Developing a Costed National Multisectoral Action Plan for Prevention and Control of NCDs

Transcription

1 Developing a Costed National Multisectoral Action Plan for Prevention and Control of NCDs Dr Renu Garg, MD MPH Regional Advisor, Noncommunicable Diseases

2 Outline Rationale Scope and duration Process Format/structure Resources

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5 National multisectoral action plan How will it help? Blue print for action Help to focus on a few key priorities Buy-in from other sectors Assist in resource mobilization domestically and internationally

6 Scope Four major NCDs and four major risk factors (and household air pollution) +any specific national priority (e.g., thalasaemia in Maldives) +oral health +injuries +mental health/substance abuse

7 Duration 2 years 5 years Up to 2020 Up to 2025

8 Situational analysis Process Engagement with internal stakeholders Within the health sector Engagement with external stakeholders Whole of Govt (Other government Ministries) Whole of society (civil society, private sector etc) Approval and endorsement

9 Core team Constitute a core team NCD programme members Consultant with NCD expertise with good writing skills Consultant with expertise in costing

10 Situational analysis Desk review Burden and trends NCD risk factor surveys, cancer registries, nutrition surveys, vital registration Current NCD plans/actions and capacity WHO CCS, UNDAF, NCD related plans, health system assessment Mapping of stakeholders Outcome: priority areas and internal and external stakeholders identified

11 Internal stakeholder engagement Internal advocacy and buy-in MOH programmes- e.g., school health, surveillance Different levels of health system Themes-Universal health coverage

12 External stakeholders engagement Series of consultations Other government sectors Civil society UN agencies, development partners Professional associations Media Mutual ownership and accountability

13 All stakeholders Endorsement Formal approval Health Ministry Cabinet Secretaries Inter-ministerial committee Publish with multiple logos High-level launch (media campaign)

14 Current Status (draft) Country Stakeholder engagement Draft Action Plan National target Costing Endorsement Bhutan Starting India Maldives Nepal SriLanka Timor Leste

15 Major Components of Strategic Action Plan Vision Goal What we wish for What do we want to achieve to be successful Objective/ desired outcome Specific measurable outcomes Priority actions/interventions Planned actions to achieve objectives Social Determina nts of Health Indicators Targets Monitors of success level of performance

16 Table of Contents of National Action Plan

17 Area of work: 1. Tobacco control Objective and target: To reduce the prevalence of tobacco use by x% by Process indicator: Nnational policy/strategy in line with WHO FCTC to reduce the burden of tobacco use Priority Actions Specific activities Lead agency Partnering agencies Estimated Budget Source of funding 1.1 Improve enforcement of all aspects outlined in the updated Tobacco Control Rules and Regulations (2010) through effective partnerships with police and other enforcement entities Develop mass media campaign to increase public aw areness of tobacco law s Develop mechanisms for enforcement of tobacco legislation Sensitize the police department Conduct review meetings w ith police and other stakeholders X X X x X x x x x MOH Information Ministry, other 1.2 Strengthen tobacco surveillance to monitor tobacco use and prevention policies 1.3 Raise import taxes and inflation-adjusted prices on tobacco products 1.4 Enforce 100% tobaccofree environments in all indoor workplaces, public transport, indoor public places and, as appropriate, other public places

18 Key resources Global Action Plan Regional Action Plan Draft National Action Plan of SEAR countries (when available) WHO One health costing tool (future) NCD Web portal