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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)
    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:

    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.

    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


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

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


    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

    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)


    Mobilize additional financial resources for developing countries from multiple sources


    Additional financial resources mobilized for developing countries from multiple sources 

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


    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

    Debt service as a proportion of exports of goods and services


    Adopt and implement investment promotion regimes for least developed countries


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


    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


     Fixed broadband subscriptions per 100 inhabitants, by speed


    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


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


    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

    Proportion of individuals using the Internet


    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


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


    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

    Worldwide weighted tariff-average


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


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


    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


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


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

    Macroeconomic Dashboard


    Enhance policy coherence for sustainable development

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


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

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


    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


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


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


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


    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


    Statistical capacity indicators

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

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


    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

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

    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


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

    Maternal mortality ratio


    Proportion of births attended by skilled health personnel


    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

    Under-five mortality rate


    Neonatal mortality rate


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


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


    Tuberculosis incidence per 100,000 population


    Malaria incidence per 1,000 population


    Hepatitis B incidence per 100,000 population


    Number of people requiring interventions against neglected tropical diseases


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

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


    Suicide mortality rate


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


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


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


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

    Death rate due to road traffic injuries


    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


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


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


    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


    Coverage of essential health services


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


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

    Mortality rate attributed to household and ambient air pollution


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


    Mortality rate attributed to unintentional poisoning


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

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


    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


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

    Total net official development assistance to medical research and basic health sectors

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


    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

    Health worker density and distribution


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


    International Health Regulations (IHR) capacity and health emergency preparedness


    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.
    Action Network
    SDG Acceleration Actions
    25 October 2017 (start date)
    31 December 2030 (date of completion)
    Public Health Institute in Brazil (PHI-Brazil)
    1. Latin America and the Caribbean
    Geographical coverage
    Sao Paulo, Brazil
    More information
    Contact Information

    Mark Thomaz Ugliara Barone, Dr.