INVEST TO PROTECT

WHY it's ‘Time to Lead’

It undoubtedly is. In September 2025, world leaders will gather at the United Nations in New York for the fourth High-Level Meeting on NCDs (HLM). There they will decide whether to place the NCD agenda atop the list of global health priorities, fuelled by the necessary investment, or to continue promising to tackle the NCD agenda but falling far short of agreed targets.

We need leaders who will help to deliver a positive result at HLM4. We need country leaders, state leaders, community leaders and civil society leaders to step up. Together we can spark the necessary change for NCDs.

It’s time to lead!

We're calling for

Accelerate implementation

Accelerate implementation

It’s time for governments to spark change. Fast-tracking national implementation of NCD policy recommendations will drive progress towards universal health and well-being, ensuring no one is left behind. It’s time to lead.

Break down siloes

Break down siloes

Together, we can break down the siloes that discourage cooperation to advance global health and development priorities to achieve stronger outcomes that surpass traditional boundaries. Leaders can achieve more through integrated action.

Mobilise investment

Mobilise investment

Unleash vital funding for NCD prevention and care to align resources with the magnitude of the challenge. World leaders can trigger impactful investment for healthier societies.

Deliver accountability

Deliver accountability

Keep tabs, measure progress, and honour commitments to NCD prevention and care for the long haul. It's about leaders staying true to their promises, holding themselves accountable, and delivering on commitments to better health for all.

Engage communities

Engage communities

Activate community leadership and put people living with NCDs at the heart of a collaborative response from the global NCD community.

An unacceptable gap

Fourteen years after the first UN HLM on NCDs, an unacceptable health equity gap persists for individuals at risk of and living with NCDs. For example, insulin was discovered over 100 years ago, yet only half of those who need it to survive have reliable access to the drug. It’s time for governments to prioritise equitable care, it’s time to lead.

Although NCDs reach into every part of the globe, low-and middle-income countries (LMICs) are the hardest hit. Over 85% of premature deaths from NCDs between the ages of 30 and 70 occur in poorer countries. This makes NCDs far more than a health issue – they are a major human rights and equity issue, as they unfairly burden the poorest and most vulnerable populations with disease, disability and death. NCDs are both a cause and a consequence of poverty.

 

Limited access and resources

A country’s stage of economic development, cultural factors, and social and health policies also influence the chances of surviving an NCD. People in poor countries and communities generally have worse access to health care for timely diagnosis and treatment of NCDs, and conditions must be managed with limited resources.

At a household level, most people in LMICs pay out-of-pocket for much of their NCD treatment and care. Out-of-pocket health expenses push an estimated 100 million people worldwide into extreme poverty every year, and also contribute to constraining the “bottom billion” in chronic poverty.

Investing in NCDs is smart

A person shouldn't have to choose between buying life-saving medication or nutritious food for their family, but globally many do. Yet for every dollar invested in NCDs in poorer countries, at least US$7 are returned to society in increased employment, productivity, and longer life. It’s time to lead on NCDs with smart investments.

If the global community is to meet Sustainable Development Goal targets for 2030, NCDs must be urgently addressed.

It's time for decision-makers to prioritize equity and take proactive steps towards a fairer world.

It’s time to lead!

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