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Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs لنتحد في مكافحة الأمراض.

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Presentation on theme: "Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs لنتحد في مكافحة الأمراض."— Presentation transcript:

1 Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs لنتحد في مكافحة الأمراض غير السارية Unidos contra las enfermedades no transmisibles 团结起来,抵抗非传染性疾病 Tous unis dans la lutte contre les maladies non transmissibles Объединяйтесь в борьбе против НИЗ

2 *Surveillance* Mapping the epidemic of NCDs and risk factors *Management* Strengthen health care for people with NCDs *Prevention* Reducing the level of exposure to risk factors World Health Assembly in 2000: There is a strategic vision on how to address NCDs World Health Assembly in 2000: There is a strategic vision on how to address NCDs

3 Global Strategy for the Prevention and Control of Noncommunicable Diseases Global Strategy on Diet, Physical Activity and Health Action Plan on the Global Strategy for the Prevention and Control of NCDs Global Strategy to Reduce the Harmful Use of Alcohol WHO Global Status Report on NCDs Political Declaration on NCDs Realizing the commitments made in the Political Declaration Setting the agenda: Vision and a global road map Setting the agenda: Vision and a global road map

4 The UN High-level Meeting on NCDs was a defining moment for development cooperation: it sets a new global agenda that advances inclusive social and economic development. fact 23 UN General Assembly NCD Review 2014: Review and assessment of the United Nations General Assembly of the progress achieved in the prevention and control of NCDs UN General Assembly NCD Review 2014: Review and assessment of the United Nations General Assembly of the progress achieved in the prevention and control of NCDs

5 The WHO Global NCD Action Plan unites governments, international partners and WHO around a common agenda Vision: A world free of the avoidable burden of NCDs Goal: To reduce the preventable and avoidable burden of morbidity, mortality and disability due to NCDs by means of multisectoral collaboration and cooperation at national, regional and global levels

6 Objective 1 To strengthen international cooperation and advocacy to raise the priority accorded to prevention and control of NCDs in the development agenda and in internationally- agreed development goals Objective 4 To strengthen and orient health systems to address the prevention and control of NCDs through people- centred primary health care and universal health coverage Objective 4 To strengthen and orient health systems to address the prevention and control of NCDs through people- centred primary health care and universal health coverage Objective 5 To promote and support national capacity for high-quality research and development for the prevention and control of NCDs Objective 5 To promote and support national capacity for high-quality research and development for the prevention and control of NCDs Objective 2 To strengthen national capacity, leadership, governance, multisectoral action and partnerships to accelerate country response for the prevention and control of NCDs Objective 3 To reduce exposure to modifiable risk factors for NCDs through creation of health- promoting environments Objective 6 To monitor the trends and determinants of NCDs and evaluate progress in their prevention and control The WHO Global NCD Action Plan has six objectives with recommended actions for Member States, international partners and WHO fact

7 Nine Global Targets and 25 Outcome Indicators لنتحد في مكافحة الأمراض غير السارية Unidos contra las enfermedades no transmisibles 团结起来,抵抗非传染性疾病 Tous unis dans la lutte contre les maladies non transmissibles Объединяйтесь в борьбе против НИЗ Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs

8 At the World Health Assembly in May 2013, Member States adopted 9 voluntary global targets for the prevention and control of NCDs to be attained by 2025 fact

9 At the World Health Assembly in May 2013, Member States adopted the Comprehensive Global Monitoring Framework for the Prevention and Control of NCDs, including a set of 25 indicators fact

10 9 NCD Action Plan Indicators to inform reporting on progress made in the process of implementing the WHO Global NCD Action Plan لنتحد في مكافحة الأمراض غير السارية Unidos contra las enfermedades no transmisibles 团结起来,抵抗非传染性疾病 Tous unis dans la lutte contre les maladies non transmissibles Объединяйтесь в борьбе против НИЗ Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs

11 WHO Discussion Paper (version dated 12 August 2013) Draft set of action plan indicators

12 Action Area Governance Risk factors Health systems Surveillance  Set national targets for 2025 in 2013, taking into account the 9 global targets  Develop national multisectoral NCD policies and plans to attain national targets for 2025, by addressing the three major components of the NCD strategy What is next? Immediate actions for Member States What is next? Immediate actions for Member States

