NCDs in the Context of the SDGs

NCDs in the Context of the SDGs1 |

NCDs in the context of the SDGs2030 Agenda for Sustainable Development

Albert Francis E. Domingo MD MScNoncommunicable Diseases and Health PromotionDivision of NCD and Health through the Life-Course

WHO Regional Office for the Western Pacific

3 December 2015

NCDs in the Context of the SDGs2 |

From the Millennium Development Goals in 2000

NCDs in the Context of the SDGs3 |

From: http://data.worldbank.org/news/significant-progress-towards-achieving-MDGs

From the Millennium Development Goals in 2000

NCDs in the Context of the SDGs4 |

2011Political

Declaration

2014Outcome

Document

2011Moscow

Declaration

2015SDGs

2015AAAA

20183rd HLM

Historic crossroads: NCD getting to 2018

2018

NCDs in the Context of the SDGs5 |

Historic crossroads: NCDs included in the 2030 Agenda for Sustainable Development

NCDs in the Context of the SDGs6 |

SDG3: Ensure healthy lives and promote well-being for all at all ages

• Reduce maternal mortality• End preventable deaths of newborns

and children under 5 years of age• End epidemics of AIDS, TB, malaria

and NTDs and combat hepatitis, water-borne diseases and other communicable diseases

• Reduce by one third premature mortality from NCDs and promote mental health

• Strengthen prevention and treatment of substance abuse

• Halve deaths and injuries from road traffic accidents; ensure universal access to sexual and reproductive health

• Achieve universal health coverage, access to quality essential health-care services and access to medicines and vaccines

• Substantially reduce deaths and illnesses from hazardous chemicals, pollutants and contaminants

• Strengthen implementation of the WHO FCTC, as appropriate

• Support R&D of vaccines and medicines in accordance with the Doha Declaration on the TRIPS Agreement and Public Health

• Substantially increase health financing and development of the health workforce in developing countries

• Strengthen country capacities for early warning, risk reduction and management of national and global health risks

NCDs in the Context of the SDGs7 |

Commits governments to develop national responses: Target 3.4: By 2030, reduce by one third

premature mortality from NCDs Target 3.5: Strengthen responses to reduce

the harmful use of alcohol Target 3.8: Achieve universal health

coverage Target 3.a: Strengthen the implementation

of the WHO Framework Convention on Tobacco Control

Target 3.b: Support research and development of vaccines and medicines for NCDs that primarily affect developing countries

Target 3.b: Provide access to affordable essential medicines and vaccines for NCDs

2030 Agenda for Sustainable Development

NCDs in the Context of the SDGs8 |

Global cost of implementing the SDGs between 2016 and 2030

US$175 trillionDomestic public

resourcesPrivate business

and financeInternational public finance

International trade as an engine for

development

Debt sustainability

Systemic issues(UN leadership

role)

Science, technology,

innovation and capacity building

Data

NCDs in the Context of the SDGs9 |

Tobacco tax as a revenue stream for financing for development

The Addis Ababa Action Agenda recognizes that price and tax measures on tobacco represent a revenue stream for financing for development in many countries Governments already collect nearly

US$270 billion in tobacco excise revenues each year

Tobacco taxation offers a win-win policy option for governments

Increased tobacco taxes can bring in important revenue to finance the SDGs

WHO FCTC implementation is a target of the SDGs

NCDs in the Context of the SDGs10 |

Tobacco tax as a revenue stream for financing for development

NCDs in the Context of the SDGs11 |

2025 milestone: 9 voluntary global NCD targets

By 2030, reduce by one third premature mortality from NCDs

2030 milestone: NCD-related targets in the SDGs

2018 milestone: Four time-bound commitments

WHO Global NCD Action Plan 2013-

2020

2011 UN Political

Declaration on NCDs

2014 UN Outcome

Document on NCDs

Governance Risk factors Health systems Surveillance

Components of national NCD responses

WHO Regional NCD Action

Plans

Getting to 2030: Global vision

Sustainable Development

Goals

NCDs in the Context of the SDGs12 |

Four time-bound commitments in the 2014 UN Outcome Document on NCDs

By 2015: Set national NCD targets for 2025 or 2030 and monitor results

By 2015: Develop a national multisectoral action plan

By 2016: Implement the "best buy" interventions to reduce NCD risk factors

By 2016: Implement the "best buy" interventions to strengthen health systems to address NCDs

NCDs in the Context of the SDGs13 |

Based on the set of 10 progress monitoring indicators published by WHO in May 2015

Indicators show progress achieved by countries in implementing the four time-bound commitments for 2015 and 2016

Data drawn from several sources generated by WHO and validated with supporting documentation provided by countries

WHO NCD Progress Monitor 2015 published on 25 September 2015

NCDs in the Context of the SDGs14 |

10 Progress Monitoring Indicators

NCDs in the Context of the SDGs15 |

10 Progress Monitoring Indicators

NCDs in the Context of the SDGs16 |

WHO NCD Progress Monitor 2015: Philippines

NCDs in the Context of the SDGs17 |

WHO NCD Progress Monitor 2015: Progress is insufficient

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

0 5 10 15 20 25 30 35

Number of Member States

Num

ber o

f "fu

lly a

chie

ved"

Ind

icat

ors

NCDs in the Context of the SDGs18 |

Including subnational demonstration

Bolder measures are needed by governments, international partners and WHO

to ensure that the four time-bound commitments for 2015 and 2016 included in the 2014 UN Outcome

Document on NCDs are fully implemented

WHO NCD Progress Monitor 2015: Progress is insufficient

NCDs in the Context of the SDGs19 |

What WHO is doing to support countries to get ready for 2018?

Governance Risk factors Health systems Surveillance

UN Agencies (coordinated through the UN Task Force on

NCDs)

WHO Secretariat

(through Programme Budget

2016-2017)

Member States and non-State

actors(coordinated through the WHO GCM/NCD)

Development and implementation of national NCD responses

• Normative work• Technical assistance

• Technical assistance (beyond the health sector)

• Advocacy• Network• Forum

Components of national NCD responses

NCDs in the Context of the SDGs20 |

Time to scale up actionThird High-level Meeting on NCDs

2018

NCDs in the Context of the SDGs21 |

Thank youNCD@wpro.who.int

03/12/15 21