Menno van Hilten
External Relations Officer
Noncommunicable Diseases and Mental Health
World Health Organization
8:45-10:15
• Advocacy and social marketing related to NCDs
• Leadership & Partnership to advance
NCD Policy/Programmes
People remember...
• 20% of what they hear
• 40% of what they hear and see
• 80% of what they discover for themselves
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Rules of engagement
Format:
• 5 exercises
• A bit of theory in between
• Interactive
• Informal
• Interruptions encouraged 
Time management:
• 8:45 – 10:15
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Expectations
After this session, you'll have the
basic tools (and skills) to convince
decision-makers that:
• NCDs merit increased investment
• Action carries substantial benefits
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Exercise 1
If you had a chance to speak to
US President Obama (*) for
2 minutes, what would you tell him
about NCDs?
* Or any other President or Prime-Minister from a G-20 country
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Challenge 1
What is the point?
We are not always clear WHY we speak, write or make a presentation
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Challenge 2
We are trained to be logical,
complete, accurate,
evidence-based and fear being
misunderstood.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Challenge 3
We tend to concentrate on what we
know and don't always think of why
our message is important to
listeners, viewers or the audience
…now
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Challenge 4
Scientists, experts and
programme managers
speak like this
"I need 30 minutes of
your time to share 40
years of my accumulated
technical expertise"
"Yesterday's article in the
Lancet discusses the
prevention of preeclampsia in diabetic
women."
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Ministers and
decision-makers
speak like this
"We must make the
prevention and control
NCDs and the
improvement of
maternal health top
priorities on the
development agenda"
"Dear President Obama"
1.
In all developing countries, and by any metric, NCDs now account for a large
enough share of premature deaths and poverty to merit a concerted and
coordinated public policy response.
2.
A global vision and affordable solutions exist to prevent 8 million premature
deaths from NCDs in developing countries each year.
3.
At WHO, we witness how programme managers in developing countries are
increasingly challenged to formulate effective strategies to address NCDs.
Donors, like USAID, should start considering their requests for technical
assistance, even if these problems are not included (yet) in the MDGs.
4.
You and the other leaders of the G-20 have a unique opportunity to include
NCDs in global development initiatives and related investment decisions at
the NCD Summit 2011.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
"Communications 101"
Elements of communication:
• Sender
• Message
• Target Audience
• Proof points
• Channel
• Time
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Message: the four O's
"Communications 101"
Ongoing situation
Opportunities
One recommendation
Operationalization
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
and Planning
Ministers of Health
NCD focal points in MoH
NCD counterparts in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/People with NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
and Planning
Ministers of Health
NCD focal points in MoH
NCD counterparts in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/People with NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
"Dear President Obama"
(Key message on NCDs to international leaders)
Ongoing
situation
Opportunities
One
recommendation
Operationalization
1.
In all developing countries, and by any metric, NCDs now account for a large
enough share of premature deaths and poverty to merit a concerted and
coordinated public policy response.
2.
A global vision and affordable solutions exist to prevent 8 million premature
deaths from NCDs in developing countries each year.
3.
At WHO, we witness how programme managers in developing countries are
increasingly challenged to formulate effective strategies to address NCDs.
Donors, like USAID, should start considering their requests for technical
assistance, even if these problems are not included (yet) in the MDGs.
4.
