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NCDAllianceWebinarTuesday15March2016
DATE
AgendaNationalNCDCommissionsintheCaribbeanMaishaHutton,HealthyCaribbeanCoalition
EstablishingMultisectoral NCDCoordinationMechanisms:WHOSEAROGuidanceShobaJohn,Consultant
138thWHOExecutiveBoardandPreparationsforWHA69AlenaMatzke,NCDAlliance
WHONCDDirectors’MeetingCristinaParsonsPerez,NCDAlliance
SDGIndicatorFrameworkandotherUNUpdatesPriyaKanayson,NCDAlliance
ExperiencesofNationalNCDCommissions(NNCDCs)inCARICOM
MaishaHuttonExecutive DirectorHealthy Caribbean Coalition
CaribbeanSupportforNationalNCDCommissions
• 2007CARICOMHeadsofGovernmentPoS DeclarationendorsedaMultisectoralresponsetoNCDs– “westronglyencouragetheestablishmentofNationalCommissionsonNCDsoranalogousbodiestoplanandcoordinatethecomprehensivepreventionandcontrolofchronicNCDs”
GlobalSupportforMultisectoralMechanisms
• 2011PoliticalDeclarationonNCDscalledforamechanismtocoordinateamultisectoralapproach
• TheWHODiscussionPapers(2012)recommended,‘EffectiveApproachesforStrengtheningMultisectoralActionsforNCDs’
• UNNCDReview2014OutcomeDocumentcalledfor,‘establishing,asappropriatetotherespectivenationalcontext,anationalmultisectoralmechanism,suchasahigh-levelcommission,agencyortaskforce…’
• RecommendationsfromglobalNCDleadership
NationalNCDCommissionsintheCaribbean– TowardsamoreEffectiveMultisectoralResponsetoNCDs
WhatareNNCDCs?
• NationalplatformsforwholeofsocietyandwholeofgovernmentresponsetoNCDs
• InstrumentsofgovernmentsittingwithintheMinistriesofHealthtoadvisetheMinisterofHealth
• StandaloneNCDCommissionsORNCDcommitteeswithinbroaderoverarchinghealth&wellnesscommissionsorpartnerships(Bermuda,BVI,SKN,SVGetc.)
- G. Alleyne
NNCDCsintheCaribbean
BarbadosNNCDC2016-2018 – Twelve(12)outof20countriesinCARICOM(60%)haveformedNCDCommissionsoranalogousbodies(includingwellnessCommissions)
– 9currentlyactive• *CorrelationbetweensuccessfulNNCDCsandcountrypopulation
MandateofNNCDCs
• Advisoryand/orimplementationbodies• AdvisetheMinisterofHealth/PM(Gov’t)onNCDpolicies,legislationandprogrammes
• SupporttheimplementationofnationalNCDstrategicplans(assistinprioritysetting)
• Brokereffectiveinvolvementofallrelevantsectors– Wholeofgovernment– Wholeofsocietyincludingtheprivatesector&civilsociety
• Assistinresourcemobilization• Recommendresearchpriorities• Monitoring,evaluation,surveillance
CompositionofNNCDCs
• Chairperson• ExOfficioMembers– ChiefMedicalOfficer,NCDFocalPoint,ChiefNursingOfficeretc.
• Representativesofnon-healthministries• CivilSociety– NationalNCDAlliances,HealthNGOs,FBOs,TradeUnions,Women’sgroups,Youthgroups etc.
• PrivateSector– Hotel&Tourism,Insuranceetc.
• TheNNCDCmayhavesubcommitteessuchasHealthySchools,HealthyWorkplaces,Alcohol,Tobaccoetc.
Challenges
Successes
KeyLessonsLearned&Recommendations
SupportingRegionalScale-upNNCDCImplementationFramework
• ToolforestablishingorstrengtheningNationalNCDCommissions
• Stepbystepguide• Practicalresourcessuchas
sampleTORs,samplemeetingminutes,samplestrategicplansandactionplans,casestudies,directoryofexistingcommissions/commissioners
• SupportingtheestablishmentofNationalNCDAlliancestorepresentCSonNNCDCs
http://bit.ly/HCC-NCD-Commissions-Report
Thankyou
Q&A
APPROACHESTOESTABISHINGMULTISECTORALCOORDINATION
MECHANISMSFORTHEPREVENTIONANDCONTROLOF
NONCOMMUNICABLEDISEASES
WHOSEAROGuidance
ShobaJohn,IndiaNCDAllianceWebinar,15March 2016.
