Swiss National Strategy on NCDs View from WHO - … · Swiss National Strategy on NCDs View from...
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Swiss National Strategy on NCDs View from WHO Gauden Galea Director NCDs and Life-course WHO/Europe
Transcript of Swiss National Strategy on NCDs View from WHO - … · Swiss National Strategy on NCDs View from...
Swiss National
Strategy on NCDs
View from
WHO
Gauden GaleaDirector
NCDs and Life-course
WHO/Europe
The Mandate
By 2015, consider setting national targets for NCDs
By 2015, consider developing national multisectoral policies and plans
By 2016, implement best buys to reduce risk factors for NCDs
By 2016, implement best buys to enable health systems to respond
2014 Outcome Document
Four time-bound commitments
European NCD Action Plan (2012-2016)
Planning and oversight
National plan
Health information system with
social determinants
disaggregation
Health in all policies
Fiscal policies
Marketing
Salt
Trans-fat
Healthy settings
Workplaces and schools
Active mobility
Secondary prevention
Cardio-metabolic risk assessment
and management
Early detection of cancer
Challenges
Current Tobacco Use in EuropeNo room for complacency
WHO RegionMale
prevalence
Female
prevalenceBoth sexes
EUR 38% 19% 28%
WPR 47% 3% 25%
EMR 38% 4% 22%
AMR 26% 16% 20%
SEAR 34% 4% 19%
AFR 22% 7% 15%
Global 36% 8% 22%
Overweight and Obesity in WHO/Europe
Total alcohol per capita consumption(15+ years; in litres of pure alcohol), 2010
WHO. Global status report on alcohol and health (2014) >>
22 Nov 201425 Oct 2014
Health in All Policies
Trade in All Policies
Source: EC AV Services -- Press conference by Tonio Borg
Source >> Source >>
European Member States in the 11 years since WHO
Framework Convention on Tobacco Control (FCTC)
Overview Policy Actions Implementation
53 WHO/Europe Member States – 2012/13
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Measures to affect food prices
Labelling - signposting
Reformulation - less sugar and salt
Promote Active Travel for school-children
Marketing HFSS foods to children - restrictions
Salt reduction initiatives
School Fruit Scheme (SFS) or similar
Programs in schools (inc. vending machines)
Baby Friendly Hospital Initiative
Physical Activity Policy incl. Guidelines
Breastfeeding promotion and protection policies
Food Based Dietary Guidelines
Labelling - nutritional information
No Action Partially implemented Fully implemented
Changes in alcohol policy areas over 2006 - 2011 (N=30)
Switzerland
Draft Strategy Characteristics
• Integrated, comprehensive (even MSD)
• Evidence-based
• Prevention oriented
• Life-course approach
• Health systems strengthening
• Equity focus and Vulnerable groups
• Process: consultative, participatory
• …
Italy
Switzerland
Germany
France
SDR, diseases of circulatory system(Ages 0–64, per 100 000)
Italy
Switzerland
Germany
France
SDR, symptoms, signs, ill-defined(All ages, per 100 000)
Salt and Trans Fats
Trans Fats
“There is significant
momentum across the Region
to take action on trans fats.
Denmark, Austria, Hungary,
Iceland, Norway and
Switzerland have set similar
limits that virtually ban trans
fats from food products.”
Innovations
By 2015, consider setting national targets for NCDs
By 2015, consider developing national multisectoral policies and plans
By 2016, implement best buys to reduce risk factors for NCDs
By 2016, implement best buys to enable health systems to respond
2014 Outcome Document
Four time-bound commitments
• Cancer deaths
• Smoking Rates
• Low birth weight
babies
• Early childhood
development
scores
• Access to
Palliative care
• Tobacco prices
• Marketing of
alcohol
• Safe and decent
work
• Disaggregate
• Link
• Over time
• Disaggregate
• Link
• Over time
• Access to
Palliative care
• Tobacco prices
• Marketing of
alcohol
• Safe and decent
work
• Cancer deaths
• Smoking Rates
• Low birth weight
babies
• Early childhood
development
scores
DigitalTrailshttp://villevivante.ch
Case study:
Disparity Reduction in Clalit
Slide by Ran Balicer, Clalit (2012)
Used with permission
>60% reduction in disparities
in 7 in-focus indicators, in 3 years
Slide by Ran Balicer, Clalit (2012)
Used with permission
Health System Challenges & Opportunities
…
Dr. Gauden GaleaDirector
Division of Noncommunicable Diseases & Life-course
WHO Regional Office for Europe, Copenhagen
http://www.euro.who.int/nutrition
Acknowledgements to:
Enrique Loyola
Frederiek Mantingh
Joao Breda
Kristina Mauer-Stender
Lars Moller
Ran Balicer
Jill Farrington
