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ISFAHAN HEALTHY HEART PROGRAM
 
Isfahan Healthy Heart Program (CLICK HERE TO VISIT IHHP WEBSITE) 

The National Program of Healthy Life Style for Non-communicable Diseases Prevention and Control, Pilot in Isfahan, Najafabad, and Arak
'Isfahan Healthy Heart Program is a comprehensive community-based interventional program for non-communicable diseases prevention and control '

Click here to view WHO report on the Global Forum on NCD Prevention and Control, Rotating International Visitors Program 2003, 5-9 October 2003 Isfahan, Islamic Republic of Iran

 
CLICK HERE TO READ ABOUT 'Design, Methods and Initial Experience' IN IHHP 

CLICK HERE TO VIEW THE DIAGRAMS RELATED TO 'Design, Methods and Initial Experience' IN IHHP

Obesity and associated modifiable environmental factors in Iranian adolescents: Isfahan Healthy Heart Program 'Heart Health Promotion from Childhood

Dietary fat intake and lipid profiles of Iranian adolescents: Isfahan Healthy Heart Program 'Heart Health Promotion from Childhood'   
  
CLICK HERE TO VISIT IHHP'S OFFICIAL WEBSITE

 
Background:
In Iran 46% of the overall mortality rate is related to circulatory diseases and cardiovascular diseases (CVDs) are increasing year by year.  Such diseases force severe economical loss on the body of the Iranian society as well.  Completed studies have proved that CVD risk factors also have a high prevalence in the society in a way that hypertension is 18%, hypercholesterolemia is 33%, hypertriglyceridemia is 44%, obesity is 58% and diabetes is 7%. A non-healthy diet and lack of physical activity are also prevalent in Iran.  Considering the mentioned situation, it seems necessary to operate a comprehensive integrated community-based program in the society using population and high risk strategies with the aim of reducing the common risk factors of noncommunicable diseases.
The National Program of Healthy Life Style for Non-communicable Diseases Prevention and Control is therefore being organized and carried out in three cities (as demonstration and reference areas) for reaching suitable and feasible interventions in this respect.

 
  Aims & Objectives:
Main Objectives:
To reduce CVD mortality and morbidity.
To reduce the incidence and prevalence of NCD and its risk factors.
 
Specific Objectives:
To promote healthy lifestyle particularly in the areas of tobacco use, diet and physical inactivity and reducing CVD risk factors in the community. 
To provide the experience necessary to extend the project into a nation-wide program.  
 
Overall Objectives:
To test different methods of cardiovascular disease prevention applied simultaneously and systematically in the same community.
To evaluate the feasibility, effects and other experiences of a major, comprehensive effort.
To be a source of public and professional inspirations, visibility, training and other intellectual resources.



Launch site & Samples:
The population evaluated in this study involve all citizens of rural & urban areas of Isfahan, Najaf-Abad and Arak as pilot cities.  The population are above 19 years of age, the selection is according to the distribution of sex and age through the society.  The whole sample is 12600 ( meaning 6300 from the intervention area and 6300 from the non-intervention-area ).
Sampling is done by clustering method.  This study also evaluate, the risk factors among ( 2000 ) children 4-18 years old, the knowledge, attitude and practice (KAP) of 2000 health personnel and 2000 CVD patients regarding risk factors and diseases as well. 
 
Stages of the study:
This study has three stages:
 
1- The first stage: Evaluation of the present situation:
At this stage, both intervention and nonintervention populations are evaluated.  Main studies include determination of risk factor prevalence using the MONICA questionnaire and taking blood tests for adults and children, determination of CVD prevalence using the ROSE questionnaire, electrocardiography analysis using Minnesota coding, determination of CVD & stroke mortality rate using mortality & morbidity statistics and finally determining the level of knowledge, attitude and practice of the population, health personnel and CVD patients.
 
2 - The second stage: Intervention stage:
At this stage, varied comprehensive interventions are done in the intervention cities which mainly consider risk factor control & lifestyle modification with the involvement of most Governmental and Non-Governmental Organizations.  It is constituted of 8 big interventional projects.
 
3 - The third stage: Evaluation of the situation after intervention:
At this stage, studies of the first stage is repeated on the two intervention & non-intervention groups, then compared to the first stage results in order to test the effect of the interventions used.
 
Interventions:
 
Criteria of Interventions:
         Simple and practical    
         Implemented on widest spectrum of community         
         Using the existing resources  
         Avoiding duplication and overlapping activities           
         To be part of the regular work of the health professional (integrated
         into the existing health service structure)     
         Possibility of continued interventions 
         Feasibility of national implementations           
         Interventions can be evaluated          
 
Categories:  
         Media Activities        
         Health Service Activities          
         Community Partnership Activities        
         Policies and Legislation            

Intervention fields:  
         Healthy nutrition        
         Tobacco control           
         Exercise and physical activity         
         Dealing with stress            

Intervention projects:
Phase 2:
         WIP: Worksite Intervention Project.   
         HHPC: Heart Health Promotion from Childhood.         
         HFHC: Healthy Food for Healthy Community.  
         IEP: Isfahan Exercise Project.
         HPEP: Health Personnel Education Project.    
         WHHP: Women Healthy Heart Project.           
         YIP: Youth Intervention Project.         
         HLCP: Healthy Lifestyle for Cardiac Patients.   
         NGOVP: Non-Governmental Organizations and Volunteers Project.  


CLICK HERE TO READ ABOUT "Design, Methods and Initial Experience" IN IHHP
CLICK HERE TO VIEW THE DIAGRAMS RELATED TO"Design, Methods and Initial Experience" IN IHHP
CLICK HERE TO READ ABOUT ADOLESCENTS IN IHHP  

Conductors:
Isfahan Cardiovascular Research Center (A WHO collaborating Center for Research and training in Cardiovascular Diseases Control, Prevention & Rehabilitation for Cardiac Patients in the Eastern Mediterranean Region)
Isfahan Provincial Health Center
 
Affiliated with:
Isfahan University of Medical Sciences
 
Sponsor:
The National Planning and Budget Organization
Deputy of Health, Ministry of Health and Medical Education 
 

Last update:  Wednesday  4  March  2007
  (1386/1/1)

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