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...
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ftdoajarticles:oai:doaj.org/article:168b6665c96d4ed4a217c79eba7fc02a 2023-05-15T15:16:50+02:00 Regional and global impacts of the 2007 Port-of-Spain Declaration on noncommunicable diseases John Kirton W. Andy Knight C. James Hospedales Dinah Hippolyte Julia Kulik 2019-03-01T00:00:00Z https://doi.org/10.26633/RPSP.2018.194 https://doaj.org/article/168b6665c96d4ed4a217c79eba7fc02a EN ES PT eng spa por Pan American Health Organization http://iris.paho.org/xmlui/handle/123456789/50660 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.194 https://doaj.org/article/168b6665c96d4ed4a217c79eba7fc02a Revista Panamericana de Salud Pública, Vol 42, Iss 1, Pp 1-9 (2019) Noncommunicable diseases United Nations World Health Organization Pan American Health Organization Caribbean Public Health Agency West Indies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.26633/RPSP.2018.194 2022-12-31T10:36:28Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 42 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Noncommunicable diseases United Nations World Health Organization Pan American Health Organization Caribbean Public Health Agency West Indies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Noncommunicable diseases United Nations World Health Organization Pan American Health Organization Caribbean Public Health Agency West Indies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 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 |
topic_facet |
Noncommunicable diseases United Nations World Health Organization Pan American Health Organization Caribbean Public Health Agency West Indies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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. |
format |
Article in Journal/Newspaper |
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 |
title |
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_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_sort |
regional and global impacts of the 2007 port-of-spain declaration on noncommunicable diseases |
publisher |
Pan American Health Organization |
publishDate |
2019 |
url |
https://doi.org/10.26633/RPSP.2018.194 https://doaj.org/article/168b6665c96d4ed4a217c79eba7fc02a |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 42, Iss 1, Pp 1-9 (2019) |
op_relation |
http://iris.paho.org/xmlui/handle/123456789/50660 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.194 https://doaj.org/article/168b6665c96d4ed4a217c79eba7fc02a |
op_doi |
https://doi.org/10.26633/RPSP.2018.194 |
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Revista Panamericana de Salud Pública |
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42 |
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