Name abbreviated Physical inactivity in adults

1. What is the comprehensive global monitoring framework?

  The Global Monitoring Framework represents an agreement by Member States, adopted in the World Health Assembly in 2013, on a range of indicators and a set of voluntary global targets to track global progress in the prevention and control of noncommunicable diseases.

2. What are the components of the global monitoring framework?

  The global monitoring framework has three components of assessment: mortality and morbidity, risk factor exposures, and national systems response needed to prevent and control NCDs.

3. What are the global targets?

  Nine areas have been selected by Member States from the 25 indicators to be targets: one mortality target (previously agreed at the WHA in May 2012); six risk factor targets (harmful use of alcohol, physical inactivity, dietary sodium intake, tobacco use, raised blood pressure, and diabetes and obesity), and two national systems targets (drug therapy to prevent heart attacks and strokes, and essential NCD medicines and technologies to treat major NCDs). The targets are both attainable and significant, and when achieved will represent major accomplishments in NCD and risk factors reductions.

4. How should countries set national targets?

  Member States are strongly encouraged consider the development of national targets based on their own national situations, which build on the nine global voluntary targets. National targets may be more or less ambitious than the global ones, and national adaptation should be guided by: current performance in prevention and management of NCDs, current level of NCD-related mortality, risk factor exposure, and NCD oriented programmes, policies and interventions both planned and in place.

  As a starting point Member States interested in setting national NCD targets are encouraged to consider the following:

   Are the targets and indicators included in the GMF all suitable in the national context?  Are there additional targets and indicators needed for the country?  Are the systems in place to track these 25 global indicators and report on nine global targets? And systems

  which track any new proposed ones?  What is the current level of exposuremortalityservice provision?  Are the reductions or coverage proposed for global targets appropriate in the national context or should they be

  more or less?

5. What needs to be done when there are multiple indicators for one target? If countries, choose different indicators how can the global reporting be made?

  Where multiple indicators exist for one target (ie: for alcohol), Member States should endeavor to report against as many indicators as possible. However they should also choose to report against the one most appropriate for their national circumstances.

6. What is the baseline?

  The baseline selected for all targets and indicators is 2010.

7. What is the reporting cycle? When should countries report, to whom and how?

  WHO is mandated to prepare regular updates on the progress towards achieving the nine global NCD targets and the status globally in relation to the 25 indicators included in the Global Monitoring Framework. Interim reports against target achievement are scheduled for 2015 and 2020, with these reports sent to the World Health Assembly in 2016 and 2021.

  To enable these reports to be as comprehensive as possible, Member States are strongly encouraged to submit data to WHO on a regular basis, as data becomes available, and ideally at least every 5 years, to enable analysis of the global status of NCD targets and indicators. For ease of data submission, WHO has prepared a template for reporting against the NCD indicators. This template is available upon request from WHO by contacting: ncdmonitoringwho.int.

8. What is the reporting mechanism? Is there a template for reporting?

  For ease of data submission, WHO has prepared a template for reporting against the NCD indicators. This template is available upon request from WHO by contacting: ncdmonitoringwho.int.

9. Should countries provide raw data or the summary estimate?

  WHO would be pleased to receive either raw data to enable the age-standardized indicators to be calculated or aggregate data for the relevant variables. Further guidance on this is provided in the reporting template available from WHO.

10. Is it mandatory for all countries to report on all 25 indicators? Or only just for the 9 targets and the country selected indicators?

  It is not mandatory for all countries to report on all 25 indicators, but Member States are strongly encouraged to provide information on the status of all relevant indicators they collect to enable a comprehensive reporting of global status.

11. Will WHO be using secondary data available from other databases and will generate global estimates?

  In order to generate the global status of indicators and to facilitate reporting against the 9 global targets, WHO will produce comparable estimates of selected indicators. As with the previous round of estimates, and following WHO's quality standards for data publication, prior to the official release of these updated estimates, WHO will consult its Member States to review, comment and provide advice on the comparable estimates for the selected risk factors and to ensure that latest country data have been identified and used for production of the updated comparable estimates.

12. What is the approach for estimating global status if countries are not able to report?

  If countries do not have recent data to report against specific indicators, country comparable estimates generated by WHO will be used to inform global values.