ncds and social determinants - undp pacific regional centre - 2013
DESCRIPTION
A presentation prepared for a UNDP webinar on "Addressing the Social Determinants of Noncommunicable Diseases". This presentation highlights the NCD crisis in the Pacific, discusses the determinants of NCDs in the Pacific (with an emphasis on trade), and discusses action and future workTRANSCRIPT
Webinar – NCDs & social determinants
UNDP Pacific CentreSuva - Fiji
Ferdinand Strobel
Presentation outline
1. Pacific NCD crisis
2. Determinants (emphasis on trade)
3. Actions & Future plans
1. Pacific NCD crisis
Age standardized diabetes prevalence by WHO regions
Photo Credits: Waqanivalu & UN
Rapid epidemiological transition
Photo Credits: Burton (left); Tim McKenna (right)
2. Determinants
Photo Credits: Waqanivalu , catholic.org, healingtalks.com
Photo Credits: Strobel and UNDP
Photo credit: Vlad Sokhin
Graphs: Thow et al. 2011
Opening of domestic
markets to int. food
trade
Entry of transnational food corporations,aggressive marketing
Dramatic increase in the availability & demand for ultra-processed foods & drinks
Effects of trade liberalization:Profound & rapid change of diets composition and food habits : “snacks” – “treats”
Photo Credits: Strobel, Hoejskovp, commons.wikimedia.org
Photo Credits: Strobel, Melissa Goldman, flickr, matava.com
Year
Imports value
Diabetes prevalence
1%
20%
3. Actions
Work on Health & Trade intersections (2013 – 9 countries)
• Establish/ strengthen intersectoral coordination mechanisms;
• Practice joint planning and share experience
• Include among others, health impact assessments, and taxation policies which affect the risk factors for NCDs;
• Provide the technical support required to support policy coherence between trade and health sectors;
• To accelerate the regional and national efforts to develop and implement food standards for relevant nutrients (e.g. fat, sugar and salt content in processed foods)
Some initial results
• Greater recognition of the need for coherence between health & trade policies by leaders
• Country action (i.e Tonga)
• Economic ministers wanting a roadmap
• Recognition of the need for ‘major interventions outside the health sector’ by forum leaders
Other planned area of work
• Help develop an ‘economic and social case’• Mainstream NCDs in National Development
Strategies • Develop innovative delivery platforms (Public-private
partnerships ?)• Support the implementation of FCTC (art. 5) –• Develop practical tools• Support to CSOs (NCD constituencies & consumer
rights protection, etc…)