NCD FORUM CARIBBEAN. CONCEPT NOTE and PROGRAMME

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CARIBBEAN NCD FORUM Supporting national advocacy in the lead-up to the 2018 High-level Meeting on NCDs: Towards 25*25 and the SDGs 23-25 April 2018 Knutsford Court Hotel, Kingston, Jamaica CONCEPT NOTE and PROGRAMME PARTNERS Ministry of Health, Jamaica I Heart Foundation of Jamaica I Diabetes Association of Jamaica I Open Campus, UWI I CARPHA SPONSORS World Diabetes Foundation I Sagicor Life Inc.

Background As we approach the 3 rd UN High-level Meeting (UNHLM) on NCDs on September 27 th, 2018 where the world will take stock of NCD progress and map a path forward there is great urgency in the Caribbean to accelerate the implementation of proven policies and programmes for NCD prevention and control. The recently updated Appendix 3 of the WHO Global Action Plan for NCDs has an expanded menu of WHO Best-buy interventions which should be urgently implemented by CARICOM member states if we are to achieve our NCD related goals. Political buy-in and action is desperately needed to achieve this. This political buy-in and commitment at the highest levels, creates the necessary space for policymakers in health and related sectors to prioritise and implement policies and interventions. Civil Society (CSO) actors are essential elements in this equation acting as collaborators, agitators and watchdogs. They have the unique ability to advocate to those driving national NCD response both directly and indirectly through influencing public opinion and shaping policy priorities. The 2018 UNHLM represents a singular opportunity for CARICOM leadership 11 years post the 2007 Port of Spain Declaration and 7 years post the 1 st NCD UNHLM in 2011 to reaffirm their commitment to NCDs. Against the background of mounting competing priorities, the task of bringing NCDs back into focus can be led by civil society through targeted advocacy at all levels calling for maximal representation of Heads of State at the 2018 UNHLM. The Healthy Caribbean Coalition (HCC) sees this as an opportunity to work with civil society organisations (CSOs) across the region in partnership with the national governments and regional public health institutions. In 2017, the HCC approached the World Diabetes Foundation with a proposal to fund a meeting to convene regional stakeholders around the 2018 UNHLM. The proposal was successful. In collaboration with regional partners including PAHO and CARPHA, HCC will host on April 23-25, 2018, the HCC Caribbean NCD Forum: Supporting National Advocacy in Lead up to the 2018 UN High-level Meeting on NCDs. The HCC Caribbean NCD Forum will provide a unique opportunity for CSOs to take stock of progress achieved since the 2011 and 2014 UN High-level Meetings and share regional successes and lessons learned in NCD policy and programmes. With a clear understanding of the region s performance and an appreciation of the challenges and successes, the delegates will arrive at a consensus on NCD priorities to take to the UNHLM. This will form the CARICOM CSO Statement on NCD Priorities which will be presented at the UNHLM Civil Society Hearing 1 and the 39 th Annual CARICOM Heads Conference in July 2018 (tbc). The Forum will also provide an opportunity for mobilized CSOs to discuss strategies to inform a regional campaign Getting Heads to the 2018 UNHLM aimed at encouraging heads of state attendance at the UNHLM. CSOs having participated in the Forum, will be engaged and prepared to engage in local initiatives aimed at encouraging Heads of State to attend the UNHLM. HCC will launch a campaign regionally Finally, the delegates will look beyond the 2018 UNHLM through the lens of past successes, challenges and lessons learned. Delegates will discuss NCD priorities and the WHO Best Buys, examine the region s approach to multisectorality and make recommendations for stronger intersectoral and multisectoral partnerships to support the achievement of the 2025 global NCD targets and the health targets embedded in the 2030 agenda. 1 To be confirmed. In 2011 and 2014 civil society hearings were held in advance of the HLMs allowing for civil society to interact with Member States and offer input to the comprehensive review process. This year the NCD Alliance is calling for civil society hearing to be held at least 2 months prior to the HLM to ensure that the conclusions and recommendations of the hearing can be fed into the negotiations of the outcome document. 2

Forum Goals, Objectives & Expected Outcomes Goal To ensure the highest level of regional political and civil society support for the 3 rd UN High-level Meeting on NCDs. Objectives 1 2 3 4 Take stock of NCD progress in the Caribbean. Harmonize CARICOM priority areas for the 2018 UNHLM. Discuss strategies to encourage the highest level of political attendance at the 2018 UNHLM. Explore post-2018 strategies towards the achievement of 25*25 and SDGs. Expected outcomes 1 Greater awareness of Caribbean civil society and other stakeholders in the following areas: Regional progress to date in NCD Prevention and Control. The UNHLM 2018 and opportunities for advancing the Regional NCD agenda. 2 3 4 5 Successes and lessons learned from CSOs and other key stakeholders in supporting the attainment of national NCD targets with a focus on childhood obesity, tobacco control and multisectoral action. CARICOM CSO Statement on NCD Priorities. Getting Heads to the 2018 UNHLM regional strategies. Strengthened regional network of diabetes organisations and identification of opportunities for enhanced prevention and control of diabetes working together and in collaboration with other NCD NGOs. HCC Caribbean NCD Forum Report. 3

