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

doi:10.1186/s12889-016-3614-8

Cited by 35 publications

(28 citation statements)

References 11 publications

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“…The MANA dashboard comprises 31 NCD indicators covering four categories [7]. These include the domains on leadership and governance (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…The Roadmap specifies policy and legislation measures aimed at preventing NCD and includes a menu of over 30 other multi-sectoral interventions suited to PICTs. To monitor progress against the Roadmap, the Pacific Monitoring Alliance for NCD Action (MANA) was formed, and a mutual accountability mechanism using the MANA dashboard was developed [7]. The MANA Dashboard incorporates and expands on the set of indicators used for the World Health Organization NCD Progress Monitor, and the Dashboard is used to assess the status of NCD policy and legislation in PICTs.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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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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“…The MANA dashboard comprises 31 NCD indicators covering four categories [7]. These include the domains on leadership and governance (e.g.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…Pacific countries previously developed a dashboard for measuring the implementation of NCD policies more broadly. 44 In addition, there have been similar attempts for physical activity, albeit not as comprehensive. The Global Observatory for Physical Activity country scorecard 45 has two upstream national indicators.…”

Section: Inequalities In Access To Healthy Food Environmentsmentioning

confidence: 99%

The first INFORMAS national food environments and policies survey in New Zealand: A blueprint country profile for measuring progress on creating healthy food environments

et al. 2019

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Summary The International Network for Food and Obesity/NCDs Research, Monitoring and Action Support aims to benchmark national food environments. This study proposes a blueprint country profile to measure progress on creating healthy food environments, based on the results of the first, comprehensive survey in New Zealand (NZ). We assessed the implementation of national food environment policies and food industry commitments to improve population nutrition and the strength and comprehensiveness of public sector settings' nutrition policies. The healthiness of the packaged food supply, including health‐related labelling, was evaluated. Food environments were measured in 833 schools, 204 supermarkets, 1500 takeaway outlets, 28 hospitals, 70 sport centres, and around all NZ schools. Food swamps, defined as areas with high relative density of unhealthy food outlets, were identified, and food marketing to children on television, websites, social media and packages, in magazines, and in and around schools was measured. The cost differential between healthy and current household diets was calculated for different population groups. NZ's food environment profile is largely unhealthy, and there are inequalities in access to healthy food environments. It is anticipated that the proposed country profile can help other countries tackle unhealthy food environments through increasing accountability of governments and the industry.

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“…1 The timeframe was from 1 January, 2000 to 31 December, 2019. This timeframe was specifically chosen because the year 2000 served as a pivotal turning point in Fiji and other PICTs' emphasis on reducing NCDs (Tolley et al, 2016). Moreover, since 2000, HIV surveillance in Fiji acquired greater significance with a jump in the number of diagnosed cases (UNAIDS report, 2014).…”

Section: Datamentioning

confidence: 99%

Suva Residents’ Views on Cancer, Diabetes and HIV in The Fiji Times

Gounder¹

2020

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The burden of preventable diseases is increasing in the South Pacific Island Countries and Territories. In Fiji, significant media attention and national finances are spent on public dissemination of the modifiable risk factors of chronic illnesses. However, little is known about lay societal perceptions of chronic illnesses and of people living with these illnesses. This preliminary study takes an area-situated approach to lay knowledge and examines Suva residents’ moral evaluations associated with socially significant health concerns in Fiji. Using the case studies of HIV, cancer, and diabetes, the research employs content analysis to examine 144 Suva residents’ Letters to the Editor, published between 2000 and 2019 in The Fiji Times. The findings indicate that letter writers on chronic illnesses are power sensitive, interested in governmental responsibility, and aware of the role of stigma in creating inequitable health outcomes. The study’s findings locate chronic illness as not only a medical responsibility but also a social justice and human rights concern that requires a multisectoral approach, with community-tailored responses at the heart of all discussions. The lay-societal recognition of the three illnesses as being socially relevant suggests grassroots support for policies directed towards structural reforms for the prevention and management of these illnesses.

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Monitoring and accountability for the Pacific response to the non-communicable diseases crisis

Cited by 35 publications

References 11 publications

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

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

The first INFORMAS national food environments and policies survey in New Zealand: A blueprint country profile for measuring progress on creating healthy food environments

Suva Residents’ Views on Cancer, Diabetes and HIV in The Fiji Times

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