Thiam Ismael. London

Transcription

1 Thiam Ismael London

2 Burden of NCDs Controlling NCDs in West Africa through Agriculture: Constraints opportunities Challenges

3 The Burden of NCDs

4

5 70 % of total NCDs deaths U Male Female 10 0 WA Countries

6 Metabolic risk Facrtors 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Raised Chol F Raised Chol M Obesity F Obesity M Over weight F Over weight M R. B Glucose F R. B Glucose M R. Blood Pressure F R. Blood Pressure M

7 Research on the global economic effects of non-communicable diseases suggests that NCDs will affect in developing world: labour supply, capital accumulation (GDP) Households incomes

8 Controlling NCD through Agriculture Constrains

9

10 POLICY: Framework for Integrated NCD Prevention and Control Comprehensive, multisectoral, integrated approaches and strategies Promote Health Intersectoral action on the social determinants of health Prevent NCD Population-based interventions Public Health Integrated action on risk factors & conditionsbehavioural, biological, environmental and occupational Individual-based interventions Health Care Detect and manage NCD Evidence-based chronic disease management Strategic areas of NCD prevention and control Strengthen NCD infrastructure and leadership Multisectoral Policy Infrastructure Strengthen NCD surveillance system promote healthy lifestyle and Advocacy for policy change reduce risk factors Foster Partnerships Detection early, treatment and care Human resource and technical capacity Monitoring and evaluation Implementation Policies Plans of Action Programmes Outcomes Healthier populations Reduced inequities Enhanced Quality of life Decreased burden of disease Sustainable Health systems

11 Sustainable increases in agricultural growth and food security improvements has been slow progress: Regional policy harmonization and implementation by national governments Agriculture and has often been lacking regional trade and national implementation of the regimes

12 Ouagadougou declaration on PHC Essential NCD (WHO-PEN) interventions to integrate cost-effective interventions for the prevention and control of major NCDs into primary care level. Minimum set of essential interventions addressing the four major NCDs (CVD, cancer, diabetes and chronic respiratory diseases) at PHC level. Protocols have been prepared taking into consideration the limitations in low resource settings.

13 Vertical Health sector oriented interventions Food and Nutrition in Agriculture policies and program are focused on Improving food availability not dietary diversity Improving under nutrition (nutrition security) Stakeholders and pathways of the agriculture sector not involved in policy formulation and program design Unmet Needs for research (resources/capacities)

14 Coordination/Harmonization Regional Trade QOC Legislation Marketing Value chain Collaboration: researchers, regional Institutions (ECOWAS, CILSS, UEMOA...) with mission in agriculture and food producers, Private sector

15 Women up to 80% of the agricultural labor and produce 45 to 90% of domestically consumed food in the household in SSA Promote gender equality and empower women Empowers the rural poor and especially women. Discrimination: culture, Law (Access t lands, finances, technology, education, production factors ) Risk factors among women high

16 Controlling NCD through Agriculture Opportunities Regional Agriculture Program Regional Initiatives SUN Feed The Future

17 ECOWAP/CAADP s three regional priorities, called Mobilizing Programs are: 1) Promoting strategic products for food sovereignty; 2) Promoting a policy environment conducive for regional agricultural development; and 3) Reducing food insecurity and promoting sustainable access to food.

18 Willingness to integrate Nutrition in Pillar III Willingness to Integrate Nutrition in CIP (Dakar meeting 2011) NCDs not addressed in agriculture policies SUN multisectoral approach for undernutrition Feed The Future Project

19 Develop a Database of available food composition from the African biodiversity Develop an Advocacy strategy at national and regional levels Sensitize the decision makers to support small farmers and/ FP and consumers Capacity building of ROPPA local Networks The Abuja Action Plan integrate NCDs and the biodiversity

20 Opportunities (4)AFROFOODS Platform Research Institutions Key research addressing the role of local foods for the control NCDs Saint Louis Initiative (NCDs in Health) possibility with Dpt of Agriculture

21 Control of NCDs: Challenges

22 POLICY Policy formulation: for the prevention of NCDs through agriculture Engaging civil society and community Strengthening local governments Promote Public Private Partnerships

23 Program and Research Resources mobilization Develop Advocacy strategy for raising awareness for policy change Resources Allocation (R&D) Technical assistance/capacity building Identify needs for providing TA to countries (data collection &, analysis, dissemination, decision making ) Assess the causes (risk factors +++) and consequences of NCDs Strengthen research on the cost-effectiveness of interventions to address chronic non communicable through agriculture vs health? Improve capacities of Labs and researchers Supporting Local farmers networks: Trade/Market facilities

24

25 FAO Bioversity Intl. ECOWAS Commission ECOWAS parliament WAMU NEPAD/AU CILSS ROPPA NGOs Research Institutions IFPRI UN Agencies (Ecowas Nutrition Forum, Cape Verde2006)

26

27 Local cereals products can be found at the supermarket

28

29 THANKS FOR YOUR ATTENTION MERCI BEAUCOUP O BRIGADO