Integrating NCDs into United Nations Development Assistance Frameworks (UNDAFs): 2017 Survey GLOBAL BASELINE AND GLOBAL TARGET WHICH THE WORLD HEALTH ORGANIZATION WILL USE AS A MEASURE FOR IMPLEMENTING ITS NCD PROGRAMME
1. The purpose of this memo is to update members of the United Nations Interagency Task Force on the Prevention and Control of NCDs, on WHO and UNDP global baseline for the number of countries that have integrated work on NCDs into their UNDAFs, and the global target for 2022 from a baseline of 1 January 2018. 2. Accordingly, the definition of having NCDs integrated into an UNDAF that is used by WHO to measure delivery success in implementing the WHO Programme Budget 2018-2019 is having NCDs referenced as a priority1 in the Results Matrix2 of UNDAF. UNDP has agreed to adopt a similar indicator to measure progress in implementing its integrated budget 2014-2017. Other UN organizations are invited to consider similar definitions for their respective budgets and programmes. 3. Following a review of 59 countries that rolled out UNDAF in 2016-2017 (Annex 1), 45 countries (76%) integrated NCDs into their UNDAF (Annex 2). Results also showed that 27 out of the 43 countries had included NCDs in their UNDAFs for the first time (i.e. NCDs were not included into UNDAFs that had been rolled out in 2012/2013 or 2014/15) (Annex 3). 4. The global baseline set on the 1 January 2016 for the biennium 2018-2019 was based on the analysis of 116 countries with UNDAFs. Of the 116 countries, 62 countries rolled out an UNDAF in 2012-2013 out of which 15 (24%) countries integrated NCDs and in 2014-2015 an additional 20 (37%) out of 54 For instance, by adopting one or more of the targets of the global NCD monitoring framework or by committing to one or more of the specific actions in Annex 3 of the Global NCD Action Plan. 2 There are four mandatory steps for UNCTs in the process of developing an UNDAF: (i) a road map outlining the preparation process of the UNDAF; (ii) country analysis to inform the strategic planning step of the UNDAF; (iii) strategic planning, including (a) priorities, i.e. which national development priorities are supported for UN action; (b) a set of outcomes to support each national development priority; (c) a results matrix (i.e. indicators, baselines, targets, means of verification, risk and assumptions, role of UN partners, and resources); and (iv) monitoring and evaluation. 1
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countries had NCDs integrated into their UNDAFs (Annex 3). Hence, the WHO set the target of 42 countries (the baseline of 35 plus 7 additional countries) for 31 December 2017, which will have integrated NCDs into their UNDAFs. 5. Current analysis was performed in November 2017 with UNDAFs available on the UN Development Group’s website3 and those provided by WHO regional NCD directors. This work found that 20 countries more integrated NCDs into UNDAFs than the target of 42 countries set for the end of 20174. More importantly, that there has been more than three-fold increase in a number of countries that integrated NCDs into their UNDAFs from 2012 to the end of 2017 (Annex 4). The AMRO region in particular had the largest number of countries with NCDs included (Annex 5) due to the joint Multi-Country Systems Development Framework (MSDF) covering 18 countries of the subregion. 6. The need for a global baseline and target comes from an output indicator in WHO’s Programme Budget 2018-2019. The indicator is the number of countries that have integrated NCDs into their UNDAF. 7. This indicator builds on policy options recommended for Member States that are included in the WHO Global NCD Action Plan 2013-20205 and commitments from Member States which are included in the outcome document of the high-level meeting of the General Assembly on the comprehensive review and assessment of the progress achieved in the prevention and control of NCDs6. 8. Accordingly, WHO will therefore use these 62 countries (Annex 2) – 15 from 2012/2013, 20 from 2014/2015 and 27 in 2016/2017 - as the new global baseline (as of 1 January 2018) against which it will measure success. UNDP has adopted a similar approach. For the purposes of linking the activities of WHO during the current biennium to the outcomes to be achieved on 31 December 2019, WHO has set the target of 70 for December 2019 – the baseline 62 plus an additional 8 countries which will have integrated NCDs into UNDAF.
