepare the proposals on new national institutions of Turkmenistan, strategy for the period of 2021-2030. World Health Organization

Objective 8: Develop specialised centres on prevention and control of NCD; support the development of the centres

with best experience 134 Conduct ongoing medical screenings among Always Ministry of Health Care and newborns for hormones and glucose in the blood at Medical Industry of health care facilities Turkmenistan, Ashgabat and welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization

135 Update medical institutions, responsible for the 2015-2020 years Ministry of Health Care and prevention and control of Non-Communicable Medical Industry of Diseases, build new buildings, and to strengthen their Turkmenistan, Ministry of material and supply equipment Finance of Turkmenistan, Ministry of Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization

136 Submit a proposal to the Cabinet of Ministries on 2015 year Ministry of Health Care and introduction of effective methods for early diagnosis Medical Industry of of KT (positron-emission tomography, computer Turkmenistan, Ashgabat and tomography), as well as for the treatment of these welayat municipalities, diseases with proton drops to the practice of oncology related ministries and sector institutions of Turkmenistan, World Health Organization.

137 Submit a proposal to the Cabinet of Ministries of 2015 year Ministry of Health Care and Turkmenistan on building an oncology, blood diseases Medical Industry of and radiology centre as part of Research and Clinical Turkmenistan, Ashgabat and oncology Centre welayat municipalities, related ministries and sector institutions of Turkmenistan, World Health Organization

138 Submit proposals to the Cabinet of Ministers of 2015-2016 years Ministry of Health Care and Turkmenistan about cardiology and pulmonary Medical Industry of departments at the regional multifunctional hospitals Turkmenistan, Ministry of

Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization

139 Submit a proposal to the Cabinet of Ministries on 2015-2016 years Ministry of Health Care and creation a Pulmonary Centre as part of Hospital with a Medical Industry of Clinical Research Physiology Centre. Turkmenistan, Ministry of

Finance of Turkmenistan, Ministry of Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization.

140 Submit a proposal to the Cabinet of Ministries on 2015-2018 years Ministry of Health Care and building new Oncology hospitals supplied with Medical Industry of modern “Hospice” and “Boarding House” equipment Turkmenistan, Ministry of in Anal, Balkan, Dashoguz, Lebap and Mary region Finance of Turkmenistan, Ministry of Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization

141 Submit a proposal to the Cabinet of Ministries of 2014-2016 years Ministry of Health Care and Turkmenistan on building an neurology centre for 120 Medical Industry of beds in Ashgabat Turkmenistan, Ministry of

Finance of Turkmenistan, Ministry of Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization

142 Submit a proposal to the Cabinet of Ministries on 2016 year Ministry of Health Care and building an Endocrinology centre in Ashgabat Medical Industry of Turkmenistan, Ministry of

Finance of Turkmenistan, Ministry of Economy and Development of Turkmenistan, Ashgabat and welayat municipalities, World Health Organization

143 Submit a proposal to the Cabinet of Ministries to 2015-2016 years Ministry of Health Care and provide health houses of Ashgabat city and regions, Medical Industry of district hospitals with cardiologists, oncologists, Turkmenistan, Ashgabat and endocrinologists, pulmonologists and neurologists welayat municipalities, physician positions related ministries and sector institutions of Turkmenistan, World Health Organization