The Lancet Commissions
“For the poorest of our world, non-communicable diseases and injuries (NCDIs) account for more than a third of their burden of disease; this burden includes almost 800,000 deaths annually among those aged younger than 40 years, more than HIV, tuberculosis, and maternal deaths combined. […] Progressive implementation of affordable, cost-effective, and equitable NCDI interventions between 2020 and 2030 could save the lives of more than 4·6 million of the world’s poorest, including 1.3 million who would otherwise die before the age of 40 years.”
The Lancet Commission on Reframing NCDs and Injuries for the Poorest Billion (“NCDI Poverty”) has produced a landmark, first-of-its-kind report that provides the clearest picture yet of the burden of NCDs and injuries on the world’s poorest and most vulnerable people and calls for urgent action to address it. The report shines a spotlight on life-saving solutions for NCDIs of poverty that can be delivery as part of a comprehensive commitment to universal health coverage.
In addition to the Executive Summary, the report includes sections on:
- The Burden of NCDI Poverty describes the geographical and demographic distribution of the world’s poorest people and characterizes the magnitude and pattern of their NCDI burden.
- Integrating NCDI Poverty in UHC describes interventions and show how they can be implemented at scale.
- Financing to Address NCDI Poverty assesses the current state of both domestic and external NCDI financing in the LLMICs where the poorest billion live.
- Global and National Policy, Governance, and Agenda-setting for NCDI Poverty identifies opportunities to strengthen current health governance arrangements both globally and at the country level.
- Making Room for NCDI Poverty in the UHC Agenda in the SDG era — provides recommendations to address NCDI Poverty in the UHC agenda in the poorest countries, in SDG monitoring, and, in conclusion, as an imperative for global solidarity.
The report concludes with a call to action around global solidarity for NCDI Poverty and Universal Health Coverage. The report also includes an extensive set of Appendices.
Additional commentaries have accompanied the release of the Lancet NCDI Poverty Commission report, authored by:
- Karen Sliwa, Magdi Yacoub: “Catalysing the response to NCDI Poverty at a time of COVID-19”
- Richard Horton, Elizabeth Zuccala: “Reframing the NCD agenda: a matter of justice and equity”
The report was written by 23 global commissioners from a variety of specialties and geographic regions, with contributions from a larger study group and efforts from National NCDI Poverty Commissions across 16 countries. These efforts were coordinated by a secretariat at the Program in Global NCDs and Social Change at Harvard Medical School and supported by the NCD Synergies program and the Division of Global Health Equity at Brigham & Women’s Hospital. The Leona M. & Harry B. Charitable Trust provided major support for the work.