1. Uniting around a common agenda How promoting partnerships and joint advocacy for NCDs are bringing stakeholders together to implement the Action Plan for the Global Strategy of the Prevention and Control of NCDs Ms Janet Voute Partnership Adviser, NCDnet World Health Organization

2. What are partnerships and advocacy?
What is the relevance to the NCD Action Plan?
Progress
Lessons learned and what it means for you

3. Scope

4. What is a partnership?
Global health partnership refers to a collaborative relationship among multiple organizations in which risks and benefits are shared in pursuit of a shared goal.
Arrangements for furthering collaboration can range from legally incorporated entities to more informal collaborations without separate governance arrangements.
Terms such as 'alliance', 'network', 'programme', 'project collaboration', 'joint advocacy campaign' and 'task force' are also used.
Source: Report by the WHO Secretariat on Partnerships, 124th Session of WHO Executive Board (please download at

5. Why work in partnership to address NCDs?
Consolidate fragmented efforts
Scale up by pooling limited resources
Engage partners outside the health sector
Promote results-oriented collaborative efforts

6. What is advocacy?
Advocacy is based on persuasion and a specific call to action. It is cause-directed and often not neutral. Advocacy is focused on communicating what is necessary to achieve a particular goal. Effective advocacy demands a solution and recommends a specific plan of action.
Education and information is communication that seeks to spread knowledge and awareness to help create, shape and motivate attitudes, opinions and actions.
Source: UNDP's Blue Book on a hands-on approach to advocate for the MDGs
(please download at )

7. Education and Information Community mobilization
What is advocacy?
Advocacy
Education and Information
Community mobilization
What can it change?
Policies and plans
Laws
Public opinion
Awareness
Behaviour
Community's capacity to address its own issues
Target audiences
Policy makers
Decision-makers
Thought leaders
Media
Age groups
Gender
Settings
Does it target organizations/people with influence?  
Indicators of success
Policies and plans enabling NCD prevention and control
Changes in attitude
Community problem solved
(Based on International HIV/AIDS Alliance)

8. NCDs have been omitted from the development agenda in 144 low- and middle-income countries
17 million deaths from communicable diseases, maternal, perinatal and nutrition conditions
14 million premature deaths from non-communicable diseases, which are preventable
14 million other deaths from non-communicable diseases
5 million deaths from injures
10 million
20 million
30 million
40 million
50 million
60 million
Estimated deaths in developing countries (2004)
10%
34%
29%
27%
Omitted from the MDGs:
27 per cent of total annual deaths in developing countries, which are premature deaths from noncommunicable diseases and which could be largely prevented

9. If nothing is done, deaths from NCDs will increase dramatically in low- and middle-income countries
HIV, TB, malaria
Other infectious diseases
Maternal, perinatal and nutritional conditions
Cardiovascular diseases
Cancers
Other non-communicable diseases
Road traffic accidents
Other unintentional
Intentional injuries 5 10 15 20 25 30
2004
2015
2030
Deaths (millions)
High-income
countries
Middle-income
Low-income

10. Why is advocacy for NCDs needed?
$0.01
$0.06
$0.10
$0.42
$0.92
$0.93
$3.90
$0.21
$0.22
$0.23
$0.24
$0.33
$0.45
$0.53
$0.80
$1.14
$1.16
$1.33
$1.65
$7.40
Water Education/Training
Water Resources Protection
River Development
Waste Management/Disposal
Basic Drinking Water Supply & Sanitation
Water resources policy/admin. mgmt
Water Supply/Sanitation - Large Systems
Health Education
Medical Education/Training*
Medical Research
Basic Health Infrastructure
Medical Services
Basic Nutrition
Tuberculosis Control
Family Planning
Malaria Control
Basic Health Care
Reproductive Health
Infectious Disease Control
Health Policy & Admin. Management*
HIV/AIDS & STDs*
Total Health ODA: $22.1 billion
Health ODA for non-communicable diseases: ?
No "Creditor Reporting System" (CRS) code
Health ODA Commitments (2007) in US$ billions
Sources:

