1. FROM GLOBAL POLICY TO NATIONAL PROGRAMMES: HOW PROGRAMME MANAGERS USE GLOBAL AND REGIONAL POLICY
Dr Ruitai Shao
Programme Management Adviser
Department of Chronic Diseases and Health Promotion
World Health Organization

2. Outline Main Global Initiatives
Progress in national NCD prevention and control
Challenges and opportunities
From global policy/initiatives to national action
The way forward

3. WHO Global Roadmap on NCDs
2000
2003
2004
2008
Global Strategy for the Prevention and Control of Noncommunicable Diseases
Global Strategy on Diet,
Physical Activity and Health
Action Plan on the Global Strategy for the Prevention and Control of NCDs
2010
2009
2011
Global Strategy to Reduce the Harmful Use of Alcohol
WHO Global Status Report on NCDs
UN HLM Political Declaration on NCDs
2012
Realizing the commitments made in the Political Declaration
Preventing Chronic Diseases:
A vital Investment
2005

4. Progress in NCD prevention and control in countries
Percentage of countries with specific policies, plans or strategies,

5. BASIC MEDICAL RESEARCH COMMUNITY LARGE BASED SCALE DEMONSTRATION
PROJECT
LARGE
SCALE
PREVENTION

6. Lessons Learned
Long time-frame and sustainable funding needed…visible output requires visible input
‘Preventive dose’ not achieved…’scaling up’
Focus mainly on community mobilization, public health - health care system not fully mobilized…sustainability
Link up with other targeted prevention initiatives and combine strategies whenever possible (CHD, Diabetes, Strategy on Cancer Control…)

7. NCD prevention and control: Challenge
Environment
Awareness: NCDs and risk factors
Myths and confusions: treatment Vs Public health,
Double burden, resource competition
Commercial pressure and globalization
Management/operational issues
Lack of capacity for developing policy, strategies, etc.
Lack of accountability for outcomes
Lack of sustainable financing for NCD prevention
Different health service providers provide related services to the same population
Different programmes address the same risk factors with reference to each other
Overburdening of generalist staff and duplication of administrative systems

8. NCD prevention and Control: Challenge
Systems: The health systems need to be transformed to meet the new challenge
Fragmented and uncoordinated care
Disconnect between research and implementation
Disconnect between specialist groups
Monitoring and evaluation
Complex of community-based programmes for NCD prevention
Monitoring of implementation programmes(process evaluation)
Evaluation of impact and outcomes
Evidence
Solid evidence on NCD prevention needed, particularly in developing countries

9. Action on NCDs at country level
Promoting supportive environment
Incorporate NCDs into development agenda
NCDs in national health policy and plan
Strengthen intersectoral action
Strengthen Information Base
Strengthen health systems
Capacity building
Monitoring and evaluation

10. How Member States can improve health care for NCDs
25/06/2019
How Member States can improve health care for NCDs
Integrate NCDs into primary health care by expanding the package of PHC services to include the evidence-based most effective interventions
Strengthen health systems and address the gaps in building blocks, particularly health financing, access to medicines, health information, and the health workforce 10

11. Example from Countries’ Investment in NCD Prevention to date…
Single diseases - Heart Health Initiative, Diabetes ,Strategy, Cancer Strategy …
Single risk factors - Tobacco Strategy …
Specific population groups - Children Strategy …
Commonality of risk factors for major NCDs
Systems approach to delivery
Partnerships
Towards an integrated approach to
NCD

12. Thank you

13. Thank you