Race towards Sustainab. MD, PhD, FRSPH

Transcription

1

2 Race towards Sustainab ble Development Goal (SDG) #3 How will Non-Communicable Diseases affect the progr ress towards the Goals Dr. Sam Oti, MD, PhD, FRSPH (Senior Program Specialist, IDRC) Centre for Science and Environment (CSE) workshop Kigali, 28 th 29 th November 2018

3 NCDs: The Big Four Cardiovascular Disea Cancer Diabetes Chronic Respiratory Diseases

4 Global deaths: Both sexes, all ages, 2017

5 SSA deaths: Both sexes, all ages, 2017

6 LMICs: 4 in 5 deaths from NCDs

7 Projections

8 Projections

9 Africa: Double Burden of Disease

10 Why?

11 Why=4 X 4

12 Why=4 X 4

13 Africa: Overburdened Health Systems

14 Africa: Overburdened Health Systems

15 Global Response

16 Global Response

17 Global Response By 2030, reduce by o third premature mortality from noncommunicable disea through prevention treatment and prom mental health and w being

18 Global Response

19 Global Response - Stakeholders

20 Global Response - Financing The share of development assistance it for health lth ddi dedicated tdto NCDs has remained at 1 2% (US$ 492 million out of US$ 36 billion) of the total since This level of funding is insufficient to attain the nine targets in WHO Global Action Plan on NCDs.

21 Global Response - Financing From 2011 to 2025 it is estimated that NCDs will drain over US$ 50 trillion from the global economy. Fortunately, preventing NCDs is very cheap in comparison with the costs of inaction. i Scaling up the best buys from 5% to 80% coverage in all LMIC would cost U S$ 11.4 billion.

22

23 Africa s Response Algeria Benin Botswanaa Burkina Faso Cabo Verde Cameroon Central African Republic Chad Comoros Congo Côte div d'iv voire Democratic Republic of the Congo Eritrea Ethiopia Gabon Gambia Ghana Guinea Kenya Lesotho Liberia Madagascar Malawi Mali Mauritania Mauritius Mozambique Niger Nigeria Rwanda São Tomé and Princip Seychelles Senegal Sierra Leone Swaziland Togo Uganda United Republic of Ta Zambia Zanzibar Zimbabwe

24 Africa s Response

25 Africa s Response: Sluggish and Disjointed ew or revamped units/depts. r NCDs in MoHs: Still poorly nded any small scale isolated search studies ome attempts to include CD indicators in HMIS ealth sector driven with little SA

26 Africa s Response: Sluggish and Disjointed xpansion of national health surance to cover some NCD Ds evelopment of treatment uidelines and disease or risk ctor specific policies, programs r action plans. ome targeted laws and gulations e.g. SSB Tax in SA dustry interference.

27 Africa s Response: My subjective verdict

28 Africa s Response: An objective verdict ur findings suggest that Africa is off track in achieving the NCDs indicators by the set deadlines. To e sustained public health h gains, more effort and commitment is urgently needed d from governmen ners and societies to implement these recommendations in a broader strategy. While donors need uit NCD advocacy with funding, African institutions such as The African Union (AU) and other sub gional bodies such as West AfricanHealthOrgan nization (WAHO) and various country offices could potentially play stronger roles in advocating for more NCD policy efforts in Africa.

29 Africa s Response: Where we should focus

30 Africa s Response: UHC case study

31 Africa s Response: UHC case study

32 International Development Research Centre About us: Established by an act of Canada s parliament in 1970 We fund research in developing countries to promote growth, reduce poverty, and drive large-scale positive change Our head office is located in Ottawa, Canada + 4 regional offices: LAC: Montevideo, Uruguay SSA: Nairobi, Kenya MENA: Amman, Jordan SEA: New Delhi, India

33 International Development Research Centre ision: Knowledge, innovation, and sol utions to improve the lives of eople in the developing world» DRC realize this vision by working cross its programming:. Invest in knowledge and innovation for large-scale positive change;. Build the leaders for today and tomorrow;. Be the partner of choice for greater impact. toward 3 strategic objectives

34 IDRC Research Focus Environment and Agriculture and Natural Resource Management Environment Inclusive Econom mies Innovation, Technology Policy and and Innovation Science Agriculture and Food Security Employment and Growth Foundations for Innovation Climate Change Governance and Justice Networked Economies Food, Environment and Health Maternal and Child Health NCD prevention Think Tank Initiative 34

35 IDRC Program: FEH Food, Environment, and Health A population health research program with 3 foci Main focus on the prevention of chronic non-communicable diseases, with emphasis on healthier food systems and healthier diets food system/environment change (fiscal, policy, community) A common, binding goal of prevention by: Addressing determinants of health and risk factors for disease through actions that are largely outside the control of the health sector Preventable infectious diseases vector-borne diseases helminths Ebola Chagas Tobacco control fiscal & policy measures sound economic rationale Changing the environment and circumstances in which people live to enable better health 35

36 IDRC Program: FEH FEH funding commitment ts since 2015 Food systems/environments targeting the prevention of NCDs: $19.3M. 28 projects Tobacco control: $3.5M. 9 proje ects Other NCD prevention: $2M. 12 projects Infectious disease: $11.8M. 19 projects 36

37 IDRC Program: example of impact

38 IDRC Program: example of impact

39 IDRC Program: example of impact EAST AFRICA Rwandaa Tanzaniaa Uganda Kenya SOUTHERN AFRICA Botswana Zambia Namibia

40 IDRC Program: example of impact

41 IDRC Program: example of impact

42 IDRC Program: example of impact

43 IDRC Program: example of impact WEST AFRICA Senegal Nigeria Sier rra Leone

44 Dr. Samuel Oti MD, PhD, FRSPH Senior Program Specialist Food, Environment and Health Pro Internat tional Development Research Centre Regional Office for Sub Saharan Africa 3rd Floor, Eaton Place, United Nations Crescent, Gigiri, Nairobi Kenya Tel: EXT: