NCD and Mental Health. Oleg Chestnov ADG/NMH Gauden Galea DNP

Transcription

1 NCD and Mental Health Oleg Chestnov ADG/NMH Gauden Galea DNP

2 Global Process

3 World Health Assembly resolution WHA64.11 REQUESTS THE DIRECTOR-GENERAL TO: (4) to report to the Sixty-fifth World Health Assembly, through the Executive Board, on the outcomes of the first Global Ministerial Conference on Healthy Lifestyles and NCD Control and the high-level meeting, and to develop, together with relevant United Nations agencies and entities, an implementation and followup plan for the outcomes, including its financial implications, for submission to the Sixty-sixth World Health Assembly, through the Executive Board. (24 May 2011)

4 The World Health Assembly has requested WHO to develop a 'WHO Action Plan for the Prevention and Control of NCDs for ' 2000 Global Strategy for the Prevention and Control of Noncommunicable Diseases Global Strategy on Diet, Physical Activity and Health Action Plan on the Global Strategy for the Prevention and Control of NCDs Global Strategy to Reduce the Harmful Use of Alcohol WHO Global Status Report on NCDs Political Declaration on NCDs WHO Action Plan for the Prevention and Control of NCDs for

5 Process: Steps to date Regional consultations based on a WHO Discussion Paper South-East Asia April 2012 Yangon, Myanmar Americas 7-8 May 2012 Brasilia, Brazil Eastern Mediterranean 30 June 2 July 2012 Cairo, Egypt Western Pacific June 2012 Kuala Lumpur, Malaysia Europe June 2012 Astana, Kazakhstan Africa September 2012 Nairobi, Kenya

6 Process: Next steps July September 2012: Web-based consultation for Member States, UN Agencies, NGOs and private sector entities (WHO Discussion Paper) August 2012: First informal consultation with Member States and UN Agencies (WHO Discussion Paper) 1 November 2012: Second informal consultation with Member States and UN Agencies ('Annotated Zero Draft' Action Plan) January 2013: Executive Board (Annotated Draft Action Plan) February 2013: Third informal consultation with Member States and UN Agencies (Draft Action Plan) 2013 May 2013: World Health Assembly (Final Draft Action Plan)

7 Regional Action

8 Reduction of Circulatory Mortality

9 NCD Framework for Action Determinants Causes of the causes : Income Education Early Childhood Globalization Demography Risk Factors Modifiable Behavioral Biological Nonmodifiable Genetics Diseases / Conditions CVD DM Cancer CRD Outcomes Mortality Morbidity Poverty: cause and consequence of NCDs Health Promotion Prevention Treatment Whole of Society Health Services

10 Workflow: Toolset Best Buys and instructions for use Each Tool Evidence base Basis for selection Instructions for adaptation and use

11 Workflow: Process Integrated Needs Assessment Tool Selection Prerequisites National Investment Initiation & Capacity Building Results Comprehensive situation analysis. Baselines set. Targets agreed by WHO and country teams Specific tools selected. Plan for adaptation. Country action PRIOR to initiation agreed Activation Threshold. Project formally initiated only after national prerequisites fulfilled. WHO and other partners invest in capacity and support implementation in agreed time. Results are specific PRODUCTS defined in terms of OUTCOMES and IMPACT

12 Results: Example Product Areas Determinants Risk Factors Diseases Outcomes Outcomes of joint action Legislation Communication Capacity Service access Service quality Capacity Measurement Impact of joint action Risky behaviour Biologic risk Incidence Complications Survival Mortality Poverty Equity

13 Capacity [1] National Health Reporting EUR B+C NCD mortality 100% NCD morbidity 100% NCD risk factors 68% Capacity to Disaggregate: Medium to Low

14 Capacity [2] Behavioural Risk factors EUR B+C Tobacco 88% Alcohol 76% Diet 76% Physical inactivity 76%

15 Capacity [3] Biological Risk factors EUR B+C Overweight & obesity 76% Blood pressure 84% Blood glucose 68% Blood lipids 44%

16 For discussion Participation How can CIS countries maximize their participation in the global consultation process? Capacity How can we build the NCD surveillance capacity of CIS countries?

17 Mental Health Consultation: Global and Regional Action Plans Oslo, Norway, 3-5 September 2012

18 Global Mental Health Action Plan Resolution WHA 65.4 in May 2012: global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level. Challenges: 13% of global burden of disease % higher risk of premature death. Estimated lost economic output next 20 years: $16trillion (World Economic Forum).

19 Objectives Global Mental Health Action Plan 1. Effective leadership and governance. 2. Mental health and social care services in community based settings. 3. Mental health promotion and protection that span the life course. 4. Strengthen information systems, evidence and research. Each with global targets.

20 European Mental health Action Plan Requested by Member States, builds on and customises the Global Action Plan, addressing European needs and priorities: 1. Optimize wellbeing at times of economic distress, particularly those most at risk. 2. Focus on empowerment and social inclusion. 3. Provide accessible and affordable services. 4. Guarantee respectful and effective treatments. Targets being developed.

21 Process Sep Nov May Sep Joint Political consultation, Oslo, Norway Global Consultation WHA: Global Mental Health Action Plan RCM: European Mental Health Action Plan

22 Thank You!