The potential link between JA-CHRODIS and the Action plan for the prevention and control of

noncommunicable diseases in the WHO European Region 2016–2025

Dr Zsuzsanna JakabWHO Regional Director for Europe

Brussels, 28 February 2017

Achieving the goals on premature mortality (30–69 years) from noncommunicable diseases (NCDs) • A 1.5% relative annual

reduction in overall premature mortality from cardiovascular disease (CVD), cancer, diabetes or chronic respiratory diseases until 2020

• A 25% relative reduction in risk of premature mortality from CVD, cancer, diabetes or chronic respiratory diseases by 2025

• A reduction of premature mortality from NCDs by one third by 2030

The new global framework:United Nations 2030 Agenda for Sustainable

Development

Paris, France, December 2016

5

Ostrava, Czechia, 13–15 June 2017

Source: WHO. European Health for All database, 2015

Regional trends in overall premature NCD mortality are promising

6

20002001

20022003

20042005

20062007

20082009

20102011

20122013

20142015

20162017

20182019

20202021

20222023

20242025

0

100

200

300

400

500

600

700

800

900

1000

Age-standardized premature death rate (SDR) from NCDs for people aged 30─69 years and projections to 2025

European Region EU members before May 2004EU members since May 2004 Linear (EU members since May 2004)

SDR,

age

s 3

0–69

yea

rs, m

ain

NCD

s, p

er 1

00 0

00

39% reduction between 2010 and 202535% reduction between 2010 and 202540% reduction between 2010 and 202542% reduction between 2010 and 2025

Progress on tobacco control

7

Progress on alcohol: a mixed picture and ongoing challenges

Alcohol consumption in the WHO European Region decreased

11% between 1990 and 2014.

However, alcohol-attributable deaths increased by 4%.

8

Good news on elimination of undernutrition

9

A worrying picture of childhood obesity

10

In the WHO European Region:

WHO/Europe’s strategies and action plans for NCD risk factors

The global and European action plans for prevention and control of NCDs

PRIORITY ACTION AREAS

Governance

Surveillance, monitoring and

evaluation, research

Prevention and health promotion

Health systems

Population level

Fiscal and marketing policies

Salt reduction

Clean air

Active living and mobility

Product reformulation and

improvement

Individual level

Cardio-metabolic risk assessment and

management

Early detection and effective treatment

Vaccination and communicable disease control

SUPPORTING INTERVENTIONS

Oral health and musculoskeletal

health

Mental health

Health in specific settings

Overview of European NCD action plan 2016–2025

PRIORITY INTERVENTIONS

13

Potential links between European NCD action plan, related plans and the European Union Joint Action on

Chronic Diseases and Promoting Healthy Ageing across the Life-cycle (JA-CHRODIS)

• A commitment to better prevention, management and care• Evidence-based interventions at population and individual levels• Capacity-building and support to policy-makers• People-centred health systems• A life course approach• Monitoring and evaluation of policies

http://www.euro.who.int/en/health-topics/disease-prevention/tobacco/policy/tobacco-control-playbook

https://tobaccoplaybook.net/en/

http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/multimedia/video-do-you-know-what-your-child-sees-online-digital-marketing-of-foods-to-children http://www.euro.who.int/__data/assets/pdf_file/0017/322226/Tackling-food-marketing-children-digital-world-trans-disciplinary-perspectives-en.pdf?ua=1

Priority interventions: fiscal and marketing policies

Priority interventions: active living and mobility

Priority interventions:early detection and

effective management

Assessing health systems for better NCD outcomes

Identifying needs

Engaging patients

Empowering populations

Designing care

Organizing providers & settings

Managing services delivery

Improving performance

Rearranging accountability

Aligning incentives

Preparing a competent workforce

Promoting responsible use of medicines

Innovating health technologies

Rolling out electronic health

Tackling determinants

CHANGEStrategizing with people

at the centre Implementing

transformations Enabling sustainable

change

PEOPLE SERVICES SYSTEM

The European Framework for Action on Integrated Health Services Delivery

© World Health Organization 2016

1Put people and their needs first

2Reorient the

model of care

3Reorganize the

delivery of services

4Engage patients, their families and

carers

5Rearrange

accountability mechanisms

6Align

incentives

9Partner with other sectors

and civil society

10Manage change

strategically

7Develop human

resources for health

8Uptake

innovations

10 lessons learned

2011Political

Declaration

2014Outcome

Document

2011Moscow

Declaration 2015Sustainable

Development Goals

2015Addis Ababa

20183rd High-

level Meeting2018

Only a few months to the 2018 United Nations High-level Meeting

Save the date!European Conference on Progress in the Implementation of the United Nations High-level Declaration on the Prevention and Control of NCDsMoscow, Russian Federation

8–9 June 2017

Thank you!European Conference on Progress in the Implementation of the United Nations High-level Declaration on the Prevention and Control of NCDsMoscow, Russian Federation

8–9 June 2017