Second meeting of the WHO GCM/NCD Working Group on Health education and health literacy for NCDs (12-13 June) WHO Global Coordination Mechanism on the Prevention and Control of NCDs A platform for multisectoral and multistakeholder action on NCDs in the SDG-era 06 July 2017 WHO Salle A Briefing for Member States
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Second meeting of the WHO GCM/NCD Working Group on
Health education and health literacy for NCDs (12-13 June)
WHO Global Coordination Mechanism on the Prevention and Control of NCDs
A platform for multisectoral and multistakeholder action on NCDs in the SDG-era
06 July 2017WHO Salle A
Briefing for Member States
WHOGlobalCoordinationMechanismforthePreventionandControlofNCDs
Conceptualframework
TermsofReference
(adoptedbytheWorldHealth
Assemblyin2014)
Workplan2014-2015
(notedbytheWorldHealthAssemblyin
2014)
Workplan2016-2017
(notedbytheWorldHealthAssemblyin
2015)
Workplan2018-2019
(notedbytheWorldHealthAssemblyin
2017)
WHOGlobalCoordinationMechanismonNCDs
§ Scopeandpurpose:§ Facilitateandenhancethecoordinationofactivities,multi-stakeholderengagementand
action acrosssectorsatthelocal,national,regionalandgloballevels,inordertocontributetotheimplementationoftheWHOGlobalNCDActionPlan2013– 2020.
MemberStates
UNAgencies
Non-StateActors
Fivefunctions:§ Advocatingandraisingawareness§ Disseminatingknowledgeand
information§ Encouraginginnovationand
identifyingbarriersProvideaforumtoidentifybarriersandshareinnovativesolutionsandactionsfortheimplementationoftheglobalactionplanforthepreventionandcontrolofNCDs2013–2020andtopromotesustainedactionsacrosssectors.
§ Advancingmultisectoralaction§ Advocatingformobilizationof
resources
WHOGlobalCoordinationMechanismonNCDs
Activities
§ WorkingGroups§ Dialogues§ Virtualdiscussionforums§ Knowledgedissemination,includingexchangeofbestpractices
§ Newsletters§ Webinars§ CommunitiesofPractice§ Globalcommunicationscampaign§ IntegratedsupporttoCountries
PurposeandTermsofReferenceforGCMWorkingGroups• In May 2014, the 68th WHA endorsed the WHO GCM/NCD TORs and noted its
2014-2015 and then 2016-2017 work plan, including establishment of WorkingGroups.
• The TORs for the Working Groups spelt out (i) the process for nominating andappointing experts to the WGs; (ii) that Co-Chairs would be from developed anddeveloping Member States; and (iii) the working procedures
• The WHO GCM/NCD Working Groups are tasked with providingrecommendations to the WHO Director-General on ways and means ofencouraging countries to realize the commitments made by Heads of State andGovernment at the 2011 UN General Assembly High-level Meeting on NCDs andthe UNGA outcome document 2014
• The Working Groups can consult with relevant intergovernmentalorganizations and non-State actors in their work (as per para 13 of the TORs).
6
WHO GCM/NCD Working Groups
2014-2015• Financing for NCDs
• Engagement with the Private Sector
2016-2017• Inclusion of NCDs in other programmatic
areas
• Alignment of international Cooperation with national NCD plans
• Health education and health literacy for NCDs
Working Groups are Complementary in Scope
WHOGCM/NCDWorkingGroup3.3Mandate
TorecommendwaysandmeansofencouragingMemberStatesandnon-Stateactors:
• TopromotehealtheducationandhealthliteracyforNCDs,
• withaparticularfocusonpopulationswithlowhealthawarenessand/orliteracy,
• andtakingintoaccountthecost-effectiveandaffordableinterventionsforallMemberStatescontainedin
Appendix3oftheWHOglobalactionplanforthepreventionandcontrolofNCDs2013–2020.
