Appendix 3 Interventions

Appendix 3 Interventions

Cardiovascular diseases

CategoryCodeName
Cardiovascular diseasesCV1Pharmacological treatment of hypertension in adults using either of the following: ACE-I; ARB; CCB. Single pill combination containing either of the following: ACE-I/CCB; ACE-I/Diuretic; ARB/CCB; ARB/Diuretic
Cardiovascular diseasesCV2aDrug therapy to control CVD risk using a total risk* approach and counselling to individuals who have had a heart attack or stroke and to persons with high risk (≥ 20%) of a fatal and non-fatal cardiovascular event in the next 10 years using the updated WHO CVD risk charts
Cardiovascular diseasesCV2bDrug therapy to control CVD risk using a total risk* approach and counselling to individuals who have had a heart attack or stroke and to persons with high risk (≥ 10%) of a fatal and non-fatal cardiovascular event in the next 10 years using the updated WHO CVD risk charts
Cardiovascular diseasesCV3aTreatment new cases of acute myocardial infarction with aspirin, initially treated in a hospital setting with follow-up carried out through primary health care facilities at a 95% coverage rate
Cardiovascular diseasesCV3bTreatment of new cases of acute myocardial infarction with aspirin and thrombolysis, initially treated in a hospital setting with follow-up carried out through primary health care facilities at a 95% coverage rate
Cardiovascular diseasesCV3cTreatment new cases of acute myocardial infarction with thrombolysis, aspirin and clopidogrel, initially treated in a hospital setting with follow-up carried out through primary health care facilities at a 95% coverage rate
Cardiovascular diseasesCV3dTreatment of new cases of myocardial infarction with primary percutaneous coronary interventions (PCI), aspirin and clopidogrel, initially treated in a hospital setting with follow-up carried out through primary health care facilities at a 95% coverage rate
Cardiovascular diseasesCV4aTreatment of acute ischemic stroke with intravenous thrombolytic therapy
Cardiovascular diseasesCV4bTreatment of acute ischemic stroke with mechanical thrombectomy within an experienced facility
Cardiovascular diseasesCV5aPrimary prevention of rheumatic fever and rheumatic heart diseases by increasing appropriate treatment of streptococcal pharyngitis at the primary care level
Cardiovascular diseasesCV5bSecondary prevention of rheumatic fever and rheumatic heart disease by developing a register of patients who receive regular prophylactic penicillin
Cardiovascular diseasesCV6Low-dose acetylsalicylic acid within 24 to 48 hours for secondary prevention of ischemic stroke
Cardiovascular diseasesCV7Comprehensive care of acute stroke patients in stroke units
Cardiovascular diseasesTreatment of congestive cardiac failure with angiotensin-converting-enzyme inhibitor, beta-blocker and diuretic
Cardiovascular diseasesCardiac rehabilitation post myocardial infarction
Cardiovascular diseasesAnticoagulation for medium-and high-risk non-valvular atrial fibrillation and for mitral stenosis with atrial fibrillation

Chronic respiratory diseases

CategoryCodeName
Chronic respiratory diseasesCR1Acute treatment of asthma exacerbations with inhaled bronchodilators and oral steroids
Chronic respiratory diseasesCR2Acute treatment of COPD exacerbations with inhaled bronchodilators and oral steroids
Chronic respiratory diseasesCR3Long-term management of asthma with inhaled bronchodilator and low-dose beclometasone
Chronic respiratory diseasesCR4Long-term management of COPD with inhaled bronchodilator

Diabetes

CategoryCodeName
DiabetesD1Foot care to prevent amputation in people with diabetes (including educational programmes, access to appropriate footwear, multidisciplinary clinics)
DiabetesD2Diabetic retinopathy screening for all diabetes patients and laser photocoagulation for prevention of blindness
DiabetesD3Glycaemic control for people with diabetes, along with standard home glucose monitoring for people treated with insulin to reduce diabetes complications
DiabetesD5Screening of people with diabetes for proteinuria and treatment with angiotensin-converting enzyme inhibitor for the prevention and delay of renal disease
DiabetesD6Control of blood pressure in people with diabetes
DiabetesD7Statin use in people with diabetes > 40 years old
DiabetesD8Influenza vaccination for patients with diabetes
DiabetesD9Lifestyle interventions for preventing type 2 diabetes
DiabetesD10Preconception care among women of reproductive age who have diabetes including patient education and intensive glucose management

