H.E. Yusra Khan
Deputy Permanent Representative of The Republic of Indonesia
Agenda item 118, 68th Session of the UNGA
Monday, 10 February 2014
Allow me to begin by expressing my delegation’s appreciation tothe Director-General of the World Health Organization for the report on the prevention and control of non-communicable diseases.
Non-Communicable Diseases (NCDs) are not only a clear threat to human health, but also to development and economic growth. They decrease productivity in the workplace, prolong disability and diminish resources within families. Globally, NCDsare the leading cause of deaths. In developing countries alone – according to the report- they make up more than 80% of premature deaths. These are compelling reasons to make NCDs an integral part of the health dimension of development.
We need to have a unified front to turn the tide on NCDs. In contribution to that effort, Indonesia facilitated the 68th GA resolution on Global Health and Foreign Policy on behalf of the Group of Foreign Policy and Global Health. This resolution focused on partnerships for global health anda number of important elements on addressing NCDs. Allow me to underscore the three important points in the resolution that directly link to NCDs.
First, let’s meet commitments in the 2011 political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable disease.
Two,support, through international cooperation,the efforts made by member states to strengthen their health system to achieve health goals, including addressing NCDs
Three, to give appropriate consideration to the importance of health issues in the elaboration of the post-2015 development agenda; and to ensure that due consideration is given, in particular, to universal health coverage, the health-related Millennium Development Goals and non-communicable diseases.
The supply of reliable data and information are critical factorsin galvanizing NCDprevention and control measures.Information would help to identify where limited resources would be best spent, and to derive important lessons learned from the progress made. We therefore welcome the global monitoring framework,adopted at the 66th session of the World Health Assembly, in Geneva last year. We recognize it as an important component in the global health framework to track progress in preventing and controlling major non-communicable diseases (cardiovascular disease, cancer, chronic lung diseases and diabetes). The framework is also likewise important in understanding the key risks.
The Global Monitoring Framework, with9 global targets and 25 indicators set to be achieved by 2025,has helped increase the awareness and dialogue concerning the importance of NCD’s and related risks. However, my delegation viewsthat some of the suggested targets and indicators in the Framework need further refinement, elaboration and development in order to lead to effective and efficient program development.
Furthermore, acknowledging the different opportunities, challenges and capacities that each country has in addressing NCDs; my delegation underlines the need for establishing country’s specific indicators and targets. Not only should each country be able to determine indicators that are easy to monitor and achieve, but they also should reflecteach country’s specific circumstance and conditions.
Since 2006, the Government of Indonesia has been scaling up efforts for the prevention and control of NCDs. A national body for NCDs control was established in the same year. There is also a periodic national action plan (NAP) on NCDs, developed every five years. The NAP has facilitated NCD policies and programs integration into the national health strategic planning and the national development agenda.From this year until 2020, the NAP is focusing onNCDs risk intervention for: tobacco control, the promotion of healthy diet, physical activity, and reduction of the use of alcohol into the national health care system.
The Government of Indonesia recognizes that NCDs need to be addressed through a multi-stakeholder response. Therefore, we are involving all stakeholders, particularly at the local or community level, as partners to address NCDs in Indonesia. Through that process, anation wide community-based intervention was established called “Integrated activities on early detection for NCD risk factors”. The intervention has helpedto increase awareness and participation of the community in the national efforts toprevent and control NCDs. Furthermore, a user friendly technical guide was also created to maximize impact, and ensure continued advocacy and education to targeted populations.
The report under today’s deliberation showed that progress in addressing NCDs has been insufficient and highly uneven. My delegation supports the call on forging bolder measures to accelerate efforts to address NCDs and mitigate their impacts. The international community should scale up efforts to support national efforts in all areas from: governance; reducing exposure to risk factors; strengthening health systems; measuring results; and mobilizing resources.
The United Nations needs to mobilize more action to deliver on commitments. My delegation, in this connection, welcomes the ongoing consultative process on the modalities for the comprehensive review and assessment of the progress achieved in the prevention and control of NCDs, facilitated by the permanent representatives of Jamaica and Belgium.
Permanent Mission of the Republic of Indonesia to the United Nations, New York
325 East 38th Street, New York, NY, 10016, USA
Tel: 1.212.972.8333, Fax: 1.212.972.9780 - www.indonesiamission-ny.org