13 What is next? Priority actions recommended for Member States to reduce the exposure of populations and individuals to risk factors for NCDs fact Implement interventions identified by WHO as "best buys" using WHO tools:  Tobacco use: –Tax increases –Smoke-free indoor work places and public places –Health information and warnings about tobacco –Bans on adverting and promotion  Harmful use of alcohol: –Tax increases on alcoholic beverages –Comprehensive restrictions and bans on alcohol marketing –Restrictions on the availability of alcohol  Unhealthy diet and physical inactivity: –Salt reduction through mass media campaigns and reduced salt content in processed foods –Replacement of trans-fats with polyunsaturated fats –Public awareness programme about diet and physical activity –Marketing of foods and non-alcoholic beverages to children Action Area Governance Risk factors Health systems Surveillance

14 What is next? Priority actions recommended for Member States to enable health systems to respond more effectively and equitably to the health-care needs of people with NCDs fact Implement interventions identified by WHO as "best buys" into the basic primary health care:  Health system strengthening is key: –Prevention of liver cancer through hepatitis B immunization –Prevention of cervical cancer through screening and treatment of pre-cancerous lesions –Multidrug therapy to individuals who have had a heart attack or stroke and to persons with a high risk of a cardiovascular event in the next 10 years Action Area Governance Risk factors Health systems Surveillance

15 What is next? Priority actions recommended for Member States to quantify and track NCDs and their determinants (as it provides the foundation for advocacy, national policy and action) fact  Implement the WHO Framework for NCD Surveillance, covering –monitoring of risk factors and determinants, –outcomes (mortality and morbidity) and –health system response  Integrate into the national health information systems  Develop national targets and indicators, based on the WHO recommendations and WHA Resolutions Action Area Governance Risk factors Health systems Surveillance

16 The WHO Framework for NCD Surveillance quantifies and tracks exposures, outcomes and health systems response fact A WHO Framework for NCD Surveillance  Exposures: –Behavioural risk factors: tobacco use, physical inactivity, harmful use of alcohol and unhealthy diet –Metabolic risk factors: overweight/obesity, raised blood pressure, glucose & cholesterol. –Social determinants: education, material well being, access to health care  Outcomes: –Mortality: NCD specific mortality –Morbidity: cancer incidence and type  Health System Response: –Interventions and health system capacity: infrastructure, policies and plans, access to key health care interventions and treatments, partnerships. Action Area Governance Risk factors Health systems Surveillance

17 WHO Global Coordination Mechanism on the Prevention and Control of NCDs (‘NCD GCM’) لنتحد في مكافحة الأمراض غير السارية Unidos contra las enfermedades no transmisibles 团结起来,抵抗非传染性疾病 Tous unis dans la lutte contre les maladies non transmissibles Объединяйтесь в борьбе против НИЗ Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs

18 UN INTERAGENCY TASK FORCE لنتحد في مكافحة الأمراض غير السارية Unidos contra las enfermedades no transmisibles 团结起来,抵抗非传染性疾病 Tous unis dans la lutte contre les maladies non transmissibles Объединяйтесь в борьбе против НИЗ Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs

19 Objectives:  Enhance and coordinate technical support  Facilitate information exchange about plans, strategies, programs and activities  Facilitate information exchange about available resources to support national efforts  Strengthen advocacy  Ensure that tobacco control continues to be duly addressed  Strengthen international cooperation What has happened since the UN Political Declaration on NCDs in 2011? UN Interagency Task Force on NCDs What has happened since the UN Political Declaration on NCDs in 2011? UN Interagency Task Force on NCDs “The Task Force will be convened and led by WHO. Accordingly, WHO shall provide the Secretariat of the Task Force”

20 Fighting the global health burden through new technology: WHO ITU joint program on mHealth for NCDs mHealth as an example of interagency collaboration

21 UN General Assembly NCD Review 2014 لنتحد في مكافحة الأمراض غير السارية Unidos contra las enfermedades no transmisibles 团结起来,抵抗非传染性疾病 Tous unis dans la lutte contre les maladies non transmissibles Объединяйтесь в борьбе против НИЗ Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs Non-communicable Diseases: Realizing the commitments from Heads of State and Government made in the UN Political Declaration on NCDs

22 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 22 | CV NCD progression and health economic burden Healthy Risk factors High risk NCD Complications Health and economic burden Rehab Progression of NCD Population to be covered

23 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 23 | CV Helping to improve health

24 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 24 | CV ‘Whole-of-Government’ and ‘Whole- of-Society’ approach ‘Whole-of-Government’ denotes public service agencies working across portfolio boundaries to achieve a shared goal and an integrated government response to particular issues Responsibility for health and its social determinants rests with the whole society, and health is produced in new ways between society and government.

