Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Outline of GARD action plan:
a proposal
Eric Bateman, GARD Executive Committee
GARD General Meeting
30-31 May 2008, Istanbul, Turkey
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
GARD action plan is
an instrument of the
WHO global strategy
for prevention and
control of
Noncommunicable
Diseases (NCD)
GARD action plan within WHO plans
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Components of GARD Action Plan
Goal
Strategic objectives
Activities
Purpose
Expected outputs
Vision
Expected income
Milestones
Indicators
Intervention strategy
Monitoring and
Evaluation
Planned costs
Unmet needs
Business plan
Action Plan is a results-based
management document
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
GARD Timeframe
2008-2013 (3 biennia) based on:
• WHO medium-term strategic plan
• WHO global strategy on noncommunicable diseases
2008-2009 2010-2011 2012-2013
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Vision, goal, purpose
• Vision: a world where all people breathe freely.
• Goal: to reduce the global burden of chronic respiratory diseases.
• Purpose: to initiate a comprehensive approach to fight chronic respiratory diseases – “Global surveillance, prevention and control of chronic respiratory diseases”.
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
General milestones for GARD
40%30%20%0%0%0%Proportion of participating countries in
which a consistent trend towards
reduction in hospital admissions
due to chronic respiratory diseases
is detected
201320122011201020092008Indicators
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
General milestones for GARD
40%30%20%0%0%0%Proportion of participating countries in
which a consistent trend towards
reduction in mortality due to
chronic respiratory diseases is
detected
40%30%20%0%0%0%Proportion of participating countries in
which a consistent trend towards
reduction in hospital admissions
due to chronic respiratory diseases
is detected
201320122011201020092008Indicators
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
General milestones for GARD
70%50%40%30%10%0%Proportion of participating countries in
which essential medicines for
management of chronic respiratory
diseases are affordable and
accessible in primary health care
40%30%20%0%0%0%Proportion of participating countries in
which a consistent trend towards
reduction in mortality due to
chronic respiratory diseases is
detected
40%30%20%0%0%0%Proportion of participating countries in
which a consistent trend towards
reduction in hospital admissions
due to chronic respiratory diseases
is detected
201320122011201020092008Indicators
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
GARD CORE STRATEGIC OBJECTIVES
SO1: Advocacy: To raise the recognition of the importance of chronic respiratory diseases at global and country levels, and to integrate prevention and control of such diseases into policies across all government departments
SO2: Partnership: To promote partnerships for the prevention and control of chronic respiratory diseases
Strategic objectives of GARD
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
GARD STRATEGIC OBJECTIVES TO SUPPORT WHO TECHNICAL WORK
SO3: National plans on prevention and control: To support WHO in assisting countries in establishing and strengthening national policies and plans for the prevention and control of chronic respiratory diseases using WHO endorsed approaches and methods
SO4: Surveillance: To support WHO in monitoring chronic respiratory diseases and their determinants at country, regional and global levels
Strategic objectives of GARD
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
1. Promote interventions to reduce the main shared modifiable risk factors for noncommunicable diseases
2. Contribute to the identification of gaps in knowledge and gaps in knowledge implementation, as well as priorities for research on chronic respiratory diseases relevant to its goal, and advocate for funding for research on these topics
3. Harmonize plans and activities against chronic respiratory diseases with WHO work plans for cardiovascular diseases, cancer and diabetes, with a focus in primary care and the prevention of the common risk factors
Additional objectives:
“The broader context of lung health”
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
4. Collaborate with WHO initiatives in the field of Health
Action in Crisis; Health Security and Environment;
HIV/AIDS, TB, Malaria and Neglected Tropical Diseases;
Information, Evidence and Research; Family and
Community Health and Health Systems and Services
5. Collaborate with the United Nations system in areas
related to its work – e.g. UNEP, UNICEF
Additional objectives
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
SO1: Advocacy
a. Proportion of participating countries that have nominated a GARD focal point within an established unit for the prevention and control of NCD in the Ministry of Health and a GARD co-ordinator
EXPECTED OUTPUT
70%60%50%40%30%20%Proportion of participating
countries that have
nominated a GARD focal
point within an established
unit for the prevention and
control of NCD in the Ministry
of Health and a GARD co-
ordinator
201320122011201020092008Indicator
INDICATORS AND MILESTONES 58 116
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
SO 2: Partnership
a. The network of GARD collaborating parties is maintained
b. The number of interested parties involved with GARD increases
c. Resources - both human and financial - needed to support the
