WHA Matters Arising:

Global Monitoring Framework for NCDsGlobal and Regional Mental Health Action Plans

Oleg Chestnov ADG/NMHGauden Galea DNP

Global Process

Indicators

61. …a comprehensive global monitoring framework, including a set of indicators…

Targets

62. …set of voluntary global targets for the prevention and control of NCDs, before the end of 2012.

Indicators TargetsPolitical Declaration on NCDs (resolution A/RES/66/2)

World Health Assembly decision (WHA65(8) (May 2012)

DECIDED

To adopt a global target of a 25% reduction in premature mortality from NCDs by 2025

2012

• 25 July 2012 – 19 October 2012: Relevant global NGOs and selected private sector entities are invited to submit their views by email (ncdpartnership@who.int) on the revised WHO Discussion Paper

2012• September – October 2012: Discussions at the WHO Regional Committees

2012

• End of October 2012: WHO Secretariat will publish a report summarizing the outcomes of the discussions at the Regional Committees and the views received from relevant global NGOs and selected private sector entities

2012

• 5-7 November 2012: Formal meeting with Member States and UN agencies to conclude the work

2012

• January 2013: WHO Secretariat will submit a report on the final recommendations to the Executive Board

2013

• May 2013: WHO Secretariat will submit a report with the final recommendations to the World Health Assembly

Process: Next steps

Raised blood pressure

25%

Salt/sodium intake

30%

Tobacco smoking30%

Physical inactivity10%

Obesity0%

Fat intake15%

Alcohol10%

Raised cholesterol

20%

Generic medicines and technologies

80%

Drug therapy and counseling

50%

11 voluntary global targets presented in the revised WHO Discussion Paper

Premature mortality from NCDs25% reduction

Regional Consultation

European process

February 2012: European Regional Technical Consultation on NCD Surveillance, Monitoring and Evaluation

Based on the first draft of the Global Monitoring Framework

85 participants including 28 member States and 7 WHO Collaborating Centres, hosted by the Norwegian Directorate of Health, Oslo

Issues raised around capacity and disaggregation of data

August 2012: Web based consultation on the Global Monitoring Framework to clarify country capacity and constraints

Based on the third draft of the Global Monitoring Framework

38 Member States have replied – by 3 September noon

Results and conclusions presented in next slides

Capacity [1] National Health Reporting

All EUR-A EUR B+C

NCD mortality 100% 100% 100%

NCD morbidity 98% 96% 100%

NCD risk factors 73% 78% 68%

Capacity to Disaggregate: Medium to Low

Capacity [2] Behavioural Risk factors

All EUR-A EUR B+C

Tobacco 92% 96% 88%

Alcohol 85% 93% 76%

Diet 83% 89% 76%

Physical inactivity 77% 78% 76%

Capacity [3] Biological Risk factors

All EUR-A EUR B+C

Overweight & obesity 85% 93% 76%

Blood pressure 83% 81% 84%

Blood glucose 73% 78% 68%

Blood lipids 60% 74% 44%

Raised blood pressure

Salt/sodium intake

Tobacco smoking

Physical inactivity

Obesity Fat intake AlcoholRaised

cholesterol

Generic medicines & technologies

Drug therapy and counseling

Assessing European Regional Capacity for Proposed Indicators

Premature mortality from NCDs25% reduction

Next Steps

Note and Comment

Regional Committee invited to note these findings and to comment

Question

Should there be further technical consultation (a Regional Technical Working Group or a Regional Consultation) to further discuss remaining technical issues?

Mental Health Consultation:Global and Regional Action PlansOslo, Norway, 3-5 September 2012

Mental disorders & mental healthCycle of Wellbeing

Mental Disorders

(Mental) Wellbeing

Risk behaviours

Suicide and NCDs

Health system

Mental Health Action PlanPriority points raised

• Involving all agencies contributing to inclusion, at government level and locally.

• Build self help capacity, using E-Health.

• Education and training to change service culture.

• Develop targets that strengthen leadership.

• Define concepts and terminology

Thank You!