A focus of PAHO’s NCD advocacy work is the
political integration mechanisms in the Caribbean,
Central America, and the Andean and the Southern
cone regions of South America. The highlight
was the historic heads of government summit of
the Caribbean community in 2007, which led to
the UN convening a High-Level Meeting
(UNHLM) on NCD in September 2011. Followup
assessments have shown advances in surveillance
and advocacy efforts and massive support for the
Caribbean Wellness Day, but still much work is
needed to fully operationalize NCD plans and
intersectoral commissions, as well as strengthen
the response of the healthcare sector [11]. In Central
America, RESSCAD/COMISCA (Reunio´n
del Sector Salud de Centroame´rica y Repu´blica
Dominicana/Consejo de Ministros de Salud de
Centroame´rica [Meeting of the Health Sector of
Central America and the Dominican Republic/
Council of Ministers of Health of Central America])
adopted resolutions on chronic disease and
cancer and developed annual plans on NCD.
MERCOSUR (Mercado Comun del Sur [Southern
Commom Market]) produced a report assessing
the situation related to NCDs with
recommendations for policy actions [12]. In 2011,
MERCOSUR ministries formed an intergovernmental
commission for NCD prevention and control
to work on joint solutions to improve policy
processes and the situation regarding risk factors
and NCD [13]. The Andean Regional Health
Organization, Organismo Regional Andina de Salud,
also passed a resolution on cardiovascular disease
and NCD. Because many public policies are
collectively made in these integration fora, they
represent an important point of continued engagement
by PAHO for intersectoral policy change.
A focus of PAHO’s NCD advocacy work is the
political integration mechanisms in the Caribbean,
Central America, and the Andean and the Southern
cone regions of South America. The highlight
was the historic heads of government summit of
the Caribbean community in 2007, which led to
the UN convening a High-Level Meeting
(UNHLM) on NCD in September 2011. Followup
assessments have shown advances in surveillance
and advocacy efforts and massive support for the
Caribbean Wellness Day, but still much work is
needed to fully operationalize NCD plans and
intersectoral commissions, as well as strengthen
the response of the healthcare sector [11]. In Central
America, RESSCAD/COMISCA (Reunio´n
del Sector Salud de Centroame´rica y Repu´blica
Dominicana/Consejo de Ministros de Salud de
Centroame´rica [Meeting of the Health Sector of
Central America and the Dominican Republic/
Council of Ministers of Health of Central America])
adopted resolutions on chronic disease and
cancer and developed annual plans on NCD.
MERCOSUR (Mercado Comun del Sur [Southern
Commom Market]) produced a report assessing
the situation related to NCDs with
recommendations for policy actions [12]. In 2011,
MERCOSUR ministries formed an intergovernmental
commission for NCD prevention and control
to work on joint solutions to improve policy
processes and the situation regarding risk factors
and NCD [13]. The Andean Regional Health
Organization, Organismo Regional Andina de Salud,
also passed a resolution on cardiovascular disease
and NCD. Because many public policies are
collectively made in these integration fora, they
represent an important point of continued engagement
by PAHO for intersectoral policy change.
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