1. 1 Content and Products of the NCD Observatory CARMEN Policy Observatory Meeting (Montreal, Quebec, Canada, March 2005)

2. 2 What is the NCD Policy Observatory? Comprises a network of countries and institutions supporting a Knowledge Development & Dissemination system based on Monitoring and analysis of: NCD-related Public policies Legislation/Regulations International health policies

3. 3 Goals of the NCD Policy Observatory 1. To support the development of effective integrated NCD prevention policies through: the systematic analysis of the processes involved in formulation, adoption and implementation of such policies; and linking this analysis to the evaluation of programs and interventions established through these policies.

4. 4 Goals of the NCD Policy Observatory 2. To strengthen multi-sectoral collaboration in the formulation and adoption of specific and complementary policies that maximize NCD prevention. 3. To place NCD prevention higher on the agenda of policy makers.

5. 5 Knowledge Development Agenda Reports and Technical Documents Data compiled by individual country, selected countries, or by Region Themes (generic) Case examples of policy and implementation issues and challenges

6. 6 Themes General “Making the Case for NCD Prevention Policy and Action” “Investment & Targeted Allocation of Funds for Prevention & Promotion” “Partnership Development & Integration” “Impact on organizational and system capacity” “Impact on Population Health” “Impact of international collaboration on domestic policy” “Impact on selected major risk factors for NCD” “Impact on high-risk or disadvantaged populations” Process Facilitators and barriers to formulation and implementation

7. 7 Case Examples of Policy & Implementation Issues and Challenges Canada (examples) “Canadian Healthy Living Strategy” “Nutrition Labelling Policy in Canada” “Establishing School Health Policy in Canada” “Alberta Healthy Living Program” “Quebec Public Health Legislation” “New Federal Deal for Canadian Cities” “Canadian Diabetes Strategy”, “Childhood poverty in Canada – linked to food insecurity” “Physical inactivity at the municipal level, urban planning and development,” “Mental illness and co-morbidities”

8. 8 Case Examples of Policy & Implementation Issues and Challenges Brazil “National Food and Nutrition Policy” “Brazilian Tobacco control Policy” Costa Rica “Creation of Ministry of Health & Sports”

9. 9 Criteria for selecting and prioritizing case examples Relevance Consistent with national/provincial NCD objectives Address prevailing political and public issues Reflect epidemiological “picture” for NCD in the country/province Address at least one major NCD risk factor (e.g. tobacco use, physical inactivity, unhealthy eating) Scope Multisectoral (civil society, industry, government etc.) and multi-level ( local, regional, P/T & federal) support & collaboration

10. 10 Criteria for selecting and prioritizing case examples Feasibility Size, complexity, budget, analyzable Potential Impact or Benefit - On accountability and decision-making - On users of policy-related information - On the profile of issue - On population health

11. 11 CARMEN Framework for Policy Analysis (Part 1) - Ideas Information sources Value preferences Policy Interests/Conflicts Policy networks How actors interact Actor capacity and resources Institutions Government agencies Mandates Accountability Formal processes legislative frameworks Existing policy Contexts Social Economic Physical Environmental Gender Culture Problem Recognition/agenda Setting Solution proposal Policy Instruments Legislation Regulation Expenditure Information Network creation New program/ service Deciding Policy Action Plan Collaborative planning Community organization & action Policy harmonization Implementation Design Consensus-Building

12. 12 PHAC Framework for Assessing the Effectiveness of Community Initiatives That Promote Health Determinants of Health Improvements in Population Health Outcomes while Reducing Health Inequalities Individual Change Systems Change Community Change Transformational Change Community Organization and Action Collaborative Planning Policy Action Courtesy of the Strategic Policy Directorate, Public Health Agency of Canada (PHAC) Policy Implementation

13. 13 Proposed Data Collection Methods Data collection methods include but are not limited to: document review and synthesis Key Informant Questionnaire/Face-to-Face focus group interviews paper-based questionnaire returned by mail or fax, or on-line questionnaire, or in-depth face-to-face key informant interviews

14. 14 Knowledge Translation and Dissemination Agenda. Forum for regional and national policy dialogues. Various channels:  NCD virtual library  Websites & List serve  Printed and on-line publications  Query service  Training courses  Databases  Academic and Political fora

15. 15 Structure to Support Observatory

16. 16 CARMEN Network CARMEN SchoolPolicy Observatory PAHO / WHO CC (Canada) Technical Advisory Team IAG Technical Consultative Group Country Policy Observatory Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Country Policy Observatory

17. 17 Development of the CARMEN Policy Observatory Part I:Pilot Case Studies Part II:Ongoing Knowledge Development, Monitoring and Analysis Part III:Knowledge Translation and Dissemination

18. 18 Part I – Pilot Case Studies  The pilot case studies will :  Develop and refine methodology for case and cross-case analysis  Explore themes of relevance within country policy profiles and context

19. 19 Part II: Ongoing Knowledge Development, Monitoring and Analysis. Determine benchmarks for policy development and implementation. Determine benchmarks for collaboration between different sectors. Establishment of infrastructure for ongoing data collection, monitoring and analysis

20. 20 Part III: Knowledge Translation and Dissemination. Forum for regional and national policy dialogues and information exchange. Bringing NCD policy-makers together with health system researchers and analysts. Extension of Policy Observatory model beyond the CARMEN-CINDI region