Recent Shifts in Global Governance: Implications for the Response to Non-communicable Diseases

PLoS Medicine
(Accessed 27 July 2013)
http://www.plosmedicine.org/

Policy Forum
Recent Shifts in Global Governance: Implications for the Response to Non-communicable Diseases
Devi Sridharl, Claire E. Brolan, Shireen Durrani, Jennifer Edge, Lawrence O. Gostin, Peter Hill, Martin McKee
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001487

Summary Points
:: Despite evidence of links between non-communicable diseases (NCDs) and development, these diseases and their risk factors were not included in the Millennium Development Goals (MDGs).
:: Three major trends in global governance—the rise of emerging economies, the increase in multi-bi financing, and institutional proliferation—have implications for whether NCDs will be included in the post-2015 Sustainable Development Goals (SDGs) agenda.
:: While emerging economies are influential in global governance, it is not clear that the interests of poorer countries—or even health—will be advanced.
:: If NCDs are included in the new health goals, it likely will be via the broad umbrella of healthy life expectancy (HLE), or the sector-specific target of universal health coverage (UHC) or access.
:: UHC or HLE as currently conceived are unlikely to adequately incorporate NCDs that require alternative health system mechanisms and clear governmental intervention