World Health Organization Non-communicable disease prevention and control: key messages 1.Non-communicable diseases are a major public health and socio- economic problem. –2/5 deaths in South Africa –loss of productivity, harmful use of alcohol alone (10-12% GDP) 2.“Dying too young:” 80% of premature mortality occurs in low and middle-income countries. 3.Public policies and health systems interventions exist to prevent premature deaths from non communicable diseases. 4.Prevention and control of noncommunicable diseases are becoming a part of the global development agenda, including post 2015 agenda. 5.UN Global Coordination Mechanism established to move forward the NCD agenda.

World Health Organization What are non-communicable conditions? 4 Diseases, 4 Modifiable Shared Risk Factors Tobacco Use Unhealthy diets Physical Inactivity Harmful Use of Alcohol Cardio- vascular Diabetes Cancer Chronic Respiratory

World Health Organization 64 th Session A/RES/64/265 Prevention and control of non-communicable diseases GLOBAL NCD NETWORK LAUNCHED 65th Session A/65/362 A/RES/65/238: Scope, modalities, format and organization of the High- level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases WHO global forum: Addressing the challenge of noncommunicable diseases 27 April 2011 – Moscow First global ministerial conference on healthy lifestyles and noncommunicable disease control April Moscow, the Russian Federation Moscow Declaration th Session A/66/83 June: interactive hearing with CSO, priv sector & academia High-level Meeting on the prevention and control of non-communicable diseases A/66/2 53th session A53/14 Global strategy for the prevention and control of non-communicable diseases WHA th session WHA56.1 Framework Convention on Tobacco Control th session WHA57.17 Global strategy on diet, physical activity and health th session A60/15 Secretariat’s report on implementation of the global strategy on NCDs WHA st session A61/ Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases WHA th session A63.12 Secretariat’s report on implementation of the global strategy on NCDs WHA63.13 Global Strategy to reduce the harmful use of alcohol WHA63.14 Marketing of food and non- alcoholic beverages to children 2010 Global Status Report on NCDs th session A64/21 on role of WHO in UN HLM WHA64.11 Nov: WHO hearings with CSO and private sector on the HLM People’s Health Movement

World Health Organization : WHO Convened 6 informal meetings of UN agencies on implementation of political declarations May 2013: 66 th World Health Assembly (WHA): NCD Resolution A66.10 unanimously approved Endorse WHO Global NCD Action Plan Adopt comprehensive Global Monitoring Framework, including 9 global targets and 25 indicators Agree to develop a global coordination mechanism for NCDs by the end of 2013 Follow-up 1.Develop terms of reference for GCM in Develop “action plan” indicators in Conclude work on division of tasks and responsibilities for UN organizations before end of October 2013

World Health Organization WHA67: 2014 Interagency Task Force on Prevention and Control of NCDS, including a Division of Tasks and Responsibilities for UN Agencies Purpose: “Coordinate activities of relevant UN agencies.. to support the realization of commitments …. on the prevention and control of NCDS” Objectives: (summarized) 1.Coordinate support to Member States on NCD prevention and control 2.Promote information exchange 3.Undertake resource mobilization 4.Advocacy 5.Ensure tobacco control is addressed and prioritized 6.Strengthen international cooperation through exchange of best practices Convener and secretariat: WHO Division of tasks and responsibilities across UN agencies

World Health Organization Questions for UNCT: implications at country level 2013: Joint letter from UNDP administrator and WHO DG proposing that UNCTs integrate NCDS into the UNDAF Highly relevant for South Africa Strong political commitment Agenda broadly established: identification of needs NDOH/WHO Major part of WHO RSA CO workplan and agenda