This document summarizes the minutes of the 2nd PMAC 2019 Preparatory Meeting held in Japan from 18-20 April 2018. It lists the 25 attendees from various international health organizations. The document discusses selecting the theme for PMAC 2020 on "Innovative actions to accelerate UHC throughout the life course". It also agrees on 15 sessions across 3 sub-themes for PMAC 2019: Risks, Response, and Governance for the political economy of NCDs. The sub-theme leaders will finalize session concepts and coordinators by 23 April 2018.

1. 1
Minutes
2nd
PMAC 2019 Preparatory Meeting
18-20 April, 2018, JICA Research Institute, Japan
Attendees:
No. Name Position / Organization
1 Dr. Panich, Vicharn
Chair, International Award Committee , Prince Mahidol Award
Foundation, Thailand
2 Dr. Toda, Takao
Vice President for Human Security and Global Health, Japan
International Cooperation Agency, Japan
3 Dr. Aekplakorn, Wichai
Chair, Department of Community Medicine, Faculty of Medicine
Ramathibodi Hospital, Mahidol University, Thailand
4 Mr. Ashida, Tatsuya
Senior Deputy Director, Japan International Cooperation
Agency, Japan
5 Dr. Barnhart, Matthew
Senior Medical and Scientific Officer, Bureau for Global Health,
United States Agency for International Development, USA
6 Dr. Collins, Tea
Adviser, The WHO Global Coordination Mechanism on NCDs
(GCM/NCD), World Health Organization, Switzerland
7 Ms. Dain, Katie Chief Executive Officer, NCD Alliance, United Kingdom
8 Prof. Friberg, Peter Head of SIGHT, Sweden
9 Dr. Harper, David
Senior Consulting Fellow, Centre on Global Health Security,
Chatham House, United Kingdom
10 Dr. Kanchanachitra, Churnrurtai
Professor, Institute for Population and Social Research, Mahidol
University, Thailand
11 Dr. Kunii, Osamu
Head, Strategy, Investment and Impact Division (SIID), The
Global Fund to Fight AIDS, Tuberculosis and Malaria,
Switzerland
12 Dr. Murphy, Eamonn
Director, UNAIDS Asia Pacific Regional Support Team, Joint
United Nations Programme on HIV/AIDS, Thailand
13 Dr. Nair, Dinesh (join via skype) Senior Health Economist, The World Bank, USA
14 Dr. Palu, Toomas (join via skype)
Sector Manager for Health, Nutrition and Population, East Asia
and Pacific Region, The World Bank, Thailand
15 Dr. Pande, Aakanksha Senior Health Economist, The World Bank, USA

2. 2
No. Name Position / Organization
16 Dr. Patcharanarumol, Walaiporn Director, International Health Policy Program, Thailand
17 Ms. Rudert, Christiane Regional Advisor for Nutrition, UNICEF Thailand
18 Dr. Sanders, David
Founding Director of the School of Public Health University of
the Western, Cape and People's Health Movement, South Africa
19 Dr. Sritara, Piyamitr
Dean, Faculty of Medicine Ramathibodi Hospital, Mahidol
University, Thailand
20 Dr. Suphanchaimat, Rapeepong Researcher, International Health Policy Programme, Thailand
21 Dr. Teerawattananon, Yot
Director, Health Intervention and Technology Assessment
Program (HITAP), Thailand
22 Dr. Thammatach-aree, Jadej
Deputy, Secretary General National Health Security Office,
Thailand
23 Dr. Vathesatogkit, Prin
Doctor, Lecturer, Faculty of Medicine Ramathibodi Hospital,
Mahidol University, Thailand
24 Dr. Webb, Douglas
Team Leader Health and Innovative Financing, United Nations
Development Programme, USA
25 Dr. Wibulpolprasert, Suwit
Vice Chair, International Health Policy Program Foundation and
Health Intervention and Technology Assessment Foundation,
Thailand
Observers
1 Ms. Iked, Chieko
Senior Assistant Minister for Global Health Minister's
Secretariat, Ministry of Health, Labour and Welfare, Japan
2 Mr. Kato, Takuma
Deputy Director International Affairs Division, Ministry of
Health, Labour and Welfare, Japan
3 Mr. Matsunoshita, Minoru
Deputy Director Development Policy Division, International
Bureau, Ministry of Finance, Japan
4 Mr. Yoshie, Tasuku
Assistant Director Global Health Policy Division, International
Cooperation Bureau, Ministry of Foreign Affairs, Japan
5 Dr. Hori, Hiroyuki
Senior Coordinator, International Affairs Division, Ministry of
Health, Labour and Welfare, Japan
6 Prof. Nakamura, Ryota
Associate Professor, Hitotsubashi Institute for Advanced Study,
Hitotsubashi University
7 Ms. Mori, Junko
University Research Administrator, Hitotsubashi Institute for
Advanced Study, Hitotsubashi University