UNPoliticalDeclarationonNCDs
“…non-communicablediseasesworldwidecanbelargelypreventedandcontrolled
throughcollectiveandmultisectoralactionbyallMemberStatesandotherrelevant
stakeholdersatlocal,national,regional,andgloballevels...”(Para33)
MandateforMultisectoralactiononNCDs
WHOGlobalActionPlanonNCDs
Objective2- PolicyoptionsforMemberStates
“(f)Strengthenmultisectoralaction:Asappropriatetothenationalcontext,setupanationalmultisectoralmechanism– high-levelcommission,agencyortaskforce– forengagement,policycoherenceandmutualaccountabilityofdifferentspheresofpolicy-makingthathaveabearingonnoncommunicablediseases,……”.(Para30)
The5X5Guidance
5ELEMENTS
5 STRATEGIES
5 ELEMENTSOFCOORDINATIONMECHANISMS
I.Highestpoliticalleadership
• Mandateforcoordinationshouldemergefromthehighestpoliticaloffice
• Allsectorsshouldbeaccountabletothisoffice
SlideTitleReportoftheCommissiononAIDSinAsia,2008
II. Clearscopeandmandateforthecoordinationmechanisms
• Thenationalmechanismneedstoprovidethevision,targets,oversight,resources,policyandaccountabilityframework.
• Themandateofthesubnationalmechanismsshould,addresslocalchallenges,tapintolocalresourcesandprovideforeffectiveimplementationandtimelyreporting.
• Makeroomforcoreandadditionalsectorsinthemechanism.
III.StrongSecretariatandsectoral focalpoints
• Robustandresourcedsecretariatwithwithcoreexpertisedrawnfromdifferentsectors
• Housedinanagencywhereitenjoyspoliticalsupportandsustainability.
• FocalpointsforNCDsinotherrelevantsectorstoensurecoordinationandaccountability
IV.Costed,jointactionplan
• Developtheplanjointlytowardsnationalpriorities,facilitatedbythesupraministerialauthority
• Costtheplan
• Locateresourcesfortheplan
V.RobustaccountabilityindicatorsProcessindicators• Presence/functioningofthemechanism• availabilityofajointplan• decisionstaken/implemented• participationofrelevantsectors,• Resourcesallocated/spent,• Secretariat’sresponsiveness,• ReportingOutcomeindicators• numberofplannedoutputsachieved;• numberofpoliciesdeveloped/amended;• numberofgoalsandtargetsofthe
multisectoralNCDactionplanmet.
5 STRATEGIESTOGETTHERELEVANTSECTORSONBOARD
1.SetthePoliticalagenda
ShowcasepublicpreparednessBuildpoliticalsupport
Involvetheaffected
communities
Personsofinfluenceaschampions
2.Makethebusinesscaseforothersectors
• GenerateeconomicevidenceontheimpactofNCDsonproductivity,economyandinvestments(Costofinaction)
• Presentthecostofactionandreturnoninvestment
INACTION
ACTION
3.Showcasebenefitsandshareresponsibilities
• Demonstratetheco-benefitsofNCDinterventionsinmaximisingoutcomesforsectoral priorities
• Identifytasksthatalignswithsectoralstrengths
DATE
4.Ensurejointaccountabilitythroughprocessindicators
• DevelopingprocessindicatorsforeachoftheNCD(publichealth)targetsasfittingthemandateandexistingpolicyframeworkofthestakeholderministries.
5.Periodicreporting
REPORTING
Ministriesreportingto
Supraministerialauthority
Supraministerialauthority
reportingtoPublic
Countryreportingto
Intergovernmentalmechanisms
DATE
PART3OFTHEGUIDANCEDOCUMENT
• Supportiveroleofintergovernmentalandinternationalorganisations
• Createactivepathwaysforcivilsocietyinputtothecoordinationmechanisms
• EnsuretheprivatesectorcomplieswithNCD-relatedregulationsandstrengthensnationalresponse;addressconflictofinterest
DATE
Formoredetails,pleasecontact:
• DrRenu Garg,RegionalAdviser- NCDs,WHOSEARO- [email protected]
• MsShobaJohn- [email protected]
THANKYOU!!!
