Uniting for NCDs: Promoting Partnerships and Advocacy

1. Uniting around a common agendaHow promoting partnerships and joint advocacy for NCDs are bringing stakeholders together to implement the 2008-2013 Action Plan for the Global Strategy of the Prevention and Control of NCDsMs Janet VoutePartnership Adviser, NCDnetWorld 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 partnershiprefers 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 http://apps.who.int/gb/ebwha/pdf_files/EB124/B124_23-en.pdf)

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 www.undp.or.id/mdg/documents/The%20Blue%20Book%20A%20Hands%20on%20Approach%20to%20Advocating%20for%20the%20MDGs.pdf )

7. What is advocacy? (Based on International HIV/AIDS Alliance)

8. 60 million 50 million 5 million deaths from injures 14 million other deaths from non-communicable diseases 40 million 30 million 14 million premature deaths from non-communicable diseases, which are preventable 20 million 17 million deaths from communicable diseases, maternal, perinatal and nutrition conditions 10 million Estimated deaths in developing countries (2004) NCDs have been omitted from the development agenda in 144 low- and middle-income countries 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. 30 Intentional injuries Other unintentional 25 Road traffic accidents Other non-communicable diseases 20 Cancers 15 Deaths (millions) Cardiovascular diseases 10 Maternal, perinatal and nutritional conditions 5 Other infectious diseases HIV, TB, malaria 0 2004 2015 2030 2004 2015 2030 2004 2015 2030 High-income countries Low-income countries Middle-income countries If nothing is done, deaths from NCDs will increase dramatically in low- and middle-income countries

10. Why is advocacy for NCDs needed? HIV/AIDS & STDs* $7.40 Health Policy & Admin. Management* $1.65 Infectious Disease Control $1.33 Reproductive Health $1.16 Basic Health Care $1.14 Malaria Control $0.80 Family Planning $0.53 Tuberculosis Control $0.45 Basic Nutrition $0.33 Medical Services $0.24 Basic Health Infrastructure $0.23 Medical Research $0.22 Medical Education/Training* $0.21 Health Education $0.06 Water Supply/Sanitation - Large Systems $3.90 Water resources policy/admin. mgmt $0.93 Basic Drinking Water Supply & Sanitation $0.92 Waste Management/Disposal $0.42 River Development $0.10 Water Resources Protection $0.06 Water Education/Training $0.01 • 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 Global Strategy for the Prevention and Control of Non-communicable Diseases 2000 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 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 PlanObjective 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

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

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. 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. 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

20. NCDnet Objective 1: Build the Community Key Tools: • www.who.int/NCDnet • 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 messagesat 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 messagesat 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

25. www.who.int/ncdnet

26. Thank youvoutej@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

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