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Menno van Hilten External Relations Officer Noncommunicable Diseases and Mental Health

Menno van Hilten External Relations Officer Noncommunicable Diseases and Mental Health World Health Organization. 8:45-10:15 Advocacy and social marketing related to NCDs Leadership & Partnership to advance NCD Policy/Programmes. People remember. 20% of what they hear

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Menno van Hilten External Relations Officer Noncommunicable Diseases and Mental Health

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  1. Menno van Hilten External Relations Officer Noncommunicable Diseases and Mental Health World Health Organization

  2. 8:45-10:15 • Advocacy and social marketing related to NCDs • Leadership & Partnership to advance NCD Policy/Programmes

  3. People remember... • 20% of what they hear • 40% of what they hear and see • 80% of what they discover for themselves

  4. Rules of engagement • Format: • 5 exercises • A bit of theory in between • Interactive • Informal • Interruptions encouraged  • Time management: • 8:45 – 10:15

  5. Expectations • After this session, you'll have the basic tools (and skills) to convince decision-makers that: • NCDs merit increased investment • Action carries substantial benefits

  6. Exercise 1 If you had a chance to speak to US President Obama (*) for 2 minutes, what would you tell him about NCDs? * Or any other President or Prime-Minister from a G-20 country

  7. Challenge 1 What is the point? We are not always clear WHY we speak, write or make a presentation

  8. Challenge 2 We are trained to be logical, complete, accurate, evidence-based and fear being misunderstood.

  9. Challenge 3 We tend to concentrate on what we know and don't always think of why our message is important to listeners, viewers or the audience …now

  10. Scientists, experts and programme managers speak like this Challenge 4 Ministers and decision-makers speak like this "I need 30 minutes of your time to share 40 years of my accumulated technical expertise" "We must make the prevention and control NCDs and the improvement of maternal health top priorities on the development agenda" "Yesterday's article in the Lancet discusses the prevention of pre-eclampsia in diabetic women."

  11. "Dear President Obama" • In all developing countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated public policy response. • A global vision and affordable solutions exist to prevent 8 million premature deaths from NCDs in developing countries each year. • At WHO, we witness how programme managers in developing countries are increasingly challenged to formulate effective strategies to address NCDs. Donors, like USAID, should start considering their requests for technical assistance, even if these problems are not included (yet) in the MDGs. • You and the other leaders of the G-20 have a unique opportunity to include NCDs in global development initiatives and related investment decisions at the NCD Summit 2011.

  12. "Communications 101" Elements of communication: • Sender • Message • Target Audience • Proof points • Channel • Time

  13. "Communications 101" Message: the four O's Ongoing situation Opportunities One recommendation Operationalization

  14. G-20 media donors UN World Bank InternationalDevelopment Agencies Minister of Foreign Affairsand Planning UN Agencies Target Audiences Ministers of Health NCD focal points in MoH NCD counterparts in other Ministries(agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs

  15. G-20 media donors UN World Bank InternationalDevelopment Agencies Minister of Foreign Affairsand Planning UN Agencies Target Audiences Ministers of Health NCD focal points in MoH NCD counterparts in other Ministries(agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs

  16. "Dear President Obama"(Key message on NCDs to international leaders) • In all developing countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated public policy response. • A global vision and affordable solutions exist to prevent 8 million premature deaths from NCDs in developing countries each year. • At WHO, we witness how programme managers in developing countries are increasingly challenged to formulate effective strategies to address NCDs. Donors, like USAID, should start considering their requests for technical assistance, even if these problems are not included (yet) in the MDGs. • You and the other leaders of the G-20 have a unique opportunity to include NCDs in global development initiatives and related investment decisions at the NCD Summit 2011. Ongoing situation Opportunities One recommendation Operationalization

  17. Translating key messages into a presentation  In all developing countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated public policy response.

