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The Role of the World Bank in Addressing Childhood Obesity

The Role of the World Bank in Addressing Childhood Obesity . Dr. Shiyan Chao The World Bank PACO III HIGH LEVEL MEETING ON CHILDHOOD OBESITY PREVENTION Aruba June 6, 2013. Outline. 149 million smokers 30-40% of 25-64 hypertensive 25% persons >15 years old obese.

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The Role of the World Bank in Addressing Childhood Obesity

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  1. The Role of the World Bank inAddressing Childhood Obesity Dr. Shiyan Chao The World Bank PACO III HIGH LEVEL MEETING ON CHILDHOOD OBESITY PREVENTION Aruba June 6, 2013

  2. Outline

  3. 149 million smokers 30-40% of 25-64 hypertensive 25% persons >15 years old obese NCDs #1 KILLER IN AMERICAS Chronic respiratory disease Other NCDs TOTAL NCD DEATHS 2009 4.5Millions Diabetes Cardiovascular diseases 37% deaths are below age 70 years Cancer Approx 250,000,000 people live with an NCD in the Americas region

  4. Increase Burden of Disease due to NCDsin Disability-Adjusted Life Years (DALYs)

  5. Changing of the World Bank’s Roles The World Bank’s roles in the Health Sector in the Region are changing: • From HIV/AIDS Investment to Health System Strengthening • From investment lending to Non-lending Technical Assistance • From Bank alone investment to leveraging partnerships

  6. The World Bank Portfolio in the Caribbean

  7. Engaging in NCDs Prevention and Control • Knowledge Production • The Bank has produced a number of reports on NCDs • Knowledge Sharing • The UN High Level Meeting on NCDs • South to South Learning • Investment Projects on NCDs

  8. Generating knowledge on NCDs Three Major Publications on NCDs • Jamaica: Non-Communicable Diseases in Jamaica: Moving from Prescription to Prevention (2010) • OECS:Reducing the Burden of Non-Communicable Diseases in the Eastern Caribbean (2010) • Latin America and Caribbean Region (LAC): Promoting Healthy Living in LAC (2013)

  9. Focusing on Obesity

  10. Highest Female (15yr+) Overwt/Obesity in the world (WHO 2011)

  11. ADULT OVERWEIGHT/OBESITY TRENDS IN THE CARIBBEAN

  12. Strategies to address Obesity

  13. A life-cycle approach Protection: Social pensions Prevention: Old-age pensions, disability insurance Promotion: Nutrition/ECD, Prevention of childhood Obesity Promotion: CCTs for (girls’) education Protection: Child allowances, school feeding Promotion:Employment services, entrepreneurship, training and skills Protection: Cash and in-kind transfers, public works programs Prevention: Unemployment, disability insurance Promotion:Youth employment programs, skills training Preventing childhood obesity through MultisctoralApproach

  14. Interventions to Childhood Obesity

  15. The Way Forward

  16. Identifying Strategy/resources Assessing results/impact Knowing the statistics What the World Bank can help • Who are obese (age, gender and socioeconomic status) • What are the risk factors • What can we do: set up goals and identify interventions Setting up objectives/goals • How to best achieve the goals? • What are the priorities ? • What are resources available? • What are the trade-offs? • What are the outputs, outcomes and results? • What are the short-term and long –term impact? The World Bank 16

  17. schao@worldbank.org www.worldbank.org/lachealth

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