HCC Caribbean NCD Forum Supporting National Advocacy in Lead up to the 2018 High Level Meeting on NCDs The 3 rd UN High-level Meeting on NCDs – PAHO/WHO Perspectives Dr. Anselm Hennis Director, Department of NCDs and Mental Health Pan American Health Organization Kingston, Jamaica – April 23-25, 2018
GL GLOB OBAL AL NCD NCD MO MORT RTALIT ALITY Glob Gl obal al mor mortali tality (al all deaths) es eaths) esti tima mates es by c y cause, , 2015 15 9% Other NCDs 19% 21% Diabetes Mellitus 4% Chronic respiratory diseases 10% 56 56 Mi Mill llio ion 22% Malignant neoplasms NC NCDs 70% Cardiovascular diseases 45% Communicable, maternal, perinatal and nutrition conditions Noncommunicable Diseases Injuries Source ce: : World Health Organization 2017. Global Health Estimates 2015: Summary tables of mortality estimates by cause, 2000 and 2015. Available at: https://goo.gl/7zyQPP
GL GLOB OBAL AL NCD NCD MO MORT RTALIT ALITY Source ce: : World Health Organization 2017. Global Health Estimates 2015: Summary tables of mortality estimates by cause, 2000 and 2015. Available at: https://goo.gl/7zyQPP
Commitments made by world leaders to ↓ premature deaths from #NCDs 2007 CARICOM 2009 ECOSOC Port-of-Spain Doha Declaration on Declaration on 2018 NCDs NCDs 3 rd HLM 2018 2011 2015 Moscow 2014 Declaration SDGs Outcome Document 2015 AAAA 2011 Political Declaration • .
GL GLOB OBAL AL MO MONIT NITORING ORING FR FRAMEW AMEWORK ORK
“BEST BUYS” INTERVENTIONS FOR NCD PREVENTION REVENTION AN AND CO D CONTR NTROL OL 88 16 Interventions Best-buys Best-buys : Effective interventions with cost effectiveness analysis < I$ 100 per DALY averted in LMICs Effective interventions with cost effectiveness analysis > I$ 100 per DALY averted in LMICs Other recommended interventions from WHO guidance (cost effective analysis not available) So Source ce: : WHO Tackling NCDs. “Best buys” and other recommended interventions for the prevention and control of NCDs. Available at: https://goo.gl/9JkRN1
“BEST BUYS” INTERVENTIONS FOR NCD PREVENTION REVENTION AN AND CO D CONTR NTROL OL TOBA BACCO ALCOHO AL OHOL 1. Increase tobacco taxes and prices 6. Increase taxes 2. Smoke-free policies 7. Restrictions on advertising 3. Graphic health warnings / plain packaging 8. Regulations on availability 4. Advertising, promotion & sponsorship bans and physical access 5. Mass media campaigns DI DIET ET & & PHY HYSICAL SICAL IN INACTI TIVIT VITY 9. Reduce salt content through CANCER / CVD / DIABETES reformulation of food products 10.Providing supportive environments 14. Drug therapy and counselling 11.Behavioural change communication for high-risk persons and mass media campaigns 15. HPV vaccination for girls 12.Front-of-pack labelling 16. Cervical cancer screening 13.Awareness campaign for physical activity 7
Rationale for the 3 rd High-level Meeting A / 72 / 662 (Dec 2017) Report of the Secretary General Progress on the prevention and control of non- communicable diseases : Pursuant to General Assembly resolution 68/300, the present report sets out the progress achieved since 2014 in the implementation of the outcome document of the high-level meeting of the General Assembly on the comprehensive review and assessment of the progress achieved in the prevention and control of non-communicable diseases and of the political declaration of the high-level meeting of the Assembly on the prevention and control of non-communicable diseases, in preparation for a comprehensive review and assessment in 2018 of the progress achieved in the prevention and control of non-communicable diseases.
Time Bound Commitments agreed at the 2 nd High-level Meeting Member States committed to four time-bound measures: By 2015: (a) consider setting national targets for 2025 and process indicators based on national situations, taking into account the nine voluntary global targets for NCDs (b) consider developing or strengthening national multisectoral policies and plans to achieve the national targets by 2025, taking into account the Global Action Plan (Prevention and Control of NCDs 2013-2020)
Time Bound Commitments agreed at the 2 nd High-level Meeting By 2016: (c) as appropriate, reduce risk factors for NCDs and underlying social determinants through the implementation of interventions and policy options to create health-promoting environments, building on the guidance set out in appendix 3 to the Global Action Plan (d) as appropriate, strengthen and orient health systems to address the prevention and control of NCDs and the underlying social determinants through people-centred primary health care and universal health coverage throughout the life cycle, building on the guidance set out in appendix 3 to the Global Action Plan.
