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United Nations Department of Economic and Social Affairs Sustainable Development

Intersectoral Forum to Fight NCDs in Brazil

(
Non-governmental organization (NGO)
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#SDGAction43223
    Description
    Description
    The ForumDCNTs was established as an initiative to build capacity for cross-sectoral dialogue and partnerships to address the threat of noncommunicable diseases (NCDs) in Brazil, guided by the SDG 17, to achieve the SDG 3.4 target of reducing premature mortality caused by NCDs by one third by 2030. Although several projects addressing NCDs exist in isolation, there has been no neutral ground in Brazil to facilitate collaboration and peer education between sectors to maximize impact with the goal of achieving sustainable and scalable solutions. The ForumDCNTs' biannual convenings are attended by ~50 leaders and authorities, so from: 6 public sector institutions (Federal Ministry of Health, Municipal and State Secretaries of Health and Universities), 14 health companies (pharma and medtech) and 23 not-for-profit organizations. During the morning period, the three sectors share knowledge and best practices of multisectoral programs and policies to fight NCDs; in the afternoon, workgroups share lessons and develop action plans to co-design or co-accelerate innovative strategies. Areas explored include: epidemiological updates, partnership building strategies, return-on-investment evaluations, public health priorities, and strategies for improving prevention and treatment of the main NCDs and their risk factors.

    Moreover, the ForumDCNTs disseminates events, opportunities for partnerships, case studies, and facilitates access to resources through a monthly newsletter, webinars, Facebook page, Twitter (@ForumDCNTs), YouTube channel, LinkedIn group and website: www.ForumDCNTs.org

    Two committee lead the initiative, the Organizing Committee and the Advisory Committee. In total, there are twelve active members from private, NGO, public and CSO representatives in the Committees.

    Interestingly, more than 75% of the participants of biannual convenings are returning participants, all of them declare that the convening promos intersectoral dialogue and cooperation; 96% identify new partners during the convenings; 77.4% expresses motivation to engage in multisectoral partnerships between the convenings; and we have been observing an increase of 50% in the number of intersectoral projects in implementation phase between each convening.

    In addition, the ForumDCNTs has already facilitated, for the first time in Brazil, the following achievements:
    • NGOs united toward common goals and participation as a group at the UN High Level Meeting on NCDs in 2018;
    • Public authorities committing to the sustainability of NCDs programs, proposed in conjunction with the private sector (e.g. diabetes and hypertension care programs in primary healthcare);
    • Increased opportunities for the private and public sectors to participate in discussions with civil society (e.g. sugary drinks taxation);
    • Foundation of an alliance for advocacy in cardiovascular care (GAC);
    • Incorporation of additional themes in existing programs (e.g. mental disorders and hypercholesterolemia, hypertension and diabetes screening and referrals).
    Expected Impact

    Reduce in 1/3 premature mortality caused by NCDs by 2030 (SDG 3.4), improving the Brazilian universal health coverage to guarantee equity.

    Partners
    Secretaria Municipal da Saúde de São Paulo (local government), Secretaria Estadual da Saúde de São Paulo (local government), Secretaria Municipal da Saúde de Vitória da Conquista (local government), Ministério da Saúde (government), Universidade Federais da Bahia (academic institution), Universidade Federal de Minas Gerais (academic institution), FGV (academic institution) and Universidade de Sao Paulo (academic institution), Medtronic Foundation (philanthropic organization), Novartis Foundation (philanthropic organization), Associação Samaritano (philanthropic organization), Abbott (private sector), Amgen (private sector), AstraZeneca (private sector), Bayer (private sector), BD (private sector), Biomm (private sector), Itaú (private sector), Johnson & Johnson (private sector), Medtronic (private sector), MSD (private sector), Novo Nordisk (private sector), Pfizer (private sector), Roche (private sector), Sanofi (private sector), Servier (private sector), Takeda (private sector), Abrale/Abrasta (NGO), ACT Promoção da Saúde (NGO), ADJ Diabetes Brasil (NGO), Agita-SP/CELAFISCS (NGO), AHF (NGO), Amigos Múltiplos pela Esclerose (NGO), Artemisia (NGO), CIES Global (NGO), FENAD-ANAD (NGO), GRAACC (NGO), IDF-SACA (NGO), IEP-HSL (NGO), Instituto Desiderata (NGO), Instituto Oncoguia (NGO), Instituto Tellus (NGO), HIAE (NGO), PHI (NGO), Plan International Brasil (NGO), Sociedade Brasileira de Diabetes (scientific community) e Vital Strategies (NGO)

