non-communicable diseases: realizing the commitments from heads of state and government made in the...

Non-communicable Diseases:Realizing the commitments from Heads of State and Government

made in the UN Political Declaration on NCDs

غير األمراض مكافحة في لنتحدالسارية

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

www.who.int/ncd [email protected]

*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

2000

2003

2004

2008

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

2010

2009

2011

Global Strategy to Reduce the Harmful Use of Alcohol

WHO Global Status Report on NCDs

Political Declaration on NCDs

2012+ Realizing the commitments made in the Political Declaration

Setting the agenda:Vision and a global road map

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

23U

N G

ener

al A

ssem

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2011:Commitments from Heads of State and Government W

orld

Hea

lth A

ssem

bly

2012:Adopt a global target of a 25% reduction in premature mortality from NCDs by 2025 W

orld

Hea

lth A

ssem

bly

2013:WHO Global NCD Action Plan 2013-2020, including 9 global targets and 25 indicators

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

The WHO Global NCD Action Plan 2013-2020unites 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

Objective 1To 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 4To strengthen

and orient health

systems to address the prevention

and control of NCDs through

people-centred

primary health care and universal

health coverage


and orient health

systems to address the prevention

and control of NCDs through

people-centred

primary health care and universal

health coverage

Objective 5To promote and support

national capacity for high-quality research and development

for the prevention

and control of

NCDs

Objective 5To promote and support

national capacity for high-quality research and development

for the prevention

and control of

NCDs


national capacity,

leadership, governance, multisectoral

action and partnerships to

accelerate country response

for the prevention and control of NCDs

Objective 3To reduce

exposure to modifiable risk

factors for NCDs through creation

of health-promoting

environments

Objective 6To monitor the

trends and determinants of

NCDs and evaluate

progress in their prevention and control

The WHO Global NCD Action Plan 2013-2020 has six objectives with recommended actions for Member States, international partners and WHO fact

Nine Global Targets and 25 Outcome Indicators






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

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

9 NCD Action Plan Indicators to inform reporting on progress made in the process

of implementing the WHO Global NCD Action Plan 2013-2020






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

Action AreaGovernanceRisk 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 2014-2015

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


Health systemsSurveillance

What is next? Priority actions recommended for Member States to enable health systemsto 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

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

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.


Health systemsSurveillance

WHO Global Coordination Mechanism on the Prevention

and Control of NCDs (‘NCD GCM’)






UN INTERAGENCY TASK FORCE






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

“The Task Force will be convened and led by WHO. Accordingly, WHO shall provide

the Secretariat of the Task Force”

Fighting the global health burden through new

technology:

WHO ITU joint program on mHealth for NCDs

mHealth as an example of interagency

collaboration

UN General Assembly NCD Review 2014






Noncommunicable Diseases

& Health Promotion

NCD WIN-WIN PHL-CV | 12 February 2014 | 22 | CV

NCD progression and health economic burden

HealthyRisk factors

High risk

NCD

Complications

Health and economic burden

Rehab

Progression of NCD

Population to be covered


& Health Promotion


Helping to improve health


& Health Promotion


‘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.


& Health Promotion


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


& Health Promotion


Win – Win approach for NCD prevention

EducationImproved scholastic outcome

Less risk factors

AgricultureImproved

production of fruits and

vegetables

Improved consumption of fruits and

vegetables in population

Industries

Improved productivity

Less expenses on sickness of employees

Prevention and control of NCDs in

workers

Urban planning

Beautiful city, more tourists, more money

More physical activity, tobacco control


& Health Promotion


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


& Health Promotion


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


& Health Promotion



-- Promoting Healthy Diet

• Healthier foods in Singapore-Hawker Fare

• Salt reduction in China and Mongolia

• Eat smart restaurants (700+), Hong Kong (China)

• Eat smart @ school (400), Hong Kong (China)


& Health Promotion


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


& Health Promotion



--- Promoting Physical Activity

• Exercise equipment in public parksin Lao PDR, China, Korea

• Walk paths, and cycling tracks in Cambodia, Korea, China, Malaysia

• Community physical exercise groupsclubs in Seongbuk, Korea and Shanghai, China

• Walking days in Dalin, Seongbuk, Xiamen


& Health Promotion


• 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, cyclingpublic transport systemReduce use of private vehiclesSmokig banPromoting health and hygiene Barrier-free transport environments