25 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 25 | CV Very cost effective interventions Tobacco use  Reduce affordability of tobacco products by increasing tobacco excise taxes;  Create by law completely smoke-free environments in all indoor workplaces, public places and public transport;  Warn people of the dangers of tobacco and tobacco smoke through effective health warnings and mass media campaigns;  Ban all forms of tobacco advertising, promotion and sponsorship Harmful alcohol use  Regulating commercial and public availability of alcohol  Restricting or banning alcohol advertising and promotions  Using pricing policies such as excise tax increases on alcoholic beverages Unhealthy diet and physical inactivity  Reduce salt intake  Replace trans-fats with unsaturated fats;  Implement public awareness programmes on diet and physical activity Cardiovascular disease and diabetes  Drug therapy (including glycaemic control for diabetes mellitus and control of hypertenstion using a total risk approach) and counselling to individuals who have had a heart attack or stroke, and to persons with high risk (≥ 30%) of a fatal and nonfatal CVD event in the next 10 years  Acetylsalicylic acid for acute myocardial infarction. Cancer  Prevention of liver cancer through hepatitis B immunization;  Prevention of cervical cancer through screening (visual inspection with acetic acid [VIA]) or Pap smear (cervical cytology), if very cost effective), linked with timely treatment of pre-cancerous lesions

26 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 26 | CV Win – Win approach for NCD prevention

27 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 27 | CV Examples of best practices and effective approaches for MSA - Tobacco Control Tobacco taxation and Health Promotion Foundations in Australia, Lao PDR, Korea, Malaysia, Mongolia, Tonga, Viet Nam Plain packaging- a path breaking approach in Australia

28 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 28 | CV Examples of best practices and effective approaches for MSA - Tobacco Control -- Reducing Harm from Alcohol The Mongolian President initiative in alcohol control, non- alcohol in government’s function and new alcohol legislation Development of legislation: drinking and driving, use of helmet, blood testing: China, Cambodia, Philippines, Vietnam Regulating informal alcohol control in Vietnam

29 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 29 | CV Examples of best practices and effective approaches for MSA -- Promoting Healthy Diet Healthier foods in Singapore-Hawker Fare Salt reduction in China and Mongolia Eat smart restaurants (700+), Hong Kong (China) Eat school (400), Hong Kong (China)

30 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 30 | CV Controls on advertisement EU television without frontiers directive  TV adverts shall not cause moral or physical detriments to minors Ireland-bans cartoon characters and celebrities to promote foods France –mandatory health messages should accompany adverts on TV and radio Sweden-total ban for adverts aimed at children less than 12 yrs

31 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 31 | CV Examples of best practices and effective approaches for MSA --- Promoting Physical Activity Exercise equipment in public parks in Lao PDR, China, Korea Walk paths, and cycling tracks in Cambodia, Korea, China, Malaysia Community physical exercise groups clubs in Seongbuk, Korea and Shanghai, China Walking days in Dalin, Seongbuk, Xiamen

32 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 32 | CV Smoke Free Cities Harbin, QingDao, China Makati and Marikina, Philippines LuangPrabang, in Lao PDR, Siem reap, Cambodia Environmentally sustainable healthy urban transport (ESHUT) in 5 Asian cities Promote walking, cycling public transport system Reduce use of private vehicles Smokig ban Promoting health and hygiene Barrier-free transport environments Examples of best practices and effective approaches for MSA - Healthy Cities

33 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 33 | CV Health Promoting schools for multiple health interventions- Singapore, Hong Kong, Macao (China) Healthy workplaces - Shanghai, Hong Kong, China Examples of best practices and effective approaches for MS A----Healthy Settings: Health Promoting Schools and Work Places

34 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 34 | CV Healthy Cities to Promote Healthy Living Promotion of Physical Activity  Bicycle and pedestrian friendly urban landscape, Changwon,  Community physical activity facilities, Hong Kong, Dalian, Beijing,  Walk Paths in public parks- Shanghai, China

35 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 35 | CV

36 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 36 | CV Upstream interventions NCDs Policies/ lack of it in other sectors