UN 1 N 10 P 0 PROGRESS OGRESS IND INDICA ICATOR ORS Sur urveilla eillance nce an and d mon onit itoring oring: National indicators and targets Functioning system for reliable mortality data National Health Survey (e.g. PanAm STEPs) Ris isk Factors ctors: Tobacco demand reduction measures Alcohol demand reduction measures Support for the health diet and breastfeeding Measures to increase physical activity NC NCDs Ds pl plans ns an and d manage nagement nt: NCD multisectoral and operational plans Clinical guidelines to manage NCDs Drug therapy and counselling to prevent CVD
UN 1 N 10 P 0 PROGRESS OGRESS IND INDICA ICATOR ORS NC NCD P Progr ogres ess Mon onitor or by y WHO HO Regi egion ons, s, 2017 17 AFR 0 indicators AMR EMR 1 to 5 indicators EUR 6 to 10 indicators SEAR 11+ indicators WPR 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Member States Source : WHO Noncommunicable Disease Monitor 2017. World Health Organization; 2017. Available at: https://goo.gl/cZqHCb
UN 1 N 10 P 0 PROGRESS OGRESS IND INDICA ICATOR ORS, S, AM AMERICA ERICAS
2 |Progress in achieving Global and Regional commitments Progress Indicators 2017 – Caribbean status Source : Progress Indicators, 2017 – Scorecard Americas. Available at: https://goo.gl/Bsv32h
2 |Progress in achieving Global and Regional commitments Tobacco Control Healthy Diet Policies BRB, GUY, Smoke free Salt/sodium JAM JAM, SUR, environments TTO Health warnings GUY, JAM, Trans-fats JAM SUR, TTO (50% coverage) Marketing to --- Media campaign SUR children Advertising, Breastmilk --- promotion & GUY, SUR substitutes sponsorship SSB Taxation BRB, DMA Taxation --- Sources: WHO report on the Global Tobacco Epidemic, 2017. Country Capacity Survey, 2017.
Preparatory process leading to #HLM3 #NCDs 26 Jan 2018 12 Apr 2018 Formal preparatory process 5 July 2018 Co- Facilitators Modalities appointed resolution for Zero draft Interactive (Italy and HLM3 outcome hearing Under the Uruguay) document auspices of the 12 Apr 2018 President of the UN ESOSOC General 27 Sep SG's progress Progress Assembly report on HLM3 report Task (PGA) NCDs Force NCDs 18 Oct 2018 Montevideo Under the NCDs auspices Roadmap of WHO 2018-2030 Launch of the WHO Report of the Report of the WHO/ EB142 report Bloomberg Dialogue on WHA71 WHO Bloomberg Bloomberg on NCDs Fiscal Policy Partnerships report on Independent Fiscal Policy Business Case Commission and Financing NCDs Commission Commission on NCDs on NCDs NCDs on NCDs on NCDs 22-27 Jan 2018 16 Jan 2018 9-11 Apr 2018 21-26 May 2018 20 May 2018 1 June 2018 Informal preparatory process
Modalities resolution for HLM3 Adopted on 12 April 2018 at the UN General Assembly ▪ Resolution number : A/RES/72/274 ▪ Date : Thursday, 27 September, from 10:00-13:00 and 15:00 to 18:00 ▪ Theme : Scaling up multi-stakeholder and multi-sectoral responses to the prevention and control of NCDs in the context of the 2030 Agenda for Sustainable Development ▪ Opening (10:00-11:00) : PGA + SG + WHO/DG + HLC + Eminent Champion ▪ Plenary (11:00-13:00 and 15:00 to 17:30) : Member States + UN Agencies ▪ Multi-stakeholder panels (in parallel) : o Panel 1 (11:00-13:00) : Strengthening health systems and financing for the prevention and control of NCDs, on each country’s path towards achieving UHC, including through sharing evidence-based best practices, scientific knowledge and lessons learned o Panel 2 (15:00-17:00) : Opportunities and challenges in engaging governments, civil society, and the private sector at the global, regional, and national levels to promote multisectoral partnerships for the prevention and control of NCDs, and the promotion of healthy lifestyles ▪ Interactive hearing (5 July 2018) : Member States + UN Agencies + non-State Actors ▪ Outcome document : Negotiated in New York among Permanent Missions (= Member States)
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