Cureus · 2026
Analysis of the 2013-2020 WHO Global Action Plan for the Prevention and Control of Noncommunicable Diseases Using the 2008 Davies Provenance Framework.
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Edward Ikenna Joel, Momah Pamela
Аннотация
Noncommunicable diseases (NCDs) account for 41 million deaths annually, making them the world's leading cause of death. To address this growing crisis, the World Health Organization (WHO) introduced and implemented the Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020. In this plan, the WHO provided a strategic roadmap to achieve a relative reduction of 25% in premature NCD deaths by 2025. By utilizing and adapting the 2008 Davies Provenance Framework, this review critically evaluated the WHO Global Action Plan. This framework, a policy analysis tool, was adopted to systematically assess the action plan's origins, priorities, stakeholder involvement, implementation procedures, and potential perversities. The action plan successfully called for multisectoral collaboration, from the national to the global level, and empowered WHO Member States to adapt its implementation to their unique national circumstances. This analysis revealed anticipated structural resistance arising from competing national development priorities and private-sector interests, particularly those of the alcohol and tobacco industries. The WHO Global Action Plan offers an extensive and well-structured basis for reducing the global burden of NCDs. However, its success depends on its joint adoption by all stakeholders and on having transformational and transactional leaders champion the drive for behavioral change while addressing unintended perversities.