37 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 37 | CV Cross over All sectors to work for health Health in all policies  Transport  Urban planning  Food processing  Tobacco/Alcohol sales and promotions  Education  Industry

38 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 38 | CV MSA-Entry Points Inter ministerial Local Government Cross sector working groups

39 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 39 | CV Mechanisms, Tools and Instruments for MSA Inter-ministerial and inter-departmental committees Community consultations and Citizens’ Juries Cross-sector action teams Partnership platforms Integrated budgets and accounting Cross-cutting information and evaluation systems Impact assessments Joined-up workforce development Legislative frameworks

40 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 40 | CV MSA-Accountability and Reporting Experiences from MDG 4 and 5 in accountability framework Agreed national targets and indicators Sector-specific roles, responsibility, target, inputs and outputs Joint statement and joint plan Across sectors audit, evaluation Public reporting

41 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 41 | CV NCD Management

42 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 42 | CV NCD management: Defined package, coverage, follow-up

43 Noncommunicable Diseases & Health Promotion NCD WIN-WIN PHL-CV | 12 February 2014 | 43 | CV Monitoring and evaluation Deaths-Cause Specific Mortality-ICD coding Disease burden-Registries (eg. Cancer, Stroke) Prevalence surveys Risk factors-  Adult - WHO STEPS survey  Children-Global school based student health survey Policy monitoring  Health Impact Assessment

44 Healthier people making healthier decisions. An operational manual for WHO IRM/QRT to support countries in the development of a national multisectoral plans for prevention and control of NCDs.

45 What is MSA? Guiding principles Prioritization of actions- country context WHY? WHAT? HOW? OUTCOME Step 1. Sit. Analysis Step 2. Int stakeholder consult Step 3. Ext stakeholder consult National MSA plan for NCD prevention and control NCD services in disasters NCD MSA in UHC Step 4. Endorsement of MSA Approach paper Draft plan Final draft HiAP UNDAF, city planning, urban development, sustainable development, legislative agenda NCD targets and indicators

46 1. Sit. Analysis Sources NCD country capacity survey WHO CCS NCD global status report Risk factors surveys Health system assessment Vital registration Cancer registries Nutrition surveys Tools Spider grams Stakeholder analysis Multi voting Balance score cards Problem solution trees Prioritization tools Projection of national targets Sources NCD country capacity survey WHO CCS NCD global status report Risk factors surveys Health system assessment Vital registration Cancer registries Nutrition surveys Tools Spider grams Stakeholder analysis Multi voting Balance score cards Problem solution trees Prioritization tools Projection of national targets Output of Step 1 Approach paper Situational analysis Priority areas Potential national targets Sectors and stakeholders Next steps Output of Step 1 Approach paper Situational analysis Priority areas Potential national targets Sectors and stakeholders Next steps Process 1 week IRM mission Day 1-engagement Day 2-3- Sit asssmnt Day 4-Prioritization Day 5-Draft plan IRM mission 1 (One week) to assign a 3 member team for the country (1 HQ, 1 RO, 1 from another region)- within WR office team led by WR, MOH focal points and national consultants IRM mission 1 (One week) to assign a 3 member team for the country (1 HQ, 1 RO, 1 from another region)- within WR office team led by WR, MOH focal points and national consultants

47 Approach paper Tools Spider grams Multi voting Problem-solution tree Prioritization tools Capacity enhancement Advocacy Communication Surveillance Leadership Approach paper Tools Spider grams Multi voting Problem-solution tree Prioritization tools Capacity enhancement Advocacy Communication Surveillance Leadership Output of Step 2 Draft MSA plan for NCD prevention and control Output of Step 2 Draft MSA plan for NCD prevention and control Process Thematic consultations External technical support IRM mission 2 (One week) Lead by WR, supported by team from IRM-RO and with external experts Based on the approach paper developed in Step 1 IRM mission 2 (One week) Lead by WR, supported by team from IRM-RO and with external experts Based on the approach paper developed in Step 1 Step 2. Int stakeholder consult NCD services in emergencies NCD in UHC

