the international diabetes federation s diabetes roadmap to the Future Development Agenda

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1 the international diabetes federation s diabetes roadmap to the Future Development Agenda

2 CONTENTS Executive Summary 3 Background 4 Why IDF 7 What we want to achieve 8 How we are going to achieve it 9 IN FOCUS: VULNERABLE POPULATIONS 11 Annexes: Annex 1: Programme Overview 12 Annex 2: Roadmap to post Annex 3: Key events 14 International Diabetes Federation (IDF) 166 Chaussée de La Hulpe B-1170 Brussels Belgium tel fax info@idf.org 2

3 EXECUTIVE SUMMARY The International Diabetes Federation (IDF) has an impressive track record in global advocacy and elevating diabetes onto the global health and development agenda. In 2006 IDF spearheaded the campaign for a United Nations Resolution on Diabetes (UNR 61/225). Three years later in 2009 IDF formed the NCD Alliance* and through working with partners across the four major NCDs cancer, cardiovascular disease, chronic respiratory disease and diabetes secured a UN High- Level Summit on NCDs in record time. Two years later, in September 2011, 193 Member States came together in New York for the historic UN Summit on NCDs and adopted the UN Political Declaration on NCD Prevention and Control. Finally, the UN and governments acknowledged the magnitude of the diabetes and NCD epidemic, and made historic commitments to scale up action. As a leader in the NCD Alliance, IDF maximised the opportunity of the NCD Summit for the global diabetes community. Our dedicated programme of work the Diabetes Roadmap Programme for the UN Summit ensured diabetes and IDF remained visible within the NCD movement. We uniquely led global diabetes advocacy, provided the evidence and strengthened the case for action. IDF published an impressive series of diabetes advocacy publications, including the landmark Global Diabetes Plan and the first ever International Charter of Rights and Responsibilities for people with diabetes. The UN Summit has put both diabetes and IDF onto the mainstream global health and development stage. Our reputation with governments, UN agencies, NGOs and private sector has been enhanced, and this has extended to Member Associations at the national and regional levels who have been supported by IDF to intensify the dialogue on diabetes with their governments. Now, in the aftermath of an exciting and inspiring year, IDF is looking to the next stage of our journey for diabetes. Building on the success of IDF s Diabetes Roadmap Programme for the UN Summit, we have developed a successor programme that will continue the political momentum. IDF s Diabetes Roadmap to the Future Development Agenda is a mix of diabetes advocacy and technical work that will cover the period The goals of the programme are guided principally by two documents IDF s Global Diabetes Plan ( ) and the UN Political Declaration on NCD Prevention and Control (2011). By 2015, we aim to have: Ensured follow-up to the Political Declaration on NCDs benefits people with diabetes; Integrated diabetes and NCDs into the post-2015 development framework; Mobilised global resources for diabetes and NCDs. The strategies to achieve our identified goals are: Lead global advocacy for diabetes Produce diabetes evidence and analysis Promote best practice and workable solutions Mobilise and strengthen IDF member associations and regions Build partnerships and strategic alliances. We believe these short-term goals will support progress towards the global target of reducing preventable NCD mortality by 25% by All governments adopted this target at the World Health Assembly 2012, and this Roadmap Programme is IDF s first contribution in supporting its attainment. This business plan outlines the context that frames this Programme and its goals, and provides detail on the five main strategies that will drive action to achieve our goals. *The NCD Alliance was founded by the International Diabetes Federation, the Union for International Cancer Control, the World Heart Federation, and the International Union Against TB and Lung Disease in 2009 with the aim of building political commitment for NCDs. Collectively, the NCD Alliance represents 1,000 member associations and a further 1,000 supporting partners and NGOs. 3

