Annex 6 Summary of recommendations Ministry or Proposed action Expected benefit Specific indicator Likely cost / Feasibility and Political stakeholder in reducing NCD to verify progress revenue obstacles to implications responsible. implications implementation (including winners and losers) Government Ministries Prime Minister’s Prime Minister to Use the authority Frequency of Low direct Easily feasible. Difficulties can be Office establish, and and convening meetings of financial cost. Few obstacles to expected if then actively power of the PM task Some implementation tobacco, alcohol, chair, a regular to create a sense force, and the involvement of initially, although or food processing meeting of a of urgency and level and breadth time by all maintaining industries use multi-sectoral task develop a of representation. stakeholders. commitment and surrogates to force to supervise genuinely Potential for cost momentum over weaken task force progress in approach savings if the longer term addressing NCDs to responding to duplication of may be a NCDs. Government and challenge. other stakeholder Hold Government Weak Evidence that the effort is reduced, Difficult, but departments and implementation is multi task and revenue essential. Some short term other the Achilles heel force is taking increased if new political pain stakeholders of many good decisions and that taxes agreed to. when agencies accountable for policies. Lack of they are being realise they are progress through accountability and implemented and There are large – being actively held active monitoring weak actively but hidden – costs accountable for and evaluation. implementation monitored. when implementation. wastes scarce accountability is Medium to long
Annex 6 Summary of recommendations Ministry or stakeholder responsible. Proposed action Expected benefit in reducing NCD Specific indicator to verify progress Likely cost / revenue implications Feasibility and obstacles to implementation Political implications (including winners and losers) Government Ministries Prime Minister’s Office Prime Minister to establish, and then actively chair, a regular meeting of a multi-sectoral task force to supervise progress in addressing NCDs Hold Government departments and other stakeholders accountable for progress through active monitoring and evaluation. Use the authority and convening power of the PM to create a sense of urgency and develop a genuinely approach to responding to NCDs. Weak implementation is the Achilles heel of many good policies. Lack of accountability and weak implementation wastes scarce Frequency of meetings of task force, and the level and breadth of representation. Evidence that the multi task force is taking decisions and that they are being implemented and actively monitored. Low direct financial cost. Some involvement of time by all stakeholders. Potential for cost savings if duplication of Government and other stakeholder effort is reduced, and revenue increased if new taxes agreed to. There are large – but hidden – costs when accountability is Easily feasible. Few obstacles to implementation initially, although maintaining commitment and momentum over the longer term may be a challenge. Difficult, but essential. Difficulties can be expected if tobacco, alcohol, or food processing industries use surrogates to weaken task force Some short term political pain when agencies realise they are being actively held accountable for implementation. Medium to long
893050WP0P13040PUBLIC00NCD0Roadmap.docx