- Healthy Cities


& Health Promotion


• 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


& Health Promotion


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


& Health Promotion



& Health Promotion


Upstream interventions

NCDs

Policies/lack of it in other sectors


& Health Promotion


Cross over

• All sectors to work for health

• Health in all policies

Transport

Urban planning

Food processing

Tobacco/Alcohol sales and

promotions

Education

Industry


& Health Promotion


MSA-Entry Points

National multi-ministerial forumNational

• Effective only with commitment at the highest level, need a good driver, Health in All Policies

City/District/Village levelSubnational

• More feasible, leverage local government, collective voice of community, government closer to the community, local ordinances

Tobacco/Alcohol/Physical ActivityRisk factor

• Facilitators-activism, pressure groups, champions, international agreements (FCTC), global reporting, more palpable interventions, common good /common enemy

Inter ministerial

Local Government

Cross sector working groups


& Health Promotion


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


& Health Promotion


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


& Health Promotion


NCD Management


& Health Promotion


NCD management: Defined package, coverage, follow-up

What is good ?

Desire for universal coverage

Global push for universal health

coverage

Package of Essential NCD interventions-Generic drugs

What are the limitations?

NCD services not defined adequately in

PHC

System limitations-concept of chronic

care, human resource

Market driven treatment

Profit sector

What is needed?

NCD services to be defined and incorporated

Increase resources in primary and

secondary care-

Human resource development


& Health Promotion


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

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.

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 HiAPUNDAF, city

planning, urban development,

sustainable development,

legislative agenda

NCD targets and indicators

1. Sit. Analysis

• Epidemiological trends• Health outcomes

Burden and trends

• CCS priorities• UNDAF• National NCD plan- status• Related plans

Current NCD plans/actions

• Stakeholder mapping• Political landscape

Stakeholder analysis

Sources• NCD country

capacity survey• WHO CCS• NCD global status

report• Risk factors surveys• Health system

assessment• Vital registration• Cancer registries• Nutrition surveysTools• 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

Process1 week IRM missionDay 1-engagementDay 2-3- Sit asssmnt Day 4-PrioritizationDay 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

• Consultation within MOH-all programmes related to NCD

Internal advocacy

and buy in

• Current NCD services• Limitations• Opportunities• Health insurance coverage

Health services for

NCD

• How can targets be monitored

• National NCD surveillance framework

NCD surveillanc

e

Approach paper

ToolsSpider gramsMulti votingProblem-solution treePrioritization tools

Capacity enhancementAdvocacyCommunicationSurveillanceLeadership

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

Step 2. Int stakeholder

consult

NCD services in emergencies

NCD in UHC

• 1 day consultation with ministries and departments in Government

Other government

sectors

• One day consultation with NGOs, civil society organizations

Civil society

• Half day consultation with Donor and dev partners and UN agencies

Donor and development

partnersUN agencies

• Half day consultation with professional associations

Professional societies

Draft MSA plan

ToolsSpider gramsMulti votingProblem-solution treePrioritization tools

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

3. Ext stakeholder

consult

•Prior to mission 4, WR and MOH team to share the final draft and to have engagement with all stakeholders to get endorsement.

Consultations

•Endorsement from Ministry of Health and Other ministers Endorsement

•Support expressed by UN agencies and partners

Donor and development

partnersUN agencies

•Support expressed by professional associations

Professional societies

PreparationsDesign and layout of MSA planForeword and messages

Outcme of Step 4: Final endorsed national MSA plan for NCD prevention and control.

Process

EndorsementMedia activity

IRM mission 4 (2 days)Lead by WR, supported by team from IRM (1 HQ, 1 RO)

4. Endorsement

of MSA

Preface• Message from Head of State/Government, preface from

Minister of health, messages from other key ministries, UN agencies and partners.

Introduction• Country context, CCS priority, NCD in national plans if any,

concern and commitment from national leaders

Situational analysis• Burden, trends, current status of NCD plans/policies,

partners, political landscape, capacity, challenges and opportunities

Approach for MSA plan

• Process, inputs, global and regional mandates, national priorities

National Multisectoral plan

• Overall framework, governance• Vision, mission, national targets, objectives, actions, sectors

responsible, milestones• Human and financial resources• Synergies with ongoing programmes• Monitoring and reporting

Annexe• List of participants and contributors• Copies of relevant WHO/UN documents

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

Main barriers/risks identified and approaches to mitigate them

Preparation

Lack of commitmentPerceived conflict of interestTerritorial issues among departmentsWho will fund?Who will lead?