4 Maternal & BACKGROUND The Challenge Diabetes is one of the major health and development challenges of the 21 st century. No country, rich or poor, is immune to the epidemic. It is a chronic, incurable, costly, increasing but largely preventable NCD which is responsible for millions of deaths annually, debilitating complications, and incalculable human misery. Diabetes kills and disables Every seven seconds, somewhere in the world someone dies from diabetes. Four million people die from diabetes every year, and it is among the top 10 causes of disability worldwide. Tens of millions of people with diabetes suffer disabling and life-threatening complications such as heart disease, stroke, lower limb amputations, blindness and visual impairment. Diabetes is a huge and growing problem According to the IDF Diabetes Atlas, 366 million were living with diabetes in Of these people, as many as 183 million are unaware they have the disease. Projections estimate that by 2030, 552 million people will have diabetes. Cancer Urbanisation Climate change respiratory disease ENVIRONMENTAL SUSTAINABILITY Food security Chronic Life OTHER NCDs changes disease vascular HUMAN Tuberculosis INFECTIOUS DISEASES DEVELOPMENT Mental health Cardio DIABETES child health nutrition Under- SUSTAINABILITY Poverty HIV / AIDS ECONOMIC productivity Lost Malaria Health system costs Human capital Diabetes costs to society are high and escalating The World Economic Forum (WEF) has consistently recognised diabetes and NCDs as one of the top global threats to the global economy. Diabetes results in high healthcare expenditure, loss of labour productivity and decreased rates of economic growth. IDF estimates that diabetes caused USD 465 billion in global healthcare spending in 2011 equivalent to 11% of global healthcare expenditure. Diabetes is a neglected development issue Three out of four people with diabetes now live in low and middle-income countries (LMCs), and over the next twenty years it will be the Africa, Middle East and South- East Asia regions that will see the greatest increase. Diabetes impacts disproportionately on the poor and vulnerable, impoverishes families, and undermines progress on other development issues including infectious diseases (including HIV/AIDS and TB) and maternal health. See figure 1 for the interconnections of diabetes. Figure 1: Critical connections of diabetes Diabetes impacts negatively on many aspects of global development, including economic and environmental sustainability, human development, and other infectious and non-communicable diseases. These fundamental links mean that preventing and controlling diabetes brings significant and measurable benefits for global development and the objectives prioritised in the Millennium Development Goals (MDGs). 4

5 The Opportunity While the challenge remains immense, we have made significant strides at the global level to secure political commitments and define a way forward for the global diabetes community. We now have a massive opportunity to build on the momentum of the UN Summit, realise the ambitions of the Political Declaration, and catalyse a paradigm shift in the future global development agenda. We have political will: UN Political Declaration on NCD Prevention and Control There can be no doubt that the UN Summit in 2011 and the newly adopted Political Declaration were turning points in the global response to diabetes and NCDs. The Declaration is the strongest statement of intent for action to date by governments. It encompasses 22 action-oriented commitments covering the spectrum of prevention, care, health systems, research and development, monitoring and resourcing required for accelerated action. It defines a united global response to stem the tide of diabetes and NCDs, and critically, mandates WHO and governments to develop a set of global targets and a monitoring framework. The target to reduce preventable NCD mortality by 25% by 2025 will be underpinned by others on prevention and treatment, and every country will have to report progress to the UN on a regular basis. Now it is our shared responsibility and obligation to ensure commitments are translated into sustained and effective action for the millions of people with diabetes, and all parties are held accountable. Stop discrimination against people with diabetes. It is these long-term objectives in the Global Diabetes Plan and the cost-effective solutions that underpin them that provide a clear vision for our future action in diabetes. We have our next milestone in sight: Post-2015 Development Agenda After the UN Summit, the next major milestone is the end date of the Millennium Development Goals (MDGs). We have always given our full support to the MDGs, but the absence of diabetes and NCDs has been a major obstacle to mobilising leadership and resources. As the official process to review the MDGs and plan for the post development framework gets underway, we have a unique opportunity to ensure diabetes and NCDs are fully embedded in the future global development agenda. The UN Conference on Sustainable Development (Rio+20) in June 2012 and the MDG High-Level Review in 2013 are important milestones in the countdown to We have a vision and solutions: IDF Global Diabetes Plan As well as a Political Declaration, we also have our first IDF Global Diabetes Plan For the first time the global diabetes community has reached consensus on a way forward for the next decade. The Plan sets out a ten year framework of action to guide and support governments, healthcare providers and civil society, based upon three objectives: Improve health outcomes for people with diabetes; Prevent the development of type 2 diabetes; 5

