20 February 2019
NCD Child / American Academy of Pediatrics / CLAN
NCD Child commits to integrating children, adolescents and a life-course approach within national NCD prevention strategies. Prevention of secondhand smoke exposure as a risk factor for low birthweight, prematurity and newborn mortality have been identified as targets of relevance to both NCDs and maternal and child survival. Similarly, nutrition goals, injury prevention, and prevention of toxic stress are relevant to child health. NCD Child also commits to efforts that integrate children, adolescents and a life-course approach within national NCD treatment strategies.
CLAN’s strategic framework for action provides a sustainable, scalable model for a range of stakeholders to engage with and support child and youth NCD communities to drive long-term change that will enable all children to enjoy the highest quality of life possible. Access to essential medicines, including appropriate preparations needed for children and youth, and access to services appropriate for children with cancer, heart disease, asthma, diabetes and other special health care needs must be planned into health systems. Planning and strengthening sustainable systems of care for children youth and families also must include youth and family voices as full participants in development of plans, implementation, and improvement processes. NCD Child commits USD $650,000 per year from January 2015 through December 2017.
One champions workshop was held in 2015 in Lima, Peru, and three were held in 2016 in Hyderabad, India; Eldoret, Kenya; and Vancouver, Canada. More than 124 champions from 40 country-level stakeholder teams (30 were promised) included varied representation from civil society, pediatric associations, youth-serving groups, and ministries of health. We also have two additional workshops planned for 2017. Our new target is to have recruited 60 teams by 2018. To date, 21 of these country teams have launched an in-country plan, using mini-grant funding (average $7500 USD)and technical assistance (15 were promised; our new target is 30 by 2018).
Country teams have addressed issues including NCD preventive care by front-line health workers, obesity screening and intervention, natural disasters, physical disability and stress, road safety, pediatric cancer surveillance, and rheumatic heart disease. All of these action plans include convening additional in-country stakeholders and communities, and advocacy for children and adolescent NCD prevention and treatment. A report on the interim implementation of our champions strategy is available here.
We continue to monitor accountability of and support country teams in progress towards successfully include child and adolescent NCD prevention and treatment issues in their country health care delivery systems (target = 15 countries by 2018). Previously disseminated resources have been identified as useful educational and advocacy resources, and we plan to continue to develop additional condition specific messages and to promote use of these tools.