You and the other leaders of the G-20 have a unique opportunity to include
NCDs in global development initiatives and related investment decisions at
the NCD Summit 2011.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Translating key messages into a presentation

In all developing countries, and by any
metric, NCDs now account for a large
enough share of premature deaths and
poverty to merit a concerted and
coordinated public policy response.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Source:
NCD are the single biggest10%
cause of death in the world
Total number of deaths in the world
60 million
50 million
5.8 M
26.0 M
(above the age of 60)
40 million
35 million
(60% of all deaths)
30 million
20 million
10 million
9.0 M
(below the age of 60)
18.0 M
0
Group III - Injuries
Low-income countries
Group II – Other deaths from noncommunicable diseases
Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable
Group I – Communicable diseases, maternal, perinatal and nutritional conditions
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Total number of deaths in the world
25 million
2.3M
6.8 M
20 million
2.3M
15 million
10.2M
3.7M
13.6M
10 million
0.5M
5.9M
0.6M
3.3M3.0M
0.9M
1.1M
3.3 M
3.0M
Lower
High-income
Upper
Low-income
middle-income
countries
middle-income
countries
Group III - Injuries
Low-income countries
Group II – Other deaths from noncommunicable diseases
Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable
Group I – Communicable diseases, maternal, perinatal and nutritional conditions
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Source:
90% of premature deaths from NCDs occur in developing countries
Countries represented by the course participants
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Countries represented by the course participants
3,500,000
14%
14%
3,000,000
2,500,000
20%
2,000,000
52%
1,500,000
1,000,000
500,000
0
High-income
countries
Upper
middle-income
Lower
middle-income
Low-income
countries
Group III - Injuries
Low-income countries
Group II – Other deaths from noncommunicable diseases
Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable
Group I – Communicable diseases, maternal, perinatal and nutritional conditions
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Countries represented by the course participants
100%
80%
60%
40%
20%
Higher-middle-income
Saudi Arabia
Qatar
Bahrain
Trinidad & Tob
Russian Fed
Poland
Malaysia
Dominica
Chile
Botswana
Argentina
Tunisia
Thailand
Syria
Sri Lanka
Samoa
Morocco
Maldives
Jamaica
Iraq
El Salvador
Lower-middle-income
St Vincent & Gren
Low-income
Egypt
Sierra Leone
Mongolia
0%
High-income
Group III - Injuries
Low-income countries
Group II – Other deaths from noncommunicable diseases
Group II – Premature deaths from noncommunicable diseases (below the age of 60), which are preventable
Group I – Communicable diseases, maternal, perinatal and nutritional conditions
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
The top-10 leading causes of death
Low-income countries
Middle-income countries
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Lower respiratory infections
Coronary heart disease
Diarrhoeal diseases
HIV/AIDS
Stroke and cerebrovascular disease
Chronic pulmonary disease
Tuberculosis
Neonatal infections
Malaria
Premature and low birth weight
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Stroke and cerebrovascular disease
Coronary heart disease
Chronic pulmonary disease
Lower respiratory infection
Trachea, bronchus, lung cancers
Road traffic accidents
Hypertensive heart disease
Stomach cancer
Tuberculosis
Diabetes mellitus
Source:
NCDs account for a large enough share of the disease burden
to merit a serious policy response
NCDs are closely related to poverty and contribute to poverty
45 Smoking prevalence (2004)
Lowest household
income quintiles
40
(percentage)
35
30
Highest household
income quintiles
25
20
15
10
5
0
Low-income
countries
Lower-middle
Income
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Upper-middleincome
High-income
Translating key messages into a presentation

A global vision and affordable solutions
exist to prevent 8 million premature
deaths from NCDs in developing
countries each year.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Mobilizing a global response
Building on a clear roadmap for Member States, partners and WHO
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Three building blocks
2
Surveillance
to quantify
and track
NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Primary
prevention to
reduce the
level of
exposure to
risk factors
Health care
for people with
NCDs
Disease/risk factor
Cost of
implementation
Health
impact
(Low = < I$1 per capita
High = > I$2 per capita)
(DALYs per 1m popn)
(I$ per DALY averted)
(Small = < 100
Large = > 1,000)
(Very = < GDP per capita
Quite = 1-3 * GDP per capita)
Excise tax on tobacco products
Low
Large
Very cost-effective
Smoke-free workplaces
Low
Modest
Quite cost-effective
Packaging, labelling and
awareness countermeasures
Low
Modest
Very cost-effective
Comprehensive ad bans
Low
Modest
Very cost-effective
Harmful use of
alcohol
Excise tax on alcoholic beverages
Low
Modest
Very cost-effective
Unhealthy diet and
physical inactivity
Reduce salt intake
Low
Large
Very cost-effective
Food taxes (fat) and subsidies
(fruit and vegetables)
Low
Modest
Very cost-effective
Very high
Large
Quite cost-effective
Tobacco use
Intervention
Risk factors
Intensive counselling
Costeffectiveness
Non-communicable Diseases
Diabetes
Glycaemia control
High
Large
Quite cost-effective
Cardiovascular
diseases
Hypertension drug treatment
Low
Large
Very cost-effective
Cancer
Treatment of 1st stage breast
cancer
Low
Modest
Very cost-effective
Cervical cancer screening (PAP
smear) and treatment
Low
Modest
Very cost-effective
Inhaled corticoid-steroids for
asthma
Low
Small
Quite cost-effective
Respiratory disorders
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Translating key messages into a presentation

At WHO, we witness how programme
managers in developing countries are
increasingly challenged to formulate
effective strategies to address NCDs.