A Closer Look at the Meeting Objectives and sessions 1. Take stock of NCD progress in the Caribbean. a. Taking Stock how have we performed? Review of the outcomes of the PAHO Sub-regional Preparatory Meeting (WHO DG report on the achievement of the 4 time-bound commitments/ 10 indicators in the region). Review of the 2018 POSD Grid Progress towards achieving the 25*25 and the 9 targets (WHO Global Action Plan on NCDs) b. Showcase regional successes, challenges and lessons learned with a focus on achievements in the 3 priority areas (childhood obesity, tobacco control, and multisectoral action) identified in the HCC Open Letter to Heads attending the 2017 38th Annual regular meeting of CARICOM Heads; and on diabetes prevention and control. c. Showcase successful initiatives led by regional diabetes organisations including WDF supported programmes and projects which focus on community level/primary level integrated diabetes/ncd care with emphasis on diabetes and hypertension.. 3. Discuss strategies to encourage the highest level political attendance at the 2018 UNHLM. a. Discuss and share strategies to inform a regional campaign: Getting Heads to the 2018 UNHLM calling on Heads of Government to reaffirm NCD leadership and action through attendance at the 2018 UNHLM. b. Develop a civil society roadmap as part of the above to concretise roles for CSOs in supporting the campaign in lead up to the 2018 UNHLM. 4. Explore post-2018 strategies towards the achievement of 25*25 and SDGs. a. Discuss NCD Priorities/ Best-Buys beyond 2018 b. Rethink the region s multisectoral response: Revitalising National NCD Commissions and Leveraging Private Sector Partnerships c. Explore barriers and opportunities for greater policy coherence for win-win solutions for NCDs among health and non-health sectors in support of achieving the 25*25 targets and the SDGs. 2. Harmonize CARICOM priority areas for the UNHLM 2018. a. Develop a civil society consensus statement on the priority areas for the 2018 UNHLM for presentation at the 39 th Annual CARICOM Heads Conference in July 2018; and at the UNHLM Civil Society Hearing (tba). The HCC will use the Forum as an opportunity for the Jamaica launch of their online petition to CARICOM Heads of Government to reduce childhood obesity through the enactment of the following policies and legislation: imposition of a tax of not less than 20% on Sugar Sweetened Beverages; ban the sale, promotion and marketing of SSBs, and unhealthy fast/junk food in schools; and the adoption and application of regional standards for nutritional and front of package labelling of foods and beverages. 4

THE FORUM PROGRAMME Participants & Beneficiaries Participants at the meeting will be representatives of: HCC organisational members (health NGOs); HCC associate members (non-health NGOs); Government (health and non-health sectors); Caribbean Academia; Private Sector; HCC Board of Directors; and HCC specialist advisors and volunteers. Sponsors This meeting is supported through a grant from the World Diabetes Foundation and ongoing support from Sagicor Life Inc. Partners and Supporters National and Regional Partners and supporters include: the Ministry of Health, Jamaica; the Heart Foundation of Jamaica; the Diabetes Association of Jamaica; the Open Campus of the University of the West Indies; and CARPHA. HCC also acknowledges the support of PAHO. 5