Q&A
138th WHOExecutiveBoardUpdates&Preparationsforthe69th WorldHealthAssembly
ImportantDocuments
15MARCH2016
AllWHADocuments:http://apps.who.int/gb/e/e_wha69.html
ProvisionalAgenda:http://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_1-en.pdf
AllEBDocuments:http://apps.who.int/gb/e/e_eb138.html
NCDAExecutiveBoardUpdates:http://bit.ly/1MjJTmKNCDAStatements:http://bit.ly/22hU5pe
20JANUARY2016
EBDecisionsataGlance6.3PreventionandControlofNCDs• LackofprogressonthenineglobalNCDtargets;needtofast-track
nationalactionintheleadupto2018UNHigh-LevelReview• Endorsedprocessto:• UpdateAppendix3ofNCDGAP(consultationinJune- TBC),• Developanapproachtoregisterandpublishcontributionsof
non-StateactorsinNCDresponse• Adoptedresolutionwithanamendmenttohighlightthecentral
roleofstrongsurveillancesystems,inadditiontocallingforimplementationofthefourtime-boundcommitments.
• See EB138/10and EB138/10Add.1
EBDecisionsataGlance
20JANUARY2016
6.1MaternalInfantandYoungChildNutrition• Furtherdiscussionsinintercessionalperiodneededonresolution
toendorsenewWHOguidanceonendingtheinappropriatepromotionoffoodsforinfantsandyoungchildren
• Specificrequesttoreviewrecommendation6• RequestforfinalreportoftheCommissiononEndingChildhood
Obesitytobeincludedinreportto69th WHA,aswellasinformationonhowthe2025WHANutritiontargetswillbealignedwith2030Agenda
• See EB138/8and EB138/8Add.1
EBDecisionsataGlance
5.3Frameworkofengagementwithnon-Stateactors(FENSA)• ExtensionofthemandateofOpen-endedIntergovernmental
Meeting,toresumeitsworkforafinalsessionon25-27April2016toensureadoptionofaconsensustextat69thWHA
• ‘Implicationspaper’toassessthepracticalandresourceimplicationsofFENSAonWHOatglobalandregionallevels
• TobepresentedtoMemberStatesaheadoftheAprilnegotiations
• See EB138/7
15MARCH2016
7.2 Healthin2030AgendaforSustainableDevelopment• WHOtoensureafullyintegratedandmultisectoral approachto
implementingthehealthgoalintheSDGs• NCDsasaconcernforallcountriesinthenewhealthand
developmentagenda• Tworesolutionswereintroduced;theBoardendorsed
a resolutiononUHCandrequestedfurtherdiscussionsaheadofWHAonasecondresolutionontheroleofWHOintheimplementationof2030agenda
• See EB138/14
EBDecisionsataGlance
15MARCH2016
7.3 GlobalStrategyforWomen’s,Children’sandAdolescents’Health• Tooknoteofreport;suggestedaWHAresolutionbedeveloped
recognizingtheimportantroleofWHOintheimplementation• Technicalbriefingat69th WHA• See EB138/15
7.4Globalstrategyandplanofactiononageingandhealth• Callforgreateremphasisonaspectsofgender,equityandhuman
rights,togetherwithmentalhealthissues• Resolutionwillbedraftedforadoptionat69th WHA• SeeEB138/16
EBDecisionsataGlance
15MARCH2016
EBDecisionsataGlance7.5Globalresponsetoadversehealtheffectsofairpollution• Widesupportforroadmapandclearrecognitionofairpollutionasapublichealthpriority.ImpactofairpollutiononNCDsandco-benefitsolutionstoaddressotherNCDriskfactors highlighted
• Updatedroadmap,indicatorframeworkandcostingdetailspresentedtothe69th WHA.See EB138/17.
8.7MigrantHealth• Groundworkinhumanrighttohealth• Responsenotonlyoneofemergency,butmustbeinformedbyhealthsystemsstrengtheningandviewedasalongertermresponse
• NeedforaglobalframeworkforactionandspecificattentiontoNCDsandmentalhealthinthisframework.See EB138/26.
