Transcript WHO Technical Briefing Seminar on Essential Medicines & Health Products, October 2013 Noncommunicable Diseases –Action Plan Dr Shanthi Mendis Director, Department of NCD Management.

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)
35 M
Premature Deaths 9 M
Total NCD deaths 36 M
30 M
25 M
20 M
15 M
10 M
5M
0M
Low-income
Countries
LowerMiddle-income
Countries
Communicable conditions
UpperMiddle-income
Countries
NCDs < 60
NCDs > 60
High-income
Countries
Injuries
Global Mile stones : Prevention and Control of NCDs
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
Global Strategy to Reduce
the Harmful Use of Alcohol
2009
WHO Global Status
Report on NCDs
2010
2011
Political Declaration on NCDs
2013
2020
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
WHO Global NCD Action Plan 2013-2020 –objectives
Objective 1:
Objective 2:
Objective 3:
Objective 4:
Objective 5:
Objective 6:
To
strengthen
international
cooperation
and
advocacy to
raise the
priority
accorded to
prevention
and control
of NCDs in
the
development
agenda and
in
internationall
y-agreed
development
goals
To
strengthen
national
capacity,
leadership,
governance,
multisectoral
action and
partnerships
to accelerate
country
response for
prevention
and control
of NCDs
To reduce
exposure to
modifiable
risk factors
for NCDs
through
creation of
healthpromoting
environment
s
To
strengthen
and reorient
health
systems to
address
prevention
and control
of NCDs
through
peoplecentered
primary
health care
and
universal
coverage
To promote
and support
national
capacity for
high quality
research and
development
for
prevention
and control
of NCDs
To monitor
trends and
determinants
of NCDs and
evaluate
progress in
their
prevention
and control
Immediate actions for Member States in 2013-2014
Action Area
1. Set national targets for 2025 in 2013,
taking into account the 9 global targets
Governance
Risk factors
Health systems
Surveillance
‫لنتحد في مكافحة األمراض غير السارية‬
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
‫لنتحد في مكافحة األمراض غير السارية‬
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
‫لنتحد في مكافحة األمراض غير السارية‬
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
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
Surveillance
‫لنتحد في مكافحة األمراض غير السارية‬
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
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
‫لنتحد في مكافحة األمراض غير السارية‬
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
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
Health systems
Surveillance
‫لنتحد في مكافحة األمراض غير السارية‬
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
Health systems
2. Implement other very costeffective and affordable
interventions identified in
Appendix 3 of the Global
Action Plan using WHO tools
Surveillance
‫لنتحد في مكافحة األمراض غير السارية‬
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
Immediate actions for Member States in 2013-2014
Action Area
Governance
Risk factors
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
Health systems
Surveillance
‫لنتحد في مكافحة األمراض غير السارية‬
Immediate actions for Member States in 2013-2014
Action Area
Governance
2. Develop national targets and
indicators, based on the WHO
recommendations and WHA
Resolutions
Risk factors
Health systems
Surveillance
2015 WHA68
2020 WHA73
‫لنتحد في مكافحة األمراض غير السارية‬
2025 WHA78
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
‫لنتحد في مكافحة األمراض غير السارية‬
Thank you