11. WHO is mobilizing a global response
2000
Global Strategy for the Prevention and Control of Non-communicable Diseases
2002
2003
2004
2008
NCDnet
2009

12. Global NCD Action Plan
Endorsed by the World Health Assembly in May 2008 by all Member States
Six objectives:
1. Raising the priority accorded to non-communicable diseases in development work at global and national levels
2. Establishing and strengthening national policies and programmes
3. Reducing and preventing risk factors
4. Prioritizing research on prevention and health care
5. Strengthening partnerships
6. Monitoring NCD trends and assessing progress made at country level
Here are the objectives of the plan. Under each of the six objectives there are three sets of actions to be iplemented during the six year period, one set for member sates, another for WHO and a third for international partners
Under each of the six objectives, there are sets of actions for member states, WHO Secretariat and international partners

13. Global NCD Action Plan
Endorsed by the World Health Assembly in May 2008 by all Member States
Six objectives:
1. Raising the priority accorded to non-communicable diseases in development work at global and national levels
2. Establishing and strengthening national policies and programmes
3. Reducing and preventing risk factors
4. Prioritizing research on prevention and health care
5. Strengthening partnerships
6. Monitoring NCD trends and assessing progress made at country level
Under each of the six objectives, there are sets of actions for member states, WHO Secretariat and international partners

14. Global NCD Action Plan Objective 5: Partnerships
Proposed action for Member States:
Participate actively in regional and subregional networks for the prevention and control of NCDs
Establish effective partnerships for the prevention and control of NCDs involving key stakeholders
Action for the WHO Secretariat:
Establish an advisory group to provide strategic and technical inputs
Encourage active involvement of existing initiatives
Support and strengthen the role of WHO Collaborating Centres by linking their plans to the implementation of the Global NCD Action Plan
Facilitate and support a global network of national NCD networks
Proposed action for International Partners:
Collaborate closely with and provide support to Member States and WHO
Give priority to NCDs in international initiatives to strengthen health systems based on primary health care
Support the establishment of global and national NCD networks

15. NCDnet New network to combat noncommunicable diseases
Launched on 8 July 2009 during ECOSOC High-level Segment
Mission:
Help implement the Action Plan by catalyzing a multi-sectoral, multi-level response, with a particular focus on developing countries
Goals:
Increase focus on prevention and control of non-communicable diseases through collective advocacy
Increase resource availability (both financial and human capital)
Catalyze effective multi-stakeholder action with a focus on country-level implementation

16. NCDnet Involving key stakeholders at the global level
Effective involvement of stakeholders within the health architecture
Effective involvement of stakeholders outside the health architecture
Royal Patrons
Global Advocates
International Development Agencies
International Financial Institutions
Intergovernmental Organizations
Ministries of Planning, Finance, Education and Social Affairs
NGOs
Private sector
Here are the objectives of the plan. Under each of the six objectives there are three sets of actions to be iplemented during the six year period, one set for member sates, another for WHO and a third for international partners

17. NCDnet Structure WHO International Advisory Council
Innovative Funding Mechanisms
Global and Regional Forum Meetings
Working Group to unite stakeholders around a common advocacy agenda
Working Group to identify Innovative Resourcing Mechanisms for NCDs
Working Group to monitor and evaluate progress of NCD Action Plan

18. Working Group to unite stakeholders around a common advocacy agenda
NCDnet
Endorsed by the World Health Assembly in May 2008 by all Member States
Six objectives:
1. Raising the priority accorded to non-communicable diseases in development work at global and national levels
2. Establishing and strengthening national policies and programmes
3. Reducing and preventing risk factors
4. Prioritizing research on prevention and health care
5. Strengthening partnerships
6. Monitoring NCD trends and assessing progress made at country level
Working Group to unite stakeholders around a common advocacy agenda
Under each of the six objectives, there are sets of actions for member states, WHO Secretariat and international partners

