The document summarizes the WHO European Action Plan for the Prevention and Control of Noncommunicable Diseases 2016–2025. The plan aims to achieve reductions in premature mortality from noncommunicable diseases like cardiovascular disease, cancer, diabetes and chronic respiratory diseases. It outlines priority areas like governance, surveillance, prevention, health systems strengthening, and population-level policies. The plan is aligned with the global action plans and frameworks to address noncommunicable diseases.

1. WHO European Action Plan for the Prevention and
Control of Noncommunicable Diseases 2016–2025
Dr Zsuzsanna Jakab
WHO Regional Director for Europe
2 May 2017, Ankara

3. Achieving the goals on premature mortality
(30–69 years) from 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 one third reduction in
premature mortality from
NCDs by 2030

4. The new global framework:
United Nations 2030 Agenda for Sustainable Development

5. UN Interagency Task Force on NCDs supports Turkey to
drive forward action on noncommunicable diseases
FAO, ILO, UNDP,
UNFPA, UNICEF,
WHO
http://www.who.int/ncds/un-
task-force/turkey-mission-april-
2016/en/

6. Paris, France, December 2016
6
Ostrava, Czech Republic, 13–15 June 2017

7. Source: WHO. European Health for All database, 2015
Regional trends in overall premature NCD mortality are promising
7
0
100
200
300
400
500
600
700
800
900
1000
2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020 2022 2024
SDR,ages30–69years,mainNCD,per100000
Age-standardized premature NCD death rates 30─69 and projections to 2025
European Region EU members before May 2004
EU members since May 2004 NIS

8. Progress on tobacco control
8

9. A worrying picture of childhood obesity
9

10. Regional strategies and action plans for
NCD risk factors

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

12. 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
Cardiometabolic 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
12

13. Potential working areas: WHO European NCD Action Plan, related
plans and Ministry of Health of Turkey
• 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

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

15. 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/001
7/322226/Tackling-food-marketing-children-digital-
world-trans-disciplinary-perspectives-en.pdf?ua=1
Priority interventions:
Fiscal and marketing
policies

16. Assessing health systems for better NCD outcomes

17. 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 e-health
Tackling
determinants
CHANGE
Strategizing 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

18. 1
Put people & their
needs first
2
Reorient the
model of care
3
Reorganize the
delivery of
services
4
Engage patients,
their families &
carers
5
Rearrange
accountability
mechanisms
6
Align
incentives
9
Partner with
other sectors
and civil society
10
Manage change
strategically
7
Develop human
resources for
health
8
Take up
innovations
Ten lessons learned

19. 2011
Political
Declaration
2014
Outcome
Document
2011
Moscow
Declaration
2015
SDGs
2015
Addis
Ababa
2018
Third HLM
2018
Only a few months until the 2018 UN High Level Meeting

20. WHO Global NCD Action Plan 2013–2020
including a set of very effective and affordable interventions for all Member States ("best buys")
Vision:
A world free of the avoidable
burden of NCDs
Goal:
To reduce the preventable and
avoidable burden of morbidity,
mortality and disability due to NCDs
by means of multisectoral
collaboration and cooperation at
national, regional and global levels

21. Halt the rise in
diabetes and
obesity
A 10% relative reduction
in prevalence of
insufficient physical
activity
At least a 10% relative
reduction in the
harmful use of alcohol
A 25% relative
reduction in risk of
premature mortality
from cardiovascular
disease, cancer,
diabetes or chronic
respiratory diseases
An 80% availability
of the affordable
basic technologies
and essential
medicines, including
generics, required to
treat NCDs
A 30% relative
reduction in
prevalence of
current tobacco use
A 30% relative
reduction in mean
population intake of
salt/sodium
A 25% relative reduction
in prevalence of raised
blood pressure, or
contain the prevalence
of raised blood pressure
At least 50% of
eligible people
receive drug therapy
and counselling to
prevent heart
attacks and strokes
Nine global NCD targets to be attained by 2025 (against a 2010 baseline)

22. Road map of commitments included in the 2011 UN Political Declaration on NCDs
2011 UN Political Declaration on NCDs
Roadmap of concrete national
commitments, including one time-
bound commitment:
• By 2013, consider developing
national multisectoral policies and
plans
2014 UN Outcome Document on NCDs
Reiterated the same roadmap of national
commitments, including four time-bound
commitments:
By 2015, consider setting national targets
for NCDs
By 2015, consider developing national
multisectoral policies and plans
By 2016, implement best buys to reduce
risk factors for NCDs
By 2016, implement best buys to enable
health systems to respond

23. 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 on NCDs
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

24. Thank you