6 Figure 2: Current Global Diabetes Landscape Monitoring + evaluation Partnership + alliances Accountability Improve health outcomes People with diabetes People at risk of diabetes Vulnerable populations Prevent type 2 diabetes Political leadership Global + national plans Stop discrimination against people with diabetes Resources Evidence + solutions Strong civil society movement Based upon our analysis of the current challenges and opportunities for diabetes, this figure is a summary of the post-summit landscape and the rationale for IDF s new Diabetes Roadmap Programme. Inner circle our constituency: At the core is IDF s constituency people with diabetes, people at risk of diabetes, and vulnerable populations. Everything we do as a federation is informed by the needs and priorities of people with diabetes. Middle circle our goals: IDF has identified three long-term goals which will impact on the lives of people with diabetes. As defined by our Global Diabetes Plan they are to improve health outcomes for people with diabetes; to prevent the development of type 2 diabetes; and to stop discrimination against people with diabetes. Outer circle - the enabling environment: In order to achieve these goals and impact upon the lives of people with diabetes, we need certain enablers that will catalyse progress. At global and national levels, we need strong political leadership, evidence and solutions to guide action, comprehensive plans, resources to implement the plans, partnerships and alliances and a strong civil society movement to support action, and monitoring and evaluation and accountability. 6

7 Why IDF The International Diabetes Federation is uniquely placed to drive this agenda forward. Not only do we have the track record, but we have the vision, the expertise and the solutions to drive change from the global to the local for the millions of people with diabetes worldwide. IDF is the legitimate voice of the global diabetes community, representing the people on the ground worldwide through more than 220 member associations in over 160 countries IDF incorporates into its work solid input from the ground and has local support for the implementation of its projects. IDF has an outstanding record as the leader of global advocacy on behalf of people with diabetes since 1950: having achieved UN Resolution 61/225 in 2006 and been a major driving force behind UN Political Declaration on NCDs in 2011, IDF is uniquely positioned to coordinate global action in the follow up to the UN Summit and ensure implementation of commitments to benefit people with diabetes. IDF has a solid record and broad experience in partnerships: from the NCD Alliance to WHO, PAHO, the World Economic Forum and leading private sector representatives. IDF is able to work on achieving and implementing the Political Declaration through a unique network of partnerships and strategic alliances, contributing expertise and support in various areas which are key to tackling the diabetes and NCD epidemic. IDF member associations deliver diabetes prevention and care at country level in different social and economic contexts. We save lives and we know what works. IDF combines leading scientific and public health expertise in diabetes. IDF has the right blend of expertise to design the optimal diabetes plan and diabetes model which will work in synergy with communicable diseases and other conditions linked to diabetes. IDF owns the unique communication platforms of World Diabetes Day and the World Diabetes Congress which enable it to drive the implementation of the Political Declaration and build momentum towards the end date of the Millennium Development Goals (MDGs). The next World Diabetes Congress takes place shortly after the UN High-Level Review of the MDGs in December 2013 and will represent a major opportunity to energize the global diabetes community. 7

8 What We Want to Achieve IDF s goals for the next advocacy phase are framed to support the globally agreed NCD targets adopted at the World Health Assembly (WHA), including the NCD mortality target for 2025, and the three goals in the IDF Global Diabetes Plan In order to achieve these long-term goals, IDF has identified three short term goals for the next four years. It is these three goals that provide the focus of this programme and guide our strategies for success. The goals are detailed in figure 3. Figure 3: Goals for 2025, 2021 and 2015 WHA 2025 GOAL Reduce preventable deaths from NCDs by 25% by 2025 IDF 2021 GOALS Improve health outcomes for people with diabetes Prevent the development of type 2 diabetes Stop discrimination against people with diabetes IDF 2015 GOALS Ensure follow-up to the Political Declaration on NCDs benefits people with diabetes Integrate diabetes and NCDs into the post-2015 development agenda Mobilise global resources for people with diabetes In the Political Declaration, governments made wide-ranging commitments for action. Immediate follow-up activity includes: Defining a set of global NCD targets and a monitoring framework in 2012 Defining a global NCD partnership to drive coordinated action in 2012 Developing national diabetes/ NCD plans by 2013 Holding a UN High-Level Review of NCDs in 2014 IDF s goal is to ensure diabetes priorities are fully reflected in all follow-up to the UN Summit, and our activities support the attainment of the global NCD mortality target. The official process to review the MDGs and plan for the post-2015 development framework is already underway. Important events and influencers on the road to 2015 include: UN Conference on Sustainable Development (Rio+20) June 2012 UN Global Thematic Consultations on post-2015 UN High-Level Review of MDGs in 2013 IDF s goal is to ensure diabetes priorities are fully reflected throughout the process, and that diabetes and NCDs are fully integrated into the post-2015 development framework. The Political Declaration acknowledges global resources for diabetes and NCDs are insufficient, and commits governments to exploring bilateral and multilateral channels, and innovative financing mechanisms. Key actors to influence are: Bilateral aid agencies Recipient countries of aid The Organisation for Economic Co-operation and Development (OECD) the club of donors Multilaterals including the World Bank IDF s goal is to reverse the aid policies of the major bilateral aid agencies and OECD to mobilise resources for diabetes. 8

