Changing the Course of Chronic Disease,                                                                         One Commun...
Non-Communicable Diseases (NCDs):       An Urgent Issue            UN High Level Meeting on NCDs* Sep 19/20 2011         ...
NCDs Leading Cause of Death Globally  NCDs cause >2X the number of deaths from HIV/AIDS, malaria, TB + all  maternal and c...
Prevention: The Holy Grail for Tackling NCDs   WHO: a healthy diet, exercise and avoiding tobacco can prevent:    •   80%...
The Arogya World Approach to the NCD Crisis                               Two-fold missionGalvanize global action to addre...
Why We Believe NCDs are a Women’s Issue   Direct Impact - NCDs are the #1 killer of women   Impact on women as caregiver...
Women: A Powerful Solution to the NCD Crisis                       WHO: 80% diabetes & heart disease,                   40...
Women for a Healthy Future        Mobilizing Women in Fight Against NCDs   Women for a Healthy Future - started in 2011 b...
Ensuring Women’s Voices Are Heard   2012 work       Continue dialog with food & beverage industry –Talking to experts. E...
Back-Up
Arogya World Network of InfluencersBoard*    Dr. Nalini Saligram – Arogya World; Dr. Pamela Yih, Treasurer – Pamela Y-F Yi...
Our Track Record  • Feb 2009 – Workshop with 66 stakeholders in Delhi to gather input on priorities.  • World Diabetes Day...
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Mobilizing Women in the Fight Against NCDs

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Presentation given by Arogya World CEO, Nalini Saligram, PhD, at the Geneva Health Forum - PS31 A gender lens to chronic conditions

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Mobilizing Women in the Fight Against NCDs