    Goal 17

    Strengthen the means of implementation and revitalize the Global Partnership for Sustainable Development

    Goal 17

    17.1

    Strengthen domestic resource mobilization, including through international support to developing countries, to improve domestic capacity for tax and other revenue collection

    17.1.1
    Total government revenue as a proportion of GDP, by source
    17.1.2
    Proportion of domestic budget funded by domestic taxes

    17.2

    Developed countries to implement fully their official development assistance commitments, including the commitment by many developed countries to achieve the target of 0.7 per cent of ODA/GNI to developing countries and 0.15 to 0.20 per cent of ODA/GNI to least developed countries; ODA providers are encouraged to consider setting a target to provide at least 0.20 per cent of ODA/GNI to least developed countries

    17.2.1
    Net official development assistance, total and to least developed countries, as a proportion of the Organization for Economic Cooperation and Development (OECD) Development Assistance Committee donors’ gross national income (GNI)

    17.3

    Mobilize additional financial resources for developing countries from multiple sources

    17.3.1

    Additional financial resources mobilized for developing countries from multiple sources 

    17.3.2
    Volume of remittances (in United States dollars) as a proportion of total GDP

    17.4

    Assist developing countries in attaining long-term debt sustainability through coordinated policies aimed at fostering debt financing, debt relief and debt restructuring, as appropriate, and address the external debt of highly indebted poor countries to reduce debt distress

    17.4.1
    Debt service as a proportion of exports of goods and services

    17.5

    Adopt and implement investment promotion regimes for least developed countries

    17.5.1

    Number of countries that adopt and implement investment promotion regimes for developing countries, including the least developed countries

    17.6

    Enhance North-South, South-South and triangular regional and international cooperation on and access to science, technology and innovation and enhance knowledge sharing on mutually agreed terms, including through improved coordination among existing mechanisms, in particular at the United Nations level, and through a global technology facilitation mechanism

    17.6.1

     Fixed broadband subscriptions per 100 inhabitants, by speed

    17.7

    Promote the development, transfer, dissemination and diffusion of environmentally sound technologies to developing countries on favourable terms, including on concessional and preferential terms, as mutually agreed

    17.7.1

    Total amount of funding for developing countries to promote the development, transfer, dissemination and diffusion of environmentally sound technologies

    17.8

    Fully operationalize the technology bank and science, technology and innovation capacity-building mechanism for least developed countries by 2017 and enhance the use of enabling technology, in particular information and communications technology

    17.8.1
    Proportion of individuals using the Internet

    17.9

    Enhance international support for implementing effective and targeted capacity-building in developing countries to support national plans to implement all the Sustainable Development Goals, including through North-South, South-South and triangular cooperation

    17.9.1

    Dollar value of financial and technical assistance (including through North-South, South‑South and triangular cooperation) committed to developing countries

    17.10

    Promote a universal, rules-based, open, non-discriminatory and equitable multilateral trading system under the World Trade Organization, including through the conclusion of negotiations under its Doha Development Agenda

    17.10.1
    Worldwide weighted tariff-average

    17.11

    Significantly increase the exports of developing countries, in particular with a view to doubling the least developed countries’ share of global exports by 2020

    17.11.1

    Developing countries’ and least developed countries’ share of global exports

    17.12

    Realize timely implementation of duty-free and quota-free market access on a lasting basis for all least developed countries, consistent with World Trade Organization decisions, including by ensuring that preferential rules of origin applicable to imports from least developed countries are transparent and simple, and contribute to facilitating market access

    17.12.1

    Weighted average tariffs faced by developing countries, least developed countries and small island developing States

    17.13

    Enhance global macroeconomic stability, including through policy coordination and policy coherence

    17.13.1
    Macroeconomic Dashboard

    17.14

    Enhance policy coherence for sustainable development

    17.14.1
    Number of countries with mechanisms in place to enhance policy coherence of sustainable development

    17.15

    Respect each country’s policy space and leadership to establish and implement policies for poverty eradication and sustainable development 

    17.15.1
    Extent of use of country-owned results frameworks and planning tools by providers of development cooperation

    17.16

    Enhance the Global Partnership for Sustainable Development, complemented by multi-stakeholder partnerships that mobilize and share knowledge, expertise, technology and financial resources, to support the achievement of the Sustainable Development Goals in all countries, in particular developing countries

