Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases
Objective. To assess how well Caribbean regional institutions (RIs) met their commitments from the 2007 Port-of-Spain Summit (POSS) declaration on noncommunicable diseases (NCDs), and evaluate the POSS impact on the United Nations High-level Meeting (HLM) on NCDs in 2011 (2011 HLM), HLM NCD review i...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Pan American Health Organization
2019-03-01
|
| Series: | Revista Panamericana de Salud Pública |
| Subjects: | |
| Online Access: | http://iris.paho.org/xmlui/handle/123456789/50660 |
| _version_ | 1818935837900931072 |
|---|---|
| author | John Kirton W. Andy Knight C. James Hospedales Dinah Hippolyte Julia Kulik |
| author_facet | John Kirton W. Andy Knight C. James Hospedales Dinah Hippolyte Julia Kulik |
| author_sort | John Kirton |
| collection | DOAJ |
| description | Objective. To assess how well Caribbean regional institutions (RIs) met their commitments from the 2007 Port-of-Spain Summit (POSS) declaration on noncommunicable diseases (NCDs), and evaluate the POSS impact on the United Nations High-level Meeting (HLM) on NCDs in 2011 (2011 HLM), HLM NCD review in 2014 (2014 HLM), World Health Organization’s 2025 NCD targets (2025 WHO), and 2030 Sustainable Development Goals (SDGs) agreed upon in 2015.
Methods. This study uses a method developed by the University of Toronto’s Global Governance Program to measure institutions’ compliance with commitments from a summit and the match with commitments from earlier summits. This approach was supplemented using data from published literature, primary documents, and semistructured key informant interviews to detail how and why Caribbean RIs met the 2007 POSS commitments, how the 2007 POSS commitments led to compliance, and how the 2007 POSS influenced international NCD commitments.
Results. Caribbean RIs implemented the 2007 POSS commitments better when they had more public legitimacy, when their missions aligned with those commitments, and when more resources were available to them. Implementation constraints arose from multiple, sometimes competing, interests of the decision-making and national implementing bodies of the Caribbean Community (CARICOM). Internationally, the early, expanding efforts of the POSS pioneers had an initially important but subsequently diminishing impact on the HLMs.
Conclusions. For the Caribbean region, the Caribbean Public Health Agency should be funded to lead strengthened Caribbean RIs in coordinated action on NCDs. At the international level, the United Nations should embed NCDs in a “whole-of-global-governance” approach, monitor implementation annually, foster transregional partnerships on NCD-related themes, engage civil society, and support regular regional and global summits to enhance implementation and improvement, aimed at future HLMs on NCDs, the 2025 WHO targets, and the SDG NCD targets. |
| first_indexed | 2024-12-20T05:26:31Z |
| format | Article |
| id | doaj.art-168b6665c96d4ed4a217c79eba7fc02a |
| institution | Directory Open Access Journal |
| issn | 1020-4989 1680-5348 |
| language | English |
| last_indexed | 2024-12-20T05:26:31Z |
| publishDate | 2019-03-01 |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-168b6665c96d4ed4a217c79eba7fc02a2022-12-21T19:51:52ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482019-03-014211910.26633/RPSP.2018.194rpspRegional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseasesJohn Kirton0W. Andy Knight1C. James Hospedales2Dinah Hippolyte3Julia Kulik4University of Toronto, Toronto, Ontario, CanadaUniversity of Alberta, Edmonton, Alberta, CanadaCaribbean Public Health Agency, Port-of-Spain, Trinidad and TobagoUniversity of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and TobagoUniversity of Toronto, Toronto, Ontario, CanadaObjective. To assess how well Caribbean regional institutions (RIs) met their commitments from the 2007 Port-of-Spain Summit (POSS) declaration on noncommunicable diseases (NCDs), and evaluate the POSS impact on the United Nations High-level Meeting (HLM) on NCDs in 2011 (2011 HLM), HLM NCD review in 2014 (2014 HLM), World Health Organization’s 2025 NCD targets (2025 WHO), and 2030 Sustainable Development Goals (SDGs) agreed upon in 2015. Methods. This study uses a method developed by the University of Toronto’s Global Governance Program to measure institutions’ compliance with commitments from a summit and the match with commitments from earlier summits. This approach was supplemented using data from published literature, primary documents, and semistructured key informant interviews to detail how and why Caribbean RIs met the 2007 POSS commitments, how the 2007 POSS commitments led to compliance, and how the 2007 POSS influenced international NCD commitments. Results. Caribbean RIs implemented the 2007 POSS commitments better when they had more public legitimacy, when their missions aligned with those commitments, and when more resources were available to them. Implementation constraints arose from multiple, sometimes competing, interests of the decision-making and national implementing bodies of the Caribbean Community (CARICOM). Internationally, the early, expanding efforts of the POSS pioneers had an initially important but subsequently diminishing impact on the HLMs. Conclusions. For the Caribbean region, the Caribbean Public Health Agency should be funded to lead strengthened Caribbean RIs in coordinated action on NCDs. At the international level, the United Nations should embed NCDs in a “whole-of-global-governance” approach, monitor implementation annually, foster transregional partnerships on NCD-related themes, engage civil society, and support regular regional and global summits to enhance implementation and improvement, aimed at future HLMs on NCDs, the 2025 WHO targets, and the SDG NCD targets.http://iris.paho.org/xmlui/handle/123456789/50660Noncommunicable diseasesUnited NationsWorld Health OrganizationPan American Health OrganizationCaribbean Public Health AgencyWest Indies |
| spellingShingle | John Kirton W. Andy Knight C. James Hospedales Dinah Hippolyte Julia Kulik Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases Revista Panamericana de Salud Pública Noncommunicable diseases United Nations World Health Organization Pan American Health Organization Caribbean Public Health Agency West Indies |
| title | Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases |
| title_full | Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases |
| title_fullStr | Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases |
| title_full_unstemmed | Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases |
| title_short | Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases |
| title_sort | regional and global impacts of the 2007 port of spain declaration on noncommunicable diseases |
| topic | Noncommunicable diseases United Nations World Health Organization Pan American Health Organization Caribbean Public Health Agency West Indies |
| url | http://iris.paho.org/xmlui/handle/123456789/50660 |
| work_keys_str_mv | AT johnkirton regionalandglobalimpactsofthe2007portofspaindeclarationonnoncommunicablediseases AT wandyknight regionalandglobalimpactsofthe2007portofspaindeclarationonnoncommunicablediseases AT cjameshospedales regionalandglobalimpactsofthe2007portofspaindeclarationonnoncommunicablediseases AT dinahhippolyte regionalandglobalimpactsofthe2007portofspaindeclarationonnoncommunicablediseases AT juliakulik regionalandglobalimpactsofthe2007portofspaindeclarationonnoncommunicablediseases |