الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Non communicable diseases (NCDs) are chronic diseases non transmissible among people. They are the result of a combination of genetic, physiological, environmental and behavioral factors. The four main types of NCDs are cardiovascular diseases, cancers, chronic respiratory disease and diabetes mellitus. The burden of these diseases is more among lower and middle income countries as well as among younger age group (30-70 years) as revealed in the global health estimates 2015.
Non-communicable diseases (NCDs) are the current leading cause of mortality in Egypt, accounting for 85% of all deaths.
Recognizing a global need for NCDs risk-factor prevelance data, WHO initiated the STEP wise approach to chronic non communicable diseases risk factor Survey (STEPS) in 2002 to allow low and middle income countries to build and strengthen their chronic disease survey.
The present study was conducted in family health centers / units affiliated to Alexandria Directorate of Health Affairs to assess the implementation of STEPS approach in the studied family health centers / units. The study was conducted in one third of family health centers / units from each district that was selected by simple random technique (n=33). All family physicians registered in the studied family health center / unit were enrolled in the study (n=90), they were either general practioners (n=47) or family physician specialists (n=43) with fellowship of family medicine. The data was collected using a structured interview questionnaire designed by the investigator based on WHO STEPs approach.