Webinar – NCDs & social
determinants

UNDP Pacific Centre
Suva - Fiji
Ferdinand Strobel
Presentation outline
1. Pacific NCD crisis
2. Determinants (emphasis on
trade)
3. Actions & Future plans
1. Pacific NCD crisis

Age standardized diabetes prevalence by WHO regions

Photo Credits: Waqanivalu & UN
Rapid epidemiological transition
2. Determinants

Photo Credits: Burton (left); Tim McKenna (right)
Photo Credits: Waqanivalu , catholic.org,
healingtalks.com
Photo Credits: Strobel and UNDP
Photo credit: Vlad Sokhin
Graphs: Thow et al. 2011

Effects of trade liberalization:

Opening of
domestic
markets to
int. food
trade

Entry of
trans...
Photo Credits: Strobel, Hoejskovp, commons.wikimedia.org
Photo Credits: Strobel, Melissa Goldman, flickr, matava.com
Diabetes
prevalence

20%
Imports
value

1%

Year
3. Actions
Work on Health & Trade intersections
(2013 – 9 countries)
•

Establish/ strengthen intersectoral
coordination mechanisms;
...
Some initial results

• Greater recognition of the need for coherence
between health & trade policies by leaders
• Country...
Other planned area of work
• Help develop an ‘economic and social case’
• Mainstream NCDs in National Development
Strategi...
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NCDs and Social Determinants - UNDP Pacific Regional Centre - 2013

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A presentation prepared for a UNDP webinar on "Addressing the Social Determinants of Noncommunicable Diseases". This presentation highlights the NCD crisis in the Pacific, discusses the determinants of NCDs in the Pacific (with an emphasis on trade), and discusses action and future work

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NCDs and Social Determinants - UNDP Pacific Regional Centre - 2013

  1. 1. Webinar – NCDs & social determinants UNDP Pacific Centre Suva - Fiji Ferdinand Strobel
  2. 2. Presentation outline 1. Pacific NCD crisis 2. Determinants (emphasis on trade) 3. Actions & Future plans
  3. 3. 1. Pacific NCD crisis Age standardized diabetes prevalence by WHO regions Photo Credits: Waqanivalu & UN
  4. 4. Rapid epidemiological transition
  5. 5. 2. Determinants Photo Credits: Burton (left); Tim McKenna (right)
  6. 6. Photo Credits: Waqanivalu , catholic.org, healingtalks.com
  7. 7. Photo Credits: Strobel and UNDP
  8. 8. Photo credit: Vlad Sokhin
  9. 9. Graphs: Thow et al. 2011 Effects of trade liberalization: Opening of domestic markets to int. food trade Entry of transnational food corporations, aggressive marketing Dramatic increase in the availability & demand for ultra-processed foods & drinks Profound & rapid change of diets composition and food habits : “snacks” – “treats”
  10. 10. Photo Credits: Strobel, Hoejskovp, commons.wikimedia.org
  11. 11. Photo Credits: Strobel, Melissa Goldman, flickr, matava.com
  12. 12. Diabetes prevalence 20% Imports value 1% Year
  13. 13. 3. Actions
  14. 14. Work on Health & Trade intersections (2013 – 9 countries) • Establish/ strengthen intersectoral coordination mechanisms; • Practice joint planning and share experience • Include among others, health impact assessments, and taxation policies which affect the risk factors for NCDs; • Provide the technical support required to support policy coherence between trade and health sectors; • To accelerate the regional and national efforts to develop and implement food standards for relevant nutrients (e.g. fat, sugar and salt content in processed foods)
  15. 15. Some initial results • Greater recognition of the need for coherence between health & trade policies by leaders • Country action (i.e Tonga) • Economic ministers wanting a roadmap • Recognition of the need for ‘major interventions outside the health sector’ by forum leaders
  16. 16. Other planned area of work • Help develop an ‘economic and social case’ • Mainstream NCDs in National Development Strategies • Develop innovative delivery platforms (Public-private partnerships ?) • Support the implementation of FCTC (art. 5) – • Develop practical tools • Support to CSOs (NCD constituencies & consumer rights protection, etc…)

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