NCDs and Social Determinants - UNDP Pacific Regional Centre - 2013

Webinar – NCDs & social determinants

UNDP Pacific CentreSuva - Fiji

Ferdinand Strobel

Presentation outline

1. Pacific NCD crisis

2. Determinants (emphasis on trade)

3. Actions & Future plans

1. Pacific NCD crisis

Age standardized diabetes prevalence by WHO regions

Photo Credits: Waqanivalu & UN

Rapid epidemiological transition

Photo Credits: Burton (left); Tim McKenna (right)

2. Determinants

Photo Credits: Waqanivalu , catholic.org, healingtalks.com

Photo Credits: Strobel and UNDP

Photo credit: Vlad Sokhin

Graphs: Thow et al. 2011

Opening of domestic

markets to int. food

trade

Entry of transnational food corporations,aggressive marketing

Dramatic increase in the availability & demand for ultra-processed foods & drinks

Effects of trade liberalization:Profound & rapid change of diets composition and food habits : “snacks” – “treats”

Photo Credits: Strobel, Hoejskovp, commons.wikimedia.org

Photo Credits: Strobel, Melissa Goldman, flickr, matava.com

Year

Imports value

Diabetes prevalence

1%

20%

3. Actions

Work on Health & Trade intersections (2013 – 9 countries)

• Establish/ strengthen intersectoral coordination mechanisms;

• Practice joint planning and share experience

• Include among others, health impact assessments, and taxation policies which affect the risk factors for NCDs;

• Provide the technical support required to support policy coherence between trade and health sectors;

• To accelerate the regional and national efforts to develop and implement food standards for relevant nutrients (e.g. fat, sugar and salt content in processed foods)

Some initial results

• Greater recognition of the need for coherence between health & trade policies by leaders

• Country action (i.e Tonga)

• Economic ministers wanting a roadmap

• Recognition of the need for ‘major interventions outside the health sector’ by forum leaders

Other planned area of work

• Help develop an ‘economic and social case’• Mainstream NCDs in National Development

Strategies • Develop innovative delivery platforms (Public-private

partnerships ?)• Support the implementation of FCTC (art. 5) –• Develop practical tools• Support to CSOs (NCD constituencies & consumer

rights protection, etc…)