MembersofWorkingGroup3.3§ Co-Chairs
-DrLixin Jiang(China)AssistantDirectoroftheNationalCentreforCardiovascularDiseases;Co-DirectorofChinaOxfordCentreforInternationalHealthResearch;Editor-in-Chief,TheLancetChina
- ProfessorSergeyBoytsov (Russia)Director,NationalResearchCenterforPreventiveMedicine,MinistryofHealthcareoftheRussianFederation
§ 12memberstotal 2fromeachWHOregion,withbalancedrepresentation
9
•DrRosmondADAMS(St.Vincent &TheGrenadines)
•ProfessorWagida A.ANWAR(Egypt)•DrKee-SengCHIA(Singapore)•DrLorieDONELLE(Canada)•DrHla MyaThway EINDA(Myanmar)
•DrNorhayati KASSIM(Brunei)•DrPortiaMANANGAZIRA(Zimbabwe)•MsErikaPLACELLA(Switzerland)•MrIonSALARU(Moldova)•MsJudithSEGNON(Benin)•DrPandup TSHERING(Bhutan)
SpecialAdvisorsandFacilitatorforWG3.3
§ ProfessorIlonaKickbuschDirectoroftheGlobalHealthCentreandAdjunctProfessor,TheGraduateInstituteofInternationalandDevelopmentStudies,Geneva
§ ProfessorDonNutbeamProfessorofPublicHealth,UniversityofSydney
§ DrDavidNovilloAdvisor,KnowledgeManagement&DigitalHealthRegionalfocalpointfortheWHOeHealthProgram,PAHO
§ DrIshuKatariaGlobalChapterCoordinator,YoungProfessionalsChronicDiseaseNetwork
§ ProfessorRichardOsborne(Facilitator)Head,HealthSystemsImprovementUnit,SchoolofHealthandSocialDevelopmentCentreForPopulationHealthResearch,FacultyofHealth,Deakin University,Australia
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Healthliteracyreferstothepersonalcharacteristicsandsocialresourcesneededfor
individualsandcommunitiestoaccess,understand,appraiseanduseinformationand
servicestomakedecisionsabouthealth.Healthliteracyincludesthecapacityto
communicate,assertandenactthesedecisions.
Healthliteracyresponsivenessdescribesthewayinwhichpolicies,services,
environmentsandproductsmakehealthinformationavailableandaccessibletopeople
withdifferenthealthliteracystrengthsandlimitations
11
Whatishealthliteracy?
Whatareweaimingfor?Andwhatistheroleofcognitive-behavioral-socialstrategies(includinghealthliteracy)?
100%coverage
maturingcampaign/programs
stagnatingcampaign/programs
Optimizingmassand/orstandardized strategies
Meetingtheneedsof,orbeeffectivewith,thosewearecurrentlyfailingtoengage
Tobeeffectiveinthisspace,weonlythinkaboutHLintheaveragepopulation
buttobeeffectiveinthisspace,wereallyneedtofocusonhealthliteracydiversity
WorkingGroup3.3KeyquestionsthatarebeingaskedofthisWGincludethefollowing:
• Whatarethecontext-specific settings acrosspopulationgroups thathealthliteracyinterventionsshouldaddress?
• HowcanhealtheducationandhealthliteracyenhancethepreventionandcontrolofNCDs?• Whatistheroleofhealthliteracymeasurement,includinghealthliteracysurveys,toenhance
healthliteracyresponsiveness?• Whatistheroleofdigitalhealthliteracyinaddressingequityconsiderationsintheprevention
andcontrolofNCDs?• InsupportingtheimplementationoftheShanghaiDeclaration,howcanhealthliteracy
contributetotherealizationoftheSDGs?• Whatarethepotentialcost-effectiveinterventiononhealthliteracyfordifferentcontexts,
settingsandpopulations?
13
WG3.3MeetingSchedule
14
2nd meeting:12-13June2017
Objectives:
• Substantivemeetingtoreviewevidenceandconclusionsfromfirstmeetinganddraftrecommendationsenhancedthroughcomprehensiveexpertparticipationandstakeholderhearings.