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https://undg.org/ http://www.who.int/ncds/un-task-force/NCDs-into-UNDAF-2015.pdf?ua=1
5 6
Paragraph 30e. http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf?ua=1 Paragraph 30(a)(v). http://www.who.int/nmh/events/2014/a-res-68-300.pdf?ua=1
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Annex 1. Countries with UNDAF (rollouts 2016/2017) Country AFRO 1 2 3 4 5 6 7 8 Chad Gambia Guinea Bissau Ethiopia Mozambique Swaziland Uganda Zambia 2017-2021 2017-2021 2016-2020 2016-2020 2017-2020 2016-2020 2016-2020 2016-2021 2016-2021 2017-2021 2017-2021 2016-2020 2017-2021 2017-2021 2017-2021 2017-2021 2017-2021 2017-2021 2017-2021 2016-2020 2017-2021 2017-2021 2017-2021 2017-2021 2017-2021 2016-2020 2017-2021 2017-2021 2017-2021 2017-2022 2017-2021 2017-2021 2017-2021 2017-2021 2016-2020 No Yes No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes Yes Yes No Yes Yes Yes Current Cycle NCDs in UNDAF
9 Zimbabwe AMRO 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 Antigua & Barbuda* Anguilla* Argentina Aruba* Barbados* Belize* Brazil British Virgin Islands* Curacao* Dominica* El Salvador Grenada* Guyana* Honduras Jamaica* Montserrat* Panama Peru Saint Kitts & Nevis* Saint Lucia* Saint Maarten* Saint Vincent & the Grenadines* Sao Tome & Principe Suriname* Trinidad & Tobago* Uruguay
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Country EMRO 36 37 38 Algeria Iran Morocco
Current Cycle
NCDs in UNDAF
2016-2020 2017-2021 2017-2021 2016-2017 2016-2020 2016-2020 2016-2020 2016-2020 2016-2020 2016-2020 2017-2021 2016-2020 2016-2020 2016-2020 2016-2020 2016-2020 2017-2020 2016-2020 2016-2020 2016-2020 2016-2018 2016-2020 2017-2021 2017-2021
Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No Yes No No Yes Yes
39 Syria EURO 40 41 42 43 44 45 46 47 48 49 50 Armenia Azerbaijan Belarus Kazakhstan Kosovo Macedonia Montenegro Serbia Tajikistan Turkey Turkmenistan
51 Uzbekistan SEARO 52 53 54 Bangladesh China Indonesia
55 Maldives WPRO 56 57 58 69 Cambodia Lao People’s Democratic Republic Mongolia Vietnam
*Part of UN Multi Country Systems Development Framework (MSDF)
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Annex 2. Integration of NCDs in UNDAFs by region in the 2016/2017 rollout No. of Countries NCDs included in UNDAF
60 50 40
59
45
UNDAFs
30 20
26 22
12 12
10 0
9 5 4 3 4 1 4 2
AFRO
AMRO EMRO
EURO
SEARO WPRO
All
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Annex 3 First reference to NCDs in the UNDAF’s Results Matrix (rollouts 2012/2013, 2014/2015 and 2016/2017) 2012/2013 2014/2015 AFRO Burundi Djibouti Ethiopia Ghana Lesotho Mauritania Mozambique Rwanda Angola Kenya The Gambia Swaziland Uganda 2016/2017
AMRO Barbados Belize Bolivia Paraguay Uruguay Antigua & Barbuda* Anguilla* Aruba* Brazil British Virgin Islands* Curacao* Dominica* Grenada* Guyana* Jamaica* Montserrat* Panama Saint Kitts & Nevis* Saint Lucia* Saint Maarten* Saint Vincent & the Grenadines* Suriname* Trinidad & Tobago* EMRO Jordan Algeria Palestine Iran Morocco
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2012/2013
2014/2015 EURO Armenia Azerbaijan Belarus Bosnia & Herzegovina Georgia Kazakhstan Kosovo Serbia Tajikistan Turkey Turkmenistan Uzbekistan SEARO
2016/2017
Macedonia Montenegro
Nepal WPRO Mongolia Vietnam Cambodia Lao People’s Democratic republic
Maldives
*Part of UN Multi Country Systems Development Framework (MSDF)
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Annex 4. Number of countries with NCDs integrated into UNDAFs from the 2012 rollout to date Countries with NCDs integrated in UNDAFs
50 45 40 35 30 25 20 15 10 5 0 2012/2013 2014/2015 Rollout Year 2016/2017 15 WHO/NMH/NMA/18.98 © WHO 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 licence 3.0 IGO licence.
45
20
Annex 5. Distribution of countries with NCDs in UNDAFs by rollout year 2016/2017 Countries with NCDs integrated in UNDAFs 90 80 70 60 50 40 30 20 10 0 AFRO AMRO EMRO EURO SEARO WPRO All 2014/2015 2012/2013
WHO Region
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