Second meeting of the WHO GCM/NCD Working Group on

Health education and health literacy for NCDs (12-13 June)

WHO Global Coordination Mechanism on the Prevention and Control of NCDs

A platform for multisectoral and multistakeholder action on NCDs in the SDG-era

06 July 2017WHO Salle A

Briefing for Member States

WHOGlobalCoordinationMechanismforthePreventionandControlofNCDs

Conceptualframework

TermsofReference

(adoptedbytheWorldHealth

Assemblyin2014)

Workplan2014-2015

(notedbytheWorldHealthAssemblyin

2014)

Workplan2016-2017

(notedbytheWorldHealthAssemblyin

2015)

Workplan2018-2019

(notedbytheWorldHealthAssemblyin

2017)

WHOGlobalCoordinationMechanismonNCDs

§ Scopeandpurpose:§ Facilitateandenhancethecoordinationofactivities,multi-stakeholderengagementand

action acrosssectorsatthelocal,national,regionalandgloballevels,inordertocontributetotheimplementationoftheWHOGlobalNCDActionPlan2013– 2020.

MemberStates

UNAgencies

Non-StateActors

Fivefunctions:§ Advocatingandraisingawareness§ Disseminatingknowledgeand

information§ Encouraginginnovationand

identifyingbarriersProvideaforumtoidentifybarriersandshareinnovativesolutionsandactionsfortheimplementationoftheglobalactionplanforthepreventionandcontrolofNCDs2013–2020andtopromotesustainedactionsacrosssectors.

§ Advancingmultisectoralaction§ Advocatingformobilizationof

resources

WHOGlobalCoordinationMechanismonNCDs

Activities

§ WorkingGroups§ Dialogues§ Virtualdiscussionforums§ Knowledgedissemination,includingexchangeofbestpractices

§ Newsletters§ Webinars§ CommunitiesofPractice§ Globalcommunicationscampaign§ IntegratedsupporttoCountries

PurposeandTermsofReferenceforGCMWorkingGroups• In May 2014, the 68th WHA endorsed the WHO GCM/NCD TORs and noted its

2014-2015 and then 2016-2017 work plan, including establishment of WorkingGroups.

• The TORs for the Working Groups spelt out (i) the process for nominating andappointing experts to the WGs; (ii) that Co-Chairs would be from developed anddeveloping Member States; and (iii) the working procedures

• The WHO GCM/NCD Working Groups are tasked with providingrecommendations to the WHO Director-General on ways and means ofencouraging countries to realize the commitments made by Heads of State andGovernment at the 2011 UN General Assembly High-level Meeting on NCDs andthe UNGA outcome document 2014

• The Working Groups can consult with relevant intergovernmentalorganizations and non-State actors in their work (as per para 13 of the TORs).

6

WHO GCM/NCD Working Groups

2014-2015• Financing for NCDs

• Engagement with the Private Sector

2016-2017• Inclusion of NCDs in other programmatic

areas

• Alignment of international Cooperation with national NCD plans

• Health education and health literacy for NCDs

Working Groups are Complementary in Scope

WHOGCM/NCDWorkingGroup3.3Mandate

TorecommendwaysandmeansofencouragingMemberStatesandnon-Stateactors:

• TopromotehealtheducationandhealthliteracyforNCDs,

• withaparticularfocusonpopulationswithlowhealthawarenessand/orliteracy,

• andtakingintoaccountthecost-effectiveandaffordableinterventionsforallMemberStatescontainedin

Appendix3oftheWHOglobalactionplanforthepreventionandcontrolofNCDs2013–2020.