• Portionsofthemeetingwereaccessibleviawebcastwiththeaimofengagingadditionalstakeholdersandensuringtransparency.
• Developstructurefordraftinterimreport,thatwillbedevelopedandpostedforpubliccommentinthefollowingmonths.
• Addresspre-evaluationofDemonstrationprojectsandmappingofhealthliteracyinterventions.
• Discussrollout/engagementplanwithMemberStates(WorkingGroupmembersasadvocates)andotherstakeholder.
DemonstrationProjectsFocusedinterventionsonHealthLiteracyforNCD
Objective:Toadvancenationalandinternationalhealthliteracypracticeinsupportofacceleratedprogressincountriestowardsrealizingtheirhigh-levelcommitmentsforthepreventionandcontrolofNCDsandSDGtarget3.4
InitialparticipantsfromWG3.3members:• Egypt:HealthLiteracyinterventionaddressingriskfactorsinafishermen’scommunity• China:HealthLiteracyinterventiononcardiovasculardiseasesin5ruralcommunities• Myanmar:aHealthLiteracysurveythatwilldefinecontext-specificHealthLiteracy
interventions
15
Second meeting of the WHO GCM/NCD Working Group on:
Health education and health literacy for NCDs
WHO Global Coordination Mechanism on the Prevention and Control of NCDs
A platform for multisectoral and multistakeholder action on NCDs in the SDG-era
StakeholderHearing
SessionOneHealthliteracyinterventionsatthepolicylevel
17
• MayMyat CHOProgramManager,SustainableFundingforHealthPromotionSoutheastAsiaTobaccoControlAlliance(SEATCA)Thailand
• KristineSØRENSENNetherlandsEuropeanHealthLiteracySurveyDepartmentofInternationalHealthatMaastrichtUniversity
• BlytheROBERTSONHealthcareQualityandImprovementScotland
• DianeLEVIN-ZAMIRDepartmentofHealthEducationand.PromotionClalit HealthServicesIsrael
18
KeyMessages:
• Theneedtodevelopinter-relationshipbetweenspecifichealthliteracypolicyandtheoverallpolicy
contextinwhich youareworking,embeddingtheideaof“healthliteracybydesign”.
• Improvedhealthliteracyresponsivenesshasbecomeakeystrandofmanypolicyareas.
• Thereisneedtobuildtheevidencebasetoshowtheglobalscopeandscaleoftheimpactofhealth
literacy- asanassetforinvestmenttodeveloppeople'sfullestpotential.
• Developmentofcross-disciplinary,cross-sectoralcoalitionsofstakeholders,beyondhealth,tobridgethe
gapoflimitedhealthliteracy
• Buildingthepoliticalcaseisessential:healthliteracyisevident,measurable,feasibleandforthepublic
good.Decision-makersneedtotakeresponsibilityandpushthehealthliteracyagendaforwardatall
levels.Healthliteracyisapoliticalchoice:itsavesmoney,itsavestimeandsaveslives.
SessionOneHealthliteracyinterventionsatthepolicylevel
SessionTwoHealthliteracyinterventionsattheservice
delivery/institutionallevel
19
• CynthiaEBAURSchoolofPublicHealthUniversityofMarylandUnitedStatesofAmerica
• Zhening LIUMentalHealthInstitute,SecondXiangya HospitalCentralSouthUniversityChina
• CarolineAntoniaMUBAIRACrownAgentsUnitedKingdom
• AmyISRAELIFPMASwitzerland
20
KeyMessages:• Policiesmustallowfordecentralizationofresources/budgetswhereHealthWorkers
andcommunitiesaregiventheopportunities,thecapacitiesandtheautonomyto
makedecisionswithinagreedframework.
• Policiesmustenablepeopletotakecontrol&beinnovativeovertheirhealthandmake
healthapeople’sissue
• A systemsapproachtohealthliteracyinterventionsisnecessaryinordertogenerate
resultsandimpactregardingaddressingNCDs
• Measuringandmonitoringhealthliteracyiscriticalforidentifyingprogressandgroups
atrisk,andshouldalsofocusonhealthbehavioroutcomes.
