[Ip-health] TWN Info: Work on non-communicable diseases moves forward

Sangeeta ssangeeta at myjaring.net
Thu Jan 26 08:50:18 PST 2012



Title : TWN IP Info: Work on non-communicable diseases moves forward
 Date : 26 January 2012

 Contents: 

TWN Info Service on Intellectual Property Issues (Jan12/04)
26 January 2012
Third World Network
www.twnside.org.sg

Work on non-communicable diseases moves forward
Published in Published in  SUNS #7295 dated 26 January 2012 

Geneva, 24 Jan (K. M. Gopakumar) - The Executive Board of the World Health
Organisation (WHO), which met on 12-23 January 2012, adopted a resolution to
work further on non-communicable diseases (NCDs).

The resolution sets a process to follow up on the High-Level Meeting of the
UN General Assembly on the Prevention and Control of Non-Communicable
Diseases (High-Level Meeting) which was held on 19-20 September 2011 at the
UN headquarters in New York.

The resolution was initially proposed by Australia, Barbados, Canada, Costa
Rica, Kenya, Norway, Russian Federation, Switzerland and the United States.
It was adopted after the Board accepted the amendments proposed by Estonia,
on behalf of the European Union, Timor Leste and France.

It contains 10 preambular paragraphs and two operational paragraphs.

Operational paragraph 2 (1) requests the WHO Director-General "to continue
in an inclusive and transparent manner, the process underway to develop, a
comprehensive global framework, including a set of indicators, capable of
application across regional and country settings and to submit a set of
voluntary targets for the prevention and control of NCDs by the end of
2012."

According to the resolution, WHO should build on the outcomes of the
consultation with Member States and organisations of the UN system which was
held on 9 January 2012. This task in the operational paragraph 2(1) was
originally mandated under paragraphs 61 and 62 of the Political Declaration
of the High-Level Meeting.

(In paragraph 61, Member States "call upon WHO, with the full participation
of Member States, informed by their national situations, through its
existing structures, and in collaboration with United Nations agencies,
funds and programmes, and other relevant regional and international
organizations, as appropriate, building on continuing efforts to develop
before the end of 2012, a comprehensive global monitoring framework,
including a set of indicators, capable of application across regional and
country settings, including through multi-sectoral approaches, to monitor
trends and to assess progress made in the implementation of national
strategies and plans on non-communicable diseases".

(Paragraph 62 calls "upon WHO, in collaboration with Member States through
the governing bodies of WHO, and in collaboration with United Nations
agencies, funds and programmes, and other relevant regional and
international organizations, as appropriate, building on the work already
under way, to prepare recommendations for a set of voluntary global targets
for the prevention and control of non-communicable diseases, before the end
of 2012.)

Eight sub-paragraphs of the operational paragraph 2 (1) provide detailed
timelines for the process.

Sub-paragraph (a) sets a deadline of end of January 2012 for the Secretariat
to provide additional information requested during the 9 January
consultation. Sub-paragraph (b) mandates WHO to revise the draft framework
and indicators and targets (framework) on the basis of a web-based hearing
by the end of February 2012. Sub-paragraph ( c) provides for the holding of
a Member States' consultation on the framework and indicators and targets
prior to the 65th World Health Assembly (WHA), which will be held in May
2012.

Sub-paragraph (d) provides the mandate to the Secretariat to hold
consultations with all interested stakeholders. Sub-paragraph (e) asks the
Secretariat to submit a substantive progress report on the development of
the framework to the upcoming WHA in May 2012. Sub-paragraph (f) mandates
the regional consultations to provide further inputs into the
framework/targets process as part of their broader discussions on
implementation of the Political Declaration.

Sub-paragraph (g) asks the Secretariat to complete the work on the framework
by the end of 2012 in consultation with Member States. Sub-paragraph (h)
requests the Secretariat to submit the recommendations relating to
paragraphs 61 and 62 of the Political Declaration to the 66th Session of the
WHA in 2013, through the January 2013 session of the Executive Board.

Operational paragraph 2 (2) requests the Director-General to submit to the
UN Secretary-General options for strengthening and facilitating
multi-sectoral action for the prevention and control of non-communicable
diseases through effective and transparent partnership, while safeguarding
public health from any potential conflict of interest as mandated under
paragraph 64 of the Political Declaration.