3. 3
No. Name Position / Organization
Secretariat
1 Ms. Fujita, Eri
Health Team, Human Development, Japan International
Cooperation Agency, Japan
2 Ms. Witworrasakul, Tippawan Coordinator, Mahidol University, Thailand
3 Ms. Kongsupapsiti, Cattleeya Coordinator, Mahidol University, Thailand
1. Welcome and Introduction
Dr. Takao Toda, Vice President for Human Security and Global Health, JICA, welcomed everyone to
the 2nd
PMAC 2019 Preparatory Meeting in Japan. Dr. Vicharn Panich then presented a token of
appreciation to Dr. Toda for kindly hosting this meeting. Dr. Yot Teerawattananon chaired the
meeting and asked the participants to introduce themselves.
Dr. Churnrurtai Kanchanachitra then introduced the work process of the conference preparation for
PMAC 2019. This year will slightly differ from the previous years. The May meeting in Montreux will
invite the Advisory Committee, Technical Committee and the session coordinators to finalize the
contents of all sessions. Then there will be a Call for Abstracts in June, and the abstract selection will
take place in October during the 3rd
Preparatory Meeting in New York. In the meantime, the
commissioned works will be conducted in parallel and will also be discussed in New York. So far,
there has been one commissioned title proposed, namely, the ‘best buys, wasted buys and DIYs for
NCDs prevention’.
2. Potential PMAC 2020 theme
There were 2 proposals for the potential PMAC 2020 theme.
Dr. Toomas Palu from the World Bank presented the proposed theme for PMAC 2020 on
“Innovations for Universal Health Coverage Acceleration”.
Discussion:
 The broader sense of innovation should be considered, not just technology. Innovations in
this regard should include social and political innovations. The theme should also include
organizational innovations.
 Innovations theme should include equitable access between the rich and the poor. It should
also include the use of technology at primary care level, not only the tertiary care level.
The digital divide is a huge problem in many countries. There is the divide between the
North and South, and the urban and rural.
 The theme should show linkage between innovations and SDGs.
 New partners, such as PATH, Carlos Slim Foundation, Bill & Melinda Gates Foundation and
technology organizations, should be involved.
 The impacts of innovation should be evaluated (evidence based approach).

