Content and Products of the NCD Observatory

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CARMEN Policy Observatory Meeting (Montreal,
Quebec, Canada, March 2005)

• Content and Products of the NCD Observatory

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What is the NCD Policy Observatory?

• Comprises a network of countries and institutions
  supporting a Knowledge Development
  Dissemination system based on
• Monitoring and analysis of
• NCD-related
• Public policies
• Legislation/Regulations
• International health policies

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Goals of the NCD Policy Observatory

• To support the development of effective
  integrated NCD prevention policies through
• the systematic analysis of the processes involved
  in formulation, adoption and implementation of
  such policies and
• linking this analysis to the evaluation of
  programs and interventions established through
  these policies.

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Goals of the NCD Policy Observatory

• To strengthen multi-sectoral collaboration in the
  formulation and adoption of specific and
  complementary policies that maximize NCD
  prevention.
• To place NCD prevention higher on the agenda of
  policy makers.

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Knowledge Development Agenda

• Reports and Technical Documents
• Data compiled by individual country, selected
  countries, or by Region
• Themes (generic)
• Case examples of policy and implementation issues
  and challenges

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Themes

• General
• Making the Case for NCD Prevention Policy and
  Action
• Investment Targeted Allocation of Funds for
  Prevention Promotion
• Partnership Development Integration
• Impact on organizational and system capacity
• Impact on Population Health
• Impact of international collaboration on
  domestic policy
• Impact on selected major risk factors for NCD
• Impact on high-risk or disadvantaged
  populations
• Process
• Facilitators and barriers to formulation and
  implementation

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Case Examples of Policy Implementation Issues
and Challenges

• Canada (examples)
• Canadian Healthy Living Strategy
• Nutrition Labelling Policy in Canada
• Establishing School Health Policy in Canada
• Alberta Healthy Living Program
• Quebec Public Health Legislation
• New Federal Deal for Canadian Cities
• Canadian Diabetes Strategy,
• Childhood poverty in Canada linked to food
  insecurity
• Physical inactivity at the municipal level,
  urban planning and development,
• Mental illness and co-morbidities

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Case Examples of Policy Implementation Issues
and Challenges

• Brazil
• National Food and Nutrition Policy
• Brazilian Tobacco control Policy
• Costa Rica
• Creation of Ministry of Health Sports

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Criteria for selecting and prioritizing case
examples

• Relevance
• Consistent with national/provincial NCD
  objectives
• Address prevailing political and public issues
• Reflect epidemiological picture for NCD in the
  country/province
• Address at least one major NCD risk factor (e.g.
  tobacco use, physical inactivity, unhealthy
  eating)
• Scope
• Multisectoral (civil society, industry,
  government etc.) and multi-level ( local,
  regional, P/T federal) support collaboration

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Criteria for selecting and prioritizing case
examples

• Feasibility
• Size, complexity, budget, analyzable
• Potential Impact or Benefit
• - On accountability and decision-making
• - On users of policy-related information
• - On the profile of issue
• - On population health

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CARMEN Framework for Policy Analysis (Part 1)
Solution proposal
ImplementationDesign
Problem Recognition/agenda Setting
Deciding
Contexts Social Economic Physical Environmental Ge
nder Culture
Policy Interests/Conflicts Policy networks How
actors interact Actor capacity and resources
Policy Instruments Legislation Regulation Expendi
ture Information Network creation New
program/service
Policy Action Plan Collaborative
planning Community organization action Policy
harmonization
-
Institutions Government agencies Mandates Accounta
bility Formal processes legislative
frameworks Existing policy
Ideas Information sources Value preferences
Consensus-Building
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PHAC Framework for Assessing the Effectiveness of
Community Initiatives That Promote Health
Policy Implementation
Determinants of
Collaborative
Health
Planning
Community
Policy Action
Change
Individual
Transformational
Change
Change
Systems
Change
Improvements in
Community
Population Health
Organization and
Outcomes while Reducing
Action
Health Inequalities
Courtesy of the Strategic Policy Directorate,
Public Health Agency of Canada (PHAC)
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Proposed Data Collection Methods

• Data collection methods include but are not
  limited to
• document review and synthesis
• Key Informant Questionnaire/Face-to-Face focus
  group interviews
• paper-based questionnaire returned by mail or
  fax, or
• on-line questionnaire, or
• in-depth face-to-face key informant interviews

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Knowledge Translation and Dissemination Agenda

• Forum for regional and national policy dialogues
• Various channels
• NCD virtual library
• Websites List serve
• Printed and on-line publications
• Query service
• Training courses
• Databases
• Academic and Political fora

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• Structure to Support Observatory

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CARMEN Network
CARMEN School
Policy Observatory
PAHO / WHO CC (Canada) Technical Advisory Team
Technical Consultative Group
IAG
Country Policy Observatory
Country Policy Observatory
Country Policy Observatory
Collaborative Members/ Institutions
Collaborative Members/ Institutions
Collaborative Members/ Institutions
Collaborative Members/ Institutions
Collaborative Members/ Institutions
Collaborative Members/ Institutions
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Development of the CARMEN Policy Observatory

• Part I Pilot Case Studies
• Part II Ongoing Knowledge Development,
  Monitoring and Analysis
• Part III Knowledge Translation
  and Dissemination

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Part I Pilot Case Studies

• The pilot case studies will
• Develop and refine methodology for case and
  cross-case analysis
• Explore themes of relevance within country policy
  profiles and context

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Part II Ongoing Knowledge Development,
Monitoring and Analysis

• Determine benchmarks for policy development and
  implementation
• Determine benchmarks for collaboration between
  different sectors
• Establishment of infrastructure for ongoing data
  collection, monitoring and analysis

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Part III Knowledge Translation and Dissemination

• Forum for regional and national policy dialogues
  and information exchange
• Bringing NCD policy-makers together with health
  system researchers and analysts
• Extension of Policy Observatory model beyond the
  CARMEN-CINDI region