PHM-Exch> Measuring progress on NCDs: one goal and five targets?

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from: EQUIDAD at listserv.paho.org

HERE WE GO AGAIN: SETTING TARGETS FROM THE TOP DOWN. NOT A WORD ABOUT THE
PROCESSES NEEDED TO GET THERE WITH GENUINE PARTICIPATION. NOT A WORD ABOUT
CURBING THE INFLUENCE OF 'BIG FOOD' AND 'BIG BEVERAGE' ON PEOPLE'S DIETS.
HAVE WE NOT LEARNED ENOUGH FROM THE MDGs?
Claudio

** ** ** ** ** **

*Measuring progress on NCDs: one goal and five targets

*

Robert Beaglehole a, Ruth Bonita a, Richard Horton b, Majid Ezzati c,
Neeraj Bhala d, Mary Amuyunzu-Nyamongo e,
Modi Mwatsama f, K Srinath Reddy g

a **University** of **Auckland**, ****Auckland**, **New Zealand********

b The Lancet, ****London**, **UK********

c MRC-HPA Centre for Environment and Health, Department of Epidemiology and
Biostatistics, Imperial College London, London, UK****

d **Queen** **Elizabeth** **Hospital**, University Hospitals
**Birmingham**NHS Trust,
****Birmingham**, **UK********

e Consortium for NCD Prevention and Control in Sub-Saharan Africa, ****
Nairobi**, **Kenya********

f National Heart Forum, ****London**, **UK********

g Public Health Foundation of **India**, ****New Delhi**, **India****

****

*The Lancet, Volume 380, Issue 9850, 13 October 2012

*

Website: http://bit.ly/Qi3icN

****

“…..Heads of states and governments made commitments to the prevention and
control of non-communicable diseases (NCDs) in the Political Declaration
from the UN High-level Meeting on NCDs in September, 2011.1 A key
commitment in the Political Declaration calls upon WHO to develop a
comprehensive global monitoring framework to assess progress in the
implementation of national strategies and plans for the four main NCDs:
cardiovascular diseases (CVD), diabetes, cancer, and chronic respiratory
diseases.****

** **

Central to the monitoring framework is the selection of goals and targets
for NCDs. WHO member states have agreed on an NCD target of a 25% reduction
by 2025 in the probability of dying from the four main NCDs for people aged
30—70 years.2 We refer to this target as the overarching NCD goal (“25 by
25”). The latest WHO proposals include ten targets to reach this goal.3
Although these targets address important areas of NCD prevention, the
choice and hierarchy of the ten targets is based on their level of support
by member states. ****

** **

There is strong support from member states for targets on raised blood
pressure, tobacco smoking, salt intake, and physical inactivity. Targets
deemed as “requiring further development” relate to obesity, fat intake,
alcohol consumption, raised total cholesterol, the availability of
essential generic NCD medicines and basic technologies to treat major NCDs,
and drug therapy to prevent heart attacks and strokes.3 Member states will
discuss these proposed targets at a consultation in November, 2012, and the
monitoring framework will be finalised at the World Health Assembly in May,
2013…..”

****

* KMC/2012/HSS
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