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Content and Products of the NCD Observatory

CARMEN Policy Observatory Meeting (Montreal, Quebec, Canada, March 2005). Content and Products of the NCD Observatory. What is the NCD Policy Observatory?. Comprises a network of countries and institutions supporting a Knowledge Development & Dissemination system based on

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Content and Products of the NCD Observatory

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  1. CARMEN Policy Observatory Meeting (Montreal, Quebec, Canada, March 2005) Content and Products of the NCD Observatory

  2. What is the NCD Policy Observatory? • Comprises a network of countries and institutions supporting a Knowledge Development & Dissemination systembased on • Monitoring and analysis of: • NCD-related • Public policies • Legislation/Regulations • International health policies

  3. Goals of the NCD Policy Observatory • To support the development of effective integrated NCD prevention policies through: • the systematic analysis of the processes involved in formulation, adoption and implementation of such policies; and • linking this analysis to the evaluation of programs and interventions established through these policies.

  4. Goals of the NCD Policy Observatory • To strengthen multi-sectoral collaboration in the formulation and adoption of specific and complementary policies that maximize NCD prevention. • To place NCD prevention higher on the agenda of policy makers.

  5. Knowledge Development Agenda Reports and Technical Documents Data compiled by individual country, selected countries, or by Region • Themes (generic) • Case examples of policy and implementation issues and challenges

  6. Themes • General • “Making the Case for NCD Prevention Policy and Action” • “Investment & Targeted Allocation of Funds for Prevention & Promotion” • “Partnership Development & Integration” • “Impact on organizational and system capacity” • “Impact on Population Health” • “Impact of international collaboration on domestic policy” • “Impact on selected major risk factors for NCD” • “Impact on high-risk or disadvantaged populations” • Process • Facilitators and barriers to formulation and implementation

  7. Case Examples of Policy & Implementation Issues and Challenges • Canada(examples) • “Canadian Healthy Living Strategy” • “Nutrition Labelling Policy in Canada” • “Establishing School Health Policy in Canada” • “Alberta Healthy Living Program” • “Quebec Public Health Legislation” • “New Federal Deal for Canadian Cities” • “Canadian Diabetes Strategy”, • “Childhood poverty in Canada – linked to food insecurity” • “Physical inactivity at the municipal level, urban planning and development,” • “Mental illness and co-morbidities”

  8. Case Examples of Policy & Implementation Issues and Challenges • Brazil • “National Food and Nutrition Policy” • “Brazilian Tobacco control Policy” • Costa Rica • “Creation of Ministry of Health & Sports”

  9. Criteria for selecting and prioritizing case examples • Relevance • Consistent with national/provincial NCD objectives • Address prevailing political and public issues • Reflect epidemiological “picture” for NCD in the country/province • Address at least one major NCD risk factor (e.g. tobacco use, physical inactivity, unhealthy eating) • Scope • Multisectoral (civil society, industry, government etc.) and multi-level ( local, regional, P/T & federal) support & collaboration

  10. Criteria for selecting and prioritizing case examples • Feasibility • Size, complexity, budget, analyzable • Potential Impact or Benefit - On accountability and decision-making - On users of policy-related information - On the profile of issue - On population health

  11. CARMEN Framework for Policy Analysis (Part 1) Solution proposal ImplementationDesign Problem Recognition/agenda Setting Deciding Contexts Social Economic Physical Environmental Gender Culture Policy Interests/Conflicts Policy networks How actors interact Actor capacity and resources Policy Instruments Legislation Regulation Expenditure Information Network creation New program/service Policy Action Plan Collaborative planning Community organization & action Policy harmonization - Institutions Government agencies Mandates Accountability Formal processes legislative frameworks Existing policy Ideas Information sources Value preferences Consensus-Building

  12. PHAC Framework for Assessing the Effectiveness of Community Initiatives That Promote Health Policy Implementation Determinants of Collaborative Health Planning Community Policy Action Change Individual Transformational Change Change Systems Change Improvements in Community Population Health Organization and Outcomes while Reducing Action Health Inequalities Courtesy of the Strategic Policy Directorate, Public Health Agency of Canada (PHAC)

  13. Proposed Data Collection Methods Data collection methods include but are not limited to: • document review and synthesis • Key Informant Questionnaire/Face-to-Face focus group interviews • paper-based questionnaire returned by mail or fax, or • on-line questionnaire, or • in-depth face-to-face key informant interviews

  14. Knowledge Translation and Dissemination Agenda • Forum for regional and national policy dialogues • Various channels: • NCD virtual library • Websites & List serve • Printed and on-line publications • Query service • Training courses • Databases • Academic and Political fora

  15. Structure to Support Observatory

  16. CARMEN Network CARMEN School Policy Observatory PAHO / WHO CC (Canada) Technical Advisory Team Technical Consultative Group IAG Country Policy Observatory Country Policy Observatory Country Policy Observatory Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions Collaborative Members/ Institutions

  17. Development of the CARMEN Policy Observatory • Part I: Pilot Case Studies • Part II: Ongoing Knowledge Development, Monitoring and Analysis • Part III: Knowledge Translation and Dissemination

  18. Part I – Pilot Case Studies • The pilot case studies will : • Develop and refine methodology for case and cross-case analysis • Explore themes of relevance within country policy profiles and context

  19. Part II: Ongoing Knowledge Development, Monitoring and Analysis • Determine benchmarks for policy development and implementation • Determine benchmarks for collaboration between different sectors • Establishment of infrastructure for ongoing data collection, monitoring and analysis

  20. Part III: Knowledge Translation and Dissemination • Forum for regional and national policy dialogues and information exchange • Bringing NCD policy-makers together with health system researchers and analysts • Extension of Policy Observatory model beyond the CARMEN-CINDI region

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