world heart federation ecosoc/unescwa/who western asia ministerial meeting, doha, qatar 11 may 2009...

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World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva 4 Switzerland www.worldheart.org Professor Shahryar Sheikh

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Page 1: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

World Heart Federation

ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR

11 May 2009World Heart Federation7 rue des Battoirs 1211 Geneva 4Switzerlandwww.worldheart.org

Professor Shahryar Sheikh

Page 2: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Content

NCD burden of disease and investment: the Great Disconnect

International health NGOs as active stakeholders

Examples

Call to action

Page 3: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

NCD burden of disease and investment: The Great Disconnect

Page 4: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Source: WHO Global Burden of Disease Report Update 2004, Geneva 2008

Global Burden of Disease: chronic NCDs cause over 50% of death worldwide

Page 5: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Yet current investment in chronic NCDs is very

low…

For the 2008-2009 biennum, the WHO will allocate almost US$ 900 million to communicable disease whereas the budget allocated to non-communicable disease barely reaches US$ 160 million

The Global Fund for HIV/AIDS, TB and Malaria total pledges paid to date: USD 11.8 billion

Half of the US$ 1.8 billion allocated to health programmes by USAID in 2003 were for HIV/AIDS and infectious diseases. Another 45% were for maternal health, child survival and population control.

Page 6: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Specific example of tobacco control: under-funded compared with other leading causes of death

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Global Funding, 2007 (all sources, $billions)

Annual Deaths (millions)

World Health Organization

Page 7: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

International health NGOs as active stakeholders

Page 8: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

The Mission Statement

The World Heart Federation helps people achieve

a longer and better life through prevention

and control of heart disease and stroke,

with a focus on low- and middle-

income countries

The MembershipThe World Heart Federation has a membership of

195 organizations from all over the world. It brings

together the societies of cardiology as well as the

heart health charities.

The World Heart Federation

Page 9: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Leveraging international NGOs strengths

Members

Networks

Healthcare Professionals

Patient groups

Grassroots presenceand activities

Page 10: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Examples

Page 11: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Example of international partners initiatives (1)

International campaigns :

Go Red for Women, campaign created by the American Heart Association, who gave the rights to the World Heart Federation to roll out globally.

The campaign is now being carried out in over 40 countries

Page 12: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Example of international partners initiatives (2)

Guidelines on prevention and control

The World Heart Federation has called on countries to formulate national and regional guidelines for the prevention & control of cardiovascular disease

Page 13: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Tobacco Control: Youth Advocacy

Example of international partners initiatives (3)

Fostering of youth involvement in tobacco control around the world.

Youth empowerment as well as exposure of tobacco industry tactics is effective for youth not smoking and becoming agents of change

Page 14: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Example of multistakeholder approach at a national level

Pakistan: National Action Plan for NCDs – Public-Private Partnership spearheaded by an NGO

Page 15: World Heart Federation ECOSOC/UNESCWA/WHO WESTERN ASIA MINISTERIAL MEETING, DOHA, QATAR 11 May 2009 World Heart Federation 7 rue des Battoirs 1211 Geneva

Call to Action

« We cannot afford to say, «we must tackle other diseases first – HIV/AIDS, malaria, tuberculosis – then we deal with chronic diseases». If we wait even 10 years, we will find that the problem is even larger and more expensive to address ». Former President Obasanjo of Nigeria 

Greater attention to NCDs in low- and middle-income countries and greater understanding of their impact on poverty

Greater investment in prevention and control of NCDs in low- and middle-income countries

Inclusion of NCDs in the Millennium Development Goals

Break down the vertical approach to health systems