{"id":11471,"date":"2018-10-02T20:05:38","date_gmt":"2018-10-02T19:05:38","guid":{"rendered":"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/2018-09-27-WHPA-response-to-NCD-Declaration.pdf"},"modified":"2018-10-02T20:05:38","modified_gmt":"2018-10-02T19:05:38","slug":"2018-09-27-whpa-response-to-ncd-declaration-2","status":"inherit","type":"attachment","link":"https:\/\/www.wma.net\/fr\/2018-09-27-whpa-response-to-ncd-declaration-2\/","title":{"rendered":"2018-09-27 WHPA response to NCD Declaration"},"author":17,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"description":{"rendered":"

\"\"<\/a><\/p>\n

World Health Professions Alliance (WHPA)
\nC\/o FDI World Dental Federation, Avenue Louis-Casa\u00ef, 51, 1216 Geneva, Switzerland
\ninfo@whpa.org – http:\/\/www.whpa.org\/
\nHealth Professions Urge Member States to Deliver on
\nNoncommunicable Diseases Commitments
\nWHPA acknowledges the Political Declaration to be adopted at the third United Nations
\nHigh-Level Meeting on Noncommunicable Diseases (UN HLM on NCDs) and welcomes the
\nstrong emphasis on health care system strengthening and the importance of the health
\nworkforce. However, we miss clear and measurable commitments.
\nThe World Health Professions Alliance (WHPA) speaks for more than 31 million health
\nprofessionals across 130 countries and brings together the International Council of Nurses,
\nInternational Pharmaceutical Federation, World Confederation for Physical Therapy, FDI
\nWorld Dental Federation and the World Medical Association. WHPA works to improve global
\nhealth and the quality of health services and facilitates collaboration among the health
\nprofessions and other major stakeholders.
\nNCDs are a major public health concern and in addition to the four main diseases
\n(cardiovascular diseases, diabetes, cancers and chronic respiratory diseases), which
\naccount for 71% of deaths worldwide (40.5 million)i
\n, there are many other conditions that are
\nclosely associated with them and can benefit from a joint response. These include other
\nNCDs, such as renal, endocrine, neurological, haematological, gastroenterological, hepatic,
\nmusculoskeletal, skin and oral diseases and genetic disorders; mental and substance use
\ndisorders; disabilities, including blindness and deafness; and violence and injuries. These
\ndiseases share the same social determinants and common risk factors, so an integrated
\napproach will help ease the burden on health systems and the economy.
\nNCDs could contribute a cumulative output loss of US$ 47 trillion in the two decades from
\n2011, representing a loss of 75% of global GDP in 2010 (US$ 63 trillion)ii
\n. Whereas investing
\nas little as US$ 1.27 per person per year will dramatically reduce the NCD burdeniii
\nand
\nimprove a country\u2019s economic productivity.
\nHealth care professionals (HCPs) see first-hand the impact of NCDs on the population and
\nare greatly affected by the negative impacts of non-action. HCPs are treating an increasing
\nnumber of cases and seeing the consequences of NCDs on the ground. NCDs are
\nincreasing the bill and burden on already under-resourced health care systems. Therefore,
\nwe welcome the requests to governments to strengthen health care system and to increase
\naccess to well-educated and equipped health workforce. In light of the expected increased
\ndemand for 18 million more health workersiv
\n, primarily in low- and lower-middle-income
\ncountries by 2030, health care system strengthening is of utmost importance to reduce the
\ngrowing burden of NCD.
\nWHPA welcomes the focus on the social, economic and environment determinants of health
\nin the commitments of the declaration and underlines the emphasize on the life-course
\napproach.
\nIn the 2030 Agenda for Sustainable Development Goals a commitment was made to reduce,
\npremature mortality from non-communicable diseases by one third, through prevention and
\ntreatment and the promotion of mental health and well-being. If this target is to be met a
\ngreater commitment and further work is required.
\nThis week, member states met in New York for the 2018 UN HLM. As a major output of this
\nevent a Political Declaration was agreed. The strapline of the declaration is TIME TO
\nDELIVER: Accelerating our response to address NCDs for the health and well-being of
\npresent and future generations. However, WHPA agrees with the general direction of the
\ndeclaration and regrets that clear and measurable commitments are missing.
\nWHPA is particularly concerned by the lack of details and commitments regarding country
\ntargets, omission of any monitoring measures and a lack of specific commitments and
\ntargets for funding. In addition, the next review has been set for 2025, with no interim review
\nor measure being put in place. The WHPA would also advocate the inclusion of more than
\nthe four stated NCDs as this leads again to a silo approach and is contradictory to the idea
\nof health care system strengthening.
\nWHPA urges member states to use the momentum and spirit of the declaration to put in
\nplace measures which go beyond what the declaration stipulates. WHPA also respectfully
\nreminds member states what they have already committed to in previous Political
\nDeclarations (2011 and 2014). In particular, WHPA requests that members states commit to:
\n1. Set ambitious country targets as committed to in the 2011 Political Declaration
\n(Articles 60, 61, 62 and 63), as recommended as voluntary targets in the WHO
\nGlobal NCD Action Plan and as per the timebound commitments included in the 2014
\nUN Outcome Document on NCDs.
\n2. Monitor progress as per the global monitoring framework.
\n3. Strengthen surveillance for NCDs as described in the WHO Global NCD Action Plan
\n2013-2020.
\n4. Commit to the allocation of additional funding for NCDs, as committed to in the 2011
\nPolitical Declaration (such as articles 45 c) and 49), to broaden the scope of NCDs
\nand include health care system strengthening.
\n5. Include policies and measures in country action plans which aim to support people
\nalready living with chronic conditions.
\n6. Review and report on progress on an annual basis.
\n7. Urge WHO to organise a mid-term review to ensure accountability and time for
\nrequired adjustments to be actioned before the 2025 deadline.
\nHealth professions, as a crucial stakeholder, are here to help. Serious action is required to
\nreduce the prevalence and impact of NCDs internationally. WHPA urges member states and
\nthe WHO to be ambitious and strategic in moving forward and to work hand-in-hand with
\nHCPs to tackle this problem. Targets will not be met unless concrete action is taken now.
\nWHPA encourages member states to include HCPs in providing solutions and additionally
\noffers its assistance to outreach to HCPs internationally.
\nSeptember 2018
\nAbout the World Health Professions Alliance (WHPA)
\nThe World Health Professions Alliance (WHPA) speaks for more than 31 million health care
\nprofessionals worldwide, assembling essential knowledge and experience from the key
\nhealth care professions in more than 130 countries.
\nThe WHPA was formed in 1999 and now brings together the global organizations
\nrepresenting the world\u2019s dentists, nurses, pharmacists, physical therapists and physicians.
\nWe work to facilitate collaboration among the health professions and major stakeholders
\nsuch as governments and international organizations, including the World Health
\nOrganization. By working in collaboration, instead of along parallel tracks, patients and
\nhealth care systems benefit.
\nTogether, the partners of the WHPA include more than 600 national member organizations,
\nmaking us the key point of global access to health care professionals within the five
\ndisciplines.
\nInternational Council of Nurses (ICN) is a federation of national nurses associations,
\nrepresenting the more than 13 million nurses working worldwide. www.icn.ch
\nInternational Pharmaceutical Federation (FIP) is the global federation of national
\nassociations of pharmacists and pharmaceutical scientists representing more than three
\nmillion pharmacists around the world. www.fip.org
\nFDI World Dental Federation (FDI) is a federation of approximately 200 national dental
\nassociations and specialist groups from over 130 countries representing more than one
\nmillion dentists worldwide. www.fdiworldental.org
\nWorld Medical Association (WMA) is the global federation of national medical associations
\nfrom around the world, directly and indirectly representing the views of more
\nthan nine million physicians in over 106 countries. www.wma.net
\nWorld Confederation for Physical Therapy (WCPT), the global voice for physical
\ntherapists\/physiotherapists, has 106 national member organisations representing over
\n350,000 members of the profession. www.wcpt.org
\ni Global Health Estimates 2016: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2016.
\nGeneva, World Health Organization; 2018.
\nii Bloom, D.E., Cafiero, E.T., Jan\u00e9-Llopis, E., Abrahams-Gessel, S., Bloom, L.R., Fathima, S., Feigl,
\nA.B., Gaziano, T., Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A., &
\nWeinstein, C. (2011). The Global Economic Burden of Non-communicable Diseases. Geneva: World
\nEconomic Forum.
\niii Saving lives, spending less: a strategic response to noncommunicable diseases. Geneva,
\nSwitzerland. World Health Organization; 2018 (WHO\/NMH\/NVI\/18.8). Licence: CC BY-NC-SA 3.0
\nIGO.
\niv
\nThe High-Level Commission report on Health Employment and Economic Growth.<\/p>\n"},"caption":{"rendered":"