The Forum Programme MEETING PROGRAMME DAY 1 8.00-8.30 REGISTRATION DAY 1 MORNING SESSION MODERATOR: Sir Trevor Hassell 8.30-8.40 Welcome and Introductions Sir Trevor Hassell, Healthy Caribbean Coalition 8.40-8.50 Greetings from Sponsors Mr Bent Lautrup-Nielsen, World Diabetes Foundation Mr Ed Clarke, Sagicor Life Inc. 8.50-9.10 Opening Address Dr the Hon Christopher Tufton, Minister of Health, Jamaica 9.10-9.25 The 3 rd UN High-level Meeting on NCDs WHO/PAHO Perspective Dr Anselm Hennis, PAHO/WHO 9.25-9.40 The 3 rd UN High-level Meeting on NCDs the past informing the present His Excellency E. Courtenay Rattray, Permanent Mission of Jamaica to the UN 9.40-9.55 The 3 rd UN High-level Meeting on NCDs global civil society perspectives and contributions Ms Katie Dain, NCD Alliance 9.55-10.10 Global and regional processes in preparation for the 2018 UNHLM Caribbean perspective Dr Rudolph Cummings, CARICOM Secretariat 10.10-10.30 HEALTH BREAK 10.30-11.00 Introductions Why are we here? Getting to know each other. Ms Heather Mia Usher, BCS Mrs Nola Philpotts Brown, HFJ Dr Alison Bernard, BCNF 11.00-12.00 PANEL Taking Stock - How have we performed? What has been achieved? CHAIR: Sir Trevor Hassell Review of the UN Secretary-General s Report on Progress on NCDs Dr Bernadette Theodore- Gandi, PAHO Evidence from the Evaluation of the Port of Spain Declaration Prof. Alafia Samuels, UWI Achievements and progress in NCD prevention and control - civil society s perspective Mrs Maisha Hutton, HCC Financing NCD prevention and control in CARICOM Prof Emeritus Karl Theodore, UWI 6

The Forum Programme 12.00-12.20 Applying the law in support of NCD prevention and control in CARICOM Mrs Nicole Foster, UWI, HCC 12.20-12.45 Moderated Q and A and Open Discussion MODERATOR: Dr Elisa Prieto, PAHO 12.45-1.45 LUNCH & GROUP PHOTO DAY 1 AFTERNOON SESSION MODERATOR: Dr Christine Chin 1.45-1.55 Civil Society working towards ending cervical cancer in the Caribbean an update Hon Laura Tucker Longsworth, GoB, BCS, HCC 1.55-2.05 Update on new IDRC funded project Improving Household Nutrition Security and Public Health in the CARICOM Prof Alafia Samuels, UWI, GA CDRC 2.05-3.05 PANEL NCD Policy and Programming: Taking Stock and Informing Priorities National & Regional Perspectives CHAIR: Prof Alafia Samuels Obesity Prevention Jamaica Mrs Deborah Chen, HFJ Barbados Mrs Fiona Anthony, HSFB Trinidad Dr Karen Sealy, TTNCDA UWI Ms Tashaine Morrison, UWI OC CARICOM (HCC) Mrs Maisha Hutton, HCC CARICOM (CROSQ) Mr Stephen Farquharson, CROSQ 3.05 3.20 HEALTH BREAK 3.20-4.20 PANEL NCD Policy and Programming: Taking Stock and Informing Priorities - National & Regional Perspectives CHAIR: Mrs Deborah Chen Tobacco Control Guyana Dr. Kavita Singh, Guyana MOH Barbados Dr Kenneth George, Barbados MOH Jamaica Dr Tamu Davidson, Jamaica MOH CARICOM (CROSQ) Mr Stephen Farquharson, CROSQ CARICOM (HCC) Mrs Barbara McGaw, JCTC/HCC 7

The Forum Programme MEETING PROGRAMME DAY 1 4.20-5.00 PANEL NCD Policy and Programming: Taking Stock and Informing Priorities - National & Regional Perspectives CHAIR: Mr Vincent Atkins, CARICOM, HCC The Multisectoral Response Bermuda NNCDC Dr Virloy Lewin, NNCDC, Bermuda St. Lucia NNCDC Dr Owen Gabriel, NNCDC, St Lucia Barbados Private Sector Action Mr Ed Clarke, Sagicor Life Jamaica National Food Industry Task Force Prof Fitzroy Henry, UTech Jamaica CARICOM (HCC) Dr Victor Coombs, HCC 5.00-5.15 WRAP UP Dr Kenneth Connell, HSFB 5.15-6.00 Closed Meeting of CARICOM NNCDC Chairs 8