  18. NCD are the single biggest cause of death in the world Source: 10% Total number of deaths in the world 60 million 5.8 M 26.0 M(above the age of 60) 50 million 40 million 35 million(60% of all deaths) 30 million 9.0 M (below the age of 60) 20 million 18.0 M 10 million 0 Group III - Injuries Low-income countries Group II – Other deaths from noncommunicable diseases Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable Group I – Communicable diseases, maternal, perinatal and nutritional conditions

  19. 90% of premature deaths from NCDs occur in developing countries Source: Total number of deaths in the world 25 million 2.3M 6.8 M 20 million 2.3M 3.7M 15 million 10.2M 13.6M 10 million 0.5M 5.9M 0.6M 3.3 M 3.3M 3.0M 3.0M 1.1M 0.9M Lower middle-income High-income countries Upper middle-income Low-income countries Group III - Injuries Low-income countries Group II – Other deaths from noncommunicable diseases Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable Group I – Communicable diseases, maternal, perinatal and nutritional conditions

  20. Countries represented by the course participants

  21. Countries represented by the course participants 3,500,000 14% 14% 3,000,000 2,500,000 20% 2,000,000 52% 1,500,000 1,000,000 500,000 0 High-income countries Upper middle-income Lower middle-income Low-income countries Group III - Injuries Low-income countries Group II – Other deaths from noncommunicable diseases Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable Group I – Communicable diseases, maternal, perinatal and nutritional conditions

  22. Countries represented by the course participants Mongolia Sierra Leone Egypt El Salvador Iraq Jamaica Maldives Morocco Samoa Sri Lanka Syria Thailand Tunisia Argentina Botswana Chile Dominica Malaysia Poland Russian Fed St Vincent & Gren Trinidad & Tob Bahrain Qatar Saudi Arabia 100% 80% 60% 40% 20% 0% Low-income Lower-middle-income Higher-middle-income High-income Group III - Injuries Low-income countries Group II – Other deaths from noncommunicable diseases Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable Group I – Communicable diseases, maternal, perinatal and nutritional conditions

  23. NCDs account for a large enough share of the disease burden to merit a serious policy response Source: The top-10 leading causes of death

  24. NCDs are closely related to poverty and contribute to poverty Smoking prevalence (2004) 45 Lowest household income quintiles 40 35 30 Highest household income quintiles 25 (percentage) 20 15 10 5 0 Upper-middle-income High-income Low-income countries Lower-middle Income

  25. Translating key messages into a presentation  A global vision and affordable solutions exist to prevent 8 million premature deaths from NCDs in developing countries each year.

  26. Mobilizing a global response Building on a clear roadmap for Member States, partners and WHO

  27. Three building blocks 2 Health care for people with NCDs Surveillance to quantify and track NCDs Primary prevention to reduce the level of exposure to risk factors

  28. Translating key messages into a presentation  At WHO, we witness how programme managers in developing countries are increasingly challenged to formulate effective strategies to address NCDs. Donors, like USAID, should start considering their requests for technical assistance, even if these problems are not included yet in the MDGs

  29. Millennium Development Goals (MDGs) The eight MDGs break down into 21 quantifiable targets that are measured by 60 indicators. www.undp.org/mdg

  30. Official Development Assistance (2007) 18% • US$ 120 Billion per year • Including US$22 Billion for health • Provided by 26 governments to 141 developing countries • Objective: poverty alleviation (= MDGs) Health

  31. HIV/AIDS US$7.4 B Health Policy 1.65 Infectious Disease Control 1.33 Reproductive Health Care 1.16 Basic Health Care 1.14 Malaria Control 0.8 Family Planning 0.53 TB Control 0.45 Basic Nutrition 0.33 Medical Services 0.24 Basic Health Infrastructure 0.23 Medical Research 0.22 Medical Education 0.21 Health Education 0.06 Water Supply/Sanitation 3.9 Water Resources Policy 0.93 Basic Drinking Water Supply 0.92 Waste Management 0.42 River Development 0.1 Water Resources Protection 0.06 Water Education 0.01 0 1 2 3 4 5 6 US$7 Billion 8 Global commitments to public health (2007) (measured in Official Development Assistance) • Total Health ODA in 2007: $22.1 billion • Health ODA for NCDs: ? (Source: Kaiser Family Foundation, 23 July 2009, based on OECD/DAC)

  32. HIV/AIDS 42.9% Health Policy 5.5% Infectious Disease Control 5.7% Reproductive Health Care 6.4% Basic Health Care 4.2% Malaria Control 5.4% Family Planning 0.3% TB Control 3.0% Basic Nutrition 1.7% Medical Services 0.3% Basic Health Infrastructure 0.7% Medical Research 1.3% Medical Education 0.6% Health Education 0.2% Water Supply/Sanitation 14.6% Water Resources Policy 4.0% Basic Drinking Water Supply 2.5% Waste Management 1.2% River Development 0.5% Water Resources Protection -0.8% Water Education 0% 0 5 10 15 20 25 30 35 40 45% 50 Growth in global commitments (2001-2007) (measured in growth of Official Development Assistance) • Total ODA growth 2001-2007: $14.9 billion • Health ODA growth for NCDs: ? (Source: Kaiser Family Foundation, 23 July 2009, based on OECD/DAC)

  33. The Paris Declaration invites donors to base their support on demand from developing countries Pending

  34. Translating key messages into a presentation  You and the other leaders of the G-20 have a unique opportunity to include NCDs in global development initiatives and related investment decisions at the NCD Summit 2011.