Advocacy using commitments made by the countryExamples from other countriesSupport for role delineation among sectorsDemonstrate ‘win-win’ options

Steps 1-4

Process constraintsLack of engagement from senior policy makersLack of firm commitments (only expression of interest)Participation by junior staff in consultationsInfluence of interested parties Not reaching consensus

Identify an influential champion in the countryLobbying by minister of healthCivil society pressure, media reports on NCD burden and role of sectorsNGOs to highlight lack of enabling environment and role of other sectorsGet a directive from head of state/chief of cabinetWell prepared approach paper to offer optionsGood understanding of the roles by different sectors

Implementation

Who will do what?Funds?Human resourcesCapacityLack of clearly identified bench marksLack of monitoringNo overall responsibilityLack of coordination

Annual action plans with roles and responsibilityNational steering committee (with senior level representation from relevant sectors)Allocation of budgetClearly identified activities, indicators and targetsPublic reporting and reporting in the cabinet once a year

Barriers and risks

Approaches to mitigate

Stage of MSA NCD plan

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

Potential priorities

Tobacco controlSalt reduction – policies, regulations, legislationReducing per capita alcohol consumptionControl of marketing of foods and non-alcoholic beverages to childrenFront of pack color coded labelsBan transfatsPA promotionCancer screeningHep B and HPV coverageQuality of health service indicatorsMonitoring of 25 indicators

NCD is the main burden, good infrastructure, high political commitments

Tobacco controlSalt reduction-awareness, working with industryAlcohol harm reductionUrban planning for PA promotionFood labellingHealth promoting schools, work places, healthy cities and islandsPEN in primary careStrengthening referral careCervical cancer screeningHPV vaccinationSTEPS ad GSHS once in 5 yearsNational mortality registration and COD

Rapidly increasing NCD burden/moderate level of

resources and capacity/increasing political

commitment

Tobacco controlSalt reduction-awareness, local food producers, caterersPEN in primary careCancer palliative careHep B coverageSchool based approachesSTEPS and GSHS once in 5 yearsImprove death registration and COD reporting

Early in the epidemic/minimal resources

Framing a national MSA plan

Resources– Advocacy materials – Global and regional action plans and reports

• NCD Global Action Plan 2013-2020• NCD Regional Action Plan 2014-2020• Action Plan on Reducing the Double Burden of Malnutrition in the Western Pacific Region (2014-2020)• 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 2012-13)

– 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

Multi-Sectoral Action in AustraliaA 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

• 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

National Partnership Agreement on Preventive Health

• National Partnership Agreements (NPAs) facilitate joint action between levels of Government in Australia - $872m over 6 years from 2009-10

• 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

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

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

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

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

Social Marketing –healthy eating–tobacco

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

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

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

Policy AgendaWorking groups - Held meeting regularly

- WGDPA

- 1 meeting in 2008 and 3 meetings in 2009

- WGAH

- 3 meetings in 2009 and 2 meetings in 2010

- WGI

- 1 meeting in 2012

- Formulated Action Plans and held events regularly

Current intersectoral mechanisms- Coordination committee

67

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

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

Republic of Korea:Health Plan 2010 History

2008 Health Plan 2010Establishment of operation plan

2005New Health Plan 2010* 4 Categories, 24 Main Tasks, 108 pro-grams

2002Establishment of Health Plan2010

1997 Provision of People’s Health Promotion Fund

1995 People’s Health Promotion Law

2004.12 In-crease of tobacco price

The National Plan for NCD Prevention and Control (2012-2015)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

④Evid

ence-b

ased p

lann

ing

②Support system

①PR ③Coordination of programs

Support for Behavioral Changes

Programs for

the Elderly

Programs by Insurers

of the Universal

Health Insurance

School Health

Occupational H

ealth

Health Japan 21

Local Plans

Health Japan 21 Plan

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

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

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)

• http://www.moh.gov.bn/download/download/BRUMAPBOOK.pdf

http://www.moh.gov.bn/download/download/BRUMAPBOOK.pdf




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

Thank you

non-communicable diseases: realizing the commitments from heads of state and government made in the...

Documents

control of ncds slide

control of ncds objective

epidemic of ncds

determinants of ncds

ncds political declaration

ncds world health assembly

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