Donors, like USAID, should start considering
their requests for technical assistance, even
if these problems are not included yet in the
MDGs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Millennium Development Goals (MDGs)
The eight MDGs break down into
21 quantifiable targets that are
measured by 60 indicators.
www.undp.org/mdg
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Official Development Assistance (2007)
18%
• US$ 120 Billion per year
• Including US$22 Billion for health
• Provided by 26 governments to
141 developing countries
• Objective: poverty alleviation
(= MDGs)
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Health
Global commitments to public health (2007)
(measured in Official Development Assistance)
HIV/AIDS
US$7.4 B
Health Policy
1.65
Infectious Disease Control
1.33
1.16
1.14
Reproductive Health Care
Basic Health Care
Malaria Control
• Total Health ODA in 2007:
$22.1 billion
0.8
0.53
0.45
0.33
0.24
0.23
Family Planning
TB Control
Basic Nutrition
Medical Services
Basic Health Infrastructure
Medical Research
• Health ODA for NCDs:
?
0.22
0.21
0.06
Medical Education
Health Education
Water Supply/Sanitation
3.9
Water Resources Policy
0.93
Basic Drinking Water Supply
0.92
Waste Management
0.42
River Development
0.1
Water Resources Protection
0.06
Water Education
0.01
0
1
2
3
4
5
6
US$7 Billion
8
(Source: Kaiser Family Foundation, 23 July 2009, based on OECD/DAC)
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Growth in global commitments (2001-2007)
(measured in growth of Official Development Assistance)
HIV/AIDS
42.9%
Health Policy
5.5%
5.7%
6.4%
4.2%
5.4%
Infectious Disease Control
Reproductive Health Care
Basic Health Care
Malaria Control
Family Planning
TB Control
Basic Nutrition
Medical Services
Basic Health Infrastructure
Medical Research
Medical Education
Health Education
• Total ODA growth 2001-2007:
$14.9 billion
0.3%
• Health ODA growth for NCDs:
?
3.0%
1.7%
0.3%
0.7%
1.3%
0.6%
0.2%
Water Supply/Sanitation
Water Resources Policy
Basic Drinking Water Supply
Waste Management
River Development
Water Resources Protection
Water Education
14.6%
4.0%
2.5%
1.2%
0.5%
-0.8%
0%
0
5
10
15
20
25
30
35
40
45%
50
(Source: Kaiser Family Foundation, 23 July 2009, based on OECD/DAC)
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
The Paris Declaration invites donors to base their support on
demand from developing countries
Pending
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Translating key messages into a presentation

You and the other leaders of the G-20
have a unique opportunity to include NCDs
in global development initiatives and
related investment decisions at the NCD
Summit 2011.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Raising the priority of NCDs in development work
13 May 2010
United Nations General Assembly resolution A/RES/64/265
Cameroon on behalf of Member States who
are members of the Group of African States
Member States which sponsored the draft resolution
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Raising the priority of NCDs in development work
United Nations General Assembly resolution A/RES/64/265
•
•
•
•
Decides to convene a high-level meeting of the General Assembly in September
2011, with the participation of Heads of State and Government, on the prevention
and control of non-communicable diseases;
Also decides to hold consultations on the scope, modalities, format and
organization of the high-level meeting of the General Assembly on the prevention
and control of non-communicable diseases, with a view to concluding consultations,
preferably before the end of 2010;
Encourages Member States to include in their discussions at the High-level Plenary
Meeting of the sixty-fifth session of the General Assembly on the review of the
Millennium Development Goals, to be held in September 2010, the rising incidence
and the socio-economic impact of the high prevalence of non-communicable
diseases worldwide;
Requests the Secretary-General to submit a report to the General Assembly at its
sixty-fifth session in collaboration with Member States, the World Health
Organization and the relevant funds, programmes and specialized agencies of the
United Nations system, on the global status of non-communicable diseases, with a
particular focus on the developmental challenges faced by developing countries.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Raising the priority of NCDs in development work
• NCD Summit (New York, 19 September 2011)
• Consultative preparatory process leading towards the NCD
Summit 2011:
– First Global Ministerial Meeting on NCDs and Healthy Lifestyles (Moscow,
28-29 April 2011).