  1. 1. Changing the Course of Chronic Disease, One Community at a TimeMobilizing Women in the Fight Against NCDs Nalini Saligram, Ph.D. 20 April 2012 PS31 A gender lens to chronic conditions Geneva Health Forum Arogya World is a U.S. based non-profit 501 © 3 organization. The name of the organization is simply an articulation of our mission: Arogya in Sanskrit means good health. More literally it means to live a life without disease.
  2. 2. Non-Communicable Diseases (NCDs): An Urgent Issue  UN High Level Meeting on NCDs* Sep 19/20 2011 • NCDs: one of the leading health and development challenges of the century • Political Declaration: “whole of government” and “whole of society” approach  Nearly 2 out of every 3 deaths in the world due to NCDs • 80% of NCD deaths occur in low- and middle-income countries • But, only 3% of overall global development assistance for NCDs.  Cost of Inaction > cost of action • Economic Burden of NCDs: World Economic Forum/ Harvard** : NCDs (+ mental health) have cumulative loss of economic output = $ 47 trillion. • Action: WHO Best Buys*** cost $11 billion per year in LMICs , roughly 1$ per person per year  Prevalence of NCDs alarmingly high • >20% of population in India**** has at least one chronic disease; >10% more than one* NCDs = Cardiovascular diseases, diabetes, cancers + chronic respiratory disease**WEF/Harvard Global Economic Burden of NCDs Sep 2011; ***WEF / WHO Report – From Burden to Best Buys 2011****The Lancet series January 12, 2011 © 2010 Arogya World. All Rights Reserved. 2
  3. 3. NCDs Leading Cause of Death Globally NCDs cause >2X the number of deaths from HIV/AIDS, malaria, TB + all maternal and childhood conditions + nutritional deficiencies COMBINED Decrease by 10% over next 10 years 9% 30% Infectious Diseases, + maternal & Increase by 71% over newborn conditions + nutritional deficiencies next 10 years 61% Non-Communicable Diseases NCDs 58 million people die each year Injuries 35 million of them due to NCDs © 2010 Arogya World. All Rights Reserved. 3
  4. 4. Prevention: The Holy Grail for Tackling NCDs WHO: a healthy diet, exercise and avoiding tobacco can prevent: • 80% of premature heart disease • 80% type II diabetes • 40% of cancers Compelling Clinical Proof Exists that Diabetes Can Be Prevented Landmark Trial - Diabetes Prevention Program (DPP) • 3,234 adults at risk for diabetes. Multiple centers in the US. 30 min of physical activity a day + low-fat diet reduced the chance of getting diabetes by 58%, while metformin reduced the chance by 31%. NEJM Feb 7, 2002. • Follow-up of DPP in The Lancet (2009) …diabetes prevention through lifestyle changes sustained for 10 years. Finnish Diabetes Prevention Study  NEJM May 3, 2001. Indian Diabetes Prevention Programme  Diabetologia. 2006 Feb;49(2):289-97. © 2010 Arogya World. All Rights Reserved. 4
  5. 5. The Arogya World Approach to the NCD Crisis Two-fold missionGalvanize global action to address Implement Diabetes Prevention non-communicable diseases through Lifestyle Changes in India ► Leverage UN NCD Summit Sep 2011 ► Op-ed, blog and social media campaign ► Multipronged Approach in schools, ► Case studies workplaces and the community ► Women and NCDs ► Leverage technology and partnerships for ► Women for a Healthy Future Petition scalable, cost-effective programs ► 10,000 Women “Perspectives on NCDs” ► Science-based work Global Survey ► Measure effectiveness and impact © 2010 Arogya World. All Rights Reserved. 5
  6. 6. Why We Believe NCDs are a Women’s Issue Direct Impact - NCDs are the #1 killer of women Impact on women as caregivers Women disadvantaged in terms of prevention Integral part of Maternal and Child Health – low birth weight leads to heart disease and diabetes later in life in the child Cooking over open fires – COPD NCDs impact next generation Sir George Alleyne video © 2010 Arogya World. All Rights Reserved. 6
  7. 7. Women: A Powerful Solution to the NCD Crisis WHO: 80% diabetes & heart disease, 40% cancers preventable with lifestyle changes.  Improving the health of women has positive ripple effects on family + community.  Policymakers should educate pregnant women to have healthy pregnancies and avoid low birth weight.  Collect gender disaggregated morbidity and mortality data.  Health systems not geared to deliver optimum healthcare for women, so focusing on women can improve outcomes for all.  Invest in educating women about NCD prevention through healthy living, and they will teach their families. © 2010 Arogya World. All Rights Reserved. 7
  8. 8. Women for a Healthy Future Mobilizing Women in Fight Against NCDs Women for a Healthy Future - started in 2011 by Arogya World +Global Health Council, NCD Child, Women Deliver, NCD Action, Public Health Institute, The Max Foundation, Disruptive Women in Health Care, Hriday, NCD Alliance, World YWCA, Beyond Sport Online Petition  mobilizing women to demand action against NCDs from world leaders – govt + biz.  Raised 4,000 signatures.  Press release to mark UN HLM, distributed to media + world leaders at UN + side events. © 2010 Arogya World. All Rights Reserved. 8
  9. 9. Ensuring Women’s Voices Are Heard 2012 work  Continue dialog with food & beverage industry –Talking to experts. Engaging with IFBA.  Global women’s perspectives on NCDs and their impact survey. • 10,000 women; 1,000 women from each of 10 countries. US, UK, + 8 developing world countries • Web and mobile technologies. SRBI Abt + Jana • Currently seeking funding • Advocacy Tool. Show what women care about, and identify NCD priorities Future work  Adapt My Plate icon to other countries  Develop and distribute educational materials for women  Global communications campaign © 2010 Arogya World. All Rights Reserved. 9
  10. 10. Back-Up
  11. 11. Arogya World Network of InfluencersBoard* Dr. Nalini Saligram – Arogya World; Dr. Pamela Yih, Treasurer – Pamela Y-F Yih Inc.; Kathryn Graves – Emory Univ Rollins School of Public Health; Dr. MeryleMelnicoff– formerly at WISTAR InstituteIndo-US Scientific Steering Committee* Based in India - Dr K. Srinath Reddy – President, Public Health Foundation of India, Dr V. Mohan – Madras Diabetes Research Foundation, Dr Ashok K. Das – Additional Director General Health Services, Dr Prabhakaran – Centre for Chronic Disease Control, and PHFI, Dr Nikhil Tandon – All India Institute of Medical Sciences, Dr. Prasanna Kumar – Bangalore Diabetes Hospital Based in the US - Dr K.M. VenkatNarayan – Emory University, Dr Sreekumar Nair – Mayo Clinic, Dr Francine Kaufman – Medtronic, Dr KarmeenKulkarni – Abbott Diabetes Care, Dr Sethu Reddy – Merck, Dr. Om Ganda -JoslinAdvisors*Dr A Ramachandran - India Diabetes Research Foundation, Chennai; Dr SubhankarChowdhury-IPGME&R and SSKM Hospital, Kolkata; Monika AroraHriday-Shan; C.V. MadhukarPRS Legislative Research; Deanna M. HoelscherMichael and Susan Dell Center for Advancement of Healthy Living; Dr Sudeep Singh Gadok, International Health and Development Expert; Raj Dave ARE Consulting, Dr. ArunChockalingamWorld Hypertension League, Dr. David C U’PrichardDruid ConsultingBehavior Change Task Force* Based in the US - Dr. Fran Kaufman, Medtronic, Dr. LinelleBlais, Emory University, Andrea Falls, Edelman Based in the UK – Zoe Hellman, Weight Watchers Based in India – Dr. Ranjani Harish, Dr. Mohan’s Diabetes Specialities Centre, Dr. Monika Arora, Hriday-Shan, SukantiGhosh, APCO Worldwide, Dr. KanavKahol– PHFI*all working pro-bono+ConsultantsTheaJoselow (Washington DC – digital media expert), Dr. S Kumar (Bangalore - senior consultant India), Dr. SandhyaRamalingam (Bangalore – market research expert), Beau Young (Philadelphia- accountant)
  12. 12. Our Track Record • Feb 2009 – Workshop with 66 stakeholders in Delhi to gather input on priorities. • World Diabetes Day 2009; 40 community walks in Delhi; 6,000 children asked MrsGursharanKaur, wife of Prime Minister of India, for help in making policy changes •Formalized as US-based non-profit organization March 2010. •New Diabetes Friendly Recipe Created for Arogya World by celebrated Manhattan chef from Devi Nov 2010 •Initiated Schools diabetes education program in India 2011; completed year 1 program, encouraging results •Clinton Global Initiative Commitment 2011 – 1 million consumers diabetes mHealth campaign in India; 30,000 consumers received messages through March 2012. • Healthy Workplace Stakeholder Input Session in India Bangalore, Feb 24, 2012 •Women for a Healthy Future – 2011 petition;

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