NCD Countdown 2025: accountability for the 25 × 25 NCD mortality reduction target

Beaglehole, Robert; Bonita, Ruth; Ezzati, Majid; Alleyne, George A.O.; Dain, Katie; Kishore, Sandeep P.; Horton, Richard

doi:10.1016/s0140-6736(14)61091-6

Cited by 46 publications

(37 citation statements)

References 4 publications

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“…45 For example, the Access to Nutrition Index 46 has rated and benchmarked 25 of the largest food and beverage manufacturers on the basis of their commitments, performance, and disclosure practices related to obesity and undernutrition worldwide. The fi rst Access to Nutrition Index report in 2013 showed that most companies were not transparent, did not publicly share their nutrition-related practices, and did not adhere to many publicly shared commitments.…”

Section: Enforcementmentioning

confidence: 99%

Strengthening of accountability systems to create healthy food environments and reduce global obesity

et al. 2015

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To achieve WHO's target to halt the rise in obesity and diabetes, dramatic actions are needed to improve the healthiness of food environments. Substantial debate surrounds who is responsible for delivering eff ective actions and what, specifi cally, these actions should entail. Arguments are often reduced to a debate between individual and collective responsibilities, and between hard regulatory or fi scal interventions and soft voluntary, education-based approaches. Genuine progress lies beyond the impasse of these entrenched dichotomies. We argue for a strengthening of accountability systems across all actors to substantially improve performance on obesity reduction. In view of the industry opposition and government reluctance to regulate for healthier food environments, quasiregulatory approaches might achieve progress. A four step accountability framework (take the account, share the account, hold to account, and respond to the account) is proposed. The framework identifi es multiple levers for change, including quasiregulatory and other approaches that involve government-specifi ed and government-monitored progress of private sector performance, government procurement mechanisms, improved transparency, monitoring of actions, and management of confl icts of interest. Strengthened accountability systems would support government leadership and stewardship, constrain the infl uence of private sector actors with major confl icts of interest on public policy development, and reinforce the engagement of civil society in creating demand for healthy food environments and in monitoring progress towards obesity action objectives.

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Section: Enforcementmentioning

confidence: 99%

Strengthening of accountability systems to create healthy food environments and reduce global obesity

et al. 2015

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“…83 This initiative resolves to decrease the global burden of NCDs by 25% by 2025. Although an important initiative that focuses global attention on the leading causes of premature mortality, the initiative focuses specifically on diabetes, cancer, CV disease, respiratory diseases, and neurologic disease.…”

Section: Long-reaching Effect: Esrd and The Global Burden Of Ncdsmentioning

confidence: 99%

Maintenance Dialysis throughout the World in Years 1990 and 2010

Thomas

Wulf

Bikbov

et al. 2015

Journal of the American Society of Nephrology

171

137

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Rapidly rising global rates of chronic diseases portend a consequent rise in ESRD. Despite this, kidney disease is not included in the list of noncommunicable diseases (NCDs) targeted by the United Nations for 25% reduction by year 2025. In an effort to accurately report the trajectory and pattern of global growth of maintenance dialysis, we present the change in prevalence and incidence from 1990 to 2010. Data were extracted from the Global Burden of Disease 2010 epidemiologic database. The results are on the basis of an analysis of data from worldwide national and regional renal disease registries and detailed systematic literature review for years 1980-2010. Incidence and prevalence estimates of provision of maintenance dialysis from this database were updated using a negative binomial Bayesian metaregression tool for 187 countries. Results indicate substantial growth in utilization of maintenance dialysis in almost all world regions. Changes in population structure, changes in aging, and the worldwide increase in diabetes mellitus and hypertension explain a significant portion, but not all, of the increase because increased dialysis provision also accounts for a portion of the rise. These findings argue for the importance of inclusion of kidney disease among NCD targets for reducing premature death throughout the world.

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“…With the UN declaration and the strong political momentum, the World Health Organization (WHO) developed the 2012 Global Action Plan for the prevention and control of NCDs (7), which includes indicators and voluntary targets that focus on achieving a global goal of a 25% reduction in premature mortality from NCDs by 2025 (also known as the 25x25 target) (8). Two of the six WHO objectives of this framework are related directly to strengthening national capacity for the management and control of NCDs.…”

Section: Introductionmentioning

confidence: 99%

A comprehensive capacity assessment tool for non-communicable diseases in low- to middle-income countries: development and results of pilot testing

et al. 2016

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Non-communicable diseases (NCDs) are the leading causes of death worldwide, with higher rates of premature mortality in low- and middle-income countries (LMICs). This places a high economic burden on these countries, which usually have limited capacity to address this public health problem. We developed a guided self-assessment tool for describing national capacity for NCD prevention and control. The purpose of this tool was to assist countries in identifying key opportunities and gaps in NCD capacity. It was piloted in three countries between 2012 and 2013: Mozambique, Colombia, and the Dominican Republic. The tool includes details about NCD burden; health system infrastructure and primary care services; workforce capacity; surveillance; planning, policy, and program management; and partnerships. In the three pilot countries, the tool helped to identify differences in capacity needs pertaining to staff, training, and surveillance, but similarities were also found related to NCD challenges and opportunities. The NCD tool increased our understanding of needs and critical capacity elements for addressing NCDs in the three pilot countries. This tool can be used by other LMICs to map their efforts toward addressing NCD goals and defining priorities.

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NCD Countdown 2025: accountability for the 25 × 25 NCD mortality reduction target

Cited by 46 publications

References 4 publications

Strengthening of accountability systems to create healthy food environments and reduce global obesity

Strengthening of accountability systems to create healthy food environments and reduce global obesity

Maintenance Dialysis throughout the World in Years 1990 and 2010

A comprehensive capacity assessment tool for non-communicable diseases in low- to middle-income countries: development and results of pilot testing

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