GLOBAL ACTION PLANFOR THE PREVENTION AND CONTROL

OF NONCOMMUNICABLE DISEASES

2013-2020

OVERVIEW OF THE PRIORITY ACTIONS RECOMMENDED FOR MEMBER STATES

GOOD NEWS

Political leadership and commitment

established – countries have started

making progress since September 2011.

Countries with an operational NCD policy

and a dedicated budget increased from

32% in 2010 to 50% in 2013.

CHALLENGES

Developing countries have diffi culties

in moving from commitment to action

due to a lack of access to technical

expertise and resources.

The role of civil society and private sector

in contributing to national eff orts to

address NCDs needs to be clarified

further and ways of measuring their

contributions need to be established.

Action area Priority actions for Member States in 2014-2015

Governance

> Set national targets for 2025 based on national situations, taking into account the 9 global targets for NCDs

> Develop national multisectoral policies and plans to achieve these targets by 2025, taking into account the WHO Global NCD Action Plan 2013–2020

> Prepare for the United Nations General Assembly NCD Review in 2014

Reduce exposure to risk factors for NCDs

> Implement very cost–eff ective and aff ordable interventions (included in Appendix 3 of the WHO Global NCD Action Plan 2013–2020)

Enable health systems to respond

> Implement very cost–eff ective and aff ordable interventions (included in Appendix 3 of the WHO Global NCD Action Plan 2013–2020)

Measure results

> Strengthen surveillance for NCDs, covering:

• monitoring of risk factors and determinants

• outcomes (mortality and morbidity)

• health system response

> Integrate into national health information systems, to ensure collection of data on the 25  indicators and progress toward the 9 voluntary global targets for NCDs

> Contribute information on trends in NCDs to WHO, coordinating country reporting with global analyses

TAKING STOCK

United Nations will hold a compre-

hensive review on 10 and 11  July  2014

in New York to review the progress

made since 2011.

Ministers of Foreign Affairs, Health,

Development, Planning and Finance

will identify remaining gaps that can

be addressed during the next 3 years.

LOOKING FORWARD

Countries will adopt an action-oriented

outcome document in July 2014 to

shape the national and international

agendas well into the post-2015 era.

WWW.WHO.INT/NMH/EN/ | WWW.FACEBOOK.COM/WHO | TWITTER.COM/WHO

NCD Tools: http://www.who.int/nmh/ncd-tools/en/

© W

orld

Hea

lth

Org

aniz

atio

n 20

14

GLOBAL ACTION PLANFOR THE PREVENTION AND CONTROL

OF NONCOMMUNICABLE DISEASES

2013-2020

OVERVIEW OF THE PRIORITY ACTIONS RECOMMENDED FOR MEMBER STATES

GOOD NEWS

Political leadership and commitment

established – countries have started

making progress since September 2011.

Countries with an operational NCD policy

and a dedicated budget increased from

32% in 2010 to 50% in 2013.

CHALLENGES

Developing countries have diffi culties

in moving from commitment to action

due to a lack of access to technical

expertise and resources.

The role of civil society and private sector

in contributing to national eff orts to

address NCDs needs to be clarified

further and ways of measuring their

contributions need to be established.

Action area Priority actions for Member States in 2014-2015

Governance

> Set national targets for 2025 based on national situations, taking into account the 9 global targets for NCDs

> Develop national multisectoral policies and plans to achieve these targets by 2025, taking into account the WHO Global NCD Action Plan 2013–2020

> Prepare for the United Nations General Assembly NCD Review in 2014

Reduce exposure to risk factors for NCDs

> Implement very cost–eff ective and aff ordable interventions (included in Appendix 3 of the WHO Global NCD Action Plan 2013–2020)

Enable health systems to respond

> Implement very cost–eff ective and aff ordable interventions (included in Appendix 3 of the WHO Global NCD Action Plan 2013–2020)

Measure results

> Strengthen surveillance for NCDs, covering:

• monitoring of risk factors and determinants

• outcomes (mortality and morbidity)

• health system response

> Integrate into national health information systems, to ensure collection of data on the 25  indicators and progress toward the 9 voluntary global targets for NCDs

> Contribute information on trends in NCDs to WHO, coordinating country reporting with global analyses

TAKING STOCK

United Nations will hold a compre-

hensive review on 10 and 11  July  2014

in New York to review the progress

made since 2011.

Ministers of Foreign Affairs, Health,

Development, Planning and Finance

will identify remaining gaps that can

be addressed during the next 3 years.

LOOKING FORWARD

Countries will adopt an action-oriented

outcome document in July 2014 to

shape the national and international

agendas well into the post-2015 era.

