NCDS- The Global Response

7/27/2019 NCDS- The Global Response

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Non-Communicable Diseases

(NCDs):The Global Response

Katie DainDirector of Policy and Campaigns

The NCD Alliance


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A UNIQUE civil society alliance

NCDA Who we ar


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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


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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


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A GLOBAL epidemic out ofcontrol

NCDA What driveus


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Defining NCDs: 4 x 4

DiabetesCardiovascular diseaseCancer

Chronic Respiratory Disease

Tobacco UseUnhealthy dietPhysical InactivityHarmful Use of Alcohol

Diseases:

Risk Factors:


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A public

healthemergency

inslow motionBan Ki-moon,UN Secretary General

The NCD Epidemic


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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


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A crisis of

our owncreation


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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


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Non-Communicable Diseases:An Interconnected

Epidemic


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Source: Beaglehole R, Bonita R, Horton R, et al for The Lancet NCD Action Group andthe NCD Alliance.-

We Have Cost-Effective Solutions


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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


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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


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I wish I had AIDS

and not diabetes.

- Man with diabetes inCambodia

Distorted Health Systems in LMICs


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Raising the PRIORITYof NCDs

NCDA What we d


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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


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Global Action1

Secure politicalcommitment andleadership for NCDs

Establish the foundations of

the global NCD

architecture

Integrate NCDs into the

internationaldevelopment agenda

Priorities:


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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


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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


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Global Campaigns

Global NCDFrameworkCampaign

GlobalDevelopment

Campaign

Maintaining

politicalmomentum onNCDs

Elevating

NCDs onto theglobal

development agenda

Keeping the Pressure on 1


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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


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What gets measured,gets done

WHO DG, Margaret Chan

9 global targets and 25

indicators

Global Accountability WHO MonitoringFramework

1


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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


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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


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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


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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


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Vision for Post-2015

NCD Alliance Vision for Post-2015 1


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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


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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


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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


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Capacity Building for National Action2

Facilitate andstrengthen the

network of

national/regional NCD

alliances


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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:


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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:


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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


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NCDAlliance

Unite

d

Natio

ns

Governments Priva

te

Sector

Civil

Society

Strategic Partnerships forImpact at Scale

4


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.

Thank you!

Please visit our website:www.ncdalliance.org

NCDS- The Global Response

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