who technical briefing seminar on essential medicines & health products, october 2013...
TRANSCRIPT
WHO Technical Briefing Seminar on Essential Medicines & Health Products, October 2013
Noncommunicable Diseases –Action Plan
Dr Shanthi Mendis
Director, Department of NCD Management a.i.World Health Organization
Geneva, Switzerland
NCDs - Development Challenge (2008 estimates)
0 M
5 M
10 M
15 M
20 M
25 M
30 M
35 M
Low-incomeCountries
Lower- Middle-income
Countries
Upper-Middle-income
Countries
High-incomeCountries
Communicable conditions NCDs < 60 InjuriesNCDs > 60
Premature Deaths 9 MTotal NCD deaths 36 M
2000
2003
2004
2008
Global Strategy for the Prevention and Control of Noncommunicable Diseases
Global Strategy on Diet, Physical Activity and Health
Action Plan 2008-2013 on the Global Strategy for the Prevention and Control of NCDs
2010
2009
2011
Global Strategy to Reduce the Harmful Use of Alcohol
WHO Global Status Report on NCDs
Political Declaration on NCDs
20132020
Global Mile stones : Prevention and Control of NCDs
WHO Action Plan for the Prevention and Control of NCDs for 2013-2020
WHO Global NCD Action Plan 2013-2020
Adopted by 194 Ministries of Health at the World Health Assembly 2013
The plan aims to operationalize the commitments from Heads of State and Government included in the Political Declaration of the High-level Meeting of the
United Nations General Assembly on NCDs
Objective 1:
To strengthen international cooperation and advocacy to raise the priority accorded to prevention and control of NCDs in the development agenda and in internationally-agreed development goals
Objective 2:
To strengthen national capacity, leadership, governance, multisectoral action and partnerships to accelerate country response for prevention and control of NCDs
Objective 3:
To reduce exposure to modifiable risk factors for NCDs through creation of health-promoting environments
Objective 4:
To strengthen and reorient health systems to address prevention and control of NCDs through people-centered primary health care and universal coverage
Objective 5:
To promote and support national capacity for high quality research and development for prevention and control of NCDs
Objective 6:
To monitor trends and determinants of NCDs and evaluate progress in their prevention and control
WHO Global NCD Action Plan 2013-2020 –objectives
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
1. Set national targets for 2025 in 2013, taking into account the 9 global targets
غير األمراض مكافحة في لنتحدالسارية
Prevention of Heart Attacks and Strokes :
At least 50% of eligible people receive drug therapy and counseling(including glycemic control) to prevent heart attacks and strokes
Availability and affordability
An 80% availability of the affordable basic technologies and essential medicines, including generics, required to treat major NCD in both public and private facilities
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
2. Develop national multisectoral plans in 2013 to achieve targets, taking into account the WHO Global NCD Action Plan 2013-2020
The global action plan comprises a set of
actions which, when performed collectively
by Member States, international partners and WHO, will attain the 9 global targets,
including a 25% reduction in premature
morality in NCDs by 2025
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
1. Implement interventions identified by WHO as "very cost effective interventions " using WHO tools:
• Tobacco use • Unhealthy diet and physical inactivity• Harmful use of alcohol
Cost effective interventions
Cancer
• Prevention of liver cancer through hepatitis B immunization
• Prevention of cervical cancer through screening (visual inspection with acetic acid (VIA), with timely
treatment of pre-cancerous lesions
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
1. Implement interventions identified by WHO as "best buys" into the basic primary health care package using WHO tools:
• Integrated approach to cardiovascular diseases and diabetes:– Multidrug therapy to individuals who have
had a heart attack or stroke and to persons with a high risk of a cardiovascular event in the next 10 years
– Providing aspirin to people having an acute heart attack
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
2. Implement other very cost-effective and affordable interventions identified in Appendix 3 of the Global Action Plan into the basic primary health care package using WHO tools
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
2. Implement other very cost-effective and affordable interventions identified in Appendix 3 of the Global Action Plan using WHO tools
How much will it cost to scale-up very cost effective
NCD interventions? For all LMIC, US$ 11.4 billion
per year on average
• Population-based measures: close to US$ 2 billion per
year• Low- and lower-middle-income countries: < US$ 0.20 per head
• Upper-middle income countries: < US$ 0.50 per head
• Individual-based measures: US$ 9.4 billion per year• Low-income countries: < US$ 1.00 per head
• Lower middle-income countries: < US$ 1.50 per head
• Upper-middle income countries: ~ US$ 2.50 per head
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
1. Strengthen NCD surveillance, covering a) monitoring of risk factors and determinants, b) outcomes (mortality and morbidity) and c) health system response and integrate into the national health information systems
غير األمراض مكافحة في لنتحدالسارية
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
Surveillance
2. Develop national targets and indicators, based on the WHO recommendations and WHA Resolutions
WHA682015 WHA732020 WHA782025
غير األمراض مكافحة في لنتحدالسارية
A global coordination mechanism on NCDs (2014)
Formal meeting of Member States to conclude the work on the terms of reference for a global coordination mechanism on the prevention and control of noncommunicable diseases (Geneva, 11–12 November 2013)
Proposed functions – A forum for Partners to: • Broker knowledge and information:• Encourage innovation:• Promote multisectoral action:• Promote accountability:• Advocate and raise awareness:
Proposed partners:• Member States• UN organizations and other intergovernmental organizations• Non-State actors
for discussion on 11-12 November 2013
Thank you