MembersofWorkingGroup3.3§ Co-Chairs

-DrLixin Jiang(China)AssistantDirectoroftheNationalCentreforCardiovascularDiseases;Co-DirectorofChinaOxfordCentreforInternationalHealthResearch;Editor-in-Chief,TheLancetChina

- ProfessorSergeyBoytsov (Russia)Director,NationalResearchCenterforPreventiveMedicine,MinistryofHealthcareoftheRussianFederation

§ 12memberstotal 2fromeachWHOregion,withbalancedrepresentation

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•DrRosmondADAMS(St.Vincent &TheGrenadines)

•ProfessorWagida A.ANWAR(Egypt)•DrKee-SengCHIA(Singapore)•DrLorieDONELLE(Canada)•DrHla MyaThway EINDA(Myanmar)

•DrNorhayati KASSIM(Brunei)•DrPortiaMANANGAZIRA(Zimbabwe)•MsErikaPLACELLA(Switzerland)•MrIonSALARU(Moldova)•MsJudithSEGNON(Benin)•DrPandup TSHERING(Bhutan)

SpecialAdvisorsandFacilitatorforWG3.3

§ ProfessorIlonaKickbuschDirectoroftheGlobalHealthCentreandAdjunctProfessor,TheGraduateInstituteofInternationalandDevelopmentStudies,Geneva

§ ProfessorDonNutbeamProfessorofPublicHealth,UniversityofSydney

§ DrDavidNovilloAdvisor,KnowledgeManagement&DigitalHealthRegionalfocalpointfortheWHOeHealthProgram,PAHO

§ DrIshuKatariaGlobalChapterCoordinator,YoungProfessionalsChronicDiseaseNetwork

§ ProfessorRichardOsborne(Facilitator)Head,HealthSystemsImprovementUnit,SchoolofHealthandSocialDevelopmentCentreForPopulationHealthResearch,FacultyofHealth,Deakin University,Australia

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Healthliteracyreferstothepersonalcharacteristicsandsocialresourcesneededfor

individualsandcommunitiestoaccess,understand,appraiseanduseinformationand

servicestomakedecisionsabouthealth.Healthliteracyincludesthecapacityto

communicate,assertandenactthesedecisions.

Healthliteracyresponsivenessdescribesthewayinwhichpolicies,services,

environmentsandproductsmakehealthinformationavailableandaccessibletopeople

withdifferenthealthliteracystrengthsandlimitations

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Whatishealthliteracy?

Whatareweaimingfor?Andwhatistheroleofcognitive-behavioral-socialstrategies(includinghealthliteracy)?

100%coverage

maturingcampaign/programs

stagnatingcampaign/programs

Optimizingmassand/orstandardized strategies

Meetingtheneedsof,orbeeffectivewith,thosewearecurrentlyfailingtoengage

Tobeeffectiveinthisspace,weonlythinkaboutHLintheaveragepopulation

buttobeeffectiveinthisspace,wereallyneedtofocusonhealthliteracydiversity

WorkingGroup3.3KeyquestionsthatarebeingaskedofthisWGincludethefollowing:

• Whatarethecontext-specific settings acrosspopulationgroups thathealthliteracyinterventionsshouldaddress?

• HowcanhealtheducationandhealthliteracyenhancethepreventionandcontrolofNCDs?• Whatistheroleofhealthliteracymeasurement,includinghealthliteracysurveys,toenhance

healthliteracyresponsiveness?• Whatistheroleofdigitalhealthliteracyinaddressingequityconsiderationsintheprevention

andcontrolofNCDs?• InsupportingtheimplementationoftheShanghaiDeclaration,howcanhealthliteracy

contributetotherealizationoftheSDGs?• Whatarethepotentialcost-effectiveinterventiononhealthliteracyfordifferentcontexts,

settingsandpopulations?

13

WG3.3MeetingSchedule

14

2nd meeting:12-13June2017

Objectives:

• Substantivemeetingtoreviewevidenceandconclusionsfromfirstmeetinganddraftrecommendationsenhancedthroughcomprehensiveexpertparticipationandstakeholderhearings.

• Portionsofthemeetingwereaccessibleviawebcastwiththeaimofengagingadditionalstakeholdersandensuringtransparency.

• Developstructurefordraftinterimreport,thatwillbedevelopedandpostedforpubliccommentinthefollowingmonths.

