世界卫生组织非传染性疾病民间社会工作组关于联合国高级别会议的声明4

1.The WHO Civil Society Working Group onNCDscongratulates the UN MemberStates on the completion of the negotiation of thePoliticalDeclaration to be agreedat the fourth UN High Level Meeting (HLM) on NCDs and Mental Health. 2.In agreeing this Declaration, the UN Member Statesacknowledge the scale andurgency ofachieving Sustainable Development Goal 3.4,addressing theunacceptable, inequitable and increasing burdenof NCDs and mental healthconditions. 3.The Declaration recommits to the Political Declarations and outcome documentsapprovedby the previous high-level meetings on NCDs held in 2011, 2014, and2018, andaffirmspolitical commitment at the highest level to acceleratingimplementation. The Declaration sets out newactions and commitments, includingthe adoptionof a set of “fast-track” and “tracer” targets. 4.We welcome that the Political Declaration includes clear commitments, for the firsttime, to improving mental health care across the world in important areas includingservice reform and suicide prevention. 5.Wealsowelcome the recognition of, and commitment to addressing, a range ofdiseases and conditions within and beyond the “5x5” agenda of highest burdendiseases andgreatest risk factors.However, we are concerned that the focus onsingle disease interventions reinforces a siloed approach. Member States shouldadopt an inclusive and integrated approach to delivering on the commitments of thisDeclaration,recognising both disease-specific and cross-cutting technical andnormative tools, and the need for integrated action to support the delivery ofresilient health systems and achievement of Universal Health Coverage (UHC). 6.We welcome the measures to increase the number, capacity, retention, andcompetencies of trained healthcare workers. We further emphasise the importantrole of health professionals in tackling the NCD crisis and call for investment in andprotection of thehealth workforce, including attention to their physical and mentalwell-being, occupational safety, and working conditions. A resilient and adequatelysupported workforce is essential to building sustainable health systems. 7.Wewelcome the Declaration’s recognition that people living with NCDs and mentalhealth conditions, their families, and caregivers, bring unique expertise to healthpolicy and programmes. However, we note that civil society itself is only mentioned once, and the Declaration falls short by not committing governments to embedsocial participation and institutionalise the role of youth and people with livedexperience across the life course in shaping and implementing policies. 8.We aregravelyconcerned by the roll-back of commitmentssince the zero draft ofthe political declaration, with evidence-based and cost-effective actions beingremoved and the language around other commitments being softened. 9.We regret theremovalof the proposed targetfor implementing and increasingexcise taxes on health-harming products. Such taxesoffer a triple win for people’shealth, government revenue and the wider economy. The removal of this targetserves to undermine health, while benefitting those with conflicting commercialinterests. 10.We express concern over the lack of transparency throughout the preparatoryprocess regarding lobbying efforts by health-harming industries, withno informationmade available for informing civil society between the publication of the zero draftand the final text. 11.A positive aspect of the road to the HLM has been the strong and broad globalmobilisation of civil society and people with lived experience to engage withgovernments and UN agencies on their priorities for this Declaration [including over500 organisations who signed the Call to Lead on NCDs, and culminating in thisweek’s Global Week for Action on NCDs].However, in the future, civil society shouldbe meaningfully involved in the drafting of outcome documents. 12.Reducing the burden of NCDs sustainably and equitably requires amultisectoralsystems approach that integrates health promotion into all policies. This includestransparent allocation of resources, development of workforce competencies, andsupport for bottom-up processes reflecting local and Indigenous knowledge. Earlyand meaningful engagement of communities ensures that prevention andpromotion actions are linked to national and global policies. 13.It is critical that Governments deliver on this renewed commitment to tacklingNCDs and mental health conditions, through appropriate investment andresourcing to matchpopulation needs. 14.We call ongovernments to show leadership and act at national level and build themomentum towards delivering on NCDs and mental healthin anintegratedapproach to achieving UHCincluding in preparations forthe HLMon UHCin 2027. 15.As civil society, wewillcontinue toengagewithand support governments in thiseffort at the national and global level and hold them accountable for delivering onthese commitments.