The Forum Programme MEETING PROGRAMME DAY 2 DAY 2 MORNING SESSION MODERATOR: Hon Laura Tucker Longsworth 8.30-8.35 Day 1 Recap and Day 2 Objectives Dr Lydia Atkins, St. Lucia MOH 8.35-8.50 Leveraging Every Caribbean Woman Every Caribbean Child to meet the SDGs Her Excellency Sandra Granger, First Lady of Guyana, Vice Chair SCLAN: Spouses of Caribbean Leaders Action Network 8.50-9.05 Diabetes in the Caribbean 2018 its burden, prevention and control Prof Hon Errol Morrison, National Commission on Science and Technology, Jamaica 9.05-9.40 PANEL Diabetes 1 Spotlight on civil society supporting national diabetes prevention and control programmes across the region CHAIR: Mrs Juanita James, ABDA Barbados Diabetes Foundation Dr Diane Brathwaite Diabetes Association of Jamaica Ms Lurline Less Trinidad and Tobago Diabetes Association Dr Bernice Dyer-Regis Bahamas Diabetic Research Institute Dr Chrispin Gomez 9.45-10.00 Tackling the global diabetes epidemic Dr Kaushik Ramaiya, WDF Board Member 10.00-10.20 HEALTH BREAK 10.20-12.30 PANEL Diabetes 2 Spotlight on World Diabetes Foundation supporting diabetes prevention and control in the Caribbean CHAIR: Mr Bent Lautrup-Nielsen Haiti Dr Nancy Larco, FHADIMAC Belize Mr Anthony Castillo, Belize Diabetes Association Guyana Dr Kavita Singh, Guyana MOH St. Lucia & Grenada CARPHA Rep Suriname Ms Helyante Mac-Donald, One Stop Shop for Chronic Diseases Dominican Republic Mr Edgar Castillo, Health Horizons International (Horizontes de Salud) 12.30-1.30 LUNCH 9

The Forum Programme MEETING PROGRAMME DAY 2 DAY 2 AFTERNOON SESSION MODERATOR: Mrs Nicole Foster 1.30-1.45 Organisation of the American States Preparing for the UNHLM His Excellency Selwin Hart, Ambassador of Barbados to the USA, Permanent Representative of Barbados to the OAS 1.45-2.00 Latin America Preparing for the UNHLM Dr Beatriz Champagne, CLAS 2.00-3.00 HIGH LEVEL CAUCUS Reaffirming Caribbean NCD leadership and action through attendance at the 2018 UNHLM CHAIR: Sir George Alleyne PANEL DISCUSSION Jamaica His Excellency E. Courtenay Rattray Barbados His Excellency Selwin Hart Belize Hon Laura Tucker Longsworth, Speaker of the House of Representatives NCD Alliance Ms Katie Dain 3.00-3.15 HEALTH BREAK 3.15-3. 30 Engaging the non-health and the private business sector in the achievement of the NCD related SDGs Dr James Hospedales 3.30-3.45 Non-health UN Agencies Supporting CARICOM in achieving the NCD related SDGS Mr Bruno Pouezat, UN Resident Coordinator, Jamaica, The Bahamas, Bermuda, Cayman Islands, and Turks & Caicos Islands 3.45-4.00 Moderated Q and A CHAIR: MODERATOR 4.00-4.30 CARICOM Civil society draft statement outlining priorities for the UNHLM Mrs Maisha Hutton 4.30-4.35 WRAP UP Mrs Kay Morrish-Cooke 10

The Forum Programme MEETING PROGRAMME DAY 3 DAY 3 FINAL SESSION MODERATOR: Mrs Maisha Hutton 9.00-9.05 Day 2 Recap and Objectives for Day 3 Dr Homer Bloomfield, HCC 9.05-9.20 Sharing my experience in contributing to the NCD response Mrs Reema Carmona, Former First Lady Republic of Trinidad and Tobago 9.20-9.35 Looking beyond 2018 towards 2030 in CARICOM: Regional NCD Priorities and WHO Best-Buys Dr Anselm Hennis 9.35-10.30 PANEL Exploring barriers and opportunities for greater policy coherence in support of achieving the 25*25 targets and SDGs CHAIR: Dr Karen Sealey Trade Mr Vincent Atkins Mrs Nicole Foster Agriculture Mr Barton Clarke, CARDI Health Mrs Sharmaine Edwards, Jamaica MOH Dr Tamu Davidson Finance Dr Annicia Gayle-Geddes, CDB Mr Bent Lautrup-Nielsen 10.30-11.00 HEALTH BREAK 11.00-11.45 PANEL Rethinking the multisectoral response to better position the Caribbean to achieve the SDGs Revitalising National NCD Commissions and, engaging with Civil Society and, leveraging Private Sector Partnerships CHAIR: Hon Laura Tucker Longsworth UWI, GACDRC Prof. Alafia Samuels CIBC/FCIB Mr Neil Brennan CARPHA Dr James Hospedales PAHO Dr Anselm Hennis HCC Sir Trevor Hassell 11.45-12.30 PANEL Placing people living with NCDs at the centre of all we do CO CHAIRS: Sir Trevor Hassell/ Tara Lisa Persaud, HCC Our Views Our Voices 12.30-12.45 Reflections on NCD prevention and control in the context of the 3 rd UNHLM on NCDs Sir George Alleyne 12.45-1.00 Evaluation and Close of Meeting Sir Trevor Hassell / Mrs Maisha Hutton 2.00-5.00 Closed Meeting HCC Board of Directors HCC Board of Directors 11

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