Transcript Dr. Shahryar Sheikh

World Heart Federation
Professor Shahryar Sheikh
ECOSOC/UNESCWA/WHO WESTERN
ASIA MINISTERIAL MEETING,
DOHA, QATAR
11 May 2009
World Heart Federation
7 rue des Battoirs
1211 Geneva 4
Switzerland
www.worldheart.org
Content
 NCD burden of disease and investment: the Great Disconnect
 International health NGOs as active stakeholders
 Examples
 Call to action
NCD burden of disease and investment:
The Great Disconnect
Global Burden of Disease: chronic NCDs
cause over 50% of death worldwide
Source: WHO Global Burden of Disease Report Update 2004, Geneva 2008
Yet current investment in chronic NCDs is very
low…
 For the 2008-2009 biennum, the WHO will allocate almost
US$ 900 million to communicable disease whereas the budget
allocated to non-communicable disease barely reaches US$
160 million
 The Global Fund for HIV/AIDS, TB and Malaria total pledges
paid to date: USD 11.8 billion
 Half of the US$ 1.8 billion allocated to health programmes by
USAID in 2003 were for HIV/AIDS and infectious diseases.
Another 45% were for maternal health, child survival and
population control.
Specific example of tobacco control: under-funded
compared with other leading causes of death
$20
5
Global Funding, 2007 (all sources, $
billions)
$15
Annual Deaths (millions)
3
$10
2
$5
1
$0
0
AIDS
World Health Organization
TB
Malaria
Tobacco
Annual Deaths (millions)
Global Funding ($ Billions)
4
International health NGOs as active
stakeholders
The World Heart Federation
The Mission Statement
The World Heart Federation helps people achieve
a longer and better life through prevention
and control of heart disease and stroke,
with a focus on low- and middleincome countries
The Membership
The World Heart Federation has a membership of
195 organizations from all over the world. It brings
together the societies of cardiology as well as the
heart health charities.
Leveraging international NGOs strengths
 Members
 Networks
 Healthcare Professionals
 Patient groups
Grassroots
presence
and activities
Examples
Example of international partners initiatives (1)
 International campaigns :
Go Red for Women, campaign
created by the American Heart
Association, who gave the rights to
the World Heart Federation to roll
out globally.
The campaign is now being carried
out in over 40 countries
Example of international partners initiatives (2)
Guidelines on prevention and control
The World Heart Federation has called on countries to formulate
national and regional guidelines for the prevention & control of
cardiovascular disease
Example of international partners initiatives (3)
 Tobacco Control: Youth Advocacy
Fostering of youth involvement in tobacco control around the
world.
Youth empowerment as well as exposure of tobacco industry
tactics is effective for youth not smoking and becoming agents of
change
Example of multistakeholder approach at a
national level
 Pakistan: National Action Plan for NCDs – Public-Private
Partnership spearheaded by an NGO
Call to Action
« We cannot afford to say, «we must tackle other diseases first –
HIV/AIDS, malaria, tuberculosis – then we deal with chronic
diseases». If we wait even 10 years, we will find that the
problem is even larger and more expensive to address ».
Former President Obasanjo of Nigeria
 Greater attention to NCDs in low- and middle-income countries
and greater understanding of their impact on poverty
 Greater investment in prevention and control of NCDs in lowand middle-income countries
 Inclusion of NCDs in the Millennium Development Goals
 Break down the vertical approach to health systems