Upload
national-press-foundation
View
224
Download
0
Embed Size (px)
Citation preview
7/27/2019 NCDS- The Global Response
1/37
Non-Communicable Diseases
(NCDs):The Global Response
Katie DainDirector of Policy and Campaigns
The NCD Alliance
7/27/2019 NCDS- The Global Response
2/37
A UNIQUE civil society alliance
NCDA Who we ar
7/27/2019 NCDS- The Global Response
3/37
Founded by four international NGO federationsin
2009: World Heart Federation (WHF)
International DiabetesFederation (IDF)
Union for InternationalCancerControl (UICC)
The International Union Against Tuberculosis and LungDisease (The Union)
We are a unique civil society networkthat unitesover 2,000 organisations in 170 countries
We have established strategic alliances WHO,UN, governments, political blocs (the Commonwealth,CARICOM), The Lancet, World Economic Forum
Who We Are
7/27/2019 NCDS- The Global Response
4/37
Goal:
Putting NCDs at the heart ofnational health anddevelopment planning, and inthe mainstream of thepost-2015
development framework
In 2012 we planned to deliverthrough to 2015 a four year plan.
Four Strategies: Global Action
National Action
Building the Demand
Building the Alliance
Our Vision
7/27/2019 NCDS- The Global Response
5/37
A GLOBAL epidemic out ofcontrol
NCDA What driveus
7/27/2019 NCDS- The Global Response
6/37
Defining NCDs: 4 x 4
DiabetesCardiovascular diseaseCancer
Chronic Respiratory Disease
Tobacco UseUnhealthy dietPhysical InactivityHarmful Use of Alcohol
Diseases:
Risk Factors:
7/27/2019 NCDS- The Global Response
7/37
A public
healthemergency
inslow motionBan Ki-moon,UN Secretary General
The NCD Epidemic
7/27/2019 NCDS- The Global Response
8/37
NCDs: The Scale and Human Impact
Biggest killer worldwide 36 milliondeaths every year (63% of all deaths)
Biggest cause ofdisability - 50% of alldisability
9 million preventable deaths beforethe age of 60
80%of NCD deaths occur in low- and
middle-income countries (LMCs) Fastest rise in LMCs NCD deaths up
by over 50% by 2030
7/27/2019 NCDS- The Global Response
9/37
A crisis of
our owncreation
7/27/2019 NCDS- The Global Response
10/37
Macro-Economic Impact:
In 2009 and 2010 WEF rate NCDs one of top global risks
NCDs cost world economy $47 trillionover next 20 years
High healthcare expenditure IDF estimate that diabetescaused USD378 billion in global healthcare in 2010
Individual/household:
Catastrophic costs of NCD morbidity and mortality push
vulnerable families into destitution In India, 1 in 4 families where a family member has cardiovascular
disease experience catastrophic expenditure
NCDs: The Economic Cost
7/27/2019 NCDS- The Global Response
11/37
Non-Communicable Diseases:An Interconnected
Epidemic
7/27/2019 NCDS- The Global Response
12/37
Source: Beaglehole R, Bonita R, Horton R, et al for The Lancet NCD Action Group andthe NCD Alliance.-
We Have Cost-Effective Solutions
7/27/2019 NCDS- The Global Response
13/37
The NCD Paradox
Despite the scale and impact ofthe epidemic
Was not a global health priority Not recognised as a
development issue Lack ofglobal resources No sense ofurgency or outrage
7/27/2019 NCDS- The Global Response
14/37
Donor Funding: Where are NCDs?
