ecosoc western asia ministerial meeting “addressing noncommunicable diseases and injuries: major...

ECOSOC Western Asia Ministerial Meeting

“Addressing noncommunicable diseases and injuries:major challenges to sustainable development

in the 21st century”

Multistakeholder approaches to meet the challenges of noncommunicable diseases and injuries

Dr Fiona AdsheadDirector, Chronic Diseases and Health Promotion

World Health Organization

10-11 May 2009Doha, Qatar

ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century

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Multistakeholder NCD prevention: a whole of society approachMultistakeholder NCD prevention: a whole of society approach

Cross-sectoral, whole-of-society action involves:

– Government leadership,

– Empowering people to make healthy choices by building health literacy and capacity across society,

– Collaborative work: government, industry and civil society,

– Creation of enabling environments that promote health,

– Measuring outcomes and ensuring it works.


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MULTISTAKEHOLDER, CROSS-SECTORAL APPROACHMULTISTAKEHOLDER, CROSS-SECTORAL APPROACHGovernment – civil society – private sector – media

BEHAVIOUR CHANGEBEHAVIOUR CHANGE

ENABLING ENABLING ENVIRONMENTENVIRONMENT

HEALTH LITERACYHEALTH LITERACY

EmpowermentEmpowerment

HEALTHHEALTHOUTCOMEOUTCOME

Access to information, knowledge reinforcement, and opportunity to act

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GOVERNMENT leadershipGOVERNMENT leadership


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Building multistakeholder approach to NCD prevention into our daily lives

Building multistakeholder approach to NCD prevention into our daily lives

Within a programme

Within a campaign

Across a campaign

Healthy schools

Salt reduction

Physical activity


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Within a programme – Healthy SchoolsWithin a programme – Healthy Schools


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Within a Campaign – Salt ReductionWithin a Campaign – Salt Reduction

Nongovernmental Organizations

Blood Pressure Association British Heart Foundation

Consensus Action on Salt and Health

Diabetes UK Food Commission

Manchester Food Futures Partnership

Men's Health Forum National Children's Bureau (NCB)

Net mums National Federation of Women's

Institutes (NFWI) Trading Standards Institute (TSI)

RetailersAsda, Marks and Spencer,

Sainsbury's, Tesco, Morrisons, Waitrose, Iceland, Co-op, Somerfield,

Budgens and Spar

ManufacturersMcCain, Heinz, Bernard Matthews,

Premier Foods, Cadbury Schweppes, Kraft, Kellogs, Pepsico, Procter & Gamble, Northern Foods, Nestlé,

United Biscuits and Unilever

Trade AssociationsAssociation of Cereal Food Manufacturers (ACFM), and the Snacks, Nuts and Crisps

Manufacturers Association

Food S

tandards Agency (F

SA

)


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Across a Campaign – Ciclovia program development, continuity and effectiveness

Across a Campaign – Ciclovia program development, continuity and effectiveness


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Health In All Policies: common action for shared benefits

Health In All Policies: common action for shared benefits

By taking a Health In All Policies approach, a government can ensure:

– NCD risk factors and determinants are addressed by policy-makers and stakeholders in non-health sectors,

– Costs and benefits can be shared across all sectors,

– Co-benefits can be achieved among sectors that otherwise might not have worked together:

• Example: common action on climate change + NCD prevention and control.


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BuildingsIndoor air pollution

Heat and cold protection

Choosing healthy paths to a low carbon futureChoosing healthy paths to a low carbon future

Energy supply & conversion

Occupational risks;Construction and transport

AgricultureNutrition,Water /

vector-borne disease

TransportAir pollution

Traffic injuriesPhysical inactivity

IndustryOccupational risks,

mining and transport

WasteOccupational,

chemical

Greenhouse GasEmissions

AndNCD risk factors


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Transport and healthTransport and health

Kenworthy, 2003

Atlanta

Zurich

Paris

Singapore

Hong Kong

Houston

Beijing

Bangkok

Cairo

Riyadh


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Climate change, NCDs and achieving MDGs

Indoor air pollution:

Annually kills about 1.5 million of the poorest women and children,

Significant contributor to climate change,

Interventions are cost-effective both for health and climate,

Failure to incentivize "common cause"?


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Empowered Citizen

Health Literacy

Health Promotion

Self care

Chronic disease self-management

Patient and citizen involvement

The Self Care Circle

© Harry Cayton

Co-producing and co-benefiting: chronic disease prevention and control

Co-producing and co-benefiting: chronic disease prevention and control

Self care:

• A great example of partnership between public and health service.

• $100 spent on self care = $150 worth of benefits delivered in return.

• A sense of control over one's destiny = PRICELESS.


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Cross-sectoral approach:at the centre of public health and development

Cross-sectoral approach:at the centre of public health and development

A cross-sectoral approach leads to an enabling environment for common action for shared benefits,

For the greatest benefits, NCDs, their risk factors and their determinants should be considered,

Examples show that it can work: – healthy schools, salt reduction, Cyclovia, self-care cycle,

climate change,

The lessons learned can be applied to broader public health delivery including achievement of the MDGs.

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