Transcript Dr. Fiona Adshead - the United Nations

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 Adshead
Director, Chronic Diseases and Health Promotion
World Health Organization
10-11 May 2009
Doha, Qatar
Multistakeholder 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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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
GOVERNMENT leadership
Government – civil society – private sector – media
ENABLING
ENVIRONMENT
HEALTH LITERACY
Empowerment
BEHAVIOUR CHANGE
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Access to
information,
knowledge
reinforcement,
and opportunity
to act
HEALTH
OUTCOME
ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Feedback and policy change
MULTISTAKEHOLDER, CROSS-SECTORAL APPROACH
Building multistakeholder approach to
NCD prevention into our daily lives
Within a programme
Healthy schools
Within a campaign
Salt reduction
Across a campaign
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Physical activity
Within a programme – Healthy Schools
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Within a Campaign – Salt Reduction
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)
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Food Standards Agency (FSA)
Nongovernmental Organizations
ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Retailers
Asda, Marks and Spencer,
Sainsbury's, Tesco, Morrisons,
Waitrose, Iceland, Co-op, Somerfield,
Budgens and Spar
Manufacturers
McCain, Heinz, Bernard Matthews,
Premier Foods, Cadbury Schweppes,
Kraft, Kellogs, Pepsico, Procter &
Gamble, Northern Foods, Nestlé,
United Biscuits and Unilever
Trade Associations
Association of Cereal Food Manufacturers
(ACFM), and the Snacks, Nuts and Crisps
Manufacturers Association
Across a Campaign – Ciclovia program
development, continuity and effectiveness
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
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 policymakers 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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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Choosing healthy paths to a low carbon future
Buildings
Transport
Indoor air pollution
Heat and cold
protection
Air pollution
Traffic injuries
Physical inactivity
Industry
Occupational risks,
mining and transport
Greenhouse Gas
Emissions
And
NCD risk factors
Energy supply
& conversion
Occupational risks;
Construction and transport
Agriculture
Nutrition,
Water /
vector-borne disease
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Waste
Occupational,
chemical
Transport and health
Atlanta
Bangkok
Singapore
Houston
Riyadh
Zurich
Paris
Hong Kong
Beijing
Cairo
Kenworthy, 2003
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
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 costeffective both for health
and climate,
 Failure to incentivize
"common cause"?
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
Co-producing and co-benefiting:
chronic disease prevention and control
Health Literacy
Self care:
Empowered
Citizen
Health
Promotion
The Self Care Circle
Self care
Patient and citizen
involvement
Chronic disease
self-management
© Harry Cayton
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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century
• 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.
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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ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009
Addressing noncommunicable diseases and injuries:
major challenges to sustainable development in the 21st century