The Lancet Commission on Reframing NCDs and Injuries for the Poorest Billion (Lancet NCDI Poverty Commission) is shifting the paradigm of NCDs and injuries in settings of extreme poverty. This landmark report draws attention to the burden of NCDs in rural, lower-resource settings – severe conditions such as type 1 diabetes, rheumatic heart disease, pediatric cancers, and sickle cell disease that disproportionately impact younger and more marginalized communities.
The Lancet NCDI Poverty Commission is co-chaired by Dr. Gene Bukhman and Dr. Ana Mocumbi. Our team has been supporting the secretariat for this Commission since its inception in collaboration with the Program in Global NCDs and Social Change at Harvard Medical School, beginning with the first Commission Meeting in January 2016 in London. The Commission was comprised of 23 experts across numerous sectors and geographical regions.
This report examines the burden of disease among the world’s poorest people and provides in-depth analysis and recommendations on how to prioritize services with an emphasis on equity to reach the most marginalized communities. Further, the report delves into global financing for NCDs and draws attention to the crucial gap in financing for these essential services – for instance, less than $100 Million of aid (0.3% of development funds for health) goes to non-communicable diseases and injuries in the countries where the poorest billion people live.
Finally, the report looks at the governance of how NCDs have been framed and included in global policy to date, and identifies opportunities and key advocacy steps to better advocate for the needed technical and financial resources to provide care. As the report highlights, 4.6 million lives could be saved by 2030 with affordable, cost-effective and equitable interventions for NCDs and Injuries among the world’s poorest people.
This Commission also oversaw the launch of 15 National NCDI Poverty Commissions that have completed similar analysis in their respective countries. Collectively, this group of national experts will form the NCDI Poverty Network – a working group of experts and partners that will continue the global and regional advocacy to close the gap in the provision of care for severe NCDs for the very poorest.
The report will launch on September 15, 2020 with regional launches planned for later in 2020.