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Noncommunicable diseases (NCDs) and mental health conditions have a profound impact on societies, communities and individuals around the world. Their risk factors and determinants extend beyond the traditional health sector. Addressing this complex challenge necessitates interventions that reach beyond the boundaries of public health and requires a coherent, coordinated approach across all relevant governmental sectors. Understanding, documenting and sharing how governments implement multisectoral actions are essential to overcome these challenges and identify the capacity needs for coherent and sustainable responses to NCDs and mental health. In 2019, WHO Member States requested the Director-General to provide a consolidated report to the World Health Assembly analysing approaches to multisectoral action for NCD prevention and control, including addressing social, economic and environmental determinants of health. This compendium report is the Secretariat’s response to that request and features case studies from countries across WHO’s six regions.
Regular physical activity is proven to help prevent and treat noncommunicable diseases (NCDs) such as heart disease stroke diabetes and breast and colon cancer. It also helps to prevent hypertension overweight and obesity and can improve mental health quality of life and well-being. In addition to the multiple health benefits of physical activity societies that are more active can generate additional returns on investment including a reduced use of fossil fuels cleaner air and less congested safer roads. These outcomes are interconnected with achieving the shared goals political priorities and ambition of the Sustainable Development Agenda 2030. The new WHO global action plan to promote physical activity responds to the requests by countries for updated guidance and a framework of effective and feasible policy actions to increase physical activity at all levels. It also responds to requests for global leadership and stronger regional and national coordination and the need for a whole-of-society response to achieve a paradigm shift in both supporting and valuing all people being regularly active according to ability and across the life course. The action plan was developed through a worldwide consultation process involving governments and key stakeholders across multiple sectors including health sports transport urban design civil society academia and the private sector.
In 2011, heads of state and government at the United Nations General Assembly formally acknowledged that NCDs are one of the major challenges to development and committed to integrate NCD prevention and control into other programmes, such as for HIV and broader maternal and child health programmes, especially in PHC. The commitment to integrate NCDs into existing disease programmes was reaffirmed again through its NCD resolutions at its Third High-level Meeting in 2018. This guidance outlines strategic actions and practical solutions in response to the challenges of integration of NCDs, as appropriate and relevant to the country context. The objective is to maximize the impact of health services and extend access to NCD care. The target readership is policymakers, programme managers and health providers. The guidance should also be useful for WHO and international partners (including donors and banks) that champion integrated support for NCD service delivery in countries and better management.