World Health Professions Alliance (WHPA) C\/o FDI World Dental Federation, Avenue Louis-Casa\u00ef, 51, 1216 Geneva, Switzerland info@whpa.org – http:\/\/www.whpa.org\/ Health Professions Urge Member States to Deliver on Noncommunicable Diseases Commitments WHPA acknowledges the Political Declaration to be adopted at the third United Nations High-Level Meeting on Noncommunicable Diseases (UN HLM on NCDs) and welcomes the […]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{"sizes":{"thumbnail":{"file":"2018-09-27-WHPA-response-to-NCD-Declaration-pdf-106x150.jpg","width":106,"height":150,"mime_type":"image\/jpeg","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/2018-09-27-WHPA-response-to-NCD-Declaration-pdf-106x150.jpg"},"medium":{"file":"2018-09-27-WHPA-response-to-NCD-Declaration-pdf-212x300.jpg","width":212,"height":300,"mime_type":"image\/jpeg","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/2018-09-27-WHPA-response-to-NCD-Declaration-pdf-212x300.jpg"},"large":{"file":"2018-09-27-WHPA-response-to-NCD-Declaration-pdf-724x1024.jpg","width":724,"height":1024,"mime_type":"image\/jpeg","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/2018-09-27-WHPA-response-to-NCD-Declaration-pdf-724x1024.jpg"},"full":{"file":"2018-09-27-WHPA-response-to-NCD-Declaration-pdf.jpg","width":1058,"height":1497,"mime_type":"application\/pdf","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/2018-09-27-WHPA-response-to-NCD-Declaration-pdf.jpg"}}},"post":null,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/2018-09-27-WHPA-response-to-NCD-Declaration.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media\/11471"}],"collection":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/comments?post=11471"}]}}