Country actions to meet UN commitments on non-communicable diseases: a stepwise approach

Ruth Bonita, Roger Magnusson, Pascal Bovet, Dong Zhao, Deborah C Malta, Robert Geneau, Il Suh, Kavumpurathu Raman Thankappan, Martin McKee, James Hospedales, Maximilian de Courten, Simon Capewell, Robert Beaglehole, Lancet NCD Action Group

    139 Citations (Scopus)

    Abstract

    Strong leadership from heads of state is needed to meet national commitments to the UN political declaration on non-communicable diseases (NCDs) and to achieve the goal of a 25% reduction in premature NCD mortality by 2025 (the 25 by 25 goal). A simple, phased, national response to the political declaration is suggested, with three key steps: planning, implementation, and accountability. Planning entails mobilisation of a multisectoral response to develop and support the national action plan, and to build human, financial, and regulatory capacity for change. Implementation of a few priority and feasible cost-effective interventions for the prevention and treatment of NCDs will achieve the 25 by 25 goal and will need only few additional financial resources. Accountability incorporates three dimensions: monitoring of progress, reviewing of progress, and appropriate responses to accelerate progress. A national NCD commission or equivalent, which is independent of government, is needed to ensure that all relevant stakeholders are held accountable for the UN commitments to NCDs.
    Original languageEnglish
    JournalLancet
    Volume381
    Issue number9866
    Pages (from-to)575-84
    Number of pages10
    ISSN0140-6736
    DOIs
    Publication statusPublished - 16 Feb 2013

    Keywords

    • Cardiovascular Diseases
    • Cost-Benefit Analysis
    • Health Priorities
    • Humans
    • National Health Programs
    • Preventive Health Services
    • Preventive Medicine
    • Program Evaluation
    • Risk Factors
    • Smoking Cessation
    • Sodium, Dietary
    • United Nations

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