1. The role of the Resident Coordinator and the UN Country team
Panel 6: New initiatives from international partners to scale up technical support to low- and middle-income countries in addressing noncommunicable diseases and Injuries
The role of the Resident Coordinator and the UN Country team
in shaping the NCD/Injuries agenda at country level
Dr. Mohammed Belhocine,
UN Resident Coordinator, Tunisia

2. Where are we with the NCD/Injuries agenda?
At the health sector level
At the level of the national development plan
What can be the role of the RC system and the UN Country Team?
What to do?
How to do it ?
Conclusion

3. WHERE ARE WE? HEALTH SECTOR LEVEL
Lack of recognition of NCDs and Injuries as a public health problem
NCDs and Injuries acknowledged but interventions remain mainly curative/ hospital focused
NCDs and Injuries are acknowledged, interventions, are sectoral but except from pilot/demonstration zones, coverage and access to NCD/Injuries specific care remain partial. Sustainability issue.

4. WHERE ARE WE? NAT. DEVELOPMENT AGENDA
Lack of awareness of the link between some social/cultural/ determinants and NCDs/Injuries
Lack of recognition of the link between NCDs/Injuries and poverty
Compartmentalization of policies/sectors and tendency to confine solutions to the health.
Complacency in the enforcement of health promoting laws

5. WHAT TO DO WITHIN THE UNCT
Joint approach to address NCDs: leadership role of WHO
To include the NCD/Injuries agenda in the next generation of UNDAF outcomes: Role of UNCT/RC
Ensure seed funding: Global and local resource mobilization efforts

6. WHAT TO DO AMONG PARTNERS?
National partners: horizontal dialogue between different institutional segments, private sector, civil society and various stakeholders
Advocacy and support to the stewardship FOR health role of the Ministry of health
Bilateral and multilateral: Establishing fora for advocacy, exchange of information and consensus building on action plans

7. HOW TO DO IT? THREE PRINCIPLES
Use existing mechanisms instead of ad hoc ones for NCD/Injuries inclusion in the development agenda.
Bringing the UN together globally and at country level
Building a consensus on the need to address NCDs/ Injuries holistically using all the institutional tools a country has to encourage healthy lifestyles, reduce risk exposure, monitor the magnitude of problems and mitigate the public health impact

8. HOW TO DO IT? THREE INTERLINKED MECHANISMS
UN : “Delivering as One” in place at country level; funds available, preferably through a dedicated fund.
Sector wide approach (SWAP) mechanism
Alignment and Harmonization of Aid mechanism in place

9. DIALOGUE, DIALOGUE, DIALOGUE
Building a consensus: complementary approach between:
The Scientific fraternity
The State and public Sector
The private sector and the civil society
And all citizens
Cultural change
RC system could support countries to bring about this qualitative change

10. CONCLUSION
The RC system could really provide support in shaping the NCD/Injuries agenda by:
Having the UNCT speak with one voice
Including NCDs in the UNDAF agenda
Engaging in « upstream » work (policy dialogue, technical advice at the highest levels)
Supporting consensus building within the entire community:
Supporting countries to bring about qualitative change towards healthier lfestyles.

11. Thank you