addressing the gaps in ncd policy and researchin ncd policy and research 04_feb2013
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IFPMA Geneva Pharma Forum, Putting NCDs into Focus (Geneva, 4 February 2013), Sir George Alleyne, former director, Pan American Health Organization (PAHO)TRANSCRIPT
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Addressing the Gaps in NCD Policy and Research
By
George Alleyne
Geneva, February 4, 2013
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Presentation
It will not address; --the current epidemiological status of NCDs --the economics of NCDs --the management of NCDs
It will seek to pose mainly: --the nature of the cooperative arrangements --mechanisms for effecting them --more specific comments on the private sector
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International agreements as the basis for the analysis
1) Political declaration of the UNHLM of
September 2011
2) WHO official documents
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First: Recognizes “ A challenge of epidemic
proportions.” Next: as the first focus of the response to the
challenge. “Recognizes that the rising prevalence ,
morbidity and mortality of NCDs worldwide can be largely prevented and controlled through collective and multisectoral action by all member states and other relevant stakeholders…”
UN HLM Political Declaration as the basis for the analysis
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Political Declaration
Further: speaks to “Whole of government approaches” and refers to at least 13 different sectors or agencies of government
And: acknowledges the important roles played by
all relevant stakeholders eg, civil society and where as appropriate the private sector and industry….
And: instructs the SG; to develop options for strengthening and facilitating multisectoral action for the prevention and control of NCds through effective partnerships
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Multilateral
Actions
Efforts
Responses
Public policies
Nat.Policies
Interventions
Approaches
Engagement
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Times “multisectorial “ mentioned in UN “health” documents
Political Declaration NCDs (2011)………..15 Political commitment HIV/AIDS (2001)……2 Agenda 21. Chapter 6 (1992).....……………0
Multisectoriality
? Significance and policy implications of new emphasis
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Objectives of Plan
To promote partnerships for the prevention and control of noncommunicable diseases
To raise the priority accorded to noncommunicable disease in development work at global and national levels, and to integrate prevention and control of such diseases into policies across all government departments
1 5
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Objective 2 To strengthen capacity, leadership,
governance, multisectoral action and partnerships to accelerate country response for prevention and control of NCDs
Draft NCD Action Plan (2013-2020)
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Strategies to address NCDs
Population based interventions;
Primary prevention
Clinical interventions Secondary prevention
Hea
lthy
NC
D
Society/environment
Individual Sphere of sectoral cooperation
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1-Sectoral cooperation is fundamental and essential for the execution of the commitments in the Political Declaration, relevant recent official documents and in all plans of action for the prevention and control of NCDs.
2-But there must be much more clarity about the nature of such cooperation and the means of effecting it.
Three Basic Theses
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3-In most of these documents the terms multisectoral and intersectoral are used interchangeably, but we posit that there is a fundamental difference between multisectoral and intersectoral forms of cooperation.
Basic Theses ctd.
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Multisectoral cooperation embraces cooperation among agencies of government
Intersectoral cooperation expresses the relationship among the critical three sectors of the state-the public sector(government) the private sector and civil society
Taxonomy of sectoral cooperation
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Government
Private sector
Civil Society Agric. Health
Trade Others
PM
STATE GOVERNMENT
Finance
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Government Civil society Business
Public goods
Law and order
Taxation
Agitate
Inform
Goods
Services
Profit Legislation
Regulation
Executing agent
“Shared value”
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Multisectoral cooperation
CVD
Health Trade Agriculture
Interest
Parochial + Liberal + + + +
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Health Impact Assessment
Source: Mindell J et al. Bull WHO: 210; 88: 543-550
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Source: Georgia Tech. Center for Quality Growth & Regional Development
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Intersectoral cooperation
Government Business
Civil society
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Common intersectoral arrangements
Public/Private partnerships
Civil society as executing agent
Principal/Agent
Stewardship
Govt/Business
Govt/Civil society
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Risk factor Government Private sector
Civil Society
Tobacco ++++ - ++
Physical activity ++ + +
Alcohol ++++ ? ++
Unhealthy diet +++ +++ ?
Sectoral capacities for addressing risk factors
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“Sectoral Cooperation for the Prevention and Control of NCDs”
George Alleyne, Sania Nishtar
Principal source