Unhealthy diet

CategoryCodeName
Unhealthy dietU1Reduce nutrient intake (incl. salt) through the reformulation of food products to contain less salt and the setting of target levels for the amount of salt in foods and meals
Unhealthy dietU2Reduce nutrient intake (incl. salt) through the establishment of a supportive environment in public institutions such as hospitals, schools, workplaces and nursing homes, to enable lower sodium options to be provided
Unhealthy dietU3Reduce nutrient intake (incl. salt) through a behaviour change communication and mass media campaign
Unhealthy dietU4Reduce nutrient intake (incl. salt) through the implementation of front-of-pack labelling
Unhealthy dietU5Eliminate industrial trans-fats through the development of legislation to ban their use in the food chain
Unhealthy dietU6Reduce sugar consumption through effective taxation on sugar-sweetened beverages
Unhealthy dietU7Implement WHO’s set of recommendations on the marketing of foods and non-alcoholic beverages to children, including mechanisms for monitoring
Unhealthy dietU8Implement subsidies to increase the intake of fruits and vegetables
Unhealthy dietU9Promote and support exclusive breastfeeding for the first 6 months of life, including promotion of breastfeeding
Unhealthy dietU10Replace trans-fats and saturated fats with unsaturated fats through reformulation, labelling, fiscal policies or agricultural policies
Unhealthy dietU11Implement nutrition labelling to reduce total energy intake (kcal), sugars, sodium and fats
Unhealthy dietU12Limiting portion and package size to reduce energy intake and the risk of overweight/obesity
Unhealthy dietU13Implement nutrition education and counselling in different settings (for example, in preschools, schools, workplaces and hospitals) to increase the intake of fruits and vegetables
Unhealthy dietU14Implement mass media campaign on healthy diets, including social marketing to reduce the intake of total fat, saturated fats, sugars and salt, and promote the intake of fruits and vegetables

Physical inactivity

CategoryCodeName
Physical inactivityP1Provide physical activity assessment, counselling, and behaviour change support as part of routine primary health care services through the use of a brief intervention
Physical inactivityP2Implement sustained, population wide, best practice communication campaigns to promote physical activity, with links to community-based programmes and environmental improvements to enable and support behaviour change
Physical inactivityP3Implement urban and transport planning and urban design, at all levels of government, to provide compact neighbourhoods providing mixed-land use and connected networks for walking and cycling and equitable access to safe, quality public open spaces that enable and promote physical activity
Physical inactivityP4Implement whole-of-school programmes that include quality physical education, and adequate facilities, equipment and programs supporting active travel to/from school and support physical activity for all children of all abilities during and after school
Physical inactivityP5Improve walking and cycling infrastructure ensuring universal and equitable access to enable and promote walking, cycling, other forms of mobility involving the use of wheels (e.g. wheelchairs, scooters and skates) by people of all ages and abilities
Physical inactivityP6Implement multi-component workplace physical activity programmes
Physical inactivityP7Provide and promote physical activity through provision of community-based (grass roots) sport and recreation programmes and conduct free mass participation events to encourage engagement by people of all ages and abilities

Alcohol

CategoryCodeName
AlcoholA1Increase excise taxes on alcoholic beverages
AlcoholA2Enact and enforce bans or comprehensive restrictions on exposure to alcohol advertising (across multiple types of media)
AlcoholA3Enact and enforce restrictions on the physical availability of retailed alcohol (via reduced hours of sale)
AlcoholA4Enact and enforce drink-driving laws and blood alcohol concentration limits via sobriety checkpoints
AlcoholA5Provide brief psychosocial intervention for persons with hazardous and harmful alcohol use

Tobacco

CategoryCodeName
TobaccoT1Increase excise taxes and prices on tobacco products
TobaccoT2Implement plain/standardized packaging and/or large graphic health warnings on all tobacco packages
TobaccoT3Enact and enforce comprehensive bans on tobacco advertising, promotion and sponsorship
TobaccoT4Eliminate exposure to second-hand tobacco smoke in all indoor workplaces, public places, public transport
TobaccoT5Implement effective mass media campaigns that educate the public about the harms of smoking/tobacco use and second-hand smoke
TobaccoT6Provision of cost-covered effective population-wide support (including brief advice, national toll-free quit line services and mCessation) for tobacco cessation to all tobacco users
TobaccoT7Provision of cost-covered effective pharmacological interventions to all tobacco users who want to quit