WHA Matters Arising:
Global Monitoring Framework for NCDsGlobal and Regional Mental Health Action Plans
Oleg Chestnov ADG/NMHGauden Galea DNP
Indicators
61. …a comprehensive global monitoring framework, including a set of indicators…
Targets
62. …set of voluntary global targets for the prevention and control of NCDs, before the end of 2012.
Indicators TargetsPolitical Declaration on NCDs (resolution A/RES/66/2)
World Health Assembly decision (WHA65(8) (May 2012)
DECIDED
To adopt a global target of a 25% reduction in premature mortality from NCDs by 2025
2012
• 25 July 2012 – 19 October 2012: Relevant global NGOs and selected private sector entities are invited to submit their views by email ([email protected]) on the revised WHO Discussion Paper
2012• September – October 2012: Discussions at the WHO Regional Committees
2012
• End of October 2012: WHO Secretariat will publish a report summarizing the outcomes of the discussions at the Regional Committees and the views received from relevant global NGOs and selected private sector entities
2012
• 5-7 November 2012: Formal meeting with Member States and UN agencies to conclude the work
2012
• January 2013: WHO Secretariat will submit a report on the final recommendations to the Executive Board
2013
• May 2013: WHO Secretariat will submit a report with the final recommendations to the World Health Assembly
Process: Next steps
Raised blood pressure
25%
Salt/sodium intake
30%
Tobacco smoking30%
Physical inactivity10%
Obesity0%
Fat intake15%
Alcohol10%
Raised cholesterol
20%
Generic medicines and technologies
80%
Drug therapy and counseling
50%
11 voluntary global targets presented in the revised WHO Discussion Paper
Premature mortality from NCDs25% reduction
European process
February 2012: European Regional Technical Consultation on NCD Surveillance, Monitoring and Evaluation
Based on the first draft of the Global Monitoring Framework
85 participants including 28 member States and 7 WHO Collaborating Centres, hosted by the Norwegian Directorate of Health, Oslo
Issues raised around capacity and disaggregation of data
August 2012: Web based consultation on the Global Monitoring Framework to clarify country capacity and constraints
Based on the third draft of the Global Monitoring Framework
38 Member States have replied – by 3 September noon
Results and conclusions presented in next slides
Capacity [1] National Health Reporting
All EUR-A EUR B+C
NCD mortality 100% 100% 100%
NCD morbidity 98% 96% 100%
NCD risk factors 73% 78% 68%
Capacity to Disaggregate: Medium to Low
Capacity [2] Behavioural Risk factors
All EUR-A EUR B+C
Tobacco 92% 96% 88%
Alcohol 85% 93% 76%
Diet 83% 89% 76%
Physical inactivity 77% 78% 76%
Capacity [3] Biological Risk factors
All EUR-A EUR B+C
Overweight & obesity 85% 93% 76%
Blood pressure 83% 81% 84%
Blood glucose 73% 78% 68%
Blood lipids 60% 74% 44%
Raised blood pressure
Salt/sodium intake
Tobacco smoking
Physical inactivity
Obesity Fat intake AlcoholRaised
cholesterol
Generic medicines & technologies
Drug therapy and counseling
Assessing European Regional Capacity for Proposed Indicators
Premature mortality from NCDs25% reduction
Next Steps
Note and Comment
Regional Committee invited to note these findings and to comment
Question
Should there be further technical consultation (a Regional Technical Working Group or a Regional Consultation) to further discuss remaining technical issues?
Mental disorders & mental healthCycle of Wellbeing
Mental Disorders
(Mental) Wellbeing
Risk behaviours
Suicide and NCDs
Health system
Mental Health Action PlanPriority points raised
• Involving all agencies contributing to inclusion, at government level and locally.
• Build self help capacity, using E-Health.
• Education and training to change service culture.
• Develop targets that strengthen leadership.
• Define concepts and terminology