    17.16.1

    Number of countries reporting progress in multi-stakeholder development effectiveness monitoring frameworks that support the achievement of the Sustainable Development Goals

    17.17

    Encourage and promote effective public, public-private and civil society partnerships, building on the experience and resourcing strategies of partnerships 

    17.17.1

    Amount in United States dollars committed to public-private partnerships for infrastructure

    17.18

    By 2020, enhance capacity-building support to developing countries, including for least developed countries and small island developing States, to increase significantly the availability of high-quality, timely and reliable data disaggregated by income, gender, age, race, ethnicity, migratory status, disability, geographic location and other characteristics relevant in national contexts

    17.18.1

    Statistical capacity indicators

    17.18.2
    Number of countries that have national statistical legislation that complies with the Fundamental Principles of Official Statistics
    17.18.3

    Number of countries with a national statistical plan that is fully funded and under implementation, by source of funding

    17.19

    By 2030, build on existing initiatives to develop measurements of progress on sustainable development that complement gross domestic product, and support statistical capacity-building in developing countries

    17.19.1
    Dollar value of all resources made available to strengthen statistical capacity in developing countries
    17.19.2

    Proportion of countries that (a) have conducted at least one population and housing census in the last 10 years; and (b) have achieved 100 per cent birth registration and 80 per cent death registration

    Goal 3

    Ensure healthy lives and promote well-being for all at all ages

    Goal 3

    3.1

    By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
    3.1.1

    Maternal mortality ratio

    3.1.2

    Proportion of births attended by skilled health personnel

    3.2

    By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
    3.2.1

    Under-five mortality rate

    3.2.2

    Neonatal mortality rate

    3.3

    By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

    3.3.1

    Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

    3.3.2

    Tuberculosis incidence per 100,000 population

    3.3.3

    Malaria incidence per 1,000 population

    3.3.4

    Hepatitis B incidence per 100,000 population

    3.3.5

    Number of people requiring interventions against neglected tropical diseases

    3.4

    By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
    3.4.1

    Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

    3.4.2

    Suicide mortality rate

    3.5

    Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

    3.5.1

    Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

    3.5.2

    Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

    3.6

    By 2020, halve the number of global deaths and injuries from road traffic accidents
    3.6.1

    Death rate due to road traffic injuries

    3.7

    By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

    3.7.1

    Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

    3.7.2

    Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

    3.8

    Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

    3.8.1

    Coverage of essential health services

    3.8.2

    Proportion of population with large household expenditures on health as a share of total household expenditure or income

    3.9

    By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination
    3.9.1

    Mortality rate attributed to household and ambient air pollution

    3.9.2

    Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

    3.9.3

    Mortality rate attributed to unintentional poisoning

    3.a

    Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate
    3.a.1

    Age-standardized prevalence of current tobacco use among persons aged 15 years and older

    3.b

    Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

    3.b.1

    Proportion of the target population covered by all vaccines included in their national programme

    3.b.2
    Total net official development assistance to medical research and basic health sectors
    3.b.3

    Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

    3.c

    Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
    3.c.1

    Health worker density and distribution

    3.d

    Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

    3.d.1

    International Health Regulations (IHR) capacity and health emergency preparedness

    3.d.2

    Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

    Name Description
    Scale Best Practices for Diabetes, Hypertension and Hypercholesterolemia Care in Primary Health Care in Brazil
    Improve Cancer Detection and Treatment in the Public Health System
    Reduce consumption of ultraprocessed foods and alcohol
    Biannual convenings, date of the next:
    Financing (in USD)
    20.000.000 (expected to be obtained by the different projects that participate in the ForumDCNTs though multiple partnerships)
    Staff / Technical expertise
    assistance in facilitating partnerships
    No progress reports have been submitted. Please sign in and click here to submit one.
    False
    Action Network
    SDG Acceleration Actions
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    Timeline
    25 October 2017 (start date)
    31 December 2030 (date of completion)
    Entity
    Public Health Institute in Brazil (PHI-Brazil)
    SDGs
    Region
    1. Latin America and the Caribbean
    Geographical coverage
    Sao Paulo, Brazil
    More information
    Countries
    N/A
    Contact Information

    Mark Thomaz Ugliara Barone, Dr.