15MARCH2016
CommissiononEndingChildhoodObesity
FinalReportandRecommendations36specificrecommendationsacross6areas:
1. Promoteintakeofhealthyfoods2. Promotephysicalactivity3. Preconceptionandpregnancycare4. Earlychildhooddietandphysicalactivity5. Promotephys.activity,health,nutritionforschool-agechildren6. Weightmanagement
• Recommendationsinclude:effectivetaxonsugar-sweetenedbeverages,restrictingthemarketingofunhealthyfoods&beverages,promotingandsupportingbreastfeedingetc.
• Implementationplan& accountabilityframeworknextyear
15MARCH2016
ECHOFinalReport:http://bit.ly/1nu60RWNCDA/WCRFIresponse:http://bit.ly/1Xsbhoz
PreviewofWHASideEvents
15MARCH2016
NCDAllianceeventsMonday23May evening:MainNCDAlliancesideevent,IntercontinentalWednesday24May:RoundtableonHealthyWorkplace,(invitation-only)
NCDAllianceFederations/CSOPartnerseventsTuesday24May:WHFsideeventonCardiovascularDiseaseTuesday24May:NCDChildBreakfastEventThursday26May:WHFRoundtableonRheumaticHeartDiseaseThursday26May:HelpAge andInternationalFederationofRedCrossandRedCrescentSideEventonWHOAgeingReportDateTBC:GlobalAlcoholPolicyAlliancesideevent
PreviewofWHASideEvents
OfficialWHASideEvents(UNPalaisdesNations)–PENDINGCONFIRMATIONbyWHOSecretariatChildhoodUndernutritionandOverweight/Obesity:Finland, 12CountryCo-Sponsors,UNSCNandAllianceof12CSOs,incl.JamieOliverFoundation,SavetheChildrenandNCDAllianceECHOFinalReport:Ghana,Malaysia,MexicoFinancingforNCDs:Peru,USA,India,GCMSecretariatAirpollution:Norway,Zambia(NCDAlliancespeakerrole)Cancercontrol:Malaysia,multiplegovernments,UICCPhysicalActivity:Thailand,US,Japan,Finland
Totalof70sideeventsapplicationsreceived,24slotsavailable.
20JANUARY2016
69th WHAPlanningNCDAllianceWHAPrep:• DetailedWHAAdvocacyBriefingwillbeavailable9May• NextNCDAWebinarplannedfor11May(TBC):• PresentationsofGCM/NCDWorkingGroupFinalReportsonFinancing andEngagementofPrivateSector
• NCDAllianceWHAAdvocacyPriorities• WHASideEvents
Wewouldliketohearfromyou:• LetusknowifyouareattendingWHA• Sharerelevantintelligence&yourWHAadvocacyprioritieswithus
20JANUARY2016
FirstWHOGlobalMeetingofNationalNCDProgrammeDirectorsandManagers
CristinaParsonsPerez/NCDAlliance
DATE
WHOGlobalMeetingofNationalNCDProgrammeDirectorsandManagers
• 15th – 17th FebGeneva,Switzerland• Supportimplementation4time-boundcommitments:• By2015,setnationalNCDtargetsfor2025•By2015,developnationalmultisectoralpoliciesandplanstoachievethenationaltargetsby2025• By2016,reduceriskfactorsforNCDs• By2016,strengthenhealthsystemstoaddressNCDs
DATE
WHOGlobalMeetingofNationalNCDProgrammeDirectorsandManagers
•GCM/NCDAlliance/WEFStakeholderForum– Interactivedinner&Marketplacebreakfast• 6interactivestations:• Governance• Prevention•HealthSystems• Integrationandcoordination• AccesstoMeds• FinancingforNCDs
DATE
WHOGlobalMeetingofNationalNCDProgrammeDirectorsandManagers
• Attendedby222countryparticipantsincmissionreps•http://www.who.int/nmh/events/2016/ncd-focal-points/en/
Followup:•Communitiesofpracticeatglobalandregionallevel• Civilsocietyfollowup–global/regional/national
Q&A
UpdateonGlobalIndicatorsfortheSustainableDevelopmentGoals
PriyaKanaysonNCDAlliance
15MARCH2016
GlobalIndicatorFrameworkInter-AgencyExpertGroup• Submittedproposedframeworkof230indicatorstomeasure
progressonthe169targetstoUNStatisticalCommissionforendorsement
