UNGA Adopts New Declaration to Combat NCDs & Mental Health by 2030

World leaders have adopted a landmark political declaration at the Eightieth United Nations General Assembly (UNGA) to address noncommunicable diseases (NCDs) and mental health challenges in a unified manner. This declaration, the outcome of extensive intergovernmental negotiations, was considered during the fourth high-level meeting of the UNGA held on September 25, 2025.

A Unified Approach to Global Health

The declaration, titled “Equity and integration: transforming lives and livelihoods through leadership and action on noncommunicable diseases and the promotion of mental health and well-being,” represents the first time NCDs and mental health have been jointly addressed in such a comprehensive international agreement. This step is anticipated to accelerate progress toward global health goals with a defined set of targets for 2030.

The Scale of the Challenge

Noncommunicable diseases are currently the leading cause of death globally, claiming 18 million lives prematurely each year. Over a billion people worldwide are affected by mental health conditions. These conditions are increasing in prevalence across all countries and communities, posing significant challenges to public health, productivity, and sustainable economic growth.

Did You Know? The declaration addresses a broader range of NCDs than previous commitments, including oral health, lung health, childhood cancer, liver disease, kidney disease, and rare diseases.

Measurable Targets for 2030

This declaration marks a significant shift from past commitments by establishing three initial global “fast-track” outcome targets to be achieved by 2030. These include reducing the number of tobacco users by 150 million, bringing hypertension under control for 150 million more people, and expanding access to mental health care for an additional 150 million individuals.

To support countries in reaching these goals, the declaration outlines ambitious process targets for national systems by 2030. These include ensuring at least 80% of countries have relevant policies and legislation in place, 80% of primary healthcare facilities have access to essential medicines, 60% of countries implement financial protection for essential services, 80% have multisectoral national plans, and 80% have robust surveillance systems.

A Comprehensive Scope

The declaration is described as the most comprehensive to date, incorporating lessons learned from the COVID-19 pandemic and responding to emerging global challenges. It addresses environmental factors like air pollution, clean cooking, lead exposure, and hazardous chemicals, as well as the potential harms associated with digital technologies, including social media and misinformation.

Expert Insight: The integration of mental health with NCDs in this declaration signals a growing recognition of the interconnectedness of physical and mental well-being, and the need for holistic approaches to healthcare.

The declaration also emphasizes a stronger regulatory focus on areas such as e-cigarettes, unhealthy food marketing to children, and the elimination of trans fats. Commitments are grounded in principles of equity, considering the needs of vulnerable populations, including those living with NCDs and mental health conditions, climate-vulnerable communities, and those in humanitarian settings.

Financing and Collaboration

Acknowledging current economic constraints, the declaration stresses the importance of securing adequate and sustained funding through increased domestic investment, strengthened international partnerships, and coordinated multilateral frameworks. It positions NCDs and mental health as crucial for achieving sustainable development and social justice, requiring a “whole-of-government” and “whole-of-society” approach.

Looking Ahead

This declaration builds upon three previous declarations and establishes a framework for accountability. The UN Secretary-General will report on progress toward the 2030 targets ahead of the next High-Level Meeting. The World Health Organization (WHO), along with other UN agencies, will support member states in implementing these commitments and ensuring accountability.

Frequently Asked Questions

What is the primary focus of this new UNGA declaration?

The declaration focuses on combating noncommunicable diseases (NCDs) and mental health challenges through a fully integrated approach, setting global targets for 2030.

How many global “fast-track” outcome targets are established by the declaration?

The declaration establishes three global “fast-track” outcome targets: 150 million fewer tobacco users, 150 million more people with hypertension under control, and 150 million more people with access to mental health care.

What role will the WHO play in implementing this declaration?

The WHO, along with other UN agencies, will support member states in translating the commitments into national action and ensuring accountability from now until 2030 and beyond.

As nations move forward with implementing these ambitious goals, will the necessary resources and collaborative efforts be sufficient to overcome the complex challenges posed by NCDs and mental health worldwide?