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Improve accountability for progress, results and resources


Accountability is a crucial force for political and programmatic change.

Defined as a cyclical process of monitoring, review and action, accountability enables the tracking of commitments, resources, and results and provides information on what works and why, what needs improving, and what requires increased attention. Accountability ensures that decision makers have the information required to meet the health needs and realise the rights of all people at risk of or living with NCDs. Multiple sets of commitments and targets for NCDs exist at the global level, as set out in the WHO Global NCD Action Plan and Monitoring Framework on NCDs, the 2014 UN Review Outcome Document, and the SDGs. Existing WHO and UN accountability mechanisms for NCDs can be complemented by independent accountability mechanisms, and at the national level there is a need to strengthen accountability mechanisms, national targets, and improve data collection and surveillance systems.


  • Establish a global independent accountability mechanism for NCDs, involving multilateral agencies, governments, civil society and academia, to support the monitoring, review and analysis of progress on NCDs globally.
  • Establish and/or strengthen effective accountability mechanisms at regional and national levels that are transparent and inclusive, with the active involvement of PLWNCDs and other relevant civil society, to support implementation, monitoring and review of progress on NCDs.
  • Establish and/or strengthen comprehensive national NCD surveillance system, including reliable registration of deaths by cause, disaggregation of data by gender, age, and socio-economic status, cancer registration, periodic data collection on risk factors and monitoring national response.
  • By 2020, all countries have national NCD targets and indicators, and are regularly monitoring progress.
  • Commit to hold the next UN General Assembly High-Level Meeting for NCDs in 2022.



WHO NCDs Progress Monitor 2017

WHO Noncommunicable disease Progress Monitor 2017, which charts actions by countries to set targets, implement policies to address four main shared and modifiable NCD risk factors (tobacco, unhealthy diet, physical inactivity and harmful use of alcohol) and build capacities to reduce and treat NCDs, shows that progress around the world has been uneven and insufficient.