|Year : 2017 | Volume
| Issue : 4 | Page : 91-93
Outcome of the World NCD Congress 2017
Dhirendra N Sinha
Director, School of Preventive Oncology, Patna, India
|Date of Web Publication||22-Feb-2018|
Dhirendra N Sinha
Director, School of Preventive Oncology, Patna, 800001
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sinha DN. Outcome of the World NCD Congress 2017. Int J Non-Commun Dis 2017;2:91-3
Noncommunicable diseases (NCDs) arrived late on the global health agenda; Millennium Development Goals lost the opportunity to include this. Sustainable development goals (SDGs) offer an unprecedented opportunity. It provides us the political mandate to act. SDGs are interlinked; NCDs are an integral part of the SDG 3 (the health SDG). The nations of the world have agreed to take action against NCDs, in reducing premature deaths by one-third by 2030, as part of the SDGs. Looking into these facts, the theme of the conference was “Preventing Non-Communicable Diseases: Realizing SDGs” and focused on the latest developments in NCD detection, prevention, management, and surveillance with a special focus on implementation sciences.
The World NCD Congress 2017 was the first global call for uniting and working together under the aegis of the World NCD Federation, Ministry of Health and Family Welfare, Government of India, and several stakeholders.
A wide range of scientific deliberations was held during the entire World NCD Congress 2017 conference. The Conference had three components; the pre-conference workshop (November 2- 3, 2017) ; conference (November 4–6, 2017); and post-conference (November 7, 2017). Range of the discussion was wide enough to cover from local district level issue to regional and global issues. One thousand and seven hundred participants from over 100 countries of the world voiced for NCD control and had supported Chandigarh Call for Action.
A total of 12 Pre-Congress workshops, were organized that included Addressing Social Determinants through Health Promotion, Global Alliance for Chronic Diseases (GACD) Implementation Sciences, Monitoring, Surveillance, Cancer Registration and Survival Analysis, Cancer Screening and Prevention, Strengthening NCDs Management by Primary Health Care, Leadership, Program, Management, Resource Mobilization and Partnership for NCDs, Public health, Approaches to Palliative Care, Health Coaching, Cardiovascular Clinic Trials. The Hon'ble AYUSH Minister, Government of India inaugurated a special session on Role of AYUSH and Yoga in NCDs. The four post-congress workshops were on Water Pollution and Chronic NCDs, Public Health Approaches to Kidney Diseases, Stress Management, and Nurse Practitioners for Chronic NCDs.
Participation of World Health Organization at all levels (country, regional Head Quarter), UNDP India, National Cancer Institute, USA, Indian Council of Medical Research, WHO Collaborating Centers, GACD, International Union Against Tuberculosis and Lung Disease, Centers for Disease Control, York University Canada, Simon Fraser University, University of Michigan, University of Washington, and several global associations Scientific Institutions of excellence from all over the world was the beauty of conference and presents exemplary partnership for Global NCD control.
Developing countries participation in a visible numbers, almost accounting for nearly 80% of participants, is a good sign in showing the increasing level of commitment for NCD control in these countries. This also witnessed that such poor-resource countries are preparing themselves for NCDs.
Core scientific deliberation along with practical NCD activities of Walkathon Marathon and Yoga was the unique component of this conference with the more than 3000 participants.
Raising awareness on NCD issues through Arts and Culture has been the innovative part of the conference.
A parliamentarian forum was held during the conference. Members of Parliament from India, Maldives, and Thailand and representatives from ASEAN countries participated. Parliamentarian forum discussed the ways to combat the increasing NCD burden. Parliamentarian forum had consensus that the executive staff within government from health and nonhealth sector should work in tandem for fast-track policy decisions and its implementation on NCD control.
In this conference, Minister of AYUSH, State Minister of Health and Family Welfare, Government of India, Minister of Health from the Maldives, and Governors from two states of India participated in different sessions during the conference.
In the ministerial forum, developing partnerships and coalition for action for the prevention and control of NCDs was highlighted. The Consensus Statement of World NCD Congress “Chandigarh Call for Action on NCDs,” highlighting the outcomes of Congress with a clear implementation plan for achieving SDGs by 2030, was discussed and finalized.
Proceedings of the meeting are appearing in different formats:
- Abstracts of different sessions were published in one of the supplementary issues of International Journal of NCD (IJNCD), and we have plan to cover all important sessions – detail in the next issue of International Journal of NCD
- Present issue of IJNCD has published the outcome of plenary and other important sessions of the conference. Outcomes of other important sessions will be published in ensuing volume of IJNCD
- The Consensus Statement of World NCD Congress 2017 “Chandigarh Call for Action on NCDs” is published in the present issue of IJNCD
- The Hon'ble Prime Minister of India in his message exhorted that the world to come together and find solutions to NCDs. Apart from medical intervention, this serious issue demands a turnaround in our lifestyles and adoption of a comprehensive view on our health.