19. Working Group to unite stakeholders around a common advocacy agenda
NCDnet
Working Group Coordination:
International Diabetes Federation
World Health Organization
Selected Participants:
World Heart Federation
International Union Against Cancer
World Economic Forum
World Stroke Organization
World Kidney Organization
Global Alliance for Respiratory Disease
Working Group to unite stakeholders around a common advocacy agenda 19

20. Working Group to unite stakeholders around a common advocacy agenda
NCDnet
Objective 1:
Build the Community
Key Tools:
Collaborative communication tools
Develop strategies for improving collaboration and facilitating partnerships at global, regional and country levels
Objective 2:
NCDs included in the development agenda, with adequate and predictable funding
Key Tools:
Advocacy and Communications Toolkit
Speaker’s Bureau
Targeted advocacy at key high-level meetings to reach target audiences
WHO's latest research and evidence for advocacy materials
Working Group to unite stakeholders around a common advocacy agenda

21. Key messages at global level
In all low- and middle-income countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated response. They are the major challenge to development in the 21st century.
Affordable solutions exist to prevent up to 14 million premature deaths from NCDs in low- and middle-income countries.
Leaders in low- and middle-income countries are increasingly challenged to formulate effective strategies to address NCDs. But requests for technical assistance remain largely unanswered by many donors, because these problems are not included in the MDGs.
Member States, WHO and international partners have a strategic role to play in reducing premature mortality and morbidity from NCDs by promoting the implementation of the Global NCD Action Plan.

22. Opportunities for advocacy at national level
Advocate for the establishment and implementation of national NCD policies and plans based on the Global NCD Action Plan
Advocate for inclusion of NCDs in the development agenda and national development planning instruments
Unite and deliver consistent messages
by utilizing NCDnet tools available at ww.who.int/ncdnet

23. Key messages at national level
Based on current data, we know that NCDs now account for a large enough share of premature deaths and poverty (in our country) to merit a concerted and coordinated response. NCDs are the major challenge to health and development in the 21st century.
Affordable solutions exist to address risk factors and enhance primary care to prevent up to [x] million premature deaths from NCDs per year.
We are increasingly challenged to formulate effective strategies to address NCDs and respond to the needs of our population, even though these problems are not included in the Millennium Development Goals (MDGs).
We can begin to reduce premature mortality and morbidity from NCDs by promoting the national implementation of the WHO Global NCD Action Plan and by establishing a national partnership .

24. Opportunities for partnership building at national level
Establish national partnerships to support the development and implementation of the national NCD policies and plans
Include all relevant stakeholders in national partnerships, including NGOs and the private sector
Leverage NCDnet international partners
at national level and access tools at
ww.who.int/ncdnet

26. Thank you voutej@who.int

27. NCDnet Leveraging NCDnet to engage stakeholders at national levels
Effective involvement of stakeholders from the health sector
Effective involvement of stakeholders outside the health sector
National Patrons
National Advocates
International Development Agencies
World Bank
WHO, UNICEF and UNFPA
Ministries of Planning, Finance, Education and Social Affairs
NGOs
Private sector
Here are the objectives of the plan. Under each of the six objectives there are three sets of actions to be iplemented during the six year period, one set for member sates, another for WHO and a third for international partners

28. NCDnet Who needs to be influenced at global levels? G8 Countries
G20 Countries (including Brazil, Russia, India, China)
G77 Countries (Key Influencers)
Commonwealth Countries (Heads of State)
Caribbean Countries (Key Allies)
Donor and Recipient Countries (Key Influencers)
United Nations, United Nations Development Group (UNDP)
Global Philanthropy
The BRIC countries met for their first official summit on 16 June 2009, in Yekaterinburg, Russia. These countries encompass over 25% of the world's land coverage and 40% of the world's population and hold a combined GDP (PPP) of trillion dollars. One week prior to the summit, Brazil offered $10 billion to the International Monetary Fund.[24] It was the first time that the country had ever made such a loan.[24] China also announced plans to invest a total of $50 billion and Russia planned to invest $10 billion.[ 28