9 How We are Going to Achieve it IDF will drive forward an ambitious and comprehensive programme of work to reach our 2015 goals. We will continue with our twin track approach working both for diabetes and influencing NCD level work through the NCD Alliance. Our five strategies for success are outlined in detail below. Lead global advocacy for diabetes IDF s three goals for 2015 rely on strong global advocacy for diabetes. Building on our experience and alliances built during the UN Resolution and UN Summit campaigns, IDF will keep the pressure at the global level through influencing the UN system, direct advocacy with governments, supporting our member associations national advocacy, and effective communication. Our advocacy activities will include: Being the voice of diabetes within the NCD Alliance, including contributing diabetes perspectives to NCDlevel policy and advocacy work. Maintaining contacts with UN, governments and permanent missions in New York and Geneva. Representing diabetes in official WHO and UN consultation processes and related meetings. Coordinating and disseminating advocacy updates, sharing intelligence, and producing advocacy tools and information for member associations. Collating and disseminating credible evidence on diabetes. Holding high visibility side events on diabetes at major political events, including the World Health Assembly and UN High-Level Reviews. Promoting diabetes advocacy messages through print media, social media platforms and the annual World Diabetes Day Campaign. Produce diabetes evidence and analysis In the post-summit period, evidence and analysis of the scale and impact of diabetes remains integral to persuading policy makers to take action. IDF produces the authoritative evidence on the burden of diabetes in our state of the art Diabetes Atlas, and conducts studies on economic impact of diabetes and translational research programmes. We will draw upon these channels to further the goals of this Programme, as well as respond to critical gaps in the evidence. Our activities will include: Contributing diabetes evidence to NCD Alliance joint work and official UN/WHO reports. Continuing IDF s policy brief series aimed at policy makers. Giving evidence on diabetes at high-level roundtables and panels. Building evidence and analysis on rights and discrimination of people with diabetes. Developing a position statement on diabetes among indigenous people, and building the evidence on this issue. Deliver best practice and solutions As a federation one of our strengths is identifying and sharing best practice from all corners of the world. Cost-effective solutions can be found anywhere, and governments are now looking to civil society for examples of what works in diabetes prevention and care. IDF has a wealth of best practice that we will draw upon to support action at the national level, including our clinical guidelines series and diabetes education initiatives. On top of these, we have identified a number of priorities that we need to develop best practice for, as well as 9

10 implement recently produced best practice publications. Our activities will include: Convening an expert working group on essential diabetes medicines and technologies to increase access. Convening an expert working group to develop an IDF Diabetes Model of Care, appropriate for different resource settings. Convening an expert workshop on diabetes and the law. Establish an IDF technical response team to support governments develop national diabetes/ncd plans and implement diabetes prevention and care. Promoting and implementing the IDF International Charter of Rights and Responsibilities for People with Diabetes at national/regional levels. Mobilise and strengthen our member associations and regions With the adoption of the Political Declaration, governments have now taken responsibility of the diabetes and NCD epidemics. Our network of 220 member associations needs to adopt a watch dog role to hold their governments accountable. They need to help shape and support the national response, and monitor implementation. Our member associations also need to continue to be powerful advocates in the fight against diabetes, mobilising behind our global campaigns. In order to achieve this, our activities will include: Building advocacy capacity of our Member Associations and regions, including through the production of advocacy tools, workshops, and twinning initiatives. Consulting our member associations on their priorities and needs for future advocacy campaigns, particularly the post-2015 development agenda and the bilaterals campaign. Convening the global diabetes community at the World Diabetes Congress in Melbourne 2013 and every two years after that to focus on implementation of the Political Declaration and progress towards integrating diabetes into the post development agenda. Build partnerships and strategic alliances Multi-sectoral partnerships and whole-of-government approaches to diabetes and NCDs were a core theme of the Political Declaration, and need to be the cornerstone of the global response. No single actor or sector can turn the tide on diabetes alone. IDF will leverage its unique position to facilitate and strengthen partnerships between the UN, governments, NGOs and the private sector. Our activities will include: Pioneering Triple P Partnerships (public-privatepeople). Promoting and implementing the IDF Dubai Blueprint Partnerships for Diabetes at global/ national/regional levels. Promoting and supporting the establishment of national and regional NCD Alliances. Identifying high profile global champions for diabetes. Identifying strategic alliances to partner with to further joint objectives in diabetes. Recruitment of a network of global diabetes advocacy champions and focal points for advocacy campaigns. These will include young people and future leaders. Supporting our member associations to participate in national/regional consultations and meetings for post-summit follow-up and the post-2015 development process. Mobilising and supporting our member associations around key global milestones and meetings, including the UN High-Level Review of MDGs in 2013, the UN High-Level Review for NCDs in 2014, and the UN MDG Summit in Engaging people with diabetes at all levels, from global policy to service design and citizen monitoring on the ground. 10

