Shoba John HealthBridge

�  NCDs retard development; skewed development contributes to NCDs.

�  Several developing countries , including India, face the double burden of communicable diseases and non-communicable diseases

�  Governments face competing health and development priorities �  Resources and infrastructure from health budgets are

disproportionate to the epidemic �  Innovative financing is the key to ensure adequate and timely

response to the challenge �  India invests significantly in its development programmes that

reach hard to reach groups at risk for NCDs �  Is there scope for the development programmes to be effective

vehicles for delivering NCD interventions?

Ü  20 development programmes across 8 ministries were analysed

Ü  Analysis focused on programmes that can help alleviate the NCD burden;

Ü  Mandates of the selected programmes were analysed for their potential to contribute to NCD prevention, diagnosis, treatment and insurance coverage.

Ü  Review of Secondary literature pertaining to programmes, budget documents, planning commission’s reports between February- May 2014.

Ü  Research supported by American Cancer Society.

Improving availability of healthier food options • Ministry of Rural

Development: Women Farmers Empowerment Programme

Improving accessibility to healthier food • Ministry of

Agriculture: Vegetable Initiative for Urban Clusters

Healthy feeding for vulnerable groups • Ministry of

Human Resource Development: Mid-Day Meal Scheme

Min of Women & Child Development: Integrated Child Development Scheme

Bikes for Girls State programmes

Min of Urban Development- Urban Renewal Mission

LIFE COURS

E

Ministry

Programme Mandate NCD-relevance

Women & Child Development

Rajeev Gandhi Scheme for the Empowerment of Adolescent Girls

Improve health and nutritional status of adolescent girls, focussing on out-of-school girls

Existing health check ups and referrals under the programme could include early detection of obesity and diabetes.

Labour and Employment

Rashtriya Swasthya Bima Yojana

In-patient health care insurance benefits to below-poverty line families of unorganised workers

NCDs should be covered under the health insurance scheme for unorganised labourers that are at high risk.

Rural Development National Rural Livelihood Mission

Facilitate increased access by the poor to their rights, entitlements and public services

Access by the rural poor to health rights and public service entitlements such as diagnosis, referrals, treatment and care for NCDs should be increased.

• Ministry of Tribal Affairs

• Ministry of Rural Development

• Ministry of Women & Child Development

• Ministry of Labour & Employment

Nutrition to child labourers through its special schools

Promote healthy eating and a physically active lifestyle

NCD interventions to tribal communities

Healthcare, screening,referral and insurance services for NCDs through w o r k s i t e interventions

National  Child  Labour  Project       Rajeev  Gandhi  Scheme  for  

the  Empowerment  of  Adolescent  Girls

Mahatma  Gandhi  National  Rural  Employment  Guarantee  Act  

Integrated  Tribal  Development  Project  

• Community based groups of Ministries of Women & Child Development and Agriculture to be mobilised as pressure groups that advocate development and implementation of NCD prevention and treatment policies .

Community Mobilisation for Policy Advocacy

• National Mission for Empowerment of Women can be engaged to research on vulnerability of girls and women to NCDs, implications of NCD risk factors, barriers to accessing NCD-services and solutions to improve access and affordability.

Policy Research

• The Food and Nutrition Board includes advocacy to policy makers on food and nutrition issues with a focus on promoting low-cost, locally produced food. The Board’s policy to recommend regulation of unhealthy food and its marketing and promotion of healthier alternatives  .

Policy Development

130% of

1 % of development programmes

(USD 140 million)

National Programme for Prevention and Control of Cancers, Diabetes,

Cardiovascular diseases & Stroke

(USD 107 million)

Budget of NCD relevant development programmes (USD 14 Billion)

�  improve outcomes of development programmes � address the socio-economic determinants and

implications of NCDs �  take health interventions to high-risk, hard-to-

reach groups �  facilitate policy advocacy � enable the use of existing infrastructure and

mechanisms for programme delivery � pool resources across sectors

�  Undertake a comprehensive review of relevant national development programmes to identify potential opportunities for collaborative action on NCDs

�  Commission joint pilot projects between ministries/programmes to test and determine the scope and benefits of integrating NCD interventions in relevant development programmes.

�  Consider mainstreaming NCD interventions at the early stages of all new programme planning

�  Tailor programmes and use multi-sector mechanisms for hard to reach groups that face high NCD risks

�  Share technical, financial and technological resources between and across programmes to ensure greater coverage and reach

�  Engage relevant programmes to advocate for policies to reduce NCD burden

Thank you!

Feedback and queries welcome, to: sjohn@healthbridge.in

Ministry of Agriculture (National Farming Development Programme)