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E4A Evidence Network: Health in the post-‐2015 development agenda
Evidence Update 4: Health in the post-‐2015 development agenda Arusha, Tanzania 17 January, 2013 Jim Campbell Director, ICS Integrare, Barcelona, Spain [email protected]
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E4A Evidence Network: Health in the post-‐2015 development agenda
Overview
• The post-‐2015 process
• The World We Want – ThemaJc consultaJon – emerging themes
• What might come out of it?
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E4A Evidence Network: Health in the post-‐2015 development agenda
post-‐2015 process
High Level Panel of Eminent Persons on the post-‐2015 development agenda • President Susilo Bambang Yudhoyono
(Indonesia) • President Ellen Johnson Sirleaf
(Liberia) • Prime Minister David Cameron (UK)
“Golden Thread” – we must put a new and pracJcal
emphasis on transparency, accountability and open government. Too many developing countries are held back by corrupJon
July 2012 – announced
“consulta*on” processes (Sep 12 – New York) (Nov 12 – London)
(Jan/Feb – Monrovia)
May 2013 – report to the UNSG
September 2013 – MDG Summit September 2013 – UNGA
h_p://www.un.org/sg/management/hlppost2015.shtml h_p://beyond2015.org h_ps://www.gov.uk/government/news/prime-‐ministers-‐le_er-‐to-‐g8-‐leaders
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E4A Evidence Network: Health in the post-‐2015 development agenda
not forgeBng ICPD+20 (Cairo 1994)
h_p://icpdbeyond2014.org/uploads/browser/files/linking_icpd_to_un_development_agenda.pdf
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E4A Evidence Network: Health in the post-‐2015 development agenda
‘World We Want’ -‐ Health themaNc consultaNon
UNICEF, WHO, Sweden and Botswana Supported by: UN interagency group, including UNAIDS, UNFPA, UNDP, UNDESA and OHCHR.
Oct 2012 – March 2013
consulta*on processes
March 2013 – Botswana meeJng
recommendaJons on health to feed into the inter-‐governmental process.
h_p://www.who.int/topics/millennium_development_goals/post2015/en/index.html h_p://www.worldwewant2015.org/health
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E4A Evidence Network: Health in the post-‐2015 development agenda
‘World We Want’ -‐ Health themaNc consultaNon
Also poliJcal aspects of this……. Carlson/Nordstrom (2012). Global engagement for health could achieve be_er results now and aker 2015. The Lancet, Vol38, Nov3,2012
“needs to include a narraJve that is clear about a more effecJve engagement of global partners responding to country needs” “We could change the lives of many more poor people, parJcularly women and children, if governments like our own, implemenJng countries, and major global health players were working more effecJvely and strategically together” “Are we as internaJonal partners responding in the most effecJve way to the health needs of women and children in low-‐income countries?”
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E4A Evidence Network: Health in the post-‐2015 development agenda
‘World We Want’ -‐ Health themaNc consultaNon
Over 100+ papers….and counJng!! • Summaries -‐ grouped and
individual • Synthesis -‐ under-‐way by WHO/
UNICEF • UNAIDS now hosJng themed
consultaJon on HIV and AIDS Includes Zoë’s paper on UHC and equity!
Emerging themes: • “Unfinished agenda” of MDGs • Universal Health Coverage (UNGA
ResoluJon) + UC + UH • NCDs • Social determinants • Right to health • Measurement and targets
– healthy life years / age expectancy / UHC
• Cross-‐sectoral acJon • Fragile states h_p://www.worldwewant2015.org/health
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E4A Evidence Network: Health in the post-‐2015 development agenda
‘World We Want’ -‐ Health themaNc consultaNon
End preventable child and