• Addresspre-evaluationofDemonstrationprojectsandmappingofhealthliteracyinterventions.

• Discussrollout/engagementplanwithMemberStates(WorkingGroupmembersasadvocates)andotherstakeholder.

DemonstrationProjectsFocusedinterventionsonHealthLiteracyforNCD

Objective:Toadvancenationalandinternationalhealthliteracypracticeinsupportofacceleratedprogressincountriestowardsrealizingtheirhigh-levelcommitmentsforthepreventionandcontrolofNCDsandSDGtarget3.4

InitialparticipantsfromWG3.3members:• Egypt:HealthLiteracyinterventionaddressingriskfactorsinafishermen’scommunity• China:HealthLiteracyinterventiononcardiovasculardiseasesin5ruralcommunities• Myanmar:aHealthLiteracysurveythatwilldefinecontext-specificHealthLiteracy

interventions

15

Second meeting of the WHO GCM/NCD Working Group on:

Health education and health literacy for NCDs

WHO Global Coordination Mechanism on the Prevention and Control of NCDs

A platform for multisectoral and multistakeholder action on NCDs in the SDG-era

StakeholderHearing

SessionOneHealthliteracyinterventionsatthepolicylevel

17

• MayMyat CHOProgramManager,SustainableFundingforHealthPromotionSoutheastAsiaTobaccoControlAlliance(SEATCA)Thailand

• KristineSØRENSENNetherlandsEuropeanHealthLiteracySurveyDepartmentofInternationalHealthatMaastrichtUniversity

• BlytheROBERTSONHealthcareQualityandImprovementScotland

• DianeLEVIN-ZAMIRDepartmentofHealthEducationand.PromotionClalit HealthServicesIsrael

18

KeyMessages:

• Theneedtodevelopinter-relationshipbetweenspecifichealthliteracypolicyandtheoverallpolicy

contextinwhich youareworking,embeddingtheideaof“healthliteracybydesign”.

• Improvedhealthliteracyresponsivenesshasbecomeakeystrandofmanypolicyareas.

• Thereisneedtobuildtheevidencebasetoshowtheglobalscopeandscaleoftheimpactofhealth

literacy- asanassetforinvestmenttodeveloppeople'sfullestpotential.

• Developmentofcross-disciplinary,cross-sectoralcoalitionsofstakeholders,beyondhealth,tobridgethe

gapoflimitedhealthliteracy

• Buildingthepoliticalcaseisessential:healthliteracyisevident,measurable,feasibleandforthepublic

good.Decision-makersneedtotakeresponsibilityandpushthehealthliteracyagendaforwardatall

levels.Healthliteracyisapoliticalchoice:itsavesmoney,itsavestimeandsaveslives.

SessionOneHealthliteracyinterventionsatthepolicylevel

SessionTwoHealthliteracyinterventionsattheservice

delivery/institutionallevel

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• CynthiaEBAURSchoolofPublicHealthUniversityofMarylandUnitedStatesofAmerica

• Zhening LIUMentalHealthInstitute,SecondXiangya HospitalCentralSouthUniversityChina

• CarolineAntoniaMUBAIRACrownAgentsUnitedKingdom

• AmyISRAELIFPMASwitzerland

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KeyMessages:• Policiesmustallowfordecentralizationofresources/budgetswhereHealthWorkers

andcommunitiesaregiventheopportunities,thecapacitiesandtheautonomyto

makedecisionswithinagreedframework.

• Policiesmustenablepeopletotakecontrol&beinnovativeovertheirhealthandmake

healthapeople’sissue

• A systemsapproachtohealthliteracyinterventionsisnecessaryinordertogenerate

resultsandimpactregardingaddressingNCDs

• Measuringandmonitoringhealthliteracyiscriticalforidentifyingprogressandgroups

atrisk,andshouldalsofocusonhealthbehavioroutcomes.

