Menno van Hilten External Relations Officer Noncommunicable Diseases

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 2 nd 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 2 nd 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 2 nd 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 2 nd 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 2 nd 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. 2 nd 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 2 nd 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. " 2 nd 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. 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

"Communications 101" Elements of communication: • Sender • Message • Target Audience • Proof points • Channel • Time 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Me s s a g e : th e fo u r O ' s "Communications 101" Ongoing situation Opportunities One recommendation Operationalization 2 nd 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 Mo. H NCD counterparts in other Ministries (agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs 2 nd 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. 2 nd 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. 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Source: NCD are the single biggest 10% cause of death in the world Total number of deaths in the world 60 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Total number of deaths in the world 25 million 2. 3 M 6. 8 M 20 million 2. 3 M 15 million 10. 2 M 3. 7 M 13. 6 M 10 million 0. 5 M 5. 9 M 0. 6 M 3. 3 M 3. 0 M 0. 9 M 1. 1 M 3. 3 M 3. 0 M Lower High-income Upper Low-income 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 2 nd 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Countries represented by the course participants 3, 500, 000 14% 3, 000 2, 500, 000 20% 2, 000 52% 1, 500, 000 1, 000 500, 000 0 High-income countries Upper 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 2 nd 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 2 nd 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 2 nd 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 2 nd 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. 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Mobilizing a global response Building on a clear roadmap for Member States, partners and WHO 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Three building blocks 2 Surveillance to quantify and track NCDs 2 nd 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$2 per capita) (DALYs per 1 m popn) (I$ 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 1 st 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 2 nd 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 2 nd 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 2 nd 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) 2 nd 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) 2 nd 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% 3. 0% 1. 7% 0. 3% 0. 7% 1. 3% 0. 6% 0. 2% • Health ODA growth for NCDs: ? 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) 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

The Paris Declaration invites donors to base their support on demand from developing countries Pending 2 nd 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. 2 nd 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 2 nd 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. 2 nd 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, UNECE, ESCAP) – Interactive hearings organized by WHO and UNDESA 2 nd 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. 2 nd 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? 2 nd 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 Mo. H NCD counterparts in other Ministries (agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs 2 nd 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. 2 nd 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? 2 nd 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 Mo. H NCD counterparts in other Ministries (agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs 2 nd 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

"Dear Children" 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

www. who. int/tobacco 2 nd 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

2 nd 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) 2 nd 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 2 nd 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 modify people's ideas and beliefs • To mobilize all available resources. 2 nd 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. 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Example 2 nd 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? 2 nd 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 Mo. H NCD counterparts in other Ministries (agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs UN Agencies

2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

The average number of donors per country is growing 1960 s 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs 2001 -2005

WHO Country Cooperation Strategy UN Common Country Assessment UN Development Assistance Framework 2 nd 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. 2 nd 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 2 nd 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? 2 nd 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? 2 nd 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 Mo. H NCD counterparts in other Ministries (agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/People with NCDs 2 nd 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 the key messages explain – So what? – Why is this so compelling? – Why now? – The reasons or benefits 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

10 golden rules 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 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 2 nd 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

What is WHO doing? 2 nd 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 Mo. H NCD focal points in other Ministries (agriculture, finance, trade, transport, urban planning, education and sport) National NGO leaders Civil Society/Population/Patients 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs UN Agencies

o b ject ive 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 2 nd 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

www. who. int/ncdnet NCDnet was established July 2009 Oct 2009 Feb 2010 2 nd 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 2 nd 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 2011 2 nd 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 2 nd 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 2 nd 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 2 nd 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 2 nd 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/WHA 63/A 63_44 -en. pdf 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

To take home 2 nd 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 2 nd 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 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs

Thank you vanhiltenm@who. int 2 nd WHO-IUMSP Seminar on Public Health Aspects of NCDs