SessionTwoHealthliteracyinterventionsattheservice
delivery/institutionallevel
SessionThreeHealthliteracyinterventionsatthecommunitylevel
21
• Shyam Sundar BUDHATHOKISchoolofPublicHealth&CommunityMedicineBPKoirala InstituteofHealthSciencesNepal
• Rizanda MACHMUDMedicine,Andalas UniversityIndonesia
• SuvajeeGOODRegionalOfficefortheSouthEastAsiaWHO
• SimonEATONNorthumbriaHealthcareNHSFoundationTrustUnitedKingdom
SessionThreeHealthliteracyinterventionsatthecommunitylevel
22
KeyMessages:• Strongcommunal/culturalpracticesneedstobeidentifiedtofacilitatecommunityengagementin
ordertoincreaseaccesstoinformationabouthealthandhealthcareservices.
• Healthliteracyenablespersonalandcommunityempowermentthatbeginswithaccessto
informationandconcludeswiththeabilitytomakedecisionsinhealthforselfandothers,provided
thehealthsystemisresponsivetothehealthliteracyneedsofthepeople.
• PrerequisitesaretheavailabilityofservicesandfacilitiesbasedontheprinciplesofUHC,cultural
appropriatenessandcontextspecific.
• Involvingcommunitymembers,alongwithcliniciansandproviders,atallstagesoftheprocess
enableseffectivecoproductionofandcommunityengagement withthepotentialinterventions
SessionFourHealthliteracyinterventionsattheindividuallevel
23
• KennethYongabiANCHANGPRFResearchInstituteSchoolofHealthandMedicalSciences,CatholicUniversityofCameroonCameroon
• GrahamKRAMERAnnat BankPracticeLinksHealthCentreUnitedKingdom
• RoyBATTERHAMSchoolofHealthandSocialDevelopmentDeakin UniversityAustralia
• FelicityPOCKLINGTONWesternPacificRegionWHO
SessionFourHealthliteracyinterventionsattheindividuallevel
24
KeyMessages:• Addressinghealthliteracyisincreasinglyseenasanimportantwayto
reducehealthinequalitiesandimprovehealthoutcomes.
• Prioritize personalized,meaningfulandliteracysensitiveinformation-
sharing- peoplehavingsameinformationaboutthemselvesastheir
professionals– whichpromotesengagement,involvement,curiosity,
shareddecisionmaking,goalsettingandhealthbehaviorchange.
SessionFiveDigitalhealthliteracy
25
• GillROWLANDSInstituteofHealthandSocietyatNewcastleUniversityUnitedKingdom
• LarsKAYSERCopenhagenUniversityDenmark
• RameshKRISHNAMURTHYHQ/HIS/IER/DSI
• PeterKOLARČIKFacultyofMedicineP.J.Safarik UniversitySlovakia
SessionFiveDigitalhealthliteracy
26
KeyMessages:• Thepossibilitiesthatthedigitalrevolutionbringsforpromotinghealth(andhencereducingtheriskof
NCDs)andmanagingillness(includingNCDs)arerapidly.
• ‘Access’includesbothphysicalaccess(i.e.amobilephone/computer/internet)andtheskillstoaccess,
understand,appraiseandapplydigitalhealth-relatedinformation
• Initiativeswhichfocusonpeoplelikelytobe‘digitallyexcluded’canpromotetheequitabledevelopment
ofdigitalskills.
• Embeddinginitiativeslocally,withlocalchampions,increasesthelikelihoodofsustainablechange.
• Digitalhealthliteracyshouldbepartofthecurriculumatallinstitutionseducatinghealthprofessionals,
providinganunderstandingofthegiversandreceiversofhealthcareinrelationtodigitalservices.