work of the Alliance and to implement the action plan are
mobilized
d. The GARD action plan is used to plan, monitor and evaluate the
work of the Alliance
EXPECTED OUTPUTS
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
100000A final evaluation report is
published at the end of the period
covered by the action plan
101010A monitoring report on the
implementation of the action plan
is published every two years
1.5M1.5M1M1M500K500KResources to support the work of
the Alliance
>50%>50%>50%>50%>50%>50%The proportion of collaborating
parties that participate in the
annual General Meeting
10010090807060The number of collaborating
parties
201320122011201020092008Indicators
INDICATORS AND MILESTONES
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
SO3: National plans on prevention and control
a. Existing initiatives for prevention (smoking ban, reduction of indoor air pollution, reduction of occupational exposures) and control (WHO Practical Approach to Lung Diseases and WHO Integrated Management of Adult and Adolescent Illnesses) of chronic respiratory diseases are strengthened using GARD-endorsed approaches
b. Multisectoral national policies for major NCD including chronic respiratory diseases in conformity with the global strategy for prevention and control of NCDs are adopted
c. Systems of procurement and distribution able to deliver timely good quality and affordable chronic respiratory diseases medications and technical devices to health facilities are available and working in low- and middle-income countries
EXPECTED OUTPUTS
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
40%30%20%10%00Proportion of low- and middle-income
participating countries in which
systems of procurement of
medications and technical devices for
chronic respiratory diseases are
available and working
50%40%30%20%10%0Proportion of participating countries
that have adopted a multisectoral
national policy for major NCD
including CRD in conformity with the
global strategy for prevention and
control of NCDs
60%50%40%30%20%0Proportion of participating countries in
which existing initiatives on prevention
and control of chronic respiratory
diseases are strengthened using
GARD-endorsed approaches
201320122011201020092008Indicators
INDICATORS AND MILESTONES
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
SO4: Surveillance
EXPECTED OUTPUTS
a. A framework for evaluating chronic respiratory diseases prevention
and control, including an electronic information system for
surveillance is developed and results are available
b. Recent epidemiological information on chronic respiratory diseases
are collected and assessed for the update of the Global Burden of
Disease
c. List of cost-effective interventions for chronic respiratory diseases,
gaps in knowledge and gaps in knowledge implementation is
developed
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
INDICATORS AND MILESTONES
10Results of a consultation of
experts on cost-effectiveness of
interventions for chronic
respiratory diseases published
10GARD contribution to the update
of the Global Burden of Disease is
provided
60%50%40%20%00Proportion of participating
countries whose information on
chronic respiratory diseases is
reported to WHO and published
70%60%50%30%10%0Proportion of participating
countries in which the framework
is implemented
1Framework is developed
201320122011201020092008Indicators
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Business plan component
• Business plan component for 2008-2013
– Expected income:• Contributions from GARD participants
• Contributions from GARD observers
• Contributions from WHO
• Contributions from other donors
– Planned costs by strategic objective according to a core set of activities
– Unmet needs/financial gap Useful when meeting with new
donors
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Plan
Why an action plan?
Monitor
Evaluate
Mobilize resources
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Global Alliance against Chronic Respiratory Diseases
GARD is
• a voluntary alliance
• of national and international organizations, institutions and agencies
• working towards the common goal of reducing the global burden of chronic respiratory diseases
WHO provides technical leadership
and secretariat support
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Participating countries
CRITERIA
• Willingness to adopt the GARD proposed approach
• High burden of diseases
• Readiness to adopt the GARD proposed approach
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Participating countries
• List of low- and middle-income countries in which
GARD approach has been proposed.
• List of high-income countries that have expressed
interest in developing GARD approach. These
countries may provide technical and financial
support to low- and middle-income countries.
40
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
• Activities started in:
–Algeria*
–Argentina*
–Brazil*
–Canada*
–Cape Verde
–Czech Republic*
–Egypt*
–Finland*
–Georgia*
–Kyrgyzstan*
–Italy*
–Lithuania
–Mexico*
• Other interested
countries:
– Bangladesh
– Bulgaria*
– Costa Rica
– Denmark
– France
– Greece
– India
– Islamic Republic of
Iran*
– Kazakhstan*
– Morocco
Countries interested in GARD
–Pakistan
–Paraguay
–Poland*
–Romania
–Spain
–South Africa
–United Arab
Emirates
–United States of
America*
–Viet Nam
–Norway*
–Philippines
–Portugal*
–Republic of Korea*
–People's Republic
of China*
–Russian Federation
–Tunisia*
–Turkey*
22** Ministry of Health