OVERVIEW OF THE PRIORITY GOOD NEWS TAKING STOCK

ACTIONS RECOMMENDED
Political leadership and commitment
FOR MEMBER STATES established – countries have started
making progress since September 2011.
Countries with an operational NCD policy
GLOBAL ACTION PLAN
United Nations will hold a compre-
hensive review on 10 and 11 J  uly 2
  014
in New York to review the progress
FOR THE PREVENTION AND CONTROL
made since 2011.
OF NONCOMMUNICABLE DISEASES

Action area
Priority actions for Member States
in 2014-2015
> Set national targets for 2025 based on national
situations, taking into account the 9 global
targets for NCDs
> Develop national multisectoral policies and plans
Governance to achieve these targets by 2025, taking into account
the WHO Global NCD Action Plan 2013–2020
> Prepare for the United Nations General Assembly
NCD Review in 2014
Reduce exposure > Implement very cost–effective and affordable
to risk factors interventions (included in Appendix 3 of the WHO
for NCDs Global NCD Action Plan 2013–2020)
and a dedicated budget increased from
32% in 2010 to 50% in 2013.
CHALLENGES
Developing countries have difficulties
in moving from commitment to action
due to a lack of access to technical
expertise and resources.
The role of civil society and private sector
in contributing to national efforts to
address NCDs needs to be clarified
further and ways of measuring their
contributions need to be established.
Ministers of Foreign Affairs, Health,
2013-2020
Development, Planning and Finance
will identify remaining gaps that can
be addressed during the next 3 years.
LOOKING FORWARD
Countries will adopt an action-oriented
outcome document in July 2014 to
shape the national and international
agendas well into the post-2015 era.

Enable health > Implement very cost–effective and affordable

systems to interventions (included in Appendix 3 of the WHO
respond Global NCD Action Plan 2013–2020)

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NCD Tools: http://www.who.int/nmh/ncd-tools/en/
Measure results
© World Health Organization 2014
> Strengthen surveillance for NCDs, covering:
• monitoring of risk factors and determinants
• outcomes (mortality and morbidity)
• health system response
> Integrate into national health information systems,

to ensure collection of data on the 25 i  ndicators and

progress toward the 9 voluntary global targets for NCDs
> Contribute information on trends in NCDs to WHO,
coordinating country reporting with global analyses
THE PROBLEM
The epidemic of noncommunicable
diseases (NCDs) is hidden, misunder-
stood and underreported.
NCDs cause more than 14 million
premature deaths between the ages
of 30 and 70 each year.
The vast majority (85 per cent or
11.8 m
  illion) of these premature these
deaths occur in developing countries.
Four types of NCDs – cardiovascular
diseases, cancers, chronic respiratory
diseases and diabetes – make the largest
contribution to mortality in the majority
of developing countries.
Premature death from NCDs causes
untold suffering, reduces product-
ivity, curtails economic growth and
poses signifi cant social challenge in
most countries.
THE SOLUTION
Most premature deaths from NCDs can be
prevented by governments taking a leading
role and responsibility.
> By means of very effective and affordable
interventions to tackle shared risk
factors, namely: tobacco use, unhealthy
diet, physical inactivity and harmful
use of alcohol
> By means of enabling health systems
to respond through people-centred
primary health care and universal
health coverage
VISION OF THE 2013-2020 ACTION PLAN
THE 9 GLOBAL TARGETS
A world free of the avoidable burden of NCDs.
GOAL OF THE 2013-2020 ACTION PLAN
Reduce preventable and avoidable burden of illness, death and disability due to A25% relative reduction in risk of premature mortality
from cardiovascular diseases, cancer, diabetes, or chronic
NCDs by multisectoral collaboration and cooperation at national, regional and respiratory diseases.
global levels.
Populations to reach highest possible standards of health and productivity,
At least10% relative reduction in the harmful use of alcohol,
as appropriate, within the national context.
wellbeing or socioeconomic development at every age.
A10% relative reduction in prevalence of insufficient
WHAT IS WORLD HEALTH ORGANIZATION physical activity.

DOING 2011-2014?
COST OF ACTION VS INACTION > By monitoring the epidemic.
WHO has been leading efforts to complete a number of global assignments to
A30% relative reduction in mean population intake
of salt/sodium.
> The cost of inaction is more than taking actions recommended These interventions, which have produced accelerate national progress and provide technical support to countries.
in the Global Action Plan on NCDs. gains in many countries, are set out in the
Global Action Plan for the Prevention and WHO Global NCD Action Plan 2013-2020 was endorsed and includes the Global A30% relative reduction in prevalence of current tobacco use
> The cumulative output lost in developing countries associated Control of NCDs 2013-2020, available at Monitoring Framework of 9 targets and 25 indicators. The plan comprises a set of in persons aged 15+ years.

with the four major NCDs is estimated to be US$ 7 trillion
between 2011-2025.
> The cost of implementing a package of highly cost-effective
interventions for the prevention and control of NCDs in all
developing countries is estimated to be US$ 170 billion
between 2011 and 2025.
> Continuing inaction and “business as usual” will undermine social
and economic development throughout the world and threaten
the achievement of internationally agreed development goals.
ht tp://apps .who.int /gb/ebwha/pdf_ f iles/
WHA66/A66_R10-en.pdf?ua=1.
Political leadership and commitment established
– in September 2011, world leaders adopted a
Political Declaration on NCDs at the United Nations
in New York and committed themselves to develop
national plans to prevent and control NCDs and to
consider setting national targets.
Three years later, countries are making progress in
setting national targets, implementing national
multisectoral NCD policy and plans, prioritizing
interventions, and strengthening national
surveillance systems for NCDs.
actions that, when performed collectively by Member States, international partners
and WHO, will help attain the global target of a 25% reduction in premature A25% relative reduction in the prevalence of raised blood
mortality from NCDs by 2025. pressure or contain the prevalence of raised blood pressure,
according to national circumstances.
The UN Interagency Task Force on NCDs, which the UN Secretary-General estab-
lished in 2013 and placed under the leadership of WHO, is providing much-needed
support to developing countries.
Halt the rise in diabetes and obesity.
The WHO Global Coordination Mechanism on NCDs will facilitate engagement among At least50% of eligible people receive drug therapy and
Member States and non-State actors. It will establish Working Groups to recom- counselling (including glycaemic control) to prevent heart attacks
and strokes.
mend ways of providing domestic and international resources, and strengthening the
contribution from the private sector to NCD prevention and control.
An 80% availability of the affordable basic technologies and
essential medicines, including generics, required to treat major
WHO has a budgetary provision of US$192 million for delivering technical assistance noncommunicable diseases in both public and private facilities.
to developing countries. (2014-2015)