Friday, October 12, 2012

[EQ] Measuring progress on NCDs: one goal and five targets

Measuring progress on NCDs: one goal and five targets

Robert Beaglehole a, Ruth Bonita a, Richard Horton b, Majid Ezzati c, Neeraj Bhala d, Mary Amuyunzu-Nyamongo e,
Modi Mwatsama f, K Srinath Reddy g

a University of Auckland, Auckland, New Zealand

b The Lancet, London, UK

c MRC-HPA Centre for Environment and Health, Department of Epidemiology and Biostatistics, Imperial College London, London, UK

d Queen Elizabeth Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK

e Consortium for NCD Prevention and Control in Sub-Saharan Africa, Nairobi, Kenya

f National Heart Forum, London, UK

g Public Health Foundation of India, New Delhi, India

The Lancet, Volume 380, Issue 9850, 13 October 2012


“…..Heads of states and governments made commitments to the prevention and control of non-communicable diseases (NCDs) in the Political Declaration from the UN High-level Meeting on NCDs in September, 2011.1 A key commitment in the Political Declaration calls upon WHO to develop a comprehensive global monitoring framework to assess progress in the implementation of national strategies and plans for the four main NCDs: cardiovascular diseases (CVD), diabetes, cancer, and chronic respiratory diseases.


Central to the monitoring framework is the selection of goals and targets for NCDs. WHO member states have agreed on an NCD target of a 25% reduction by 2025 in the probability of dying from the four main NCDs for people aged 30—70 years.2 We refer to this target as the overarching NCD goal (“25 by 25”). The latest WHO proposals include ten targets to reach this goal.3 Although these targets address important areas of NCD prevention, the choice and hierarchy of the ten targets is based on their level of support by member states.


There is strong support from member states for targets on raised blood pressure, tobacco smoking, salt intake, and physical inactivity. Targets deemed as “requiring further development” relate to obesity, fat intake, alcohol consumption, raised total cholesterol, the availability of essential generic NCD medicines and basic technologies to treat major NCDs, and drug therapy to prevent heart attacks and strokes.3 Member states will discuss these proposed targets at a consultation in November, 2012, and the monitoring framework will be finalised at the World Health Assembly in May, 2013…..”


 *      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
PAHO/WHO Website
Equity List - Archives - Join/remove:

IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.

No comments: