Region of the Americas (AMR)

This report examines the health and economic impact of noncommunicable diseases (NCD) in Latin America and the Caribbean and the governance, design, and implementation of multisectoral policies to prevent these conditions. These include polices to improve diets, increase physical activity, and reduce tobacco use and alcohol abuse. The report focuses on how policy decisions involving multi-sectoral interventions to prevent health risk factors are taken, which stakeholders directly or indirectly participate in these decisions, which incentives they face, and what strategies they use in these processes.

Citation

“Bonilla-Chacín, María Eugenia. 2014. Promoting Healthy Living in Latin America and the Caribbean : Governance of Multisectoral Activities to Prevent Risk Factors for Noncommunicable Diseases. Washington, DC: World Bank. © World Bank. https://openknowledge.worldbank.org/handle/10986/16376 License: CC BY 3.0 IGO.”

URI

http://hdl.handle.net/10986/16376

Abstract

CONTEXT:

Rigorous outcome evaluation is essential to monitor progress toward achieving goals and objectives in comprehensive cancer control plans (CCCPs).

OBJECTIVE:

This report describes a systematic approach for an initial outcome evaluation of a CCCP.

DESIGN:

Using the Centers for Disease Control and Prevention evaluation framework, the evaluation focused on (1) organizing cancer plan objectives by anatomic site and risk factors, (2) rating each according to clarity and data availability, (3) the subsequent evaluation of clearly stated objectives with available outcome data, and (4) mapping allocation of implementation grants for local cancer control back to the CCCP objectives.

SETTING:

South Carolina.

MAIN OUTCOME MEASURES:

Evaluation outcomes included (1) a detailed account of CCCP objectives by topic area, (2) a systematic rating of level of clarity and availability of data to measure CCCP objectives, (3) a systematic assessment of attainment of measurable objectives, and (4) a summary of how cancer control grant funds were allocated and mapped to CCCP objectives.

RESULTS:

A system was developed to evaluate the extent to which cancer plan objectives were measurable as written with data available for monitoring. Twenty-one of 64 objectives (33%) in the South Carolina's CCCP were measurable as written with data available. Of the 21 clear and measurable objectives, 38% were not met, 38% were partially met, and 24% were met. Grant allocations were summarized across CCCP chapters, revealing that prevention and early detection were the most heavily funded CCCP areas.

CONCLUSIONS:

This evaluation highlights a practical, rigorous approach for generating evidence required to monitor progress, enhance planning efforts, and recommend improvements to a CCCP.