  35. Raising the priority of NCDs in development work United Nations General Assembly resolution A/RES/64/265 13 May 2010 Cameroon on behalf of Member States who are members of the Group of African States Member States which sponsored the draft resolution

  36. Raising the priority of NCDs in development work United Nations General Assembly resolution A/RES/64/265 • Decidesto convene a high-level meeting of the General Assembly in September 2011, with the participation of Heads of State and Government, on the prevention and control of non-communicable diseases; • Also decides to hold consultations on the scope, modalities, format and organization of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases, with a view to concluding consultations, preferably before the end of 2010; • EncouragesMember States to include in their discussions at the High-level Plenary Meeting of the sixty-fifth session of the General Assembly on the review of the Millennium Development Goals, to be held in September 2010, the rising incidence and the socio-economic impact of the high prevalence of non-communicable diseases worldwide; • Requeststhe Secretary-General to submit a report to the General Assembly at its sixty-fifth session in collaboration with Member States, the World Health Organization and the relevant funds, programmes and specialized agencies of the United Nations system, on the global status of non-communicable diseases, with a particular focus on the developmental challenges faced by developing countries.

  37. Raising the priority of NCDs in development work • NCD Summit (New York, 19 September 2011) • Consultative preparatory process leading towards the NCD Summit 2011: • First Global Ministerial Meeting on NCDs and Healthy Lifestyles (Moscow, 28-29 April 2011). • UN Regional Commissions (ECLAC, ESCWA, UNECA, UNECE, ESCAP) • Interactive hearings organized by WHO and UNDESA

  38. "Dear President Obama"(Key message on NCDs to international leaders) • In all developing countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated public policy response. • A global vision and affordable solutions exist to prevent 8 million premature deaths from NCDs in developing countries each year. • At WHO, we witness how programme managers in developing countries are increasingly challenged to formulate effective strategies to address NCDs. Donors, like USAID, should start considering their requests for technical assistance, even if these problems are not included (yet) in the MDGs. • You and the other leaders of the G-20 have a unique opportunity to include NCDs in global development initiatives and related investment decisions at the NCD Summit 2011. Ongoing situation Opportunities One recommendation Operationalization

  39. Exercise 2 If your team had a chance to speak to a Minister in your country for 2 minutes, what would your team plan tell her/him about NCDs?

  40. G-20 media donors UN World Bank InternationalDevelopment Agencies Minister of Foreign Affairsand Planning UN Agencies Target Audiences Ministers of Health NCD focal points in MoH NCD counterparts in other Ministries(agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs

  41. "Dear Minister of Planning" • 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 public policy response. • A global vision and 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. We should seek technical assistance from donors, even if these problems are not included (yet) in the MDGs. • We should ensure that our domestic efforts are placed at the forefront of any international efforts, in particular at the upcoming NCD Summit.

  42. Exercise 3 If you had a chance to meet with a school class of children today, what would you tell them in 2 minutes about NCDs?

  43. G-20 media donors UN World Bank InternationalDevelopment Agencies Minister of Foreign Affairsand Planning UN Agencies Target Audiences Ministers of Health NCD focal points in MoH NCD counterparts in other Ministries(agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs

  44. Main Challenge • Stand-alone public health messages are very hard to convey to individuals • Reducing the level of exposure to communities to risk factors, while strengthening the capacity of individuals to make healthier choices that foster good health

  45. "Dear Children"

  46. www.who.int/tobacco

  47. The seven C's of social mobilization 1. Command attention 2. Clarify message 3. Communicate a benefit 4. Consistency counts 5. Cater to the heart and the head 6. Create trust 7. Call to action Ongoing situation Opportunities One recommendation Operationalization

  48. The seven C's of social mobilization 1. Command attention 2. Clarify message 3. Communicate a benefit 4. Consistency counts 5. Cater to the heart and the head 6. Create trust 7. Call to action Ongoing situation Opportunities One recommendation Operationalization

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