– UN Regional Commissions (ECLAC, ESCWA, UNECA, UNECE, ESCAP)
– Interactive hearings organized by WHO and UNDESA
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
"Dear President Obama"
(Key message on NCDs to international leaders)
Ongoing
situation
1.
Opportunities
2.
One
recommendation
3.
Operationalization
4.
In all developing countries, and by any metric, NCDs now
account for a large enough share of premature deaths and
poverty to merit a concerted and coordinated public policy
response.
A global vision and affordable solutions exist to prevent 8 million
premature deaths from NCDs in developing countries each year.
At WHO, we witness how programme managers in developing
countries are increasingly challenged to formulate effective
strategies to address NCDs. Donors, like USAID, should start
considering their requests for technical assistance, even if these
problems are not included (yet) in the MDGs.
You and the other leaders of the G-20 have a unique opportunity
to include NCDs in global development initiatives and related
investment decisions at the NCD Summit 2011.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Exercise 2
If your team had a chance to speak to a Minister in your country for
2 minutes, what would your team plan tell her/him about NCDs?
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
and Planning
Ministers of Health
NCD focal points in MoH
NCD counterparts in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/People with NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
"Dear Minister of Planning"
1.
2.
3.
4.
Based on current data, we know that NCDs now account for a
large enough share of premature deaths and poverty in our
country to merit a concerted and coordinated public policy
response.
A global vision and affordable solutions exist to address risk
factors and enhance primary care to prevent up to [x] million
premature deaths from NCDs per year.
We are increasingly challenged to formulate effective strategies
to address NCDs. We should seek technical assistance from
donors, even if these problems are not included (yet) in the
MDGs.
We should ensure that our domestic efforts are placed at the
forefront of any international efforts, in particular at the
upcoming NCD Summit.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Exercise 3
If you had a chance to meet with a school class of children today,
what would you tell them in 2 minutes about NCDs?
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
and Planning
Ministers of Health
NCD focal points in MoH
NCD counterparts in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/People with NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
Main Challenge
• Stand-alone public health messages are very
hard to convey to individuals
• Reducing the level of exposure to communities to
risk factors, while strengthening the capacity of
individuals to make healthier choices that foster
good health
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
"Dear Children"
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
www.who.int/tobacco
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
The seven C's of social mobilization
1. Command attention
2. Clarify message
Ongoing situation
3. Communicate a benefit
4. Consistency counts
Opportunities
5. Cater to the heart and the head
6. Create trust
One recommendation
7. Call to action
Operationalization
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
The seven C's of social mobilization
1. Command attention
2. Clarify message
Ongoing situation
3. Communicate a benefit
4. Consistency counts
Opportunities
5. Cater to the heart and the head
6. Create trust
One recommendation
7. Call to action
Operationalization
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
What is social mobilization?
• A broad scale movement to engage people's participation in
achieving a specific development goal through self-reliant
efforts.
• It involves all relevant segments of society: decision and
policy makers, opinion leaders, bureaucrats and technocrats,
professional groups, religious associations, commerce and
industry, communities and individuals.
• Decentralized process involving a range of players engaged in
interrelated and complementary efforts and takes into account
the felt needs of the people
• Seeks to empower individuals and groups for action
(as defined by UNICEF)
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
What are the components of social mobilization?
• The "community" as a whole is mobilized around a particular
programme or innovation and comes to incorporate its offerings
into felt needs and expectations.
–
–
–
–
–
Political mobilization
Government mobilization
Community mobilization
Corporate mobilization
Beneficiary mobilization
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Aims of social mobilization
• Increase people's awareness, knowledge and ability to organize
for self-reliance
• To help people to be motivated and to know about their rights and
duties, and to begin to demand satisfaction of their needs
• To understand and modify people's ideas and beliefs
• To mobilize all available resources.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Five integrated communications actions essential for
"Communications for behavioural impact"
1. Public Relations/Advocacy/Administrative Mobilization, for putting the particular healthy
behaviour on the public and administrative/programme management agenda via the mass media:
news coverage, talk shows, soap operas, celebrity spokespersons, discussion programmes;
meetings/discussions with various categories of government and community leadership, service
providers, administrators; official memoranda; partnership meetings.
