Turkish Public Health Association is accountable for the primary healthcare delivery in Turkey. Services that are managed, developed and supervised by the Public Health Association are (health related units) : Primary Health Care Services Supervising the Family Medicine Unit (which consists of a Family Physician and a health personnel) and General Practitioners Immigration Healthcare Services Communicable Diseases Control Programmes Early warning-response field epidemiology unit Communicable Diseases Unit Preventable diseases -Vaccination Unit Vector-borne and Zoonotic Diseases Unit Tuberculosis Unit Microbiology Laboratories Unit Non-communicable Diseases Programmes and Cancer Tobacco and other addictive substances campaign Unit Cancer Unit Mental Health Programmes Unit Obesity, Diabetes, Other Metabolic Diseases Unit Chronic Diseases, Elderly and Disabled Unit Women and Reproductive Health unit Child and Adolescent Health Unit Occupational Safety and Environmental Health Unit Public Health Laboratory Maternal Mortality Ratio (MMR) According to the WHO data between the years 1990 to 2015, Maternal Mortality Ratio in Turkey has decreased from 57 to 16 in 10 years. In 2010, Turkey was nearly on par with some of the other OECD countries such as South Korea and Hungary and had a lower maternal mortality ratio than United States. Under-five Mortality Rate (U5MR) Turkey's U5MR in 2007 has reduced by 72% over 1990 levels, while in the world the total reduction was %26.9 between 1990 and 2007. In 2010, U5MR in Turkey was highest compared to other OECD countries. Causes of death In 2013 the top 5 causes of death were circulatory diseases (39,8%), cancer (21,3%), respiratory diseases (9.8%), endocrine and nutritional diseases (5,6%), external causes (5,5%) and nervous system diseases (4.1%). When the diseases causing death are examined on a gender basis; deaths from circulatory and endocrine diseases were found mostly in women and deaths from cancers and external causes were seen in men." The first three ranks of deaths did not change in 2016. NCDs already account for over 70 percent of all mortality in Turkey. Reported mortality from coronary heart disease (CHD) amongst Turkish women is the highest in Europe. Despite the public health programmes already in place, risk factor levels for NCDs are high in Turkey. Clinically significant hypertension exists in at least a third of the adult Turkish population. Top ten causes of deaths in 2016 from the most frequent to the least are; Ischemic Heart Disease Cerebrovascular Disease Alzheimer Disease COPD Lung Cancer Diabetes Chronic Kidney Disease Road Injuries Hypertensive Heart Disease Lower respiratory