New Delhi call for action on combating noncommunicable diseases in India

Outcome of National NCD Summit

1. Gathered in New Delhi on the occasion of the National Summit on Non-communicable Diseases, we the participants:
1.1. Note with great concern that non-communicable diseases (NCDs), principally cancers, cardio-vascular diseases, diabetes and chronic respiratory diseases etc. have over taken communicable diseases and become the leading cause of death and disability in India causing each year about 53 percent of all deaths, a substantial proportion in the productive age-group before the age of 60 years and preventable in nature;
1.2. Recognize that mental, behavioural and substance abuse disorders are an important contribution to the burden of NCDS.
1.3. Recognise that injuries and disabilities also add significantly to the burden
1.4. Recognise that other conditions such as chronic kidney disease, neurological disorders including stroke, epilepsy, autism and dementia, genetic disorders, musculoskeletal disorders, geriatric disorders, nutritional disorders, oral and dental diseases, physical disabilities including blindness and deafness, diseases among elderly, occupational and environmental diseases and all other chronic health conditions also contribute significantly to the growing burden of NCDs;
1.5. Emphasise that NCDs affect more vulnerable and economically poorer section of society thus affecting them more adversely.
1.6. Realise that in addition to the huge disease burden, NCDs and their risk factors have serious socioeconomic consequences by exacerbating poverty and adversely affecting the national economy;
1.7. Realise the need for adequate awareness regarding NCDs and their risk factors (including their non-health determinants) amongst the population, policy makers and planners;
1.8. Acknowledge that addressing the problem requires a multisectoral response and vital role to be played by multiple partners and stakeholders including the Government, civil society, academia, industry and the private sector (excluding tobacco interests) and other stakeholders in the prevention and control of NCDs.

2. We, the participants of the National Summit on NCDs, therefore call upon the governments to demonstrate exemplary commitment and support for reducing the health and social and economic burden of non-communicable diseases by:
2.1. Investing in health systems for universal access and delivery of essential NCD packages of promotion, prevention, management and rehabilitation including palliative care;
2.2. Involving multiple sectors to plan, co-ordinate, implement, monitor and evaluate national NCD-related activities, headed by high-level empowered committees;
2.3. Increasing the budget for promotion, prevention, screening, management and control of NCDs;
2.4. Strengthening primary health care system and introduce community-based approaches to widen the reach and scope of health promotion, prevention and control of NCDs.
2.5. Building capacity of policy makers and program managers to plan, implement, monitor and evaluate NCD programs and upgrading skills of health workforce at all levels of the health care system for NCD prevention and care through continuous professional development programs.
2.6. Mainstreaming health promotion within broader national health and developmental programs of all ministries directly or indirectly involved in improving health of people;

2.7. Promoting an enabling environment that reduces the common NCD risk factors (stress, tobacco use, diets high in saturated fats and or transfats, salt and sugar, physical inactivity, obesity and alcohol abuse) using a range of options including legislation, regulation, fiscal measures, public education & awareness, promoting healthy eating habits, public health policies & programs;

2.8. Accelerating the implementation of the WHO Framework Convention on Tobacco Control and other international instruments and strategies that address NCDs

2.9. Promoting healthy settings in family, work place, school, community and health Institutions and creating an enabling environment at all levels starting from schools, public places to homes for physical activity;

2.10. Promoting use of information technologies like Tele-Medicine to improve access of NCD services;

2.11. Implementing economic and trade policies to mitigate the risk factors contributing to the NCDs such as progressive increase in taxes on tobacco products, alcohol, unhealthy food products and beverages and incentives for production and marketing of healthy foods, products and equipment;

2.12. Strengthening national surveillance systems, with emphasis on monitoring NCDs, the related risk factors and the underlying determinants as well as research on NCD prevention and control;

2.13. Setting measurable indicators and time-bound targets to monitor progress at regular intervals in the prevention and control of NCDs and the promotion of healthy lifestyles.

3. In supporting these commitments made in this New Delhi Call for Action on NCDs, we the participants of the National Summit on Noncommunicable Diseases urge the global community for the forthcoming UN High-level Meeting on NCDs to:
3.1. Raise the priority of noncommunicable diseases on the national and global health and development agenda.
3.2. Strengthen the health system by focusing on health financing for universal access.
3.3. Align the NCD agenda with other development priorities, especially the Millennium Development Goals (MDGs).
3.4. Mobilize additional resources and support innovative initiatives for financing health promotion and prevention and control of NCDs.
3.5. Equip the health work force at all levels of the health system with the skills needed for NCD prevention and care.
3.6. Facilitate sharing of new research findings and best practices across the globe about prevention, health promotion and control of NCDs and their risk factors
3.7. Promote evidence based traditional systems of medicine, including yogic interventions, at various levels of the health care system for prevention and control of NCDs.

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