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Bhutan Parliamentarian's Forum for Ncds.Indd The High-Level Parliamentarians’ Forum on accelerating NCD Prevention and Parliamentarians’ resolve to accelerate Control was organized in Thimphu, Bhutan, on 12 December 2018. This was the first time that such a high-level political forum of elected representatives NCD prevention and control for a gathered to discuss on NCD issues in the country. The Parliamentarian Forum underscored the urgent need to accelerate NCD response as a national priority ‘Happy and Healthy Bhutan and endorsed a list of priority actions that need to be focused for the coming decade and are aligned towards the country’s 2030 SDG targets. The Forum by 2030’ adopted this outcome document with an inspiring vision that “by 2030, all Bhutanese live a fuller life with better quality in a resilient society in the true state of Gross National Happiness in the Kingdom”. Bhutan Bhutan Parliamentarians’ resolve to accelerate NCD prevention and control for a ‘Happy and Healthy Bhutan by 2030’ Bhutan Parliamentarians’ resolve to accelerate NCD prevention and control for ‘Happy and Healthy Bhutan by 2030’ Document no: © World Health Organization 2019 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation: Parliamentarians’ resolve to accelerate NCD prevention and control for ‘Happy and Healthy Bhutan by 2030’. New Delhi: World Health Organization; 2019. World Health Organization, Regional Office for South-East Asia and Ministry of Health and Sports, Republic of the Union of Myanmar Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. 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Printed in India Contents Acknowledgements iv Message from the Hon’ble Speaker v Foreword by Hon’ble Prime Minister vi Noncommunicable diseases in Bhutan: a developmental threat 1 Whole-of-society and multistakeholder approach to address NCDs 3 Need to accelerate and innovate NCD response 5 Resolve of Parliamentarians to accelerate NCD prevention and control 7 Outcome of the Parliamentarians’ Forum 13 Taking forward the Parliamentarians’ Outcome Document 16 Annex 1: Additional notes on current responses, gaps and opportunities on NCD prevention and control in Bhutan 17 Annex 2: Agenda 22 Annex 3: List of Participants 24 Acknowledgements The document is jointly published by the Ministry of Health, Royal Government of Bhutan, and the WHO Country Office, Bhutan. We sincerely thank H.E. Wangchuk Namgyel, Speaker, National Assembly of Bhutan, and Members of Parliament for their enthusiastic participation and guidance. We thank the members of the National Steering Committee for the Prevention and Control of NCDs and other stakeholders for their participation. We also acknowledge the contribution and technical support of the NCD team at the WHO Regional Office for South-East Asia. iv Parliamentarian’s resolve to accelerate NCD prevention and control for healthier and happier Bhutan by 2030 Message from the Hon’ble Speaker The 12th of December 2018 was a historic day. Parliamentarians, stakeholders and partners from a range of organizations and walks of life gathered to deliberate on how best to accelerate national action to save hundreds of lives disabled or lost to noncommunicable diseases (NCDs). It was proof that as a nation we can no longer remain apathetic to the life- threatening and disabling burden NCDs pose to our society, whether from diabetes, stroke or heart disease. Deaths and disabilities due to these diseases have become a common phenomenon and a severe public health burden in our country. As the Outcome of the Parliamentarians’ Forum makes clear, we must launch a national response commensurate with the gravity of the problem. At all levels of society, we need to act and step up our response, including by promoting healthier lifestyles and healthier diets alongside other key interventions. Importantly, we must do so as individuals, families, villages and towns. In other words, we must do it together. Nevertheless, all public health interventions must be supported by a strong legislative and policy framework. The Parliamentarians’ Forum unequivocally supported the commitment to accelerate initiatives to prevent and control NCDs and protect our citizens. As part of that, we have endorsed our commitment to creating a “Happy and Healthy Bhutan by 2030”. By pursuing our joint objectives and implementing a strong legislative and policy framework we look forward to saving hundreds of lives in the coming years and attaining our goal of achieving a happier and healthier Bhutan by 2030. H.E. Wangchuk Namgyel Hon’ble Speaker National Assembly of Bhutan Parliamentarian’s resolve to accelerate NCD prevention and control for healthier and happier Bhutan by 2030 v Foreword by Hon’ble Prime Minister The Royal Government of Bhutan is deeply concerned with the challenges that our nation is facing over the increasing burden of NCDs (heart disease, stroke, cancers etc); while we are still faced with the huge challenge of infectious diseases. In addition to the mortality, NCDs actual impact is from its morbidity on the lives of our people, especially in their productive age group; they become dependent on the state for the rest of their lives. NCDs are preventable; there are proven cost-effective interventions to prevent, treat and manage NCDs. This Outcome Document endorsed by the Parliamentarians’ Forum on NCDs envisions a ‘Happy and Healthy Bhutan by 2030’ with clear strategic areas of action for the NCD response in the country. I commend the Parliamentarians of the Kingdom of Bhutan for their commitment to and support for the national urgency that is visible in the ongoing efforts to curb NCDs. The Royal Government of Bhutan will align NCD response with the strategic directions of the Outcome Document. Delay and inaction lead to mounting numbers of young lives lost, families disabled, and children orphaned or living with single parents. Allowing deaths to occur when cheaper public policy and public health-care interventions are available is simply unacceptable. We have no time to lose. A business-as-usual and laissez faire approach will simply not address the high morbidity of 70% borne by NCDs in Bhutan. We need to accelerate and innovate our work on NCD control with greater intensity and focus. Due to the multidirectional relationship between NCDs, poverty alleviation and economic development, sincere and collective efforts are needed to include these diseases within the development agenda. I invite agencies and stakeholders to boldly play their part to fast-track NCD prevention and control within their own spheres to make it a whole-of-society and whole-of-government response. To remain true to the overarching vision of Gross National Happiness in Bhutan and to walk along the visionary roadmap charted by the benevolent Monarchs of the Kingdom, I call on the nation to work harder towards the achieving a ‘Happy and Healthy Bhutan by 2030’. H.E. Dr Lotay Tshering Prime Minister Royal Government of Bhutan vi Parliamentarian’s resolve to accelerate NCD prevention and control for healthier and happier Bhutan by 2030 Noncommunicable diseases in Bhutan: a developmental threat Noncommunicable Diseases (NCDs) have become a national concern in Bhutan and now comprise 69% of the total deaths in the country.
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