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NCD ’ s at the UN: Advocacy, Action, and Next Steps Ariella Rojhani October 20, 2011

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NCD ’ s at the UN: Advocacy, Action, and Next Steps Ariella Rojhani October 20, 2011. Topics for Discussion. Background on The NCD Alliance The High-level Meeting (HLM) The Political Declaration Next Steps NGO/CSW engagement. Background on the NCD Alliance. Purpose of NCDA Structure:

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slide1

NCD’s at the UN:

Advocacy, Action, and Next Steps

Ariella Rojhani

October 20, 2011

topics for discussion
Topics for Discussion
  • Background on The NCD Alliance
  • The High-level Meeting (HLM)
  • The Political Declaration
  • Next Steps
  • NGO/CSW engagement
background on the ncd alliance
Background on the NCD Alliance
  • Purpose of NCDA
  • Structure:
    • 4 federations
    • UN Summit Partners Group (UNSPG)
    • NCDA Staff
    • Common Interest Group (CIG)
    • Supporters Group
    • Over 2000 member organizations in 170 countries
  • How we define NCDs
  • Key areas of work
    • Advocacy
    • Research and policy
slide4

Preparing for the High-level Meeting

  • Background
    • UN resolutions
  • Preparatory advocacy efforts
    • CSW, CSocD side events
    • Technical briefings for Member States
    • Permanent Forum on Indigenous Peoples
  • NCDA Proposed Outcomes Document (POD)
    • 34 technical and political targets
  • In-country advocacy through member organizations
slide5

HLM: September 19-20, 2011

  • Highlights:
    • A 2-day meeting
    • Outstanding Member State, civil society participation
      • 31 Heads of State, 133 MS statements
    • NCDs now on the global development agenda
    • Strong focus on the next steps
    • Adoption of the Political Declaration
    • Specific commitments by 43 Member States
      • Russia: US $60m to NCDs in low-income countries
      • Australia: US $3.9m towards WHO’s NCD Action Plan
    • Robust side events
hlm cont d
HLM, cont’d
  • Lowlights:
    • No major new funding for NCDs
    • Lack of discussion around solutions
      • WHO ‘best buys’ came too late, focus was on the problem
    • Too few champion countries
    • Need increased public engagement
slide7

The Political Declaration

  • Negotiation process
    • Co-facilitators: Luxembourg and Jamaica
    • Zero draft: End of June
    • Negotiations: July through mid-August
    • Concluded: September 7th via silent procedure
  • Negotiated mostly by blocs
    • EU, G77, US, Canada, NZ, Australia, Russia, Mexico, Switzerland, Norway, Holy See, Japan
  • More challenging than expected
    • Not technical experts
    • Lack of data (WHO, WEF)
    • Driven by trade, foreign affairs ministries
slide8

Contentious issues in PD

  • Defining NCDs
    • 4 by 4; recognize mental health, oral, renal, & eye disease
  • Use of the word “epidemic”
    • “A challenge of epidemic proportions”
  • Commitment of resources
    • Nothing new, no new fund
  • Targets, indicators, and monitoring framework
    • No specifics, now under development
  • Follow-up
    • Partnership options by end of 2012, SG report to GA in 2013, comprehensive review in 2014
  • Access to medicine and TRIPS
slide9

Strengths and Weaknesses of the PD

  • Strengths:
    • NCDs as a global development issue, IADGs
    • Prevention as “cornerstone”
    • Reduction of exposure to risk factors, including elimination of industrially-produced transfats
    • NCDs as a national priority, including nat’l NCD plans
    • Women and children
    • Early detection, screening, and vaccines
    • Tobacco taxation
    • Indigenous peoples language
    • Creating health-promoting environments
    • Multi-sectoral partnership
    • Health systems strengthening
slide10

Strengths and Weaknesses of the PD

  • Weaknesses
    • No overarching goal to reduce preventable deaths
    • No specific, time-bound targets
    • Alcohol language
    • Marketing of unhealthy foods to children
    • No new resources
    • No specific partnership outline
slide11

Immediate NCDA Priorities and Objectives

  • Following up on the HLM/PD outcomes
    • WHO targets, indicators, and monitoring framework
    • Partnership development
  • Sustained political commitment and NCDs on the broader international political agenda
    • UN, other external meetings (e.g. Social Determinants in Rio, G-20)
  • Engaging new stakeholders
    • NGO/CSW subcommittee on health
  • NCDA organizational evaluation and review
slide12

Thank you!

www.ncdalliance.org

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