Implementation of policies to reduce risk factors for noncommunicable diseases in the European region: the contribution of the WHO NCD Office in Moscow

Introduction. Noncommunicable diseases (NCDs) are the leading cause of mortality in the WHO European Region, accounting for up to 90% of all deaths. To support Member States in the Region with NCD prevention and control, the WHO European Office for the Prevention and Control of NCDs was established in Moscow in 2012 with the support of the Russian Federation. The purpose of the study: to provide an overview of the key areas of work of the WHO NCD Office in Moscow, its con­tribution to strengthening the capacity of countries in the European Region, and the promotion of effective, evidence-based measures in NCD control. Materials and methods. In the course of this study, the Office’s internal accounting documents and materials published by its employees, including those within the framework of projects supported by it, were analyzed. Results . Over more than a decade of work, the Office has played a significant role in promoting public health policies and best practices, with a particular focus on reducing exposure to risk factors such as tobacco use, excessive alcohol consump­tion, unhealthy diets, and insufficient physical activity. The Office has contributed to strengthening surveillance and risk factor monitoring through large-scale studies and the implementation of digital data analysis tools, as well as to the development of health systems for managing chronic conditions at the primary care level. Important contributions include innovative solutions, such as monitoring digital marketing of unhealthy products, as well as the development of educational initiatives, networking platforms for young professionals, and intersectoral and international cooperation. At the country level, support was provided in developing legislation, implementing prevention programmes, establishing patient registries, and improving access to healthcare services, thereby strengthening national efforts to combat NCDs. Conclusion. In the course of its work, the WHO NCD Office has become a key regional centre for expert, methodological, and technical support to Member States in the WHO European Region on NCD prevention and control, promoting evidence-based and innovative solutions. Ongoing challenges require further strengthening of political commitment, sustainable financing, intersectoral collaboration, and the use of innovative approaches to effectively reduce the NCD burden and achieve the health-related Sustainable Development Goals in the WHO European Region.