Presentation delivered by Dr Dr Ala Alwan, WHO Regional Director for the Eastern Mediterranean at the 62nd Session of the WHO Regional Committee for the Eastern Mediterranean

1. Implementation of the United
Nations Political Declaration
on Prevention and Control of
Noncommunicable Diseases
Agenda item 2(d)
62nd Session of the Regional Committee for the Eastern Mediterranean
58 October 2015
1

2. 1.Commitments
• The global commitments
• The regional road map
2. How we
measure
progress
• Reporting on regional and
national progress
3. Country
response
• Where do we stand
Outline
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 2

3. 2011
United
Nations
Political
Declaration
2014
Outcome
document
2011
Moscow
Declaration
2015
SDGs
2018
Third UN
high-
level
meeting2018
Historic crossroads: We have come a long way
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 3

4. By 2015
Set national noncommunicable disease targets for 2025 or
2030 and monitor results
Develop a national multisectoral
action plan
By 2016
Implement the "best buy"
interventions to reduce risk factors
Implement the "best buy" interventions to strengthen health
systems to address noncommunicable diseases
2014 United Nations outcome document (A/RES/68/300)
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 4

5. 1
2
3
4
National targets and indicators
Mortality data
Risk factor surveys
National integrated strategy/action plan
5 Tobacco demand-reduction measure
10 progress monitoring indicators
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 5

6. 6
7
8
9
10
Harmful use of alcohol reduction measures
Unhealthy diet reduction measures
Public awareness on diet/physical activity
Guidelines for the management of major
noncommunicable diseases
Drug therapy/counselling for high-risk persons
10 progress monitoring indicators
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 6

7. Framework for Action to
implement the United Nations
Political Declaration
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 7

8. Implementation status in the area of
governance, surveillance and health care
(1)
• Governance
– 32% (7 countries) developed an operational national
multisectoral policy/action plan
– 18% (4 countries) set targets for 2025 based on WHO
guidance
• Surveillance, monitoring and evaluation
– 22% (5 countries) Have satisfactory functioning system for
generating reliable cause-specific mortality data on a routine
basis
– 36% (8 countries) Have implemented a STEPS survey or a
comprehensive health examination survey within the past 5
years
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 8

9. Implementation status in the area of
governance, surveillance and health care
(2)
• Health care
– 73% (16 countries) Have national guidelines/protocols
available for cardiovascular disease and diabetes mellitus
in primary health care
– 50% (11 countries) Have 7 essential medicines required
to treat eligible people at high risk of cardiovascular
disease in the national primary health care package
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 9

10. 27% (6) 27% (6)
13% (3) 13% (3)
27% (6)
9% (2)
0%
10%
20%
30%
40%
50%
Monitor
tobacco use
Protect
people from
tobacco
smoke
Offer help to
quit tobacco
use
Warn about
the dangers
of tobacco
Enforce bans
on tobacco
advertising,
promotion
and
sponsorship
Raise taxes
Implementation status of tobacco
control highest MPOWER measures
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 10

11. Implementation status of the diet and
physical activity related “best buys”
36%(9)
22% (5)
72% (17)
36% (8)
0%
10%
20%
30%
40%
50%
60%
70%
80%
Reduce salt Eliminate
industrially
produced trans-fat
Implement the
International Code
of Marketing of
Breast-milk
Substitutes
Conduct at least
one campaign to
promote physical
activity
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 11

12. Conclusions and the way
forward
Significant additional investments are required to address
noncommunicable diseases in the post-2015 era:
• Prevention: “best buys” in the areas of tobacco control,
physical activity, healthy diet and avoiding harmful use
of alcohol
• Surveillance: focusing on outcomes, exposures and
health system capacity and response
• Management: critical to achieving the global target to
reduce premature mortality by 25% in 2025
Implementation of the United Nations Political Declaration on
Prevention and Control of Noncommunicable Diseases 12

13. Thank You
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