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Content and Products of the NCD Observatory

CARMEN Policy Observatory Meeting(Montreal, Quebec, Canada, March 2005)

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What is the NCD Policy Observatory?

Comprises a network of countries and institutions supporting a Knowledge Development & Dissemination system based on Monitoring and analysis of:

NCD-related Public policies Legislation/Regulations International health policies

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Goals of the NCD Policy Observatory

1. To support the development of effective integrated NCD prevention policies through:

the systematic analysis of the processes involved in

formulation, adoption and implementation of such policies; and

linking this analysis to the evaluation of programs and interventions established through these policies.

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Goals of the NCD Policy Observatory

2. To strengthen multi-sectoral collaboration in the formulation and adoption of specific and complementary policies that maximize NCD prevention.

3. To place NCD prevention higher on the agenda of policy makers.

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Knowledge Development Agenda

Reports and Technical DocumentsData compiled by individual country, selected countries, or by Region

Themes (generic)

Case examples of policy and implementation issues and challenges

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Themes

General “Making the Case for NCD Prevention Policy and Action” “Investment & Targeted Allocation of Funds for

Prevention & Promotion” “Partnership Development & Integration” “Impact on organizational and system capacity” “Impact on Population Health” “Impact of international collaboration on domestic policy” “Impact on selected major risk factors for NCD” “Impact on high-risk or disadvantaged populations”

Process Facilitators and barriers to formulation and

implementation

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Case Examples of Policy & Implementation Issues and Challenges

Canada (examples) “Canadian Healthy Living Strategy” “Nutrition Labelling Policy in Canada” “Establishing School Health Policy in Canada” “Alberta Healthy Living Program” “Quebec Public Health Legislation” “New Federal Deal for Canadian Cities” “Canadian Diabetes Strategy”, “Childhood poverty in Canada – linked to food insecurity” “Physical inactivity at the municipal level, urban planning and

development,” “Mental illness and co-morbidities”

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Case Examples of Policy & Implementation Issues and Challenges

Brazil “National Food and Nutrition Policy” “Brazilian Tobacco control Policy”

Costa Rica “Creation of Ministry of Health & Sports”

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Criteria for selecting and prioritizing case examples

Relevance Consistent with national/provincial NCD objectives Address prevailing political and public issues Reflect epidemiological “picture” for NCD in the

country/province Address at least one major NCD risk factor (e.g. tobacco

use, physical inactivity, unhealthy eating) Scope

Multisectoral (civil society, industry, government etc.) and multi-level ( local, regional, P/T & federal) support & collaboration

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Criteria for selecting and prioritizing case examples

Feasibility Size, complexity, budget, analyzable

Potential Impact or Benefit- On accountability and decision-making

- On users of policy-related information

- On the profile of issue

- On population health

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CARMEN Framework for Policy Analysis (Part 1)

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IdeasInformation

sourcesValue

preferences

PolicyInterests/Conflicts

Policy networksHow actors interact

Actor capacity and resources

InstitutionsGovernment agencies

MandatesAccountability

Formal processeslegislative frameworks

Existing policy

ContextsSocial

EconomicPhysical

EnvironmentalGenderCulture

Problem Recognition/agenda SettingSolution proposal

Policy Instruments

LegislationRegulation

ExpenditureInformation

Network creationNew program/

service

Deciding

Policy Action

Plan

Collaborative planning

Community organization

& actionPolicy

harmonization

ImplementationDesign

Consensus-Building

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PHAC Framework for Assessing the Effectiveness of Community Initiatives That Promote Health

Determinants of Health

Improvements in Population Health

Outcomes while Reducing Health Inequalities

Individual Change

Systems Change

Community Change

Transformational Change

Community Organization and Action

Collaborative Planning

Policy Action

Courtesy of the Strategic Policy Directorate, Public Health Agency of Canada (PHAC)

Policy Implementation

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Proposed Data Collection Methods

Data collection methods include but are not limited to:

document review and synthesis Key Informant Questionnaire/Face-to-Face focus

group interviews paper-based questionnaire returned by mail or fax, or on-line questionnaire, or in-depth face-to-face key informant interviews

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Knowledge Translation and Dissemination Agenda

Forum for regional and national policy dialogues Various channels:

NCD virtual library Websites & List serve Printed and on-line publications Query service Training courses Databases Academic and Political fora

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Structure to Support Observatory

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CARMEN Network

CARMEN School Policy Observatory

PAHO / WHO CC (Canada)

Technical Advisory TeamIAG Technical Consultative Group

Country Policy

Observatory

Collaborative Members/Institutions

Collaborative Members/Institutions

Collaborative Members/Institutions

Collaborative Members/Institutions

Collaborative Members/Institutions

Collaborative Members/Institutions

Country Policy

Observatory

Country Policy

Observatory

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Development of the CARMEN

Policy Observatory

Part I: Pilot Case Studies Part II: Ongoing Knowledge

Development, Monitoring and Analysis

Part III: Knowledge Translation andDissemination

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Part I – Pilot Case Studies

The pilot case studies will :

Develop and refine methodology for case and cross-case analysis

Explore themes of relevance within country policy profiles and context

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Part II: Ongoing Knowledge Development, Monitoring and Analysis

Determine benchmarks for policy development and implementation

Determine benchmarks for collaboration between different sectors

Establishment of infrastructure for ongoing data collection, monitoring and analysis

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Part III: Knowledge Translation and Dissemination

Forum for regional and national policy dialogues and information exchange

Bringing NCD policy-makers together with health system researchers and analysts

Extension of Policy Observatory model beyond the CARMEN-CINDI region