2. Community Mobilization, including use of participatory research, community group meetings,
partnership meetings, traditional media, music, song and dance, road shows, community drama,
leaflets, posters, pamphlets, videos, home visits.
3. Sustained Appropriate Advertising, (in MRIP fashion – Massive, Repetitive, Intense, Persistent),
via radio, television, newspapers and other available media, engaging people in reviewing the merits
of the recommended behaviour vis-à-vis the “cost” of carrying it out.
4. Personal Selling/Interpersonal Communication/Counselling, at the community level, in homes
and particularly at service points, with appropriate informational literature and additional incentives,
and allowing for careful listening to people’s concerns and addressing them.
5. Point-of-Service Promotion, emphasising easily accessible and readily available solutions to health
problems. The key in planning COMBI programmes is to strive for an integrated approach with a
judicious blending and selection of communication actions appropriate to the behavioural outcome
desired, and not to believe that one single kind of communication intervention is all-powerful.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Example
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Example
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Example
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Exercise 4
If you could meet a donor representative today, what would you tell
him/her in 2 minutes about NCDs?
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
and Planning
Ministers of Health
NCD focal points in MoH
NCD counterparts in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/People with NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
The average number of donors per country is growing
1960s
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
2001-2005
WHO Country Cooperation Strategy
UN Common Country Assessment
UN Development Assistance Framework
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
"Dear Donor"
1.
The rapidly rising burden of NCDs, in particular amoung the poorest and the
most vulnerable ones, may increase the level of malnutrition and reversing
the achievement of MDG 1 (Eradicate extreme hunger and poverty) and the
health-related goals of the MDGs and the progress made in the past two
decades.
2.
A national vision and affordable solutions exist to address risk factors and
enhance primary care to prevent up to [x] million premature deaths from
NCDs per year in our country. MDGs provides opportunities for synergy, as
do strategies for poverty alleviation.
3.
We should include the prevention and control of NCDs as an integral part of
work on national development and in related investment decisions.
4.
We can start doing so by expanding the technical capacity of the Ministry of
Health in the area of NCDs, so that NCDs will be included in national
development plans.
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
The resource mobilization cycle
1.
Assessing
•
Analysis based on international and national support
•
CCA, UNDAF
•
Thematic donor group (e.g. health, poverty)
2.
Positioning
•
Programmatic vision of national NCDs programme (not a project)
•
Focus on national ownership
•
Focus on your Ministry's core comparative advantage
•
Focus on links to poverty (NCDs are closely related to poverty and contribute
to poverty)
3.
Mobilizing
•
Developing a project proposal (follow the "logical framework")
•
Emphasis on capacity building and sustainability (how will the project
continue?)
•
Clarity about accountabilities and responsibilities
4.
Delivering
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Frequently Asked Questions by Donors about NCDs
•
How does the magnitude and trends of NCDs have a major socio-economic impact in
developing countries?
•
How are the poorest quintiles within developing countries are disproportionally affected
by NCDs, their risk factors and their socio-economic impact?
•
Which evidence-based interventions to prevent and control NCDs are cost-effective for
developing countries?
•
When implemented in developing countries, will these interventions (a) improve health
outcomes from NCDs among the lowest income quintile; (2) contribute to poverty
reduction among the lowest income quintile?
•
Are technical assistance packages available which are aimed at building institutional
capacities within developing countries to prevent and control NCDs?
•
Are estimates on a national "price tag" national funding gaps are available (i.e. difference
between costed national plans, and available domestic and international resources)?
•
What is the self-enlightened interested of tax payers in OECD/DAC donor countries to
support their international development agencies in addressing NCDs in developing
countries?
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Exercise 5
If you could speak to a
journalist of a leading
newspaper today, what would
you tell him/her in two minutes
on NCDs?
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
and Planning
Ministers of Health
NCD focal points in MoH
NCD counterparts in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/People with NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
What are your talking points?
• Interviews are not conversations
• Prepare 4 key messages (four O's) to be used repeatedly as the
cornerstone of your responses
• Double-check that that the key messages explain
– So what?
– Why is this so compelling?
– Why now?
