title: Country actions to meet UN commitments on non-communicable diseases: a stepwise approach.
abstract: Strong leadership from heads of state is needed to meet national commitments to the UN political declaration on non-communicable diseases (NCDs) and to achieve the goal of a 25% reduction in premature NCD mortality by 2025 (the 25 by 25 goal). A simple, phased, national response to the political declaration is suggested, with three key steps: planning, implementation, and accountability. Planning entails mobilisation of a multisectoral response to develop and support the national action plan, and to build human, financial, and regulatory capacity for change. Implementation of a few priority and feasible cost-effective interventions for the prevention and treatment of NCDs will achieve the 25 by 25 goal and will need only few additional financial resources. Accountability incorporates three dimensions: monitoring of progress, reviewing of progress, and appropriate responses to accelerate progress. A national NCD commission or equivalent, which is independent of government, is needed to ensure that all relevant stakeholders are held accountable for the UN commitments to NCDs.
authors: University of Auckland, Auckland, New Zealand. r.bonita@auckland.ac.nz
authors: Ruth
authors: R
authors: Bonita
authors: Roger
authors: R
authors: Magnusson
authors: Pascal
authors: P
authors: Bovet
authors: Dong
authors: D
authors: Zhao
authors: Deborah C
authors: DC
authors: Malta
authors: Robert
authors: R
authors: Geneau
authors: Il
authors: I
authors: Suh
authors: Kavumpurathu Raman
authors: KR
authors: Thankappan
authors: Martin
authors: M
authors: McKee
authors: James
authors: J
authors: Hospedales
authors: Maximilian
authors: M
authors: de Courten
authors: Simon
authors: S
authors: Capewell
authors: Robert
authors: R
authors: Beaglehole
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control; D003362:Cost-Benefit Analysis; D006292:Health Priorities; D006801:Humans; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration; D011314:Preventive Health Services / Q000191:economics / Q000458:organization & administration; D011315:Preventive Medicine / Q000191:economics / Q000458:organization & administration; D015397:Program Evaluation; D012307:Risk Factors; D016540:Smoking Cessation; D012982:Sodium, Dietary; D014480:United Nations
chemical_list: D012982:Sodium, Dietary