WWW.WHO.INT/NMH/EN/ | WWW.FACEBOOK.COM/WHO | TWITTER.COM/WHO

NCD Tools: http://www.who.int/nmh/ncd-tools/en/

© W

orld

Hea

lth

Org

aniz

atio

n 20

14

THE PROBLEM

The epidemic of noncommunicable

diseases (NCDs) is hidden, misunder-

stood and underreported.

NCDs cause more than 14 million

premature deaths between the ages

of 30 and 70 each year.

The vast majority (85 per cent or

11.8  million) of these premature these

deaths occur in developing countries.

COST OF ACTION VS INACTION

> The cost of inaction is more than taking actions recommended

in the Global Action Plan on NCDs.

> The cumulative output lost in developing countries associated

with the four major NCDs is estimated to be US$ 7 trillion

between 2011-2025.

> The cost of implementing a package of highly cost-eff ective

interventions for the prevention and control of NCDs in all

developing countries is estimated to be US$ 170 billion

between 2011 and 2025.

> Continuing inaction and “business as usual” will undermine social

and economic development throughout the world and threaten

the achievement of internationally agreed development goals.

THE SOLUTION

Most premature deaths from NCDs can be

prevented by governments taking a leading

role and responsibility.

> By means of very eff ective and aff ordable

interventions to tackle shared risk

factors, namely: tobacco use, unhealthy

diet, physical inactivity and harmful

use of alcohol

> By means of enabling health systems

to respond through people-centred

primary health care and universal

health coverage

> By monitoring the epidemic.

These interventions, which have produced

gains in many countries, are set out in the

Global Action Plan for the Prevention and

Control of NCDs 2013-2020, available at

ht tp://apps.who.int/gb/ebwha/pdf_f iles/

WHA66/A66_R10-en.pdf?ua=1.

Political leadership and commitment established

– in September 2011, world leaders adopted a

Political Declaration on NCDs at the United Nations

in New York and committed themselves to develop

national plans to prevent and control NCDs and to

consider setting national targets.

Three years later, countries are making progress in

setting national targets, implementing national

multisectoral NCD policy and plans, prioritizing

interventions, and strengthening national

surveillance systems for NCDs.

VISION OF THE 2013-2020 ACTION PLAN

A world free of the avoidable burden of NCDs.

GOAL OF THE 2013-2020 ACTION PLAN

Reduce preventable and avoidable burden of illness, death and disability due to

NCDs by multisectoral collaboration and cooperation at national, regional and

global levels.

Populations to reach highest possible standards of health and productivity,

wellbeing or socioeconomic development at every age.

WHAT IS WORLD HEALTH ORGANIZATION DOING 2011-2014?

WHO has been leading eff orts to complete a number of global assignments to

accelerate national progress and provide technical support to countries.

WHO Global NCD Action Plan 2013-2020 was endorsed and includes the Global

Monitoring Framework of 9 targets and 25 indicators. The plan comprises a set of

actions that, when performed collectively by Member States, international partners

and WHO, will help attain the global target of a 25% reduction in premature

mortality from NCDs by 2025.

The UN Interagency Task Force on NCDs, which the UN Secretary-General estab-

lished in 2013 and placed under the leadership of WHO, is providing much-needed

support to developing countries.

The WHO Global Coordination Mechanism on NCDs will facilitate engagement among

Member States and non-State actors. It will establish Working Groups to recom-

mend ways of providing domestic and international resources, and strengthening the

contribution from the private sector to NCD prevention and control.

WHO has a budgetary provision of US$192 million for delivering technical assistance

to developing countries. (2014-2015)

THE 9 GLOBAL TARGETSFour types of NCDs – cardiovascular

diseases, cancers, chronic respiratory

diseases and diabetes – make the largest

contribution to mortality in the majority

of developing countries.

Premature death from NCDs causes

untold suffering, reduces product-

ivity, curtails economic growth and

poses signifi cant social challenge in

most countries.

An 80% availability of the affordable basic technologies and essential medicines, including generics, required to treat major noncommunicable diseases in both public and private facilities.

A 25% relative reduction in risk of premature mortalityfrom cardiovascular diseases, cancer, diabetes, or chronicrespiratory diseases.

At least 10% relative reduction in the harmful use of alcohol, as appropriate, within the national context.

A 10% relative reduction in prevalence of insufficientphysical activity.

A 30% relative reduction in mean population intakeof salt/sodium.

A 30% relative reduction in prevalence of current tobacco use in persons aged 15+ years.

A 25% relative reduction in the prevalence of raised blood pressure or contain the prevalence of raised blood pressure, according to national circumstances.