– The reasons or benefits
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
10 golden rules
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Never, never, never lie
Never say "No comment"
There is never a "off the record"
Be short, get to the point and always think of the audience
Stay clam, confident and in charge
Use simple language, avoid jargon
Stay in control
It's OK to say "I don't know, but I'll find out"
Don't speculate
Beware of reporters' tactics
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Reporters' tactics
•
•
•
•
•
•
•
Speculative questions
Hearsay questions
Negative repeat questions
Putting words into your mouth
Presupposition questions
False facts and incorrect information
Feeding the mike
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
What is WHO doing?
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
NCDnet
Target Audiences
G-20
media
donors
UN
International
Development
Agencies
World
Bank
Minister of Foreign Affairs
(developing countries)
Minister of Health
NCD focal points in MoH
NCD focal points in other Ministries
(agriculture, finance, trade, transport, urban planning, education and sport)
National NGO leaders
Civil Society/Population/Patients
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
UN
Agencies
objective
 Promoting partnerships
www.who.int/ncdnet
Objective:
• Facilitate the
implementation of the
NCD Global Strategy
Action Plan
Goals:
• Raise awareness
through collective
advocacy
• Increase resource
availability through
innovative financing
mechanisms
• Catalyze countrylevel implementation
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
www.who.int/ncdnet
WHO
International Advisory Council
Global Forum Meetings
Regional Forum Meetings
National Forum Meetings
Advocacy
and
Communications
Innovative
Resourcing
Mechanisms
Monitoring and
evaluation
Working groups
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
www.who.int/ncdnet
NCDnet was established
July
2009
Oct
2009
Feb
2010
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Sept
2010
April
2011
Sept
2011
www.who.int/ncdnet
First NCDnet Planning Meeting:
Consensus reached on the scope and purpose of three working groups
● Advocacy and communications
● Innovative financing mechanisms
● Monitoring and evaluation
Working
Groups:
July
2009
Oct
2009
Feb
2010
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Sept
2010
April
2011
Sept
2011
www.who.int/ncdnet
(1) First NCDnet Global Forum Meeting:
Consensus reached on priority activities for each working group
(2) First meeting of the NCDnet International Advisory Council
July
2009
Oct
2009
• Raise awareness at high-level forums
• Develop a joint methodology and conduct needs
and constraints analyses
• Feasibility study on earmarking tobacco taxes
for health financing
• Estimate global resourcing needs
• Organize donor forums
• Establish an ODA baseline for NCDs
• Establish an evaluation framework
• Develop national monitoring and evaluation
tools
Feb
Sept
April
Sept
2010
2010
2011
2011
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
www.who.int/ncdnet
• Second meeting of the NCDnet International Advisory Council
• Side-event on NCDs during the MDG Summit
July
2009
Oct
2009
Feb
2010
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Sept
2010
April
2011
Sept
2011
www.who.int/ncdnet
(1) First Global Ministerial Meeting on NCDs and Healthy Lifestyles (Moscow)
(2) Second NCDnet Global Forum Meeting (Moscow)
(3) Third meeting of the NCD International Advisory Council
July
2009
Oct
2009
Feb
2010
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Sept
2010
April
2011
Sept
2011
www.who.int/ncdnet
NCD Summit 2011 (New York)
July
2009
Oct
2009
Feb
2010
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Sept
2010
April
2011
Sept
2011
Criteria for WHO's engagement in partnerships (1)
• The partnership demonstrates a clear added value for
public health
• The partnership has a clear goal that concerns a
priority area of work for WHO
• Partnerships are guided by the technical norms and
standards established by WHO
• The partnership supports national development
objectives
• The partnership ensures appropriate and adequate
participation of stakeholders
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Criteria for WHO's engagement in partnerships (2)
• The roles of partners are clear
• Transaction costs related to a partnership must be evaluated,
along with the potential benefits and risks
• Pursuit of public-health goals takes precedence over the special
interests of participants.
• The structure of the partnership corresponds to the proposed
functions
• The partnership has an independent external evaluation and/or
self-monitoring mechanism
More info at:
http://apps.who.int/gb/ebwha/pdf_files/WHA63/A63_44-en.pdf
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
To take home
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
NCD Heads of State Summit 2011
(New York, 19 September 2011)
www.who.int/nmh/events/2011/ncd_summit
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Including NCDs in global development initiatives and related investment
decisions needs to be the number one priority
of the NCD Summit 2011
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs
Thank you
[email protected]
2nd WHO-IUMSP Seminar on
Public Health Aspects of NCDs