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How can we generate

stronger action on NCDs?


Cristina Parsons Perez, 1I%
Capacity Development Director, NCD Alliance

27th June 2017


NCD Alliance
THE GLOBAL POLICY LANDSCAPE

First UN High Level Second High Level Third UN High level


Meeting on NCDs Meeting on NCDs Meeting on NCDs
Political Declaration Outcome Document

2011 2013 2014 2015 2017 2018

Progress in the prevention and control of NCDs is insufficient and highly uneven, due in part to their complexity
and challenging nature, and continued and increased efforts are essential for meeting the 2011 commitments
2014 UN HLM Outcome Document
MAJOR CHALLENGES
TO PROGRESS ON NCDs
Only 2 countries scored 14 out of a total of 18 fully achieved measures included in the ten
indicators that have been adopted by WHO to measure progress by 2018.
WHO 2015 Progress Monitor

Weak political commitment


Limited progress in engaging non-health sectors
Lack of access to adequate financing for national NCD programmes and interventions
Weak health systems
Commercial determinants of health
POLITICAL COMMITMENT

To progress action on NCDs, we need:

High-level commitment To hold decision


makers accountable
Sense of urgency
put people first
Strong and vibrant
civil society
OUR VIEWS, OUR VOICES

CONSULT ADVOCATE INVOLVE AMPLIFY

Consult a broad cross- Produce an Advocacy Ensure the meaningful Amplify the voices and
section of people living Agenda of People Living involvement of PLWNCDs views of PLWNCDs
with NCDs (PLWNCDs), with NCDs and promote it in decision making by stimulating public
in order to understand through advocacy efforts processes, including the debate, challenging
the common main at global, regional and 2018 United Nations High- misconceptions
challenges that they face national levels. level Meeting on NCDs, surrounding NCDs, and
and how they want to be to guarantee outcomes breaking down stigma and
meaningfully involved in that reflect their needs discrimination.
the NCD response. and views.

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An initiative by the NCD Alliance
and people living with NCDs
#NCDvoices
LIMITED PROGRESS
IN ENGAGING NON-HEALTH SECTORS
LACK OF FINANCING FOR NCDs
Of the total $37.6 billion in DAH for 2016, only 1.7% went to all NCDs, including
mental health*

From 2010 to 2016, funding for NCDs increased by 5.2%, but NCDs remained the health
area with the smallest amount of funding by far compared to with other areas.*

Need for Global Investment Framework and Financing Conference


Need for capacity building and technical assistance on taxation of unhealthy commodities

*Source: Financing Global Health 2016, Institute of Health Metrics and Evaluation, 2017
WEAK HEALTH SYSTEMS

Lack of adequate preparation and training of the health workforce, insufficient finance,
lack of adequate and sustainable access to essential medicines and technologies, and
inefficient information systems.

Countries road map for UHC focusing on expanding coverage, improving health
financing performance, enhancing financial risk protection, and expanding coverage of
essential health services.

Integrate cost effective NCD interventions into UHC package

Support from WHO, World Bank, and other development partners is critical
COMMERCIAL DETERMINANTS OF HEALTH

Efforts to prevent non-communicable diseases go against the business


interests of powerful economic operators
WHO Director-General Margaret Chan

Industry interference

Need to protect policy making from commercial interests CoI

Need for more guidance and support to countries


MAKING PREVENTION AND CONTROL A PRIORITY, EVERYWHERE

Thanks!

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