11 In Focus: Vulnerable Populations IDF s business is to ensure the needs of all people affected by diabetes are met so they can live their lives unhindered by disease. As the global diabetes epidemic is increasingly shifting to low- and middle-income countries, and impacting upon lower socio-economic groups in high-income countries, one of IDF s key constituencies is vulnerable populations. Over the next three years, IDF s Roadmap Programme will particularly focus on raising awareness of health disparities in vulnerable populations, the social determinants causing these disparities, and solutions to close them. Our target groups will be indigenous people, women and young people, with additional work on elderly and disability. Building on existing programmes and initiatives, including our Women and Diabetes Programme, Life for a Child, Young Leaders, and past work on indigenous people, IDF will empower these populations to guide our global advocacy and approaches to prevention and care. We will drive forward two streams of work: Indigenous people and diabetes Building alliances with indigenous diabetes NGOs and within the UN system, including the UN Permanent Forum on Indigenous Issues Convening an expert group to develop an IDF position statement on diabetes among indigenous people Including a chapter on diabetes among indigenous people in the upcoming Diabetes Atlas in 2013 Women, young people and diabetes Building upon existing alliances including the WHO Partnership for Maternal and Newborn Child Health (PMNCH), the Development Origins of Health and Disease (DOHaD) Society, ISPAD, and UN agencies including UNFPA, UN Women and UNICEF Implementing IDF s commitment to the UN Every Woman Every Child Initiative to raise awareness of the linkages between diabetes/ncds and women and children s health, and empower girls and women to prevent diabetes in current and future generations Influencing WHO s recommendations on diagnosis of gestational diabetes (GDM), presenting IDF s perspectives on GDM at global and national conferences, and establishing the global evidence on GDM to include in future editions of the Diabetes Atlas Promoting the evidence and policy implications of the early origins of diabetes theory Dedicating specific sessions to early origins, GDM, and children at the World Diabetes Congresses in 2013 and 2015 Drawing upon IDF s network of Young Leaders, World Diabetes Day and social media channels to promote advocacy messages and grow future diabetes leadership Dedicating an issue of Diabetes Voice on indigenous people Dedicating a programme stream on indigenous people in the 2013 World Diabetes Congress in Melbourne. 11

12 annex 1: programme overview VISION: Living in a world without diabetes Mission: To promote diabetes care, prevention and a cure worldwide Long-term goals: Improve health outcomes for people with diabetes (type 1, type 2 + GDM) Prevent the development of type 2 diabetes Stop discrimination against people with diabetes Short-term goals: Ensure follow-up to the Political Declaration on NCDs benefit people with diabetes Integrate diabetes into the post-2015 development framework Mobilise global resources for diabetes strategies global advocacy Evidence + Analysis Best Practice + Solutions Mobilise Member Associations Build Strategic Alliances Global Partnership for NCDs Global NCD targets + monitoring framework Post-2015 development framework Bilateral & Multilateral funding World Diabetes Day Policy brief series Diabetes Atlas Health economics Translational Research Essential medicines + technologies Model of diabetes care Diabetes + the law National diabetes/ NCD plans Charter of Rights + Responsibilities Diabetes education IDF technical response team Capacity building for advocacy Global advocacy champion network Citizens monitoring World Diabetes Congress UN + governments NGOs health + development Private sector HIV/AIDS, ageing, women, indigenous, disability + NCDs 12

