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Abstract
In recognition of the global burden of non-communicable diseases (NCDs), the past decade has seen three United Nations High-Level Meetings (UN HLMs) on NCDs. Yet progress in terms of political or financial commitments has been very slow. At the 2018 meeting, a political declaration was approved but featured language that had been watered down in terms of commitments. In "Competing Frames of Global Health Governance: An Analysis of Stakeholder Influence on the Political Declaration on Non-communicable Diseases," Suzuki et al analyze the documents that were submitted by Member States, non-governmental organizations and the private sector during the consultation period and conclude that the private sector and several high-income countries (HICs) appeared to oppose regulatory frameworks for products associated with NCDs, that wealthier countries resisted financing commitments, and that general power asymmetries affected the final document. This comment supports their findings and provides additional considerations for why the NCD response has yet to produce significant commitments.
Highlights
In late 2017 United Nations (UN) Secretary-General Antonio Guterres issued a report as follow up to the Millennium Summit, “Progress on the Prevention and Control of Noncommunicable Diseases.” The report was clear that progress was inadequate, and that failures to meet commitments were a promise unfulfilled.[1]
The following September the Third High-Level Meeting (HLM) on non-communicable diseases (NCDs) took place at the time of the UN General Assembly. This would be the first UN and World Health Organization (WHO) meeting on the topic under Director General Tedros Gebreyesus, who had just appointed a High-Level Commission on NCDs co-chaired by the Presidents of Finland, Uruguay and Sri Lanka, the Minister of Health of Russia, and Pakistani Special Assistant to the Prime Minister Sania Nishtar
Assumptions about the primacy of private sector interference in the process require further testing and analysis, and there are clearly other factors that have contributed to a process in which commitments fell short of expectations, including from Member States representing high-income countries (HICs)
Summary
In late 2017 United Nations (UN) Secretary-General Antonio Guterres issued a report as follow up to the Millennium Summit, “Progress on the Prevention and Control of Noncommunicable Diseases.” The report was clear that progress was inadequate, and that failures to meet commitments were a promise unfulfilled.[1]. This result is thoughtfully analyzed by Mao Suzuki of University of Southern California and Douglas Webb and Roy Small of the United Nations Development Programme, “Competing Frames in Global Health Governance: An Analysis of Stakeholder Influence on the Political Declaration on Non-communicable Diseases.”[2]
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