Second meeting of the WHO GCM/NCD Working Group on:
Health education and health literacy for NCDs
WHO Global Coordination Mechanism on the Prevention and Control of NCDs
A platform for multisectoral and multistakeholder action on NCDs in the SDG-era
06 July 2017WHO Salle A
CLOSED SESSIONSPRELIMINARY WORKING GROUP CONCLUSIONS
SpecificactionstooperationalizehealthliteracyincontrollingandmanagingNCDs
TheWorkinggroupidentifiedsixareasforspecificactionsthatmaybeoperationalizedinboth
developinganddevelopedsettings
1. EnhancecurrentNCDprogrammes andpolicies2. ImprovethequalityandimpactofnewNCDinterventionsthrough
incorporatinghealthliteracyintodesignandimplementation3. Makehealthcaresystemshealthliteracyresponsive4. Buildthehealthliteracyofcommunities5. Capacitybuilding(Universitycurriculum;healthcareworkforce
competencies;policymakers;researchers)6. Research&innovation
28
UsinghealthliteracytomakeandenactboldpoliticalchoicestocurbthegrowthinNCDsandtomeettheSDGtargets
TheWorkingGroupidentifiedthefollowingkeyareasfordraftrecommendations
29
• Developanationalpolicy,strategyandactionplantoimplementhealthliteracy
demonstrationprojects,collatelocalandinternationalevidence,andbuild
capacityamongleaders(especiallysub-national;Mayors)embeding healthliteracy
programsacrosssectors.
• Buildadigitalhealthsystemthatmaximizesparticipation,ensuringproductsand
processesoptimizeaccess,includingthosewithlowliteracy,disabilitiesandlow
resources.Ensuresuppliersmeetuser,systemandinteractionrequirementswithin
ae-healthliteracyframework.
30
• Establishnationalandregionalcollaborationsforaction,mandating
inter-sectorialpartnershipstoensurehealthliteracyisintegratedwithin
andacrosssectors.Maximizeco-designacrosssectorssuchaseducation,
employment,infrastructure,industry,migration,etc.alongsidethehealth
sectorinordertoaffecthealthandequitytransformations
• Strengthenhealthliteracyleadershipthroughgeneratingauthorizing
environmentsofleaders,particularlythroughsub-nationalandMayors
31
• Buildindividualhealthliteracybystrengtheningtheeducationofchildrenand
throughhealthliteracy-informedhealthpromotioncampaignsformothersandthe
generalpopulation.Undertakenationalandtargetedhealthliteracysurveysto
generatecurrentandcontextuallyrelevantinterventions.
• Buildcommunityhealthliteracythroughundertakingdetailedassessmentsof
communitycapacityhealthliteracy,i.e.,thecommunityresources(assets)areall
supportedwithhealthliteracydevelopmentresources.
32
• Prioritizethehealthliteracyresponsivenessofthehealthcaresystem,generating
people-centred andinclusiveservicesandpractitioners.Provideadequate
training,bothattheundergraduate,postgraduateandprofessionallevels.
Establishnationalawardsforhealthliteracyresponsiveness.
• Buildpartnerships andsupportmultistakeholder responsibilitytoenable
communitymemberstoaccesshealthyoptionsastheonlyoption.