48 Draft MSA plan Tools Spider grams Multi voting Problem-solution tree Prioritization tools Draft MSA plan Tools Spider grams Multi voting Problem-solution tree Prioritization tools Output of Step 3: Final MSA plan Output of Step 3: Final MSA plan Process Thematic consultations External technical support Identification of specific actions in other sectors/domains Synthesis and finalization IRM mission 3 (One week) Lead by WR, supported by team from IRM (1 from HQ, 1 RO and 1 from another region) with external experts IRM mission 3 (One week) Lead by WR, supported by team from IRM (1 from HQ, 1 RO and 1 from another region) with external experts 3. Ext stakeholder consult

49 Preparations Design and layout of MSA plan Foreword and messages Preparations Design and layout of MSA plan Foreword and messages Outcme of Step 4: Final endorsed national MSA plan for NCD prevention and control. Outcme of Step 4: Final endorsed national MSA plan for NCD prevention and control. Process Endorsement Media activity IRM mission 4 (2 days) Lead by WR, supported by team from IRM (1 HQ, 1 RO) IRM mission 4 (2 days) Lead by WR, supported by team from IRM (1 HQ, 1 RO) 4. Endorsement of MSA

50 Structure of a national multisectoral action plan for the prevention and control of NCDs

51 Main barriers/risks identified and approaches to mitigate them Barriers and risks Approaches to mitigate Stage of MSA NCD plan

52 Prioritized activities within the national MSA plan for NCDs Considerations for selecting activities in MSA plan – Current risk factor burden and stage of the country in epidemiological transition – Political interest – Feasibility (resources, infrastructure, governance mechanisms) – Pressure groups – Donor and development community interest – Champions to drive the actions – Ongoing actions – WHO presence and support in country – Interests and activities of UN agencies and partners – Set of very cost effective interventions

53 Potential priorities

54 Framing a national MSA plan

55 Resources – Advocacy materials – Global and regional action plans and reports NCD Global Action Plan NCD Regional Action Plan Action Plan on Reducing the Double Burden of Malnutrition in the Western Pacific Region ( ) EB134/14 Follow-up to the Political Declaration of the High-level Meeting of the United Nations General Assembly on the Prevention and Control of Non-communicable Diseases One-WHO work plan for the prevention and control of NCDs Actions that Make a Difference (Report on the Prevention and Control of Noncommunicable Diseases in the Western Pacific Region ) – Health in All Policies (HiAP) Framework for Country Action (January 2014) – Journal articles Taxation of sugar sweetened beverages Effect of food prices on the prevalence of obesity – Regional NCD Meeting materials Intercountry Workshop for NCD surveillance and monitoring, NCC, Republic of Korea, December 2012 Workshop on Leadership and Capacity Building for Cancer Control (CanLEAD), NCC, Republic of Korea, June 2013 Regional Workshop on Strengthening Leadership and Advocacy for the Prevention and Control of Noncommunicable Diseases (LeAd-NCD), Saitama, Japan, December 2013 Workbook Meeting reports – Japan-WHO Regional Consultation for Promoting Healthier Dietary Options for Children, Saitama, Japan, March 2012 – Regional Consultation on Strengthening Noncommunicable Diseases in Primary Health Care, Beijing, China, Apr 2012

56 56 Multi-Sectoral Action in Australia A range of stakeholders –across various federal government departments -health, education, family and community services –across various levels of government (federal, state/territory and local government) –between the public and private sectors. A range of governance mechanisms: -national committees -agreements with key stakeholders

57 57 National Preventative Health Taskforce (April 2008) –obesity, tobacco and alcohol key drivers of chronic disease, health system and social costs –consultations (40) and public submissions (397) Australia: the Healthiest Country by 2020 (Sept 2009) –35 areas for action and 136 recommendations –focus on social inclusion and integration with primary care

58 58 National Partnership Agreement on Preventive Health National Partnership Agreements (NPAs) facilitate joint action between levels of Government in Australia - $872m over 6 years from aims to prevent lifestyle risks that cause chronic illness and was one of the first of its kind in Australia Defines roles and responsibilities, and accountability

59 59 National Partnership Agreement on Preventive Health –supports setting-based interventions that lay the foundations for healthy behaviours in the daily lives of Australians –focus on four risk factors and sustainable behaviour change –11 initiatives, including Healthy Communities –supported by social marketing messages and national infrastructure

60 60 National Partnership Agreement on Preventive Health HEALTHY COMMUNITIES HEALTHY WORKERS –State/Territory –quality framework, toolkits, web portal and statement of commitment HEALTHY CHILDREN –State/Territory