4. 4
Dr. Tea Collins from WHO presented the draft concept note for PMAC 2020 on “Governance for
Health to Enable a Life Course Approach and to Ensure Healthy Aging for All”.
Discussion:
 The 2 proposals are complimentary. Innovation might be brought in as a sub-theme.
 The focus should be on the life course approach. There was concern that focus on aging
might be too narrow.
 Some working titles were proposed: ‘Aging and innovations: opportunities and challenges to
UHC’ and ‘Innovative actions to accelerate UHC throughout the life course’.
Agreement:
 The 2 proposals will be integrated, with a focus on UHC. The World Bank and WHO will work
together to come up with the revised concept note for PMAC 2020 and will present this at
the Montreux Meeting in May 2018. The proposed working title is ‘Innovative actions to
accelerate UHC throughout the life course’.
Action:
 Organizations that are interested in joining the World Bank and WHO to develop the PMAC
2020 concept note can send an email to the PMAC Secretariat.
The Japanese Government proposed to have the 2nd
UHC Forum to be jointly organized with PMAC
2020. This will be discussed in more detail in May together with the revised proposal for PMAC
2020.
3. Future PMAC Themes
There was a suggestion for a strategic approach for PMAC to focus on UHC for the next 5
consecutive years. There should be a time slot in the Montreux Meeting in May to discuss the 5 year
strategic direction of PMAC.
4. PMAC 2019 Sub-themes
On Day 1, the sub-theme lead coordinators presented the content of each sub-theme. Then the
meeting discussed and commented on the contents.
On Day 2, there was break out for group discussion according to sub-theme. Following the
comments from the first day meeting, the groups were requested to look at all sub-themes and
select sessions that fit well into their sub-theme, consider merging some sessions together, as well
as consider where is the gap that we need to have commissioned work.
The aim of the conference is to have a maximum of 15 sessions including commissioned sessions.
For each sub-theme, there may be (4 parallel sessions + 1 commissioned work) or (5 parallel sessions
+ 0 commissioned work).

5. 5
On Day 3, the meeting agreed on the following sessions, commissioned work and coordinators under
each sub-theme. The session coordinators will be invited to the 3rd
PMAC Preparatory Meeting in
May to present and discuss the sessions in detail, looking for any overlaps and gaps.
Agreement:
 The meeting agreed on “The Political Economy of NCDs – a whole society approach” as the
working title for the conference. The conference title will be finalized at the Montreux
Meeting in May.
Action:
 The sub-theme lead coordinators will revise the concept note of each sub-theme, with a
short description of the proposed session for the session coordinators to further develop in
detail, and send it back to the PMAC Secretariat by 23 April 2018.
PL/PS Sub-theme 1- Risks Sub-theme 2- Response Sub-theme 3- Governance
PL Analyzing the political
economy of the
determinants of NCDs
System approaches to
address political economy of
NCDs
Governance of the NCD response –
where are we now?
Rama-Thailand Doug Webb, UNDP
PS1 Behavioural determinants of
NCDs
Strategic investment in NCDs
prevention and control
Multistakeholder engagement at the
local and national levels: challenges
and opportunities
Christiane, UNICEF + SIGHT Kunii, GF + NCD alliance Jesse Bump, HSPH
PS2 Health literacy to
address social and
cultural determinants
of NCDs
Health workforce and
change agents development
Financing of NCD response: Looking
at ODA and beyond (fairness and
efficiency)
WHO + Rama-Thailand IHPP-Thailand + JICA Rachel Nugent, RTI
PS3 Commercial determinants Political economy of
accessing to medicine
and technology
NCDs and legal environments
David Sanders, PHM + WHO Barnhart, UNAIDS + UNDP +
GF + NHSO-Thailand
Tenu Avafia, UNDP
PS4 Public/fiscal policy Health policy advocacy and
social mobilization
Accountability (transparency,
responsiveness, surveillance)
Aakanksha WB + UNICEF UNAID + NCD Alliance Katie Dain, NCD Alliance
PS5 /
Commissioned
Work
Environmental
determinants
Best buys, wasted buys and
DIYs for NCD prevention and
control (commissioned)
Framing for political commitment
(commissioned)
UNICEF + JICA HITAP-Thailand David Harper, CH

