Broadening Pacific Collaboration and Networking in Responding to Health

Priorities in the USAPIs

Presentation

USAPI NCD Strategic Response Timeline 2010-15

Pacific NCD Roadmap 20th MCES Resolution 20-2

Heads of Health Meeting, Fiji, February 2015 Health Islands Healthy People Review – 2014 Monitoring Alliance for NCD Action (MANA)

Opportunities for wider regional collaboration

PIHOA Regional NCD Response Timeline, 2010-15

WHO and SPC assist jurisdictions on planning NCD Response (2-1-22)

PIHOA declares NCD Emergency

PI Health Ministers declare NCD Emergency

MCES endorses NCD Emergency Declaration

Health, Ed, Ag, Legis, Trad, Faith Leaders convene in Palau to develop Roadmap

APIL endorses NCD EmergencyDeclaration

9-11

PIHOA and affiliates convene in HI to refine NCD Road Map +PIHOA proposesNCD Policy Summit

PI Forum Leaders Declare NCD Emergency

4-10 6-111-11 7-11 8-11

PITLC endorses NCD EmergencyDeclaration

SurveillanceTWG develops FrameworkUSAPI policy &

surveillance TWGs formed

1-1211-11 5-12 6-124-12

PIHOA affiliates organize Health Leadership Council (HLC)

PIHOA endorses Surveillance TWG RecsAPIL endorses NCD Policy Summit

MCES endorses NCD Policy Summit

2-13

PIHOA endorses Policy TWG recs & HLC ratifies NCD Roadmaprecs

Policy TWG develops NCD Commitment Pkg

6-13 1-14 ?-15

Core Indicators review shows little progress in USAPI except tobacco

MCES, APIL, PIHOA NCD PolicySummit

8-14

NCD Policy Toolkit completedPolicy Summit

National & state NCD Surv Plans developed at DDM

5-14

DDM joint effort with SPC, WHO, RAPID, SPC, FNU and University of Guam

Pacific NCD Roadmap

Proposed to the region by the Secretariat of the Pacific Community (SPC) in 2014; presented at SIDS in Samoa and other regional forums

Countries should finalise own Country-specific NCD Roadmaps that would include the following four key strategies common to all Pacific islands: Strengthen tobacco control (including raising the excise duty

on tobacco products to at least 70% of their retail price); Policies on reducing consumption of food and drink products

directly linked to obesity, heart disease and diabetes in the Pacific, especially salt and sugary drinks;

Improve efficiency and impact from the existing health dollar by reallocating resources to targeted primary and secondary prevention of NCDs including scaling up of PEN and better drug prices;

Strengthen the evidence base for better investment planning and program effectiveness, including estimating productivity losses to the economy from premature NCD disability and death.

Strengthen multi-sectoral and multi-partner agencies

Pacific NCD Roadmap continued…

Micronesian Chief Executive Summit

PIHOA is the secretariat for the MCES Regional Health Committee (RHC)

In June 2014, Yap, FSM hosted the 20th MCES RHC presented resolution with regards to

wider Pacific partnership in responding to NCDs

MCES endorsed Resolution 20-2

Heads of Health MeetingSuva, Fiji

February 2015

Yanuca Island Declaration on Health in the Pacific in the 21st Century – Healthy Islands Healthy People

Declared in 1995 and endorsed by the Pacific Health Ministers

Children are nurtured in body and mindEnvironments invite learning and leisurePeople work and age with dignityEcological balance is a source of prideThe ocean that protects us is sustained

Objectives of the WHO-commissioned review Assess the overall achievement of the Healthy

Islands vision and the Yanuca Declaration in the Pacific Islands including identifying success stories and lessons learnt

Identify both remaining challenges and opportunities in realizing the Healthy Islands Vision in the Pacific

To propose renewed Health Islands Vision for consideration at PHMM April 2015, include scaling up action and introducing new areas while considering the deliberation on post 2015 development agenda and universal health coverage

Healthy Islands, Healthy People Review 2014

Healthy Islands Vision was great but implementation was inadequate.

Governance Leadership continuity only in some countries Weak connection with WHO’s RCM and the Pacific Island Forum Development Partners and lobbyists set the agenda rather than Pacific

countries

Management No one body responsible for carrying out the PHMM recommendations and

provide continuity Infrequent prioritization and loss of continuity between meetings

Information and Indicators Not used to focus the activity, and lack of monitoring and evaluation Weak HIS in many countries

The Healthy Islands Vision and the Yanuca Declaration: Lessons Learnt

Healthy Islands Review Conclusion Healthy Islands is a strong vision but

implementation has fallen short “Business as usual” for health development in the

Pacific is insufficient to meet the increasing gap between it and the rest of the world

The 20th Anniversary should re-commit to the Vision, at the same time address the implementation challenges that have weakened progress to date

Ministers, officials, donors, technical agencies all need to come to Yanuca prepared for a fresh approach for the decades ahead.

Healthy Island Review Recommendations

Develop an approach for the provision of technical support to Pacific countries with populations less than 100,000 that recognizes their ongoing need for national level policy support.

Establish the actual cost of realizing the right to health for Pacific Peoples, and develop novel funding options for consideration by Ministers for the period 2015–2035 and to 2100.

Support the process of the Heads of Health meetings and the PHMM. This is primarily a facilitation role, and should be distinct from the role of providing particular technical agendas.

Produce a combined program of work and present it to the PHMM (via the HOH meeting) for their approval.

Invite PIHOA as a third agency to directly support the PHMM and the HoH meetings.

Heads of Health Endorsements to Pacific Ministers of Health Meeting, April 2015 Endorsement of Healthy Island Review

recommendations Sub-Committee of the Heads of Health to be the

governing body of the Monitoring Alliance for NCD Action (MANA)

WHO representative to MANA Coordination Team requested inclusion of PIHOA within MANA Coordination Team

Endorsement of Data-for-Decision Making/Strengthening Health Interventions in the Pacific (DDM/SHIP) – lead by SPC in partnership with PIHOA, RAPID, FNU, CDC and University of Guam

Linkages and Opportunities: Food for Thought

USAPI professional associations and agencies

PIHOA and MCES US federal agencies Links into PIFS, HoH , PHMM and

WHPRO RCM Feedback loop

Kalahngan

Kommol tata

Si yu’us ma’ase

Mesulang

Kinisou chapur

Kamgar

Fa’afetai tele

Kula malulap

Mahalo

Thank you