Health’for’all’and’all’for’health ... · Promoting health, promoting sustainable development: it’s our health, our future and our choice. !Iden6ﬁes+the+obesity+epidemic+as+aserious+threatto+public+health.+

Health for all and all for health • Santé pour tous et tous pour la santé Salud para todos y todos para la salud • 健康人人，人人健康

Здоровье для всех и все для здоровья • الصحة للجميع واجلميع للصحة

#ChooseHealth

Health for all and all for health • Santé pour tous et tous pour la santé Salud para todos y todos para la salud • 健康人人，人人健康 Здоровье для всех и все для здоровья • الصحة للجميع واجلميع للصحة

Promoting health, promoting sustainable development: it’s our health, our future and our choice.

The National Strategy for the Prevention and Control of

Overweight, Obesity and Diabetes

Dr. Eduardo Jaramillo Navarrete Director-‐General of Health Promo:on

Mexico


Strategy fundamentals

Axis

To increase the public and individual awareness of obesity and its´ associaLon with Non Communicable Diseases (NCDs)

To lead the NaLonal Health System towards early detecLon

To resolve and control at the primary care level

To slow down the incidence of obesity and Non Communicable

Diseases

INTERS

ECTO

RIAL

CO

RRESPO

NSA

BILITY

AND

ACCO

UNTA

BILITY

Social Determinants and Health in All Policies

Epidemiological informa6on and burden of disease

Health promo6on and educa6onal communica6on

Preven6on

Quality of care and effec6ve access

Legal aspects

Fiscal aspects

Public health 1

Medical care

Public policy 3

2



ü Iden6fies the obesity epidemic as a serious threat to public health. ü Innova6ve, mul6-‐sectorial policy that involves different levels of government, key sectors of society and promotes ac6ons at an individual, community and na6onal level. ü Recognizes that the preven6on of overweight and obesity is the responsibility of the state. ü It is based on the best available evidence. ü Assigns responsibili6es to various stakeholders in solving the problem.

Main CharacterisLcs



NaLonal Strategy

NaLonal Commission of Water

Ministry of Health

Ministry of Agriculture and Urban

Development

Ministry of of Social

Development

Ministry of of Public EducaLon

Ministry of Labour

Ministry of of Economy

Society and NGOs

Private Sector

Ministry of tax and Finances

Key Actors


§  Ban food and beverages that are energy dense with low nutri6onal from private and public schools.

§  Ensure access to water drinking fountains.

Guidelines for the Sale and DistribuLon of Food and Beverages in Schools



Fuente: COFEPRIS (2014).

BEFORE THE AMENDMENT AFTER THE AMENDMENT

LABELING ON THE BACK

FRONT-‐OF-‐PACKAGE LABELING

A PORTION OF 46 GRMS. PROVIDES: THIS PACKAGE PROVIDES:

Front of Pack Labeling



§  Tax on sweet drinks and energy drinks with added sugars, $ 1.00 / lt (10%)

§  8% tax on other products with a caloric density of 275 kcal or more per 100 grams

Tax on Sweet Sugary Drinks and Products with High Energy Density and Low NutriLonal Value



§  The reduc6on on purchases of tax imposed beverages ranged from 6 to 12% over 2014.

§  All SES groups reduced purchases up to an 8% decline over 2014

§  Future research would provide esLmaLons on large consumers of taxed beverages to assess differen6al effects.

Source: Colchero, M. Arantxa, Barry M. Popkin, Juan A. Rivera, and Shu Wen Ng. "Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observa6onal study." bmj 352 (2016): h6704.

Tax on Sweet Sugary Beverages and Energy-‐dense and Low NutriLonal Value Products



The Mexican Observatory of Noncommunicable Diseases (OMENT)

Goals § To understand the behaviour and burden of these diseases in Mexico

§ To provide informa6on to the users and decision makers for evalua6on and policy development

§ To track the Federal and State Strategies for the Preven6on and Control of Overweight, Obesity and Diabetes



The Mexican Observatory of Noncommunicable Diseases (OMENT)

Goals § To understand the behaviour and burden of these diseases in Mexico

§ To provide informa6on to the users and decision makers for evalua6on and policy development

§ To track the Federal and State Strategies for the Preven6on and Control of Overweight, Obesity and Diabetes


Public policy instruments

Medical care afen6on

Cost of care

Lifestyles and the social determinants of

health

Healthy environments

4

5

1

2

3


⦿  To ensure the systema6c implementa6on and accountability of each interven6on included in the Na6onal Strategy.

⦿  We are aware that a problem that has taken decades to generate and can hardly be resolved in the short term.

⦿  Sustainability and con6nuity are essen6al to produce befer health for the people.

Challenges and Conclusions


Documents

Health’for’all’and’all’for’health ... · Promoting health, promoting sustainable development: it’s our health, our future and our choice. !Iden6ﬁes+the+obesity+epidemic+as+aserious+threatto+public+health.+