$0.01
$0.06
$0.10
$0.42$0.92
$0.93
$3.90
$0.06
$0.21
$0.22
$0.23
$0.24$0.33
$0.45
$0.53
$0.80
$1.14
$1.16
$1.33$1.65
$7.40
Water Education/TrainingWater Resources Protection
River DevelopmentWaste Management/Disposal
asic Drinking Water Supply & Sanitation
Water resources policy/admin. mgmt
ater Supply/Sanitation - Large Systems
Health Education
Medical Education/Training*
Medical Research
Basic Health Infrastructure
Medical ServicesBasic Nutrition
Tuberculosis Control
Family Planning
Malaria Control
Basic Health Care
Reproductive HealthInfectious Disease Control
Health Policy & Admin. Management*
HIV/AIDS & STDs*
Total Health ODA:
$22.1 billion
Health ODA forNCDs:2.3%
Official Development Assistance for Health(2006, in US$ Billions, total is US$21 billion)
Source: WHO
7/27/2019 NCDS- The Global Response
15/37
I wish I had AIDS
and not diabetes.
- Man with diabetes inCambodia
Distorted Health Systems in LMICs
7/27/2019 NCDS- The Global Response
16/37
Raising the PRIORITYof NCDs
NCDA What we d
7/27/2019 NCDS- The Global Response
17/37
Global ActionGlobal advocacy strategyto maintain politicalcommitment andaccelerate global action onNCDs
National ActionNational advocacystrategy to build nationalcapacity and supportimplementation
Building the DemandCommunications strategy
to raise political and publicawareness of NCDs, andbuild demand for action
Building theAlliance
Organisational strategyto build the NCDAlliance to be a robustand inclusiveorganisation
1 2
3 4
NCD Alliance Strategic Priorities
7/27/2019 NCDS- The Global Response
18/37
Global Action1
Secure politicalcommitment andleadership for NCDs
Establish the foundations of
the global NCD
architecture
Integrate NCDs into the
internationaldevelopment agenda
Priorities:
7/27/2019 NCDS- The Global Response
19/37
34 Heads ofGovernment/State
133 Member State
statements 43 Member State
commitments Over 50 side events Record civil society
participationA watershed event with a clear before and after, withignorance, complacency and inertia replaced byawareness, shock and the right actions straight away
(WHO Director General, Margaret Chan)
The UN Summit High-Level Summit on NCDs,2011
1
7/27/2019 NCDS- The Global Response
20/37
UN Political Declaration on NCD Prevention + Control
Secured Political Commitment
22 action orientatedcommitments on prevention,treatment and care
Governments to ensure NCDs at thecentre ofnational health anddevelopment
New era of political leadership,multisectoral action andinternational cooperation on NCDs
UN Political Declaration on NCDs 20111
7/27/2019 NCDS- The Global Response
21/37
Global Campaigns
Global NCDFrameworkCampaign
GlobalDevelopment
Campaign
Maintaining
politicalmomentum onNCDs
Elevating
NCDs onto theglobal
development agenda
Keeping the Pressure on 1
7/27/2019 NCDS- The Global Response
22/37
Global
Accountability
Global
ActionPlan
Global NCD
Partnership
Maintaining political momentum andensuring NCD commitments are fulfilled
Foundations of the global NCDarchitecture
Global NCD Framework Campaign -Priorities
1
7/27/2019 NCDS- The Global Response
23/37
What gets measured,gets done
WHO DG, Margaret Chan
9 global targets and 25
indicators
Global Accountability WHO MonitoringFramework
1
7/27/2019 NCDS- The Global Response
24/37
Global Action Plan - 2013-2020
Previous WHO NCD Global NCDAction Plan 2008-2013 expired
GAP 2013-2020 a roadmap
for implementing UNPolitical Declaration andachieving 9 global targets
Developed over 12+ months,
in consultation with relevantstakeholders
6 global objectives for
Member States, WHO and
1
7/27/2019 NCDS- The Global Response
25/37
A light touch global
coordinatingmechanism (GCM)that convenes andmobilises relevant
sectors (UN, govt,NGOs and privatesector) to catalyse
collective and
coordinated global
Global NCD Partnership 1
This is not a problem that health
ministers can solve on their own. We needall partners.