6. 6
5. Commissioned Work
This is the first year for commissioned work. The idea of commissioned works stems from views that
evidence based for PMAC could be strengthened. Commissioned works will provide the opportunity
to increase the visibility of PMAC outside current stakeholders. In the future, there may be PMAC
publications that may help make PMAC more visible.
Suggestions:
 The commissioned work may be a synthesis document to cover 3 sub-themes, well-
referenced and not to long (maximum of 10 pages), to help frame the discussion.
 In the future, there should be a more explicit mechanism, a commissioning committee to
oversee the process and report back.
Dr. Yot presented the proposed commissioned work on ‘best buys, wasted buys and DIYs for NCDs
prevention’.
Comments
 Whether the scope of work is too big for limited time? Should scope of work be more
focused? Should consider narrowing the scope to focus on prevention or interventions so
that is more manageable.
 Should maybe focus on “Why the best buys are differentially interpreted and utilized?”
“How the DIYs or best buys are implemented in different countries?” may be more relevant
for PMAC.
 Since PMAC2019 is focused on political economy, the commissioned work should also
review the political economy aspect of implementation of the interventions.
 With regards to DIY, should be careful on using the term “DIY” – is it self-care? Or behavior
change of individual? Since peers is also critical noise around commercially driven DIY. Make
sure DIY is consistent in messages with PMAC session. Disadvantaged people are more
important target for the behavior change.
 In terms of distinction between best buys and wasted buys, it is difficult to find out evidence
of effectiveness of the interventions on the long term. Appraisal of best buys or wasted buys
may be biased.
 The Global Fund and the World Bank have modeling for effectiveness of the intervention
and to compare national strategic plans. It will be useful to share the models with the
commissioned work.
 Regarding the concern on short timeline of working, it is suggested that PMAC 2019 in
January will be presenting the preliminary results and the work will continue afterwards.
 Tea Collins will put Dr. Yot in touch with colleagues in WHO who have worked on reviewing
the interventions.
Agreement:
 The meeting agreed in principal that the commissioned work on ‘best buys, wasted buys and
DIYs for NCDs prevention’ will continue provided that is under the PMAC budget.

7. 7
 Another commissioned work “Framing for Political Commitment” will be under sub-theme 3.
Chatham House and UNDP will take the lead in drafting the concept note of this
commissioned work and will present to the Montreux Meeting in May.
6. Call for Abstracts
Abstracts are a huge wealth of information coming into PMAC. As the Call for Abstracts this year will
be after the Montreux Meeting when the conference sessions are clearer, the abstracts will be more
aligned with the sessions than before. How should we optimally use the information coming into
PMAC?
Agreement:
 The meeting agreed to allocate time at the Montreux Meeting in May to discuss how to
make better use of the Call for Abstracts. There are several options proposed such as, but
not limited to, to have sessions specifically for abstracts; to have a call for abstracts specified
on some sessions (such as on Framing for Political Commitment in sub-theme 3); organize as
a side meeting in preparation for session in the main conference.
7. Other Issues
There was a suggestion to have a session to cut across all 3 sub-themes, using one intervention as an
illustration. The intervention proposed is “Tobacco-free country”.
Action:
 Rama and IHPP will discuss and propose the concept note at the Montreux Meeting.
8. Next Steps and Important Deadlines
The meeting took note of the following next steps, important deadlines and upcoming meetings.
Date Activity Responsible Person
23 April 2018 Send the revised sub-theme concept note (including
contact details of the session coordinators) to PMAC
Secretariat
Lead Sub-theme coordinators
1 May – 31 Jul
2018
Announcement and submission for PMAC 2019
World Art Contest
Partners help disseminate the
announcement among their
network
4 May 2018 Session Proposal sent back to PMAC Secretariat Lead Session Coordinators
16-18 May
2018
3rd
PMAC 2019 Preparatory Meeting
 To finalize PMAC sessions including PL0
 To update on commissioned works
 To discuss 5 year strategic direction of
PMAC
 To discuss how to make optimal use of
abstracts
Venue: Montreux, Switzerland

8. 8
1 Jun – 14 Sep
2018
Call for Abstracts for PMAC 2019 Partners help disseminate the
announcement among their
network
9-12 Oct 2018 4th
PMAC 2019 Preparatory Meeting
 To update on commissioned works
 Abstract Selection
Working Group Meeting for PMAC 2020
Venue: UNDP, NYC