Abstract
This article describes efforts from the Pan American Health Organization (PAHO) that have supported
progress in country-driven planning and implementing of actions to address noncommunicable diseases
(NCD), as well as mechanisms that PAHO has supported for countries in the Americas to share and build
on each other’s experiences. The Regional Strategy and Plan of Action for NCD, approved by all member
states in 2006, is the major frame for this work. The strategy has 4 lines of action: policy and advocacy;
surveillance; health promotion and disease prevention; and integrated management of NCD and risk factors.
Cross-cutting strategies include resource mobilization, communication, training, and networks and
partnerships. The strategy is operationalized through biannual work plans for which countries link and
commit to achieving specific objectives. PAHO then provides technical support toward achieving these
plans, and countries report progress annually. The CARMEN (Collaborative Action for Risk Factor Prevention
and Effective Management of NCD [Conjunto de Acciones para la Reducción y el Manejo de las
Enfermedades No transmisibles]) Network provides a major platform for sharing, and the multisector
Pan American Forum for Action on NCD has been launched to extend the network to include business
and civil society. PAHO also supported civil society capacity building. Almost all member states have
made substantial progress in implementing their national chronic disease programs, in most instances
reporting exceeding the indicators of the strategic plan related to chronic diseases. From the Caribbean
countries, leadership has been provided to achieve the historic UN High-Level Meeting on NCD in
September 2011. The region is on track to meet the mortality reduction target set for 2013, though much
remains to be done to further increase awareness of and resources for scaling up NCD prevention and
control programs, given the huge health and economic burden, increasing costs, and worrying increases
of some conditions such as obesity. Major challenges include getting NCD into social protection packages,
building the human resource capacity, strengthening surveillance, achieving true intersectoral
and multipartner action, given that most determinants of the epidemic lie outside the health sector,
and increasing investment in prevention.
From the
Abstract
This article describes efforts from the Pan American Health Organization (PAHO) that have supported
progress in country-driven planning and implementing of actions to address noncommunicable diseases
(NCD), as well as mechanisms that PAHO has supported for countries in the Americas to share and build
on each other’s experiences. The Regional Strategy and Plan of Action for NCD, approved by all member
states in 2006, is the major frame for this work. The strategy has 4 lines of action: policy and advocacy;
surveillance; health promotion and disease prevention; and integrated management of NCD and risk factors.
Cross-cutting strategies include resource mobilization, communication, training, and networks and
partnerships. The strategy is operationalized through biannual work plans for which countries link and
commit to achieving specific objectives. PAHO then provides technical support toward achieving these
plans, and countries report progress annually. The CARMEN (Collaborative Action for Risk Factor Prevention
and Effective Management of NCD [Conjunto de Acciones para la Reducción y el Manejo de las
Enfermedades No transmisibles]) Network provides a major platform for sharing, and the multisector
Pan American Forum for Action on NCD has been launched to extend the network to include business
and civil society. PAHO also supported civil society capacity building. Almost all member states have
made substantial progress in implementing their national chronic disease programs, in most instances
reporting exceeding the indicators of the strategic plan related to chronic diseases. From the Caribbean
countries, leadership has been provided to achieve the historic UN High-Level Meeting on NCD in
September 2011. The region is on track to meet the mortality reduction target set for 2013, though much
remains to be done to further increase awareness of and resources for scaling up NCD prevention and
control programs, given the huge health and economic burden, increasing costs, and worrying increases
of some conditions such as obesity. Major challenges include getting NCD into social protection packages,
building the human resource capacity, strengthening surveillance, achieving true intersectoral
and multipartner action, given that most determinants of the epidemic lie outside the health sector,
and increasing investment in prevention.
From the
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