CARMEN Policy Observatory Meeting
(Montreal, Quebec, Canada, March 2005)
Content and Products of the
NCD Observatory
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What is the NCD Policy
Observatory?
 Comprises a network of countries and
institutions supporting a Knowledge
Development & Dissemination system
based on
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Monitoring and analysis of:
 NCD-related
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Public policies
Legislation/Regulations
International health policies
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Goals of the NCD Policy
Observatory
1.
To support the development of effective integrated
NCD prevention policies through:
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the systematic analysis of the processes involved in
formulation, adoption and implementation of such
policies; and
linking this analysis to the evaluation of programs and
interventions established through these policies.
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Goals of the NCD Policy
Observatory
2.
To strengthen multi-sectoral collaboration in the
formulation and adoption of specific and
complementary policies that maximize NCD
prevention.
3.
To place NCD prevention higher on the agenda of
policy makers.
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Knowledge Development
Agenda
Reports and Technical Documents
Data compiled by individual country, selected countries, or by
Region
 Themes
(generic)
 Case examples of policy and implementation
issues and challenges
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Themes
 General
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“Making the Case for NCD Prevention Policy and Action”
“Investment & Targeted Allocation of Funds for
Prevention & Promotion”
“Partnership Development & Integration”
“Impact on organizational and system capacity”
“Impact on Population Health”
“Impact of international collaboration on domestic policy”
“Impact on selected major risk factors for NCD”
“Impact on high-risk or disadvantaged populations”
 Process

Facilitators and barriers to formulation and
implementation
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Case Examples of Policy &
Implementation Issues and Challenges
 Canada (examples)
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“Canadian Healthy Living Strategy”
“Nutrition Labelling Policy in Canada”
“Establishing School Health Policy in Canada”
“Alberta Healthy Living Program”
“Quebec Public Health Legislation”
“New Federal Deal for Canadian Cities”
“Canadian Diabetes Strategy”,
“Childhood poverty in Canada – linked to food insecurity”
“Physical inactivity at the municipal level, urban planning and
development,”
“Mental illness and co-morbidities”
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Case Examples of Policy &
Implementation Issues and Challenges
 Brazil
 “National Food and Nutrition Policy”
 “Brazilian Tobacco control Policy”
 Costa Rica

“Creation of Ministry of Health & Sports”
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Criteria for selecting and
prioritizing case examples
 Relevance
Consistent with national/provincial NCD objectives
 Address prevailing political and public issues
 Reflect epidemiological “picture” for NCD in the
country/province
 Address at least one major NCD risk factor (e.g. tobacco
use, physical inactivity, unhealthy eating)
 Scope
 Multisectoral (civil society, industry, government etc.) and
multi-level ( local, regional, P/T & federal) support &
collaboration

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Criteria for selecting and
prioritizing case examples
 Feasibility

Size, complexity, budget, analyzable
 Potential Impact or Benefit
-
On accountability and decision-making
On users of policy-related information
On the profile of issue
On population health
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CARMEN Framework for Policy Analysis (Part 1)
Problem Recognition/agenda Setting
Contexts
Policy
Social
Interests/Conflicts
Economic
Physical
Environmental
GenderCulture
Policy networks
How actors interact
Actor capacity and resources
Institutions
Ideas
Information
sources
Value
preferences
Government agencies
Mandates
Accountability
Formal processes
legislative frameworks
Existing policy
Solution
proposal
Deciding
Policy
Instruments
Legislation
Regulation
Expenditure
Information
Network creation
New program/
service
Implementation
Design
Policy
Action
Plan
Collaborative
planning
Community
organization
& action
Policy
harmonization
Consensus-Building
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PHAC Framework for Assessing the
Effectiveness of Community Initiatives That
Promote Health
Policy
Implementation
Determinants of
Health
Collaborative
Planning
Policy
Action
Individual
Change
Community
Change
Transformational
Change
Systems
Change
Community
Organization and
Action
Improvements in
Population Health
Outcomes while Reducing
Health Inequalities
Courtesy of the Strategic Policy Directorate,
Public Health Agency of Canada (PHAC)
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Proposed Data Collection
Methods
Data collection methods include but are not limited
to:
 document review and synthesis
 Key Informant Questionnaire/Face-to-Face focus
group interviews
 paper-based questionnaire returned by mail or fax, or
 on-line questionnaire, or
 in-depth face-to-face key informant interviews
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Knowledge Translation and
Dissemination Agenda
Forum for regional and national policy dialogues
Various channels:
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NCD virtual library
Websites & List serve
Printed and on-line publications
Query service
Training courses
Databases
Academic and Political fora
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Structure to Support
Observatory
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CARMEN Network
CARMEN School
IAG
Country
Policy
Observatory
Collaborative
Members/
Institutions
Collaborative
Members/
Institutions
Policy Observatory
PAHO / WHO CC (Canada)
Technical Advisory Team
Country
Policy
Observatory
Collaborative
Members/
Institutions
Collaborative
Members/
Institutions
Technical
Consultative Group
Country
Policy
Observatory
Collaborative
Members/
Institutions
Collaborative
Members/
Institutions
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Development of the CARMEN
Policy Observatory
 Part I:
Pilot Case Studies
 Part II: Ongoing Knowledge Development,
Monitoring and Analysis
 Part III: Knowledge Translation and
Dissemination
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Part I – Pilot Case Studies
 The pilot case studies will :
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Develop and refine methodology for case and
cross-case analysis
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Explore themes of relevance within country
policy profiles and context
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Part II: Ongoing Knowledge
Development, Monitoring and Analysis
Determine benchmarks for policy development and
implementation
Determine benchmarks for collaboration between
different sectors
Establishment of infrastructure for ongoing data
collection, monitoring and analysis
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Part III: Knowledge Translation
and Dissemination
Forum for regional and national policy
dialogues and information exchange
Bringing NCD policy-makers together with
health system researchers and analysts
Extension of Policy Observatory model beyond the
CARMEN-CINDI region
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