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Monitoring and accountability for the Pacific response to the non-communicable diseases crisis.
Tolley, Hilary; Snowdon, Wendy; Wate, Jillian; Durand, A Mark; Vivili, Paula; McCool, Judith; Novotny, Rachel; Dewes, Ofa; Hoy, Damian; Bell, Colin; Richards, Nicola; Swinburn, Boyd.
Afiliación
  • Tolley H; Department of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
  • Snowdon W; World Health Organisation, Western Pacific Regional Office, Suva, Fiji.
  • Wate J; Pacific Research Centre for the Prevention of Obesity and Non-Communicable Diseases (C-POND), Fiji National University, Suva, Fiji.
  • Durand AM; Pacific Islands Health Officers Association, Honolulu, HI, USA.
  • Vivili P; Pacific Community, Noumea, New Caledonia.
  • McCool J; Department of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
  • Novotny R; University of Hawaii, Honolulu, HI, USA.
  • Dewes O; School of Population Health & Department of Molecular Medicine, University of Auckland, Auckland, New Zealand.
  • Hoy D; Pacific Community, Noumea, New Caledonia.
  • Bell C; School of Medicine, Deakin University, Geelong, Australia.
  • Richards N; School of Population and Global Health, University of Melbourne, Melbourne, Australia.
  • Swinburn B; Department of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. boyd.swinburn@auckland.ac.nz.
BMC Public Health ; 16: 958, 2016 09 10.
Article en En | MEDLINE | ID: mdl-27613495
ABSTRACT

BACKGROUND:

Non-communicable diseases (NCD) are the leading cause of premature death and disability in the Pacific. In 2011, Pacific Forum Leaders declared "a human, social and economic crisis" due to the significant and growing burden of NCDs in the region. In 2013, Pacific Health Ministers' commitment to 'whole of government' strategy prompted calls for the development of a robust, sustainable, collaborative NCD monitoring and accountability system to track, review and propose remedial action to ensure progress towards the NCD goals and targets. The purpose of this paper is to describe a regional, collaborative framework for coordination, innovation and application of NCD monitoring activities at scale, and to show how they can strengthen accountability for action on NCDs in the Pacific. A key component is the Dashboard for NCD Action which aims to strengthen mutual accountability by demonstrating national and regional progress towards agreed NCD policies and actions.

DISCUSSION:

The framework for the Pacific Monitoring Alliance for NCD Action (MANA) draws together core country-level components of NCD monitoring data (mortality, morbidity, risk factors, health system responses, environments, and policies) and identifies key cross-cutting issues for strengthening national and regional monitoring systems. These include capacity building; a regional knowledge exchange hub; innovations (monitoring childhood obesity and food environments); and a robust regional accountability system. The MANA framework is governed by the Heads of Health and operationalised by a multi-agency technical Coordination Team. Alliance membership is voluntary and non-conditional, and aims to support the 22 Pacific Island countries and territories to improve the quality of NCD monitoring data across the region. In establishing a common vision for NCD monitoring, the framework combines data collected under the WHO Global Framework for NCDs with a set of action-orientated indicators captured in a NCD Dashboard for Action. Viewing NCD monitoring as a multi-component system and providing a robust, transparent mutual accountability mechanism helps align agendas, roles and responsibilities of countries and support organisations. The dashboard provides a succinct communication tool for reporting progress on implementation of agreed policies and actions and its flexible methodology can be easily expanded, or adapted for other regions.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Enfermedad Crónica / Vigilancia en Salud Pública Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies País/Región como asunto: Oceania Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2016 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Enfermedad Crónica / Vigilancia en Salud Pública Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies País/Región como asunto: Oceania Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2016 Tipo del documento: Article