Policy forum recommended the formulation of comprehensive policy on critical issues such as control on food and beverages including salt, sugar, and trans-fats and alcohol and tobacco use through multisectoral participation of “whole-of-government” approach. The session concluded that there is a need for up streaming the prevention and education of population at large.
Media advocacy is one of the tested instruments in approaching multi-stakeholders of both communicable diseases and NCDs. The conference used media advocacy before the Congress appropriately to inform the world. In addition, information was shared through web designed for the congress. Apart from the earned media advocacy, the conference used a dedicated section of web-page designed for the conference. Earned media advocacy included snippets of information of interest to the media, photograph stories, research summaries, and good practice documents; virtual presentations and audio/video bites, media briefs, scripts for Public Service Announcements on key themes, panel discussions, and talks. Dissemination of NCD prevention and control through print media, radio, and television may be optimally achieved if a dedicated team of public health experts, clinicians, and health communication experts/social media experts are engaged. Media advocacy during conference was done by inviting the media for all programs by providing them the detailed program. Media coverage was excellent.
A round-table talk on multisectoral participation of Ministries and Key Stakeholders for NCD Control was one of the important sessions A round-table talk on multisectoral participation of Ministries and Key Stakeholders for NCD Control was one of the important sessions where Ministry Information and Broadcasting, Ministry of Health and Family Welfare, Government of India, various health and non health sectors from state governments of India, USAID India, Vietnam, and Indonesia, International and National NGOs, WHO, Maldives and SEARO, UNDP, Experts on pulmonary medicine and air quality, national and international media representatives participated. For establishing multisectoral coordination in developing countries, steering committees are existing with representations from senior officials from different department and NGOs; however, the challenges are participation of lower-level officials, with little decision-making power and political influence. Involvement of high-level political leadership and champions was recommended. The session emphasized on multisectoral plan of action with whole of government approach and demarcation of clear-cut responsibilities and action point for each sectors. Healthy workplaces and healthy homes should be in place.
Participation and involvement of ministries and key stakeholders for NCD prevention and control are critical. Reciprocal learning, collaboration, and coordination between the stakeholders for the implementation of multisectoral action are must. Initiation of advocacy for “health in all policies” should be promoted with “whole-of-government” and societal approach.
Yoga session was organized as part of the Congress, “A step towards healthy lifestyle,” a gathering of 1800 yoga enthusiasts from all over the country and beyond participated. It was joint venture from the Ministry of Sports, AYUSH, Health, Education. Yoga was practiced. This session urged the participants to keep practicing Yoga or similar activities. In addition, Prime Minister of India appealed to the global population to practice Yoga.
Walkathon was one of the unique sessions for promoting physical activity as part of everyone's routine; this was a curtain raiser to the first day of the World NCD Congress to show “Let's put words into action.” Minister of Health, Maldives, flagged off the session and said “it's a very timely initiative for NCDs as we all strive to achieve SDGs; this is a unique action towards realizing these objectives.” The Walkathon was a very important event that drew attention to the challenge of NCDs and ways in which people could manage them.
Through the multi-county session from both developed and developing countries on technology and NCDs, applications of m-health/e-health, telemedicine, webcasts of CME, and various innovative technologies in the NCDs were disseminated.
Youth Parliament was one of the critical components of the conference. Participation was from Bangladesh, India, Nepal, Nigeria, Sri Lanka, and Bills on various risk factors such as unhealthy diet, lack of physical activity, tobacco, alcohol, substance abuse, and mental health were presented and outcome of the meeting was “Youth Charter of NCDs.”
Post-Congress Workshops included important topics such as Managing Stress and Health Challenges. The workshop introduced Capacitar exercises that lead to healing, wholeness, and peace in the individual, their families, their social networks, and communities. Simple ancient techniques based on Vipassana, Tai Chi, and Pal Dan Gum were taught to a gathering of professionals. Air and Water Pollution and Chronic NCDs were discussed in details in one of the sessions. Other topics included Public Health Approaches to Kidney Diseases and Nurse Practitioner for chronic NCDs: Task shifting to nurse professionals.
We had feedback from different sessions through our deputed volunteers and personal talks with individual participants that most of the scientific programs were held excellent. We had also feedback that a few individual sessions lacked scientific vigor. This could be attributed to the first experience of World NCD Federation and lack of resources in calling top notches from the world. Overall, the congress was successful in disseminating NCD related facts and policy plans and increasing the capacity of multi-stakeholders in NCD control, especially in developing countries.
I wish to acknowledge all governments, organizers, contributors, volunteers, participants, supporters, and collaborators to bring a success to the Congress. I would especially thank the chair of organizing committee whose tireless effort with great perseverance worked to great deal.