Manifesto

Our Vision

We envision a generation of change: a world where all people have the opportunity to lead healthy and productive lives.

Our Mission

To mobilize a global community of young leaders to take action against social injustice surrounding non-communicable diseases (NCDs) like cancer and diabetes.

Our Goal

To enable access to affordable essential medicines and treatments for NCDs worldwide, as a major component of achieving universal health coverage and sustainable development.

Our Manifesto (est. 2011)

Re-frame NCDs as a development issue

Governments, civil society organizations, development agencies, and the global public health community at large should re-frame NCDs as a barrier to development by explicitly including NCDs as a target for “technical assistance, capacity building, program implementation, impact assessment of development projects, funding, and other activities,” as recommended by the Institute of Medicine.

Governments, civil society organizations, development agencies, and the global public health community at large should expand the next round of development targets beyond MDG-specific targets to a combination of human and economic development goals that explicitly address primordial, primary, secondary, and tertiary prevention of NCDs. 

The social determinants of health as the foundation for NCD Action

Governments should include “health across the lifespan” as a central pillar of all policies (“health in all policies”) to enhance the conditions and health system in which people are born, grow, live work and age.

Governments should implement the Framework Convention on Tobacco Control in its entirety to reduce global tobacco consumption by 30% in 10 years. Special commissions should be instituted to target informal sector tobacco consumption practices.

Governments should implement programmes that tackle the social determinants of NCDs with particular reference to the following: health in early childhood, the health of the global poor, fair financing, and equitable access to primary health care services and essential medicines.

Governments should engage local, regional, national and global communities in health-related priority setting, ensuring fair representation.

Governments should adopt evidence-based global strategies developed by the WHO including the Global Strategy on Diet, Physical Activity and Health and the Global Strategy to Reduce the Harmful Use of Alcohol and other programs such as the Disease Control Priorities Project as the foundation of future evidence-informed policies to reduce the burden of NCDs.

The private sector should improve the quality and sustainability of food to reduce salt and sugar intake and should eliminate trans fat intake, with an emphasis of minimizing pricing shocks that disproportionately affect poor populations.

Assert the rights of the child: tackle NCDs across the life course

Governments, civil society organizations, development agencies, and the global public health community at large should promote and expand maternal and child health programs to reduce maternal and infant mortality rates by 75% as a means to assert women and children’s health rights using a life course approach to policy development.

Governments should include NCDs and NCD risk factor data collection across all age groups, including biospecimen sub-samples, as part of country-level demographic health surveys to understand the current burden of NCDs and to provide more reliable future projections of the NCD burden.

Governments and private sector actors should implement recommendations from the WHO policy document, “Set of Recommendations on the Marketing of Foods and Non-Alcoholic Beverages to Children”.

Augment capacity through interdisciplinary education of the future public health workforce.

Governments and development agencies should actively seek input from young professionals on global development issues to harness their energy, creativity and leadership and recognize their role as a key partner in combating NCDs.

Governments should invest in health professional education at the primary, secondary, undergraduate, graduate, and postgraduate level, stressing: 1) intellectual capital, 2) communication skills, and 3) cross-disciplinary networks.

Educational institutions should build leadership capacity in young professionals by developing and implementing cross-disciplinary and trans-national leadership programs that address NCDs.

The WHO and civil society should improve accessibility, affordability, and availability of global level internships, scholarships and other training opportunities for young people, particularly trainees in LMICs.

Adopt innovative funding mechanisms and financing.

Augment and align global health funding from donor agencies, member countries and private industry with areas of greatest public health gains, as measured through estimated age-adjusted death rates and DALYs.

Governments should identify regional- and country-level secondary economic gains or losses from interventions that impact NCDs, including interventions outside the health system, in order to achieve a “health in all policies” policy.

Governments should introduce NCD Action plans at the ministerial level including NCDs as a line-item in national budgets.

Governments and international could foster interest in translation trials that can add externally valid evidence to support extensive implementation of science-based findings into real-life settings.

Enable global access to essential drugs and health technologies

Governments should mandate generic substitution of medicines and utilize compulsory licenses to reduce the cost of managing chronic diseases by expanding global financing bodies like The Global Fund and UNITAID for the provision of essential NCD medicines and diagnostics.

The WHO should enable pre-qualification for the 34 NCD medicines in the WHO Primary Essential Medicines for NCDs (PEN).

Government finance and health ministries should support local supply chain management through increased accountability and incentives (stopstockouts.org).

The WHO should survey the availability and financial cost of diagnosis and treatment of NCDs, including catastrophic health spending, among WHO member states.

National health ministers and international health bodies should take action to reorient health systems away from the acute care model and towards a model of care that supports long term care and follow-up.

Develop a common vision for equitable global development

Governments, civil society, development agencies and global public health practitioners should empower and engage communities, particularly youth, to promote equitable access to education and leadership.

Governments, development agencies, and global health practitioners should incorporate the voice of the empowered community in decision-making.

Kishore et al., "Youth Manifesto on Non-Communicable Diseases," Global Heart, Vol. 6, No. 4, 2011.

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