The Context of NCD Prevention and Health Promotion: A synopsis of the challenges and opportunities Rio de Janeiro May 2011 David V. McQueen Immediate Past President IUHPE
Health Promotion as Seen Through the Lens of NCDs The NCDs include the major chronic diseases Plus injuries and environmental health concerns Plus the social determinants of health (SDOH) Plus the key behavioral risk factors Plus the key issues of the day: equity, urbanization, globalization, poverty, etc. All of the above relate to physical activity
The Challenge of NCDs in generalChallenge #1Differing priorities in each country; diseases, risk factors,health promotion
Challenge #2History and development of NCD prevention within thepublic health system over time – transition frominfectious to chronic disease has been slow, capacity hasnot caught up, and there continues to be a focus on datacollection and treatment strategies, rather than includingbroader community-based prevention models.
Challenge #3There are numerous underutilized academic institutionsthat can support local solutions and build local capacity.There is a great need to link research to the academicworld
Challenge #4There are too many partners trying to do the same thing.Focus, prioritize, strategize.
Challenge #5There are too many silos, and a great lack of integrated approachto NCDsIntegration enables: - efficient use of staff, funds, and surveillance and intervention efforts; - continuity in the wake of reduction in state and federal funding for chronic disease prevention; - maximization of efforts among stakeholders and partners.Slonim AB, Callaghan C, Daily L, Leonard BA, Wheeler FC, Gollmar CW, Young WF. Recommendations for integration ofchronic disease programs: are your programs linked? Prev Chronic Dis Vol.2, No.2. 2007 Apr [Accessed January 28, 2010].Available from: http://www.cdc.gov/pcd/issues/2007/
Challenge #6There is a lack of intersectoral action to address NCDsand their risk factors.
Challenge #7There is too much focus on mortality and morbidity dataand not enough effort on risk factor surveillance and useof data. In other words, there is too much informationand not enough knowledge, and further, use of thatknowledge.
Challenge #8In general, there is a lack of sustainable strategies linkedto health promotion and social determinants of health.
The opportunities-An integrated approach;-The most effective strategies available;-Locally applied solutions;- Solutions applied across sectors;- Strategies that take a health promotion approach thataddresses social determinants, and;-partners, doing what they do best- MDG UNGA
What we need to do and recognize Total NCD burden and its complexity Bringing a health promotion perspective in Piecemeal approach has been of limited utility Economic burden critical, but how reduced is the key Tie to development, poverty, sustainability, SDOH Tying NCDs to all of global health Use evidence we have,but develop more