UN Secretary General Ban Ki-moon
7/27/2019 NCDS- The Global Response
26/37
MDGs (2000) increased
resources and action onpoverty issues maternalmortality, HIV and child education
NCDs excluded = barrier toresources and political priority
Post-2015 Process led by UN:historic opportunity for NCDs
Integrating NCDs into thesuccessor goals to the Millennium
Development Goals (MDGs)
Global Development Campaign -Priorities
1
7/27/2019 NCDS- The Global Response
27/37
UNConference
onSustainable
Development
(Rio+20)
UNSG High-Level Panelof Eminent
Persons
Globalthematic
consultations (including
health)
OpenWorkingGroup onSustainable
Development
June 2012 2012-2013 2012-2013 2013-2014
Global Development Campaign -Process
Keeping NCDs at the heart of post-2015discussions
1
7/27/2019 NCDS- The Global Response
28/37
Vision for Post-2015
NCD Alliance Vision for Post-2015 1
7/27/2019 NCDS- The Global Response
29/37
Global thematic consultation on
health: NCDs recognised as a priority
for health in post-2015
Healthy life expectancy framed asoverarching health goal
Universal health coverage (UHC) asinstrumental to achieving health
UN High-Level Panel Report onPost-2015:
3 dimensions of sustainabledevelopment
5 transformative shifts 12 goals and 54 targets Health goal, with NCDs included
Global Development Campaign -Progress
1
7/27/2019 NCDS- The Global Response
30/37
Maximising Political Events 1
Delivering oncommitments in
the 2011 UNPolitical
Declaration onNCDsJanSe
pt
UN High-Level
Review MDGs UN SGProgress
Report onNCDs
UN Review onNCDs
2013 2014
May
2015
134thWHO
Executiv
e Board
Intergovernmen
tal negotiationon post-2015
67th WorldHealth
Assembly
May
Sept
Negotiationson
modalitiesfor UN
review onNCDs
136th WHOExecutive
Board
68th World HealthAssembly
UN High-LevelSummit on Post-
2015
Nov
Dec
TheUnion
CongressIDF
Congress
WHFCongre
ss
GCM MSConsultations
May
Jan Dec
UICCCongre
ss
Jan Sept
7/27/2019 NCDS- The Global Response
31/37
National Action2
Support capacity building ofnational and regional advocacy;
Identify and disseminate goodpractice in national NCDpolicies and practices;
Promote civil society
monitoring on NCDs at thenational/regional level.
Priorities:
The need for a strong NCDcivil society movement in allcountries has never been
more pressing
7/27/2019 NCDS- The Global Response
32/37
Capacity Building for National Action2
Facilitate andstrengthen the
network of
national/regional NCD
alliances
7/27/2019 NCDS- The Global Response
33/37
Building the Demand3
Communications-ledactivities, including international
PR activity and social networking; Raise the voice and rights of
people living with NCDs,across all NCD Alliance
campaigns and communications; Broker knowledge among our
network.
The
breakthroughwill come when
peopledemand
change
Priorities:
7/27/2019 NCDS- The Global Response
34/37
Global Communications Strategy3
Turning upthevolumeon NCDs
Develop and deliver aglobal media strategyto focus public attention
on NCDs; Highlight success
stories and results toinspire action;
Leverage keymoments in the globalNCD advocacy calendar;
Produce videos tohighlight the human face
Activities:
7/27/2019 NCDS- The Global Response
35/37
Building the Alliance4
Broaden the alliance, at both thegovernance and network level;
Build strategic alliances andpartnerships within globaldevelopment community and acrossUN, governments, NGOs, private
sector.
Priorities:
Togetherwe arestronger
4
7/27/2019 NCDS- The Global Response
36/37
NCDAlliance
Unite
d
Natio
ns
Governments Priva
te
Sector
Civil
Society
Strategic Partnerships forImpact at Scale
4
7/27/2019 NCDS- The Global Response
37/37
.
Thank you!
Please visit our website:www.ncdalliance.org