1. International Health Policy Program -Thailand Challenges on NCDs in the AP Region (countries and the world!) Dr. Suwit Wibulpolprasert International Health Policy Program Foundation (IHPF) and Health Intervention and Technology Assessment Foundation (HITAF)

2. International Health Policy Program -Thailand Nature of NCDs I.Complexity of the problems II.Various powerful players and their linkages III.Building, maintaining, and linking all powers for public interests 2

3. International Health Policy Program -Thailand Social and political situation of NCDs Compared with HIV/AIDS’s success experience as 2001 UN agenda 1.The moral urgency 2.The threats to global security 3.The mobilization of social leaders 4.The timeliness of movements 3

4. International Health Policy Program -Thailand Political Power and NCD Nature of politics - Representative Democracy vs Participatory Democracy and the linkages between politics and industry The involvement of various powerful actors – private firms, politicians (local and national) and grassroots Expression in the public policy, legal framework and enforcement, and public resources allocations 4

5. International Health Policy Program -Thailand Big Four Bussiness and effective measures Big foods, Big Soda, Big Alcohol, Big Tobacco Effective measures – FCTC, UNGA/WHA resolutions, WTOs, Research community, 5

6. International Health Policy Program -Thailand Challenges on political power Low resources to NCDs - 3% of global health aid is devoted to NCDs, including BMGF, WHO Linkages to private sector – Former politicians including WHO leaders as advisers to big fours, Public institutes including WHO linkage with the food industries Allow industries linked experts/decision makers in the policy mechanisms and processes – in the national n global expert group Weak legal frameworks and enforcement 6

7. International Health Policy Program -Thailand Funding challenges 1.More money for health Innovative Financing – Sin tax Create Fiscal space – within health and within total government spending. Mobilize other sources – local governments, private sectors, religious institutes 2. More Health for Money Focus on most cost-effective preventions Focus on SDH and non medical measures – economic, legal and technical measures 7

8. International Health Policy Program -Thailand NCDs movements at regional level SEA/RC60/R4 (2007) : SEANET-NCD (regional network) SEA/RC65/R5 (2012): Engagement of SEA MSs and the development of the Regional Action Plan and Targets SEA/RC66/R6 (2013): – Adoption of 10 Regional voluntary targets (plus indoor air pollution) – Develop/strengthen National NCD Action Plan by 2013 – Cost the developed Action Plan by 2014 – Set National targets by 2015 – Thai NHA 2013 – Collect baseline data by 2015 – Surveillance and monitoring system (no time specified) – Regional Director to establish regional coordinating mechanism – Member States to engage in global consultations as mandated by the UN Political Declaration. ASEAN Health Minister Meeting (2012): ASEAN NCD Taskforce 8

9. International Health Policy Program -Thailand Social Power Social awareness – Public communications and campaigns Social measures – consumers’ decisions, Social movements – social networks, social saction – capacity building INNE model 9 The capacity and channels to get actively involve in the ‘Participatory Public Policy Mechanisms and Processes’

10. International Health Policy Program -Thailand Power of wisdom Know what are the problems - Epidemiology of NCDs and their socio-economic impact Know the causes – risk factors and their contributions - the linkage of 4x4x4 - Social determinants and NCDs Know how to set goals, indicators and targets Know the Effective measures – 5Es 10 Because we are poor, we can not afford ‘not to do the researches’ Yawaharal Nehru

11. International Health Policy Program -Thailand Dr. Suwit Wibulpolprasert, Ministry of Public Health, Thailand 11 “TRIANGLE THAT MOVES THE MOUNTAIN” Parties Politic Cabinet Bureaucrats Comm. Professionals Social Consumers Media Universities HSRI/IHPP TRF/TDRI WB Wisdom WHO ThaiHealth Source: Wasi P. NCD networks