Ten Pacific Island countries which are members of the World Bank have a population of about 3.4 million people, scattered across an area equivalent to 15 percent of the globe’s surface, with a development trajectory that will be shaped by their economic geography.
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The Stories of Impact series highlights work involving the Global Facility for Disaster Reduction and Recovery (GFDRR) that has helped to reduce developing countries' vulnerability to natural hazards ... Show More +and build communities' resilience.Rapidly Assessing Flood Damage in Uttarakhand, IndiaGFDRR and partners conducted a Joint Rapid Damage Needs Assessment (JRDNA) for the Uttarakhand region soon after the devastating 2013 monsoons, completing a thorough analysis of damage and providing the necessary foundation for recovery efforts to begin. Read moreAssessing Post-Disaster Needs in NigeriaAfter severe flooding in 2012, Nigeria asked GFDRR and other key partners to conduct a comprehensive Post-Disaster Needs Assessment (PDNA). Read moreCommunity-Based Disaster Risk Reduction in NigerGFDRR and partners have financed an almost $1 million disaster risk reduction project in Niger to build capacity of local communities for early warning and response. Read moreStrengthening Financial Resilience in the PacificIn response to requests from 15 countries, the World Bank, GFDRR, and other partners formed the Pacific Catastrophe Risk Assessment and Financing Initiative (PCRAFI) in 2007 to help mitigate disaster and climate change risk. Read moreDisaster-Proofing the Transport Sector in VietnamThe government of Vietnam, with support from GFDRR and the World Bank, has made important strides in building the resilience of the transport sector against risk from natural disasters and climate change. Read more Show Less -
This report is intended to help officials implement agreed strategies to respond to non-communicable diseases (NCDs) in ways that are affordable for Pacific Island governments. It provides the latest ... Show More +evidence about the economic and financial implications of responding to the NCD crisis in the region. This roadmap is not a plea for extra resources; rather it is an argument for using existing resources to better effect.Key findings:NCDs account for around 70-75% of all deaths in the Pacific Islands. Many of these NCD-related deaths are premature (before age 60 years) and are preventable. Most of the trends and risk factors point to a worsening of the situation: the top 10 countries with the highest rates of diabetes in the world are in the Pacific Islands; 52.45% of adult males in Tonga are estimated to be obese; in Kiribati, Federated State of Micronesia, Tonga and Samoa adult female obesity is estimated to be 50% or more.NCDs impose large but often preventable financial costs on already overstretched government health budgets. Several NCD-related programs in the Pacific Islands are already unsustainable financially. However, there are proven, affordable, and cost-effective interventions. Some cost-saving interventions can pay for themselves over the longer term.Multiple factors inside and beyond the health sector are driving the rise in NCDs, so a multi-sectoral approach is essential. Health challenges that involve factors beyond the health sector include: availability of water and sanitation, the level and quality of girls’ education, policing of traffic violations, and domestic violence.Given risk factors in the Pacific and available use of cost effective actions (often referred to as ‘best buys’ for the available funding), each country should now finalize its own short country-specific NCD Roadmap that would include these four key strategies common to all countries in the Pacific:Strengthening tobacco control, including raising the excise duty to 70% of the retail price of cigarettes.Reducing consumption of food and drink directly linked to obesity, heart disease and diabetes such as sugar-sweetened drinks, salty and fatty food.Improving the efficiency and impact of the health sector for prevention and early treatment.Strengthening monitoring and evaluation around activities.Effective implementation of the recommendations in this roadmap is the most likely way of 'bending' the cost curve for NCD treatments. The strategies put forward in the Roadmap are achievable and affordable but will take determination and leadership. Show Less -