(Paragraph 64 requests "the Secretary-General, in close collaboration with
the Director-General of WHO, and in consultations with Member States, United
Nations funds and programmes and other relevant international organizations,
to submit by the end of 2012 to the General Assembly, at its sixty-seventh
session, for consideration by Member States, options for strengthening and
facilitating multi-sectoral action for the prevention and control of
non-communicable diseases through effective partnership".)

Operational paragraph 2 (3) requests the Director-General to submit a
progress report and timeline for the process mentioned in paragraph 2 (2) to
the upcoming WHA in May 2012.

Further, operational paragraph 2 (4) requests the Director-General to
develop WHO's action plan for the prevention and control of non-communicable
diseases for 2013-2020 through a consultative manner.

The same paragraph also states that the process should take into account the
outcomes of the High-Level Meeting, the Moscow Declaration on Health
Lifestyles and Non-communicable Disease Control, the Rio Declaration on
Social Determinants of Health and building on and being consistent with WHO
strategies and tools on tobacco use, harmful use of alcohol, unhealthy diet
and physical inactivity.

Operational paragraph 2 (5) requests the Director-General to build on work
from the 2008-2013 action plan, which inter alia called for WHO to provide
support to countries in enhancing access to essential medicines, to
facilitate engagement by governments, civil society and private sector in
accordance with the Political Declaration of the High-Level Meeting.
However, the engagement of civil society and private sector is qualified
with the words "as appropriate". Further, private sector engagement is only
with appropriate safeguards against conflicts of interest.

Operational paragraph 2 (6) requests the Director-General to submit the WHO
action plan for the prevention and control of non-communicable diseases for
2013 to 2020 to the 65th WHA session in 2013 for possible adoption.

Operational paragraph 1 (1) urges Member States to implement the Political
Declaration of the High-Level Meeting. Operational paragraph 1 (2) urges to
draw up political strategies, programmes and interventions and tools
recommended by WHO to promote, establish, support and strengthen
multi-sectoral national policies and plans for the prevention and control of
non-communicable diseases as mentioned in Paragraph 45 of the Political
Declaration.

(Paragraph 45 of the Political Declaration deals with strengthening of
national policies and health systems for the prevention and control of NCDs.
Paragraph 45 commits UN Members to "Promote, establish or support and
strengthen, by 2013, as appropriate, multi-sectoral national policies and
plans for the prevention and control of non-communicable diseases, taking
into account, as appropriate, the 2008-2013 WHO Action Plan for the Global
Strategy for the Prevention and Control of Non-communicable Diseases, and
the objectives contained therein and take steps to implement such policies
and plans".)

Operational paragraph 1 (3) urges Member States to strengthen their
commitment to implement non-communicable disease programmes in accordance
with national priorities, including increased efforts on prevention,
diagnostics and treatment, and to take steps to accelerate health-related
donor harmonization and adherence to the aid effectiveness principle.

Operational paragraph 1 (4) urges Member States to participate fully in the
WHO-led process of developing the framework mentioned above. It also urges
Member States to consider incorporating elements of the framework into
national planning exercises at the earliest opportunity in accordance with
national priorities.

The issues came up for discussion under the mandate of WHA Resolution 64.11
which specifically requested the Director-General "to report to the
Sixty-fifth World Health Assembly, through the Executive Board, on the
outcomes of the first Global Ministerial Conference on Healthy Lifestyles
and Non-communicable Disease Control and the high-level meeting".

Further, it requests the Director-General to develop, together with relevant
United Nations agencies and entities, an implementation and follow-up plan
for the outcomes, including its financial implications, for submission to
the Sixty-sixth World Health Assembly, through the Executive Board.

However, reference to WHA 64.11 is missing from the Executive Board (EB)
resolution. Hence, it is not clear how far the new process set in the EB
resolution is to inform the mandate provided under WHA 64.11, i.e., an
implementation and follow-up plan for the outcomes, including its financial
implications, for submission to the Sixty-sixth World Health Assembly,
through the Executive Board.

Several Member States who spoke on the agenda highlighted the importance of
access to medicines and the need to maintain transparency and safeguards
against conflicts of interest while dealing with the private sector.








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