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Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific

BACKGROUND: Non-Communicable Diseases (NCD) are the leading cause of death in the Pacific Island Countries and Territories (PICTs) accounting for approximately 70% of mortalities. Pacific leaders committed to take action on the Pacific NCD Roadmap, which specifies NCD policy and legislation. To moni...

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Autores principales: Win Tin, Si Thu, Kubuabola, Ilisapeci, Ravuvu, Amerita, Snowdon, Wendy, Durand, A. Mark, Vivili, Paula, Passmore, Erin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216373/
https://www.ncbi.nlm.nih.gov/pubmed/32398159
http://dx.doi.org/10.1186/s12889-020-08795-2
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author Win Tin, Si Thu
Kubuabola, Ilisapeci
Ravuvu, Amerita
Snowdon, Wendy
Durand, A. Mark
Vivili, Paula
Passmore, Erin
author_facet Win Tin, Si Thu
Kubuabola, Ilisapeci
Ravuvu, Amerita
Snowdon, Wendy
Durand, A. Mark
Vivili, Paula
Passmore, Erin
author_sort Win Tin, Si Thu
collection PubMed
description BACKGROUND: Non-Communicable Diseases (NCD) are the leading cause of death in the Pacific Island Countries and Territories (PICTs) accounting for approximately 70% of mortalities. Pacific leaders committed to take action on the Pacific NCD Roadmap, which specifies NCD policy and legislation. To monitor progress against the NCD Roadmap, the Pacific Monitoring Alliance for NCD Action (MANA) was formed and the MANA dashboard was developed. This paper reports on the first status assessment for all 21 PICTs. METHODS: The MANA Dashboard comprises 31 indicators across the domains of leadership and governance, preventive policies, health system response and monitoring processes, and uses a ‘traffic light’ rating scheme to track progress. The dashboard indicators draw on WHO’s best-buy interventions and track highly cost-effective interventions for addressing NCDs. The MANA coordination team in collaboration with national NCD focal points completed Dashboards for all 21 PICTs between 2017 and 2018 in an agreed process. The data were analysed and presented within each area of the MANA dashboard. RESULTS: This assessment found that PICTs are at varying stages of developing and implementing NCD policy and legislation. Some policy and legislation are in place in most PICTs e.g. smoke free environment (18 PICTs), alcohol licensing (19 PICTs), physical education in schools (14 PICTs), reduction of population salt consumption (14 PICTs) etc. However, no PICTs has policy or legislation on tobacco industry interference, controlling marketing of foods and drinks to children, and reducing trans-fats in the food supply, and only 7 PICTs have policies restricting alcohol advertising. Eighteen PICTs implement tobacco taxation measures, however only five were defined as having strong measures in place. Nineteen PICTs have alcohol taxation mechanisms and 13 PICTs have fiscal policies on foods to promote healthier diets. CONCLUSION: This baseline assessment fills a knowledge gap on current strengths and areas where more action is needed to scale up NCD action in a sustained ‘whole of government and whole of society approach’ in PICTs. The findings of this assessment can be used to identify priority actions, and as a mutual accountability mechanism to track progress on implementation of NCD policy and legislation at both national and Pacific level.
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spelling pubmed-72163732020-05-18 Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific Win Tin, Si Thu Kubuabola, Ilisapeci Ravuvu, Amerita Snowdon, Wendy Durand, A. Mark Vivili, Paula Passmore, Erin BMC Public Health Research Article BACKGROUND: Non-Communicable Diseases (NCD) are the leading cause of death in the Pacific Island Countries and Territories (PICTs) accounting for approximately 70% of mortalities. Pacific leaders committed to take action on the Pacific NCD Roadmap, which specifies NCD policy and legislation. To monitor progress against the NCD Roadmap, the Pacific Monitoring Alliance for NCD Action (MANA) was formed and the MANA dashboard was developed. This paper reports on the first status assessment for all 21 PICTs. METHODS: The MANA Dashboard comprises 31 indicators across the domains of leadership and governance, preventive policies, health system response and monitoring processes, and uses a ‘traffic light’ rating scheme to track progress. The dashboard indicators draw on WHO’s best-buy interventions and track highly cost-effective interventions for addressing NCDs. The MANA coordination team in collaboration with national NCD focal points completed Dashboards for all 21 PICTs between 2017 and 2018 in an agreed process. The data were analysed and presented within each area of the MANA dashboard. RESULTS: This assessment found that PICTs are at varying stages of developing and implementing NCD policy and legislation. Some policy and legislation are in place in most PICTs e.g. smoke free environment (18 PICTs), alcohol licensing (19 PICTs), physical education in schools (14 PICTs), reduction of population salt consumption (14 PICTs) etc. However, no PICTs has policy or legislation on tobacco industry interference, controlling marketing of foods and drinks to children, and reducing trans-fats in the food supply, and only 7 PICTs have policies restricting alcohol advertising. Eighteen PICTs implement tobacco taxation measures, however only five were defined as having strong measures in place. Nineteen PICTs have alcohol taxation mechanisms and 13 PICTs have fiscal policies on foods to promote healthier diets. CONCLUSION: This baseline assessment fills a knowledge gap on current strengths and areas where more action is needed to scale up NCD action in a sustained ‘whole of government and whole of society approach’ in PICTs. The findings of this assessment can be used to identify priority actions, and as a mutual accountability mechanism to track progress on implementation of NCD policy and legislation at both national and Pacific level. BioMed Central 2020-05-12 /pmc/articles/PMC7216373/ /pubmed/32398159 http://dx.doi.org/10.1186/s12889-020-08795-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Win Tin, Si Thu
Kubuabola, Ilisapeci
Ravuvu, Amerita
Snowdon, Wendy
Durand, A. Mark
Vivili, Paula
Passmore, Erin
Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific
title Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific
title_full Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific
title_fullStr Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific
title_full_unstemmed Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific
title_short Baseline status of policy and legislation actions to address non communicable diseases crisis in the Pacific
title_sort baseline status of policy and legislation actions to address non communicable diseases crisis in the pacific
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216373/
https://www.ncbi.nlm.nih.gov/pubmed/32398159
http://dx.doi.org/10.1186/s12889-020-08795-2
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