33
WG3.3MeetingSchedule2017Overview
34
1st meeting:27-28February2017
3rd meeting:2-3October2017Ø Discussiononthedraftreport,buildingonpubliccommentsØ AdoptionofthereportandsubmissiontotheDirector-GeneralofWHO
2nd meeting:12-13June2017Ø Hearingwithstakeholdersandexperts,includingrelevantNSAsØ FurtherdiscussiononWG’srecommendationsandfinalreport
4thmeeting:virtuallyifrequired
ü Circulateinterimreportwithdraftrecommendationsforpubiccomments
ü Pre-evaluationofdemonstrationprojectsü Mappingofcontext-specific,bestbuyinterventionsonHLforNCDs
ü Contactpartiesforhearingsduringthe2nd meetingü Publiccommentonbackgroundpapers,collectadditionalcountrycases,
bestpracticesandcallforpapersü Furtherguidance,implementationandscaleupofdemonstrationprojects
WHOGCM/NCDCommunitiesofPracticecommunities.gcmportal.org
• Closed,onlinenetworkswithstrictgovernancestructure(Guide)• Buildingonknowledgemanagementprecedents,forknowledge
sharingandcollaborativelearning• Bestpractices,countrycases• Outputspublishedinapublically-availablerepository,after
clearance• SupportingtheimplementationoftheGAPtoachievethenine
voluntaryNCDtargetsbefore2025andtheNCDandNCD-relatedtargetsofthe2030AgendaforSustainableDevelopment
WHOGCM/NCD CommunitiesofPractice• CommunitiesofPracticein2017:
– NCDsandtheNextGeneration (communities.gcmportal.org/ncd-nextgen)
– NationalNCDfocalpoints(communities.gcmportal.org/ncdfocals)
– NCDsandHealthLiteracy (communities.gcmportal.org/ncd-health-literacy)
– NCDs,HealthandLaw (communities.gcmportal.org/ncds_law)– MultisectoralActiononNCDs
(communities.gcmportal.org/oxford)• CommunitiesofPracticefortheGCM/NCDWorkingGroups:
– InclusionofNCDsinotherprogrammaticareas– Alignmentofinternationalcooperationwithnationalplanson
NCDs– HealtheducationandhealthliteracyforNCDs
GlobalCommunicationsCampaignonNCDs
Objective:Inspiregovernments totake actiononNCDsbydemonstrating thefeasibility andrelevanceoftackling NCDs tohealth andnon-healthsectors (e.g.finance,trade,transport,urban development,environment,education)
What does success looklike?
Outcome1:Storiesofgovernments’leadershipandsuccessesintacklingNCDsarehighlightedbygovernments,WHOandthirdpartiesinpublicforaatnational,regionalandgloballevels,andonwebsitesandsocialmedia.
Outcome2:Governments,WHOandthirdpartiesuseWHOcommunicationsmaterialtoinsertNCDsintothediscussionsatregionalandinternationalmeetingsondevelopmentissues,andinnationalSDGdebates.
Keyactivities anddeliverables
• Identifyanddevelopcountryfeaturestories/casestudies(andrelatedrawmaterial,e.g.photo/videostories,graphics)illustratinggovernmentleadership,WHOtechnicalguidanceinaction,aswellasthelinkagesbetweenNCDsandothersectors.
• DisseminatestoriesandrelatedmaterialonBeatNCDs website,socialmedia,press,etc http://www.who.int/beat-ncds/en/
• DevelopcommunicationresourcesonfeasibilityandrelevanceofaddressingNCDs
• DevelopcommunicationmaterialonNCDstargetsandNCD-relatedSDGtargets
• ContinuetomobilizepeopletotellNCDstoriesontheNCDs&Me website;enhancesitetolinktoactionhttp://apps.who.int/ncds-and-me/
• TranslateallkeycommunicationsmaterialintoWHOlanguages
ThefirstGeneralMeetingoftheWHOGCM/NCDPursuanttoparagraph12oftheWHOGCM/NCDTermsofReference
OrganizedinaccordancewiththemodalitiessetoutinAppendix1toAnnex3ofdocumentA68/11.
GoalBringtogetherGovernments,theprivatesector,civilsociety,theUnitedNationssystemandotheractorstoraisetheprioritygiventoactingincollaborativemulti-stakeholderpartnershipsthatmobilizeandshareknowledge,expertise,technologyandfinancialresources,tosupporttheachievementoftheWHOGAPandtheNCD-relatedSDGtargetsinallcountries,inparticularindevelopingcountries.
Objectives,include:• Encourageandpromoteeffectivepublic,public-privateandcivilsocietypartnershipsforattaining
NCD-relatedSDGtargetsincountries• Calluponcivilsocietytoholdgovernmentsresponsibletoexercisetheirprimaryroleand
responsibilityinincludingNCDsinnationalSDGresponses.
Logistics• 2daymeeting,March2018• PlantohaveaSteeringGroupofMemberStates• SeekMSsactiveengagementinthescope,planningandensuringmulti-sectoralattendance
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