SessionTwoHealthliteracyinterventionsattheservice

delivery/institutionallevel

SessionThreeHealthliteracyinterventionsatthecommunitylevel

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• Shyam Sundar BUDHATHOKISchoolofPublicHealth&CommunityMedicineBPKoirala InstituteofHealthSciencesNepal

• Rizanda MACHMUDMedicine,Andalas UniversityIndonesia

• SuvajeeGOODRegionalOfficefortheSouthEastAsiaWHO

• SimonEATONNorthumbriaHealthcareNHSFoundationTrustUnitedKingdom

SessionThreeHealthliteracyinterventionsatthecommunitylevel

22

KeyMessages:• Strongcommunal/culturalpracticesneedstobeidentifiedtofacilitatecommunityengagementin

ordertoincreaseaccesstoinformationabouthealthandhealthcareservices.

• Healthliteracyenablespersonalandcommunityempowermentthatbeginswithaccessto

informationandconcludeswiththeabilitytomakedecisionsinhealthforselfandothers,provided

thehealthsystemisresponsivetothehealthliteracyneedsofthepeople.

• PrerequisitesaretheavailabilityofservicesandfacilitiesbasedontheprinciplesofUHC,cultural

appropriatenessandcontextspecific.

• Involvingcommunitymembers,alongwithcliniciansandproviders,atallstagesoftheprocess

enableseffectivecoproductionofandcommunityengagement withthepotentialinterventions

SessionFourHealthliteracyinterventionsattheindividuallevel

23

• KennethYongabiANCHANGPRFResearchInstituteSchoolofHealthandMedicalSciences,CatholicUniversityofCameroonCameroon

• GrahamKRAMERAnnat BankPracticeLinksHealthCentreUnitedKingdom

• RoyBATTERHAMSchoolofHealthandSocialDevelopmentDeakin UniversityAustralia

• FelicityPOCKLINGTONWesternPacificRegionWHO

SessionFourHealthliteracyinterventionsattheindividuallevel

24

KeyMessages:• Addressinghealthliteracyisincreasinglyseenasanimportantwayto

reducehealthinequalitiesandimprovehealthoutcomes.

• Prioritize personalized,meaningfulandliteracysensitiveinformation-

sharing- peoplehavingsameinformationaboutthemselvesastheir

professionals– whichpromotesengagement,involvement,curiosity,

shareddecisionmaking,goalsettingandhealthbehaviorchange.

SessionFiveDigitalhealthliteracy

25

• GillROWLANDSInstituteofHealthandSocietyatNewcastleUniversityUnitedKingdom

• LarsKAYSERCopenhagenUniversityDenmark

• RameshKRISHNAMURTHYHQ/HIS/IER/DSI

• PeterKOLARČIKFacultyofMedicineP.J.Safarik UniversitySlovakia

SessionFiveDigitalhealthliteracy

26

KeyMessages:• Thepossibilitiesthatthedigitalrevolutionbringsforpromotinghealth(andhencereducingtheriskof

NCDs)andmanagingillness(includingNCDs)arerapidly.

• ‘Access’includesbothphysicalaccess(i.e.amobilephone/computer/internet)andtheskillstoaccess,

understand,appraiseandapplydigitalhealth-relatedinformation

• Initiativeswhichfocusonpeoplelikelytobe‘digitallyexcluded’canpromotetheequitabledevelopment

ofdigitalskills.

• Embeddinginitiativeslocally,withlocalchampions,increasesthelikelihoodofsustainablechange.

• Digitalhealthliteracyshouldbepartofthecurriculumatallinstitutionseducatinghealthprofessionals,

providinganunderstandingofthegiversandreceiversofhealthcareinrelationtodigitalservices.