• Target3.4:- Indicator3.4.1:MortalityofCVD,cancer,diabetes,orCRD- Indicator3.4.2:Suicidemortalityrate
• Target3.8(UHC)- Indicator3.8.2:Numberofpeoplecoveredbyhealth
insuranceorapublichealthsystemper1000population• Muchweakerthanpreviousiterationofindicator• Doesnot addresspreventionofcatastrophicout-of-
pocketexpenditure• 3rd meeting:30March– 1AprilinMexicoCity
UNStatisticalCommission(UNSC)
47th SessionofUNSC• 8– 11March,NewYork• Discussedproposedindicatorframework
Outcomes• Outcomedocument acknowledgingworkofIAEG,
workplan forUNSC• Endorsedproposedindicatorframework
- Acknowledgedworkwillbeongoingasknowledgeimprovesandnewtoolsanddatasourcesbecomeavailable
• Alldocumentsareavailable,here15MARCH2016
NextStepsforIndicators
• IndicatorframeworktobeadoptedbyECOSOCandGAinSeptember
• IAEG-SDGswillcontinuework- Discusstiersystem,particularlyindicators
classifiedasTierIII- Establishprocedureformethodologicalreviewof
indicators- Developglobalreportingmechanisms,including
flowofreportingfromnationaltogloballevel
15MARCH2016
CommissionontheStatusofWomen
CommissionontheStatusofWomen(CSW60)
60th SessionofCSW• 14– 24March,NewYork• Prioritytheme:Women’sempowermentanditslinkto
sustainabledevelopment• Reviewtheme:Theelimination andpreventionofall
formsofviolenceagainstwomenandgirls• Ministerialsegmentwithroundtablesandhigh-level
interactivedialogues• Draftoutcomedocumentisavailableonline
Organisationofworkavailable,here
15MARCH2016
AccesstoMedicines
AccesstoMedicines(A2M)High-levelPanelonAccesstoMedicines• ConvenedbytheSecretary– General• Purpose:toreviewandassessproposals
andrecommendsolutions forremedyingthepolicyincoherencebetweentherightsofinventors,international humanrightslaw,traderulesandpublichealth inthecontextofhealthtechnologies
• Threepathways:1.Solicitandassessproposalsandrecommendsolutions2.ExpertAdvisoryGrouptoprovidetechnicalsupporttoHLP3.Consultationprocess,whichincludespublichearings
15MARCH2016
AccesstoMedicines(A2M)
15MARCH2016
TheProcess• Opencontributionperiodfrom21Dec– 28Feb2016
- Over100contributionsreceived(availableonline)- NCDAsubmittedaresponse highlightingfactorsbehindlackofaccesstomedicinesandtechnologiesforNCDs
• GlobalDialogues- 10March,London:heardfromselectedcontributorson
topicssuchaspatents,strengtheningpolicycoherence,andpartnerships
- 17March,Johannesburg:willbelivestreamed,here• Outcome
- HLPwilldraftareportmid-April,tobeagreedinJune
AccesstoMedicines(A2M)NCDAContribution– KeyPoints• Numerouspoliticalcommitmentshavebeenmadetoreduce
theglobalburdenofNCDs– thisincludesaccesstoessentialmedicinesandtechnologiesforNCDs
• MustconsidertheissuefromaholisticperspectivetorecognisetheneedsofpeopleatriskorlivingwithNCDsalongthelife-course
• Underdevelopednationalhealthinfrastructureandfinancingsystems,notpatents,aremainissueforinadequateaccess–needreactivehealthsystems
• Optimisationofsupplychainsrequiresprocurementofqualitygoods,withgovt,publicandprivatesectorinvolvement
• Multistakeholderandmultisectoralpartnershipsessential
15MARCH2016
Q&A
15MARCH2016
2016Conferences
Advanceratesuntil12Aprilhttp://www.adi2016.org/
Lower feeuntil13Maywww.worldcardiocongress.org
Earlybird rateuntil10Mayliverpool.worldlunghealth.org
Reducedrateuntil31Maywww.worldcancercongress.org