61 61 Industry Partnership Food and health dialogue aim is to assist consumers to make more healthy choices Working with food producers on voluntary reformulation of foods, portion sizing Industry level action plans

62 62 Australian National Preventive Health Agency –First dedicated national organisation to gather, analyse and disseminate evidence –Helping to progress taskforce recommendations –Focus on obesity, alcohol, tobacco

63 63 Social Marketing –healthy eating –tobacco

64 64 Performance benchmarks (a) children at unhealthy weight - hold levels and reduce (b) fruits and vegetables consumed by children - increase (c) children participating in at least 60 minutes of moderate physical activity - increase (d) adults at unhealthy weight - hold levels and reduce (e) fruits and vegetables consumed by adults - increase (f) adults participating in at least 30 minutes of moderate physical activity on five or more days of the week -increase (g) adults smoking daily - reduce Measured in 2013 and 2015

65 Policy Agenda Current intersectoral mechanisms- MOH participation Vice Chairman - Director of Health 65 Department of Health - Director of Health co- chaired Steering Committee and all working groups - Actively take role on deliberating and overseeing strategy, setting up working groups and giving advice on specific priority areas. - NCDD, CHP Vice- Chairman - Director of Health

66 Policy Agenda Chair – Secretary for Food and Health Chair – Secretary for Food & Health Bureau Co-chair – Director of Health Memberships – Representatives from the Government, public and private sectors, academia, professional bodies, industry and other key partners Current intersectoral mechanisms- Coordination committee 66

67 Policy Agenda Working groups - Held meeting regularly - WGDPA -1 meeting in 2008 and 3 meetings in WGAH -3 meetings in 2009 and 2 meetings in WGI - 1 meeting in Formulated Action Plans and held events regularly Current intersectoral mechanisms- Coordination committee 67

68 68 Steering Committee Composition –Chaired by the Secretary for Food and Health –Co-chaired by Director of Health –Membership include representatives from the Government, public and private sectors, academia, professional bodies, industry and other key partners

69 69 Working Groups (WGs) WG on Diet and Physical Activity Established in December 2008 To tackle imminent problems caused by obesity, unhealthy diet and physical inactivity WG on Alcohol and Health Established in June 2009 To focus on the reduction of alcohol-related harm WG on Injuries Established in February 2012 To focus on the prevention of injuries Frequency of meeting Every 2 – 3 months for each working group

70 Republic of Korea: Health Plan 2010 History 2008 Health Plan 2010 Establishment of operation plan 2005 New Health Plan 2010 * 4 Categories, 24 Main Tasks, 108 programs 2002 Establishment of Health Plan Provision of People ’ s Health Promotion Fund 1995 People ’ s Health Promotion Law Increase of tobacco price

71 The National Plan for NCD Prevention and Control ( ) was issued by 15 Ministries and Commissions. MOH National development and Reform Commission Ministry of Education Ministry of Science & Technology Ministry of industry and information technology Ministry of Civil Affairs Ministry of finance Ministry of human resources and social security Ministry of environmental protection Ministry of Agriculture Ministry of Commerce The State Administration of Radio Film and Television General Administration of Press and Publication General Administration of sport State Food and Drug Administration

72 ② Support system ① PR ③ Coordination of programs Support for Behavioral Changes Programs for the Elderly Programs by Insurers of the Universal Health Insurance School Health Occupational Health Health Japan 21 Local Plans Health Japan 21 Plan

73 BruMAP-NCD National multisectoral plan – Commitment from highest levels – Leadership by Minister of Health and Permanent Secretary – Dedicated group – Series of consultations – Realistic set of actions

74 Mongolia MSA Plan Commitment from senior level Leadership by NCD programme manager Subgroup formed Consultation with MOH sectors Consultation with other sectors Identified actions which are of interest to other sectors

75 What does it look like? MSA-NCD plan is the national roadmap for activities by all relevant ministries/sectors in the country for NCD prevention and control BruMAP-NCD (national multisectoral action plan for the prevention and control of NCDs in Brunei Darussalam) /download/BRUMAPBOOK.pdf /download/BRUMAPBOOK.pdf

76 Launch NMSAP-NCD Arrange a launch of the plan with ministers from other sectors and other high profile personalities Develop a media plan Prepare media notes Organize a media briefing Use TV talk shows and other avenues for discussion

77 Thank you


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