ashgabat progress report on implementation of the action ......summary • implementation of the...
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Progress Report on Implementation of the
Action Plan for the Prevention and Control of
Noncommunicable Diseases in the European Region
Sylvie StachenkoSchool of Public Health
University of Alberta, Canada
Reporting on progress
• A comprehensive profile of how Member States, the WHO European Office and other national and international agencies are advancing with the prevention and control of NCDs in the Region– results from the 2013 NCD Country Capacity Survey
– descriptions of selected customized responses and innovations
– findings and reflections on opportunities and challenges
Reporting framework –assess against four priority areas of the Action Plan and Health 2020
Governance for NCDs: alliances and
networks
Strengthening surveillance,
monitoring and evaluation
Promoting health and preventing
disease
Reorienting health services towards preventing NCDs
and providing care for people with
NCDs
Highlights from 2013 NCD Country Capacity Survey
• 96% response rate– for some indicators, can compare to 2010 results
– for some indicators, can analyze trends since 2000-2001
• progress is evident across majority of indicators
Governance and multisectoral action
– 88% of reporting countries include NCDs in national health plans
• 43% include NCDs in national social and economic development plans
– 90% report NCDs being addressed by other than ministries of health
• 54% report formal multisectoral mechanisms to coordinate initiatives
– increase in partnerships with international organizations and UN agencies
Progress in risk factor surveillance
Percentage of countries in the Region having national or provincial studies or surveysof adults on specific risk factors for NCDs
Promoting health, preventing disease
• 74% of reporting countries have national integrated NCD policies and strategies, up from 2010
• more countries are combining primary prevention, early detection, treatment and care for cancer, CVD, diabetes, chronic respiratory disease and overweight/obesity
• increase in specific disease and risk factor policies
• 80% report fiscal interventions to influence behaviour
– almost all countries tax alcohol and tobacco
• > half of countries limit marketing of foods and non-alcoholic beverages to children
• 4 countries have banned trans fats
Primary health care: progress in reorienting health services
Percentage of countries integrating NCDs into the primary health care system
Summary
• Implementation of the Action Plan is progressing in all priority areas
• Member States are aligning with Health 2020 and the Global Monitoring Framework for NCDs
• Momentum is growing for multisectoral involvement and governance of NCD and risk factor programming
• Collaborative work within partnerships and networks is increasing
• Member States demonstrate a willingness to learn and are mutually supportive of building capacity
• Increasingly Member States are acknowledging NCD impacts in social and economic development
Gaps and challenges
• Anchor NCDs in social and economic development plans
• Disaggregate mortality data by socio-economic determinants
• Improve population level measurement of salt intake and blood lipids
• Increase availability and access to early disease detection technology
• Improve uptake and impact of evidence-based clinical guidelines
• Better engage NGOs and civil society
Acknowledgements
• WHO Regional Office for Europe is grateful for the contributors across the divisions and levels of the Organization.
• Key individuals in Member States and colleagues at WHO country offices, regional offices and headquarters contributed to the Report
• Sylvie Stachenko and Frederiek Mantingh compiled the publication, with Gauden Galea, Director of the Division of Noncommunicable Diseases, providing overall coordination and support.
• Thanks to all authors and contributors.