NCDs in the Context of the SDGs - a presentation delivered by Dr Albert Francis Domingo (Consultant, WHO Regional Office for the Western Pacific) at the Philippines' DOH NCRO Operational Planning Workshop for Local Strategic Plans on Noncommunicable Diseases Prevention and Control Programs, 2-4 December 2015. (Adapted from an earlier presentation by Dr Douglass Bettcher, Director, Prevention of NCDs, WHO.)

1. NCDs in the Context of the SDGs1 |
NCDs in the context of the SDGs
2030 Agenda for Sustainable Development
Albert Francis E. Domingo MD MSc
Noncommunicable Diseases and Health Promotion
Division of NCD and Health through the Life-Course
WHO Regional Office for the Western Pacific
3 December 2015

2. NCDs in the Context of the SDGs2 |
From the Millennium Development Goals in 2000

3. NCDs in the Context of the SDGs3 |
From: http://data.worldbank.org/news/significant-progress-towards-achieving-MDGs
From the Millennium Development Goals in 2000

4. NCDs in the Context of the SDGs4 |
2011
Political
Declaration
2014
Outcome
Document
2011
Moscow
Declaration
2015
SDGs
2015
AAAA
2018
3rd HLM
Historic crossroads: NCD getting to 2018
2018

5. NCDs in the Context of the SDGs5 |
Historic crossroads: NCDs included in the 2030 Agenda for Sustainable Development

6. NCDs in the Context of the SDGs6 |
SDG3: Ensure healthy lives and
promote well-being for all at all ages
• Reduce maternal mortality
• End preventable deaths of newborns and
children under 5 years of age
• End epidemics of AIDS, TB, malaria and
NTDs and combat hepatitis, water-borne
diseases and other communicable
diseases
• Reduce by one third premature
mortality from NCDs and promote
mental health
• Strengthen prevention and
treatment of substance abuse
• Halve deaths and injuries from road traffic
accidents; ensure universal access to
sexual and reproductive health
• Achieve universal health coverage,
access to quality essential health-
care services and access to
medicines and vaccines
• Substantially reduce deaths and illnesses
from hazardous chemicals, pollutants and
contaminants
• Strengthen implementation of the
WHO FCTC, as appropriate
• Support R&D of vaccines and
medicines in accordance with the
Doha Declaration on the TRIPS
Agreement and Public Health
• Substantially increase health financing and
development of the health workforce in
developing countries
• Strengthen country capacities for early
warning, risk reduction and management
of national and global health risks

7. NCDs in the Context of the SDGs7 |
Commits governments to develop national
responses:
 Target 3.4: By 2030, reduce by one third
premature mortality from NCDs
 Target 3.5: Strengthen responses to reduce
the harmful use of alcohol
 Target 3.8: Achieve universal health
coverage
 Target 3.a: Strengthen the implementation
of the WHO Framework Convention on
Tobacco Control
 Target 3.b: Support research and
development of vaccines and medicines for
NCDs that primarily affect developing
countries
 Target 3.b: Provide access to affordable
essential medicines and vaccines for NCDs
2030 Agenda for Sustainable Development

8. NCDs in the Context of the SDGs8 |
Global cost of implementing the SDGs between 2016 and 2030
US$175 trillion
Domestic public
resources
Private business
and finance
International
public finance
International
trade as an
engine for
development
Debt
sustainability
Systemic issues
(UN leadership
role)
Science,
technology,
innovation and
capacity building
Data

9. NCDs in the Context of the SDGs9 |
Tobacco tax as a revenue stream for financing for development
The Addis Ababa Action Agenda
recognizes that price and tax measures
on tobacco represent a revenue stream
for financing for development in many
countries
 Governments already collect nearly
US$270 billion in tobacco excise
revenues each year
 Tobacco taxation offers a win-win
policy option for governments
 Increased tobacco taxes can bring in
important revenue to finance the
SDGs
 WHO FCTC implementation is a target
of the SDGs

10. NCDs in the Context of the SDGs10 |
Tobacco tax as a revenue stream for financing for development

11. NCDs in the Context of the SDGs11 |
2025 milestone: 9 voluntary global NCD targets
By 2030, reduce by one third premature mortality from NCDs
2030 milestone: NCD-related targets in the SDGs
2018 milestone: Four time-bound commitments
WHO Global
NCD Action
Plan 2013-
2020
2011 UN
Political
Declaration on
NCDs
2014 UN
Outcome
Document on
NCDs
Governance Risk factors Health systems Surveillance
Components of national NCD responses
WHO Regional
NCD Action
Plans
Getting to 2030: Global vision
Sustainable
Development
Goals

12. NCDs in the Context of the SDGs12 |
Four time-bound commitments in the 2014 UN Outcome Document on NCDs
By 2015:
Set national NCD targets for 2025 or 2030 and monitor results
By 2015:
Develop a national multisectoral
action plan
By 2016:
Implement the "best buy" interventions
to reduce NCD risk factors
By 2016:
Implement the "best buy" interventions to strengthen health
systems to address NCDs

13. NCDs in the Context of the SDGs13 |
 Based on the set of 10 progress
monitoring indicators published
by WHO in May 2015
 Indicators show progress
achieved by countries in
implementing the four time-
bound commitments for 2015
and 2016
 Data drawn from several
sources generated by WHO and
validated with supporting
documentation provided by
countries
WHO NCD Progress Monitor 2015 published on 25 September 2015

14. NCDs in the Context of the SDGs14 |
10 Progress Monitoring Indicators

15. NCDs in the Context of the SDGs15 |
10 Progress Monitoring Indicators

16. NCDs in the Context of the SDGs16 |
WHO NCD Progress Monitor 2015: Philippines

17. NCDs in the Context of the SDGs17 |
WHO NCD Progress Monitor 2015: Progress is insufficient
0 5 10 15 20 25 30 35
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Number of Member States
Numberof"fullyachieved"Indicators

18. NCDs in the Context of the SDGs18 |
Including subnational
demonstration
Bolder measures are needed by
governments, international partners and WHO
to ensure that the four time-bound commitments for
2015 and 2016 included in the 2014 UN Outcome
Document on NCDs are fully implemented
WHO NCD Progress Monitor 2015: Progress is insufficient

19. NCDs in the Context of the SDGs19 |
What WHO is doing to support countries to get ready for 2018?
Governance Risk factors Health systems Surveillance
UN Agencies
(coordinated through
the UN Task Force on
NCDs)
WHO
Secretariat
(through Programme
Budget
2016-2017)
Member
States and
non-State
actors
(coordinated through
the WHO GCM/NCD)
Development and implementation of national NCD responses
• Normative work
• Technical assistance
• Technical assistance
(beyond the health sector)
• Advocacy
• Network
• Forum
Components of national NCD responses

20. NCDs in the Context of the SDGs20 |
Time to scale up action
Third High-level Meeting on NCDs
2018

21. NCDs in the Context of the SDGs21 |
Thank you
NCD@wpro.who.int
03/12/2015 21