Halt the rise in diabetes and obesity.

At least 50% of eligible people receive drug therapy and counselling (including glycaemic control) to prevent heart attacks and strokes.

THE PROBLEM

The epidemic of noncommunicable

diseases (NCDs) is hidden, misunder-

stood and underreported.

NCDs cause more than 14 million

premature deaths between the ages

of 30 and 70 each year.

The vast majority (85 per cent or

11.8  million) of these premature these

deaths occur in developing countries.

COST OF ACTION VS INACTION

> The cost of inaction is more than taking actions recommended

in the Global Action Plan on NCDs.

> The cumulative output lost in developing countries associated

with the four major NCDs is estimated to be US$ 7 trillion

between 2011-2025.

> The cost of implementing a package of highly cost-eff ective

interventions for the prevention and control of NCDs in all

developing countries is estimated to be US$ 170 billion

between 2011 and 2025.

> Continuing inaction and “business as usual” will undermine social

and economic development throughout the world and threaten

the achievement of internationally agreed development goals.

THE SOLUTION

Most premature deaths from NCDs can be

prevented by governments taking a leading

role and responsibility.

> By means of very eff ective and aff ordable

interventions to tackle shared risk

factors, namely: tobacco use, unhealthy

diet, physical inactivity and harmful

use of alcohol

> By means of enabling health systems

to respond through people-centred

primary health care and universal

health coverage

> By monitoring the epidemic.

These interventions, which have produced

gains in many countries, are set out in the

Global Action Plan for the Prevention and

Control of NCDs 2013-2020, available at

ht tp://apps.who.int/gb/ebwha/pdf_f iles/

WHA66/A66_R10-en.pdf?ua=1.

Political leadership and commitment established

– in September 2011, world leaders adopted a

Political Declaration on NCDs at the United Nations

in New York and committed themselves to develop

national plans to prevent and control NCDs and to

consider setting national targets.

Three years later, countries are making progress in

setting national targets, implementing national

multisectoral NCD policy and plans, prioritizing

interventions, and strengthening national

surveillance systems for NCDs.

VISION OF THE 2013-2020 ACTION PLAN

A world free of the avoidable burden of NCDs.

GOAL OF THE 2013-2020 ACTION PLAN

Reduce preventable and avoidable burden of illness, death and disability due to

NCDs by multisectoral collaboration and cooperation at national, regional and

global levels.

Populations to reach highest possible standards of health and productivity,

wellbeing or socioeconomic development at every age.

WHAT IS WORLD HEALTH ORGANIZATION DOING 2011-2014?

WHO has been leading eff orts to complete a number of global assignments to

accelerate national progress and provide technical support to countries.

WHO Global NCD Action Plan 2013-2020 was endorsed and includes the Global

Monitoring Framework of 9 targets and 25 indicators. The plan comprises a set of

actions that, when performed collectively by Member States, international partners

and WHO, will help attain the global target of a 25% reduction in premature

mortality from NCDs by 2025.

The UN Interagency Task Force on NCDs, which the UN Secretary-General estab-

lished in 2013 and placed under the leadership of WHO, is providing much-needed

support to developing countries.

The WHO Global Coordination Mechanism on NCDs will facilitate engagement among

Member States and non-State actors. It will establish Working Groups to recom-

mend ways of providing domestic and international resources, and strengthening the

contribution from the private sector to NCD prevention and control.

WHO has a budgetary provision of US$192 million for delivering technical assistance

to developing countries. (2014-2015)

THE 9 GLOBAL TARGETSFour types of NCDs – cardiovascular

diseases, cancers, chronic respiratory

diseases and diabetes – make the largest

contribution to mortality in the majority

of developing countries.

Premature death from NCDs causes

untold suffering, reduces product-

ivity, curtails economic growth and

poses signifi cant social challenge in

most countries.

An 80% availability of the affordable basic technologies and essential medicines, including generics, required to treat major noncommunicable diseases in both public and private facilities.

A 25% relative reduction in risk of premature mortalityfrom cardiovascular diseases, cancer, diabetes, or chronicrespiratory diseases.

At least 10% relative reduction in the harmful use of alcohol, as appropriate, within the national context.

A 10% relative reduction in prevalence of insufficientphysical activity.

A 30% relative reduction in mean population intakeof salt/sodium.

A 30% relative reduction in prevalence of current tobacco use in persons aged 15+ years.

A 25% relative reduction in the prevalence of raised blood pressure or contain the prevalence of raised blood pressure, according to national circumstances.

Halt the rise in diabetes and obesity.

At least 50% of eligible people receive drug therapy and counselling (including glycaemic control) to prevent heart attacks and strokes.