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5 Approaches to Supporting Country-Led Action
Pages 63-68

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From page 63...
... These two organizations have been particularly inspiring, said moderator Derek Yach. The NCD Alliance has been a leader in organizing the civil society sector both globally and within countries in the lead-up to the September United Nations meeting, and the World Bank has had a fundamental role in raising the visibility of global chronic disease for at least 20 years.
From page 64...
... The World Health Organization identified these four diseases as responsible for the greatest portion of the global disease burden, and it also identified tobacco use, unhealthy diets, insufficient physical activity, and harmful use of alcohol as the most significant modifiable risk factors for those diseases.1 The NCD Alliance was founded to help increase recognition of the significance of the burden of these diseases as part of the global health and development agendas. To illustrate the problem, she quoted an opinion expressed in The Economist in 2006: "The World Health Organization needs to help sick people, not be a nanny.
From page 65...
... . In its efforts to contribute to the draft outcomes document for the United Nations meeting, the alliance highlighted these priorities along with other key points such as the necessity and urgency of a multisectoral approach, the possibility of finding "new and adequate financial resources without jeopardizing current and future funding of the prevention and control of communicable diseases," integrating chronic disease control efforts into existing health systems strengthening, and accelerated implementation of the Framework Convention on Tobacco Control.
From page 66...
... The World Bank played a fundamental role in the prioritization of noncommunicable diseases, he added, by supporting the study of the economics of tobacco use, which reduced the resistance of government leadership around the world to anti-tobacco measures. The World Bank also provided a "SWAT team" of economists who worked with countries to guide them in developing tobacco control policies, Yach said.
From page 67...
... For individual countries the World Bank supports systems analysis of such issues as access to care; equity in the distribution of care; financial flows, such as national health account reviews, public health expenditure reviews, and public and private expenditure reviews; information systems; and system capacity. These microeconomic tools are placed in a macroeconomic framework to aid countries in making sure that they structure their systems in ways that best move them toward their development goals.
From page 68...
... 68 COUNTRY-LEVEL DECISION MAKING versus reducing the chronic disease burden. The World Bank and others working in chronic diseases need to be opportunistic, Meiro-Lorenzo said, to not only identify opportunities in the health sector but also to put efforts together in ways that are a win-win for our environmental colleagues, our energy colleagues, and colleagues in other sectors, and then to make sure that we measure and showcase each other's successes.


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