Submission to the WHO consultation on the global action plan for the prevention and control of NCDs 2013-2030

The George Institute appreciates the opportunity to provide feedback on the first draft of the updated Appendix 3 of WHO’s Global action plan for the prevention and control of noncommunicable diseases (NCDs) 2013–2030 and commends WHO for its efforts to revise it in light of advancing scientific knowledge.

We strongly support the overall approach and the intention to assist countries selecting a combination of these interventions to define locally tailored packages of interventions to accelerate ongoing national NCD responses. The George Institute, however, believes there are several ways the Appendix 3 could be improved to achieve NCD Targets by 2025, as well as facilitate the realisation of Sustainable Development Goals (SDG) Target 3.4.

To ensure its objectives and ambitions are realised, we have made several comments and reflections on the first draft:

  • Appendix 3 should highlight the importance of equity considerations, and the need to consider the impacts of interventions on communities experiencing marginalisation because of historic power imbalances
  • A sex and gender lens should be applied to the updated Appendix 3, reflecting the latest scientific evidence on the differential impact of NCD risk factors for women and men
  • Appendix 3 would be strengthened with further guidance on how to combine packages of interventions where there are synergies in cost and outcomes.
  • It is important to name Appendix 3 and retain the concept of NCD ‘best buys’
  • More information on the methodology of this update, the use of healthy-life year (HLY) unit is needed, and the methodological limitations is needed
  • The consultation and updating processes need to be strengthened