Country actions to meet UN commitments on non-communicable diseases: a stepwise approach

Lancet. 2013 Feb 16;381(9866):575-84. doi: 10.1016/S0140-6736(12)61993-X. Epub 2013 Feb 12.


Strong leadership from heads of state is needed to meet national commitments to the UN political declaration on non-communicable diseases (NCDs) and to achieve the goal of a 25% reduction in premature NCD mortality by 2025 (the 25 by 25 goal). A simple, phased, national response to the political declaration is suggested, with three key steps: planning, implementation, and accountability. Planning entails mobilisation of a multisectoral response to develop and support the national action plan, and to build human, financial, and regulatory capacity for change. Implementation of a few priority and feasible cost-effective interventions for the prevention and treatment of NCDs will achieve the 25 by 25 goal and will need only few additional financial resources. Accountability incorporates three dimensions: monitoring of progress, reviewing of progress, and appropriate responses to accelerate progress. A national NCD commission or equivalent, which is independent of government, is needed to ensure that all relevant stakeholders are held accountable for the UN commitments to NCDs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiovascular Diseases / prevention & control
  • Cost-Benefit Analysis
  • Health Priorities
  • Humans
  • National Health Programs / economics
  • National Health Programs / organization & administration
  • Preventive Health Services / economics
  • Preventive Health Services / organization & administration
  • Preventive Medicine* / economics
  • Preventive Medicine* / organization & administration
  • Program Evaluation
  • Risk Factors
  • Smoking Cessation
  • Sodium, Dietary
  • United Nations*


  • Sodium, Dietary