Second meeting of the WHO GCM/NCD Working Group on:

Health education and health literacy for NCDs

WHO Global Coordination Mechanism on the Prevention and Control of NCDs

A platform for multisectoral and multistakeholder action on NCDs in the SDG-era

06 July 2017WHO Salle A

CLOSED SESSIONSPRELIMINARY WORKING GROUP CONCLUSIONS

SpecificactionstooperationalizehealthliteracyincontrollingandmanagingNCDs

TheWorkinggroupidentifiedsixareasforspecificactionsthatmaybeoperationalizedinboth

developinganddevelopedsettings

1. EnhancecurrentNCDprogrammes andpolicies2. ImprovethequalityandimpactofnewNCDinterventionsthrough

incorporatinghealthliteracyintodesignandimplementation3. Makehealthcaresystemshealthliteracyresponsive4. Buildthehealthliteracyofcommunities5. Capacitybuilding(Universitycurriculum;healthcareworkforce

competencies;policymakers;researchers)6. Research&innovation

28

UsinghealthliteracytomakeandenactboldpoliticalchoicestocurbthegrowthinNCDsandtomeettheSDGtargets

TheWorkingGroupidentifiedthefollowingkeyareasfordraftrecommendations

29

• Developanationalpolicy,strategyandactionplantoimplementhealthliteracy

demonstrationprojects,collatelocalandinternationalevidence,andbuild

capacityamongleaders(especiallysub-national;Mayors)embeding healthliteracy

programsacrosssectors.

• Buildadigitalhealthsystemthatmaximizesparticipation,ensuringproductsand

processesoptimizeaccess,includingthosewithlowliteracy,disabilitiesandlow

resources.Ensuresuppliersmeetuser,systemandinteractionrequirementswithin

ae-healthliteracyframework.

30

• Establishnationalandregionalcollaborationsforaction,mandating

inter-sectorialpartnershipstoensurehealthliteracyisintegratedwithin

andacrosssectors.Maximizeco-designacrosssectorssuchaseducation,

employment,infrastructure,industry,migration,etc.alongsidethehealth

sectorinordertoaffecthealthandequitytransformations

• Strengthenhealthliteracyleadershipthroughgeneratingauthorizing

environmentsofleaders,particularlythroughsub-nationalandMayors

31

• Buildindividualhealthliteracybystrengtheningtheeducationofchildrenand

throughhealthliteracy-informedhealthpromotioncampaignsformothersandthe

generalpopulation.Undertakenationalandtargetedhealthliteracysurveysto

generatecurrentandcontextuallyrelevantinterventions.

• Buildcommunityhealthliteracythroughundertakingdetailedassessmentsof

communitycapacityhealthliteracy,i.e.,thecommunityresources(assets)areall

supportedwithhealthliteracydevelopmentresources.

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• Prioritizethehealthliteracyresponsivenessofthehealthcaresystem,generating

people-centred andinclusiveservicesandpractitioners.Provideadequate

training,bothattheundergraduate,postgraduateandprofessionallevels.

Establishnationalawardsforhealthliteracyresponsiveness.

• Buildpartnerships andsupportmultistakeholder responsibilitytoenable

communitymemberstoaccesshealthyoptionsastheonlyoption.

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WG3.3MeetingSchedule2017Overview

34

1st meeting:27-28February2017

3rd meeting:2-3October2017Ø Discussiononthedraftreport,buildingonpubliccommentsØ AdoptionofthereportandsubmissiontotheDirector-GeneralofWHO

2nd meeting:12-13June2017Ø Hearingwithstakeholdersandexperts,includingrelevantNSAsØ FurtherdiscussiononWG’srecommendationsandfinalreport

4thmeeting:virtuallyifrequired

ü Circulateinterimreportwithdraftrecommendationsforpubiccomments

ü Pre-evaluationofdemonstrationprojectsü Mappingofcontext-specific,bestbuyinterventionsonHLforNCDs

ü Contactpartiesforhearingsduringthe2nd meetingü Publiccommentonbackgroundpapers,collectadditionalcountrycases,

bestpracticesandcallforpapersü Furtherguidance,implementationandscaleupofdemonstrationprojects

