CINDI / Countrywide Integrated Non-Communicable Disease Intervention – Bulgaria


The aim of CINDI program is to improve health by reducing mortality and morbidity from the major non-communicable diseases (cardiovascular, cancer, injuries, chronic respiratory diseases and others) through integrated collaborative interventions that prevent diseases and promote health. The CINDI programme includes more than 30 countries in Europe and Canada, including Bulgaria. For each country, the program is of national importance, as is realized in demonstration zones, and for the development is responsible the relevant Ministry of Health.

CINDI Bulgaria is а national program with nine demonstration zones and corresponds to the national health policy. The target group is the population of working age (25-64), including groups at high risk for certain diseases. It also includes a child component – students (14-18), teachers, and parents.
CINDI approves disease prevention through the existing health structure, with the active participation of the society and individuals. There are specific goals and objectives, based on accurate epidemiological framework, which is constantly monitored. Bulgaria was first included in the CINDI Program in 1985 under the collaboration of the Ministry of Health and the WHO within five zones. Intervention measures for health promotion and risk factors reduction for the most common chronic non-communicable diseases developed in zones after 2000. For the period 2000 – 2010 there were conducted four monitorings, assessing behaviour change of the population’s health. Monitoring showed positive changes on population level since the start of the programme. In 2004 the child component of the program was introduced – “Healthy Children in Healthy Families”. It was implemented in seven zones and is also currently operating on a local level. On national level the program is funded by the Ministry of Health.

CINDI aims to reduce the risk of non-communicable diseases by reducing common risk factors, such as smoking, alcohol abuse, physical inactivity and unhealthy nutrition. The main strategies are: health education of the population to control the main risk factors for NCDs and health; building capacity among medical specialists and program partners; participation of communities and institutions in program activities; development of guiding principles and guidelines of good practice of the professionals and partners, and information materials to the population, etc. The program involves many partners – Municipality and the Municipal Council; Regional Health Inspections, Regional Health Insurance Fund, hospitals, medical and diagnostic consultative centres, media, NGOs, schools and kindergartens, companies, unions, clubs, youth homes, pharmaceutical companies, police, traders, manufacturers, etc.


Additional information:

(last accessed in March 2017)

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Life Cycle Stages: School Age | The Young Old (50-65 yrs) | Work Life | 
Main Settings: community | 
Specific Topics: nutrition | physical activity | substance abuse | 

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