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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).

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slide1
WHO Technical Briefing Seminar on Essential Medicines & Health Products, October 2013Noncommunicable Diseases –Action Plan

Dr Shanthi Mendis

Director, Department of NCD Management a.i.

World Health Organization

Geneva, Switzerland

ncds development challenge 2008 estimates
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

5 M

0 M

Low-income

Countries

Lower-

Middle-income

Countries

Upper-Middle-income

Countries

High-income

Countries

Communicable conditions

NCDs < 60

NCDs > 60

Injuries

slide3

Global Mile stones : Prevention and Control of NCDs

2000

Global Strategy for the Prevention and Control of Noncommunicable Diseases

2003

Global Strategy on Diet,

Physical Activity and Health

2004

Action Plan 2008-2013 on the Global Strategy for the Prevention and Control of NCDs

2008

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

slide4

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

slide6

Immediate actions for Member States in 2013-2014

Set national targets for 2025 in 2013, taking into account the 9 global targets

slide7

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

slide8

Immediate actions for Member States in 2013-2014

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

slide9

Immediate actions for Member States in 2013-2014

  • Implement interventions identified by WHO as "very cost effective interventions " using WHO tools:
  • Tobacco use
  • Unhealthy diet and physical inactivity
  • Harmful use of alcohol
slide10

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
slide11

Immediate actions for Member States in 2013-2014

  • 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
slide12

Immediate actions for Member States in 2013-2014

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

slide13

Immediate actions for Member States in 2013-2014

Implement other very cost-effective and affordable interventions identified in Appendix 3 of the Global Action Plan using WHO tools

slide14

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
slide15

Immediate actions for Member States in 2013-2014

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

slide16

Immediate actions for Member States in 2013-2014

Develop national targets and indicators, based on the WHO recommendations and WHA Resolutions

slide17

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