13 annex 2: Roadmap to Post-2015 May June Aug Sept Nov Dec Jan Feb May June Sept Nov Dec May Sept Dec May Sept Nov/ Dec 65 th World Health Assembly UN Conference on Sustainable Development UN High-Level Panel on post-2015 WHO options and time line for multisectoral action through partnership UNSG options for NCD partnership to UNGA World Diabetes Day NCD targets + GMF complete 130 th WHO Executive Board UNDP consultations on MDGs end 66 th World Health Assembly : WHO Action Plan NCD targets adopted UN MDG Review Summit UNSG Progress Report on Political Declaration World Diabetes Day World Diabetes Congress in Melbourne 67 th World Health Assembly: Progress Report on Action Plan UN High-Level Review on NCDs World Diabetes Day WHO Global Status Report on NCDs Intergovernmental negotiations on post-2015 start 68 th World Health Assembly UN post-mdg Summit World Diabetes Day World Diabetes Congress in Vancouver Current MDGs expire 13

14 annex 3: Key Events May UNDP National and Thematic Consultations on post-2015 framework begin First thematic consultation on growth and employment, Japan. IDF and the NCD Alliance will influence and be in attendance at the global thematic consultation on health Commonwealth Health Ministers Meeting, Geneva, Switzerland 20 May IDF has contributed to Commonwealth Health Ministers Reference Book for May th World Health Assembly, Geneva, Switzerland IDF and the NCD Alliance will co-host side event on diabetes and climate change and NCD surveillance, alongside making statements ADA Scientific Sessions, Philadelphia, USA 8-12 June IDF launches Roadmap to the Future Development Agenda United Nations Conference on Sustainable Development (Rio+20), Brazil June IDF and the NCD Alliance will co-host a high level side event on NCDs and sustainable development. Process for establishing a set of global Sustainable Development Goals will begin June UN Secretary General s High Level Panel on post-2015 framework Members of the panel, to be co-chaired by David Cameron, will be appointed IDF Africa Region Conference, Arusha, Tanzania July IDF will hold capacity building workshop for member associations Sept th Session of the United Nations General Assembly, New York, USA Secretary General delivers options for strengthening multisectoral action on NCDs through effective partnership European Union Development Days 2012, Brussels, Belgium Oct IDF will host a side-event World Diabetes Day 14 Nov IDF will use this unique communication platform to raise awareness and mobilise the global diabetes community around the theme Diabetes: Protect our Future 2013 jan WHO Executive Board, Geneva, Switzerland Global Monitoring Framework, targets, indicators will be endorsed or adopted and WHO NCD Action Plan IDF and the NCD Alliance will make a statement 14

15 may sept sept 66 th World Health Assembly, Geneva, Switzerland Global Monitoring Framework, targets and indicators and WHO NCD Action Plan must be adopted. IDF and the NCD Alliance will hold side events and make statements 68 th Session of the United Nations General Assembly, New York, USA UN Secretary General will report on the progress achieved on the Political Declaration to the General Assembly United Nations High-Level Review of MDGs, New York, USA IDF will hold a side event and make a statement World Diabetes Day 14 nov IDF will integrate outcomes of the progress report on the Political Declaration into the World Diabetes Day campaign World Diabetes Congress, Melbourne, Australia 2-6 Dec IDF will convene the global diabetes community and mobilise member associations on implementing the Political Declaration and the post-2015 development process Dec WHO Status Report on NCDs published IDF will make technical inputs on diabetes for this report january nd WHO Executive Board, Geneva, Switzerland IDF and the NCD Alliance will attend and make a statement may sept 67 th World Health Assembly, Geneva, Switzerland Final progress report on the final NCD Action Plan presented. IDF and the NCD Alliance will hold side events and make a statement UN High-Level Review of NCDs, New York, USA IDF will attend, hold briefing sessions for civil society and side events, and make a statement 14 NOV World Diabetes Day IDF will integrate outcomes of the UN High-Level Review on NCDs into the World Diabetes Day campaign 2015Intergovernmental negotiations on post-2015 framework jan Negotiations held in United Nations General Assembly begin. IDF and the NCD Alliance will lead advocacy in New York and in country capitals sept 69 th Session of the United Nations General Assembly, New York, USA High level post-mdg Summit. IDF and the NCD Alliance will attend and hold side events 14 nov World Diabetes Day IDF will integrate outcomes of the MDG Review Summit into the World Diabetes Day campaign NOV/Dec DEC World Diabetes Congress, Vancouver, Canada IDF will convene the global diabetes community, mobilising our members around the future development agenda Current MDGs Expire Future development framework will be in place for 1 st January

16 International Diabetes Federation (IDF) 166 Chaussée de La Hulpe B-1170 Brussels Belgium tel fax

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