1. (a) The strategy of the Department to combat Diabetes is contained in the National Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2022- 2027 (NSP NCDs). The Plan provides strategic guidance on the prevention, early detection, screening, and control of non-communicable diseases including diabetes. The NSP NCDS is aligned to the Integrated Clinical Services Management Model as part of the Ideal Clinic, the Adult Primary Care Tool implemented at primary health care facilities, the Essential Medicines List and 1Associated Standard Treatment Guidelines, the Centralised Chronic Medicine Dispensing and Distribution (CCMDD) Model. NCDs are integrated into the Primary Health Care Service Package (2015).
(b) The department developed and implemented the “Strategy for the prevention and control of obesity in South Africa 2015 – 2020”. The strategy is aimed at the prevention and control of obesity through modifying the obesogenic environments and drivers of obesity, while enhancing opportunities for increased physical activity and healthy food options in every possible setting, including healthcare facilities, early development centres, schools, workplaces, and the community at large. The strategy reached the end of its term and the Department is in the process of developing the updated strategy which began by reviewing the 2015-2020 strategy using interrogation of the theory of change in line with South Africa’s international policy commitments and national legislation, policy and plans, a literature review of international and national best practices, wide stakeholder engagement through online survey and small physical meetings, and finally, a national workshop with stakeholders. The best practices, stakeholder engagements and the review reports have been produced. The Department is currently consulting key stakeholders on the first draft of the updated strategy.
(2) (a) (i) The following are programmes to currently in place to combat obesity:
(ii) Programmes currently in place to combat diabetes among others include.
(b) The current allocation to combat obesity and diabetes are inclusive of the Equitable Share received by provinces. The programme does not have a ring-fenced allocation however the Chronic Diseases and Health Promotion Levy budget is also used for these programmes.
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