WHOGCM/NCDCommunitiesofPracticecommunities.gcmportal.org

• Closed,onlinenetworkswithstrictgovernancestructure(Guide)• Buildingonknowledgemanagementprecedents,forknowledge

sharingandcollaborativelearning• Bestpractices,countrycases• Outputspublishedinapublically-availablerepository,after

clearance• SupportingtheimplementationoftheGAPtoachievethenine

voluntaryNCDtargetsbefore2025andtheNCDandNCD-relatedtargetsofthe2030AgendaforSustainableDevelopment

WHOGCM/NCD CommunitiesofPractice• CommunitiesofPracticein2017:

– NCDsandtheNextGeneration (communities.gcmportal.org/ncd-nextgen)

– NationalNCDfocalpoints(communities.gcmportal.org/ncdfocals)

– NCDsandHealthLiteracy (communities.gcmportal.org/ncd-health-literacy)

– NCDs,HealthandLaw (communities.gcmportal.org/ncds_law)– MultisectoralActiononNCDs

(communities.gcmportal.org/oxford)• CommunitiesofPracticefortheGCM/NCDWorkingGroups:

– InclusionofNCDsinotherprogrammaticareas– Alignmentofinternationalcooperationwithnationalplanson

NCDs– HealtheducationandhealthliteracyforNCDs

GlobalCommunicationsCampaignonNCDs

Objective:Inspiregovernments totake actiononNCDsbydemonstrating thefeasibility andrelevanceoftackling NCDs tohealth andnon-healthsectors (e.g.finance,trade,transport,urban development,environment,education)

What does success looklike?

Outcome1:Storiesofgovernments’leadershipandsuccessesintacklingNCDsarehighlightedbygovernments,WHOandthirdpartiesinpublicforaatnational,regionalandgloballevels,andonwebsitesandsocialmedia.

Outcome2:Governments,WHOandthirdpartiesuseWHOcommunicationsmaterialtoinsertNCDsintothediscussionsatregionalandinternationalmeetingsondevelopmentissues,andinnationalSDGdebates.

Keyactivities anddeliverables

• Identifyanddevelopcountryfeaturestories/casestudies(andrelatedrawmaterial,e.g.photo/videostories,graphics)illustratinggovernmentleadership,WHOtechnicalguidanceinaction,aswellasthelinkagesbetweenNCDsandothersectors.

• DisseminatestoriesandrelatedmaterialonBeatNCDs website,socialmedia,press,etc http://www.who.int/beat-ncds/en/

• DevelopcommunicationresourcesonfeasibilityandrelevanceofaddressingNCDs

• DevelopcommunicationmaterialonNCDstargetsandNCD-relatedSDGtargets

• ContinuetomobilizepeopletotellNCDstoriesontheNCDs&Me website;enhancesitetolinktoactionhttp://apps.who.int/ncds-and-me/

• TranslateallkeycommunicationsmaterialintoWHOlanguages

ThefirstGeneralMeetingoftheWHOGCM/NCDPursuanttoparagraph12oftheWHOGCM/NCDTermsofReference

OrganizedinaccordancewiththemodalitiessetoutinAppendix1toAnnex3ofdocumentA68/11.

GoalBringtogetherGovernments,theprivatesector,civilsociety,theUnitedNationssystemandotheractorstoraisetheprioritygiventoactingincollaborativemulti-stakeholderpartnershipsthatmobilizeandshareknowledge,expertise,technologyandfinancialresources,tosupporttheachievementoftheWHOGAPandtheNCD-relatedSDGtargetsinallcountries,inparticularindevelopingcountries.

Objectives,include:• Encourageandpromoteeffectivepublic,public-privateandcivilsocietypartnershipsforattaining

NCD-relatedSDGtargetsincountries• Calluponcivilsocietytoholdgovernmentsresponsibletoexercisetheirprimaryroleand

responsibilityinincludingNCDsinnationalSDGresponses.

Logistics• 2daymeeting,March2018• PlantohaveaSteeringGroupofMemberStates• SeekMSsactiveengagementinthescope,planningandensuringmulti-sectoralattendance

40

Thankyou!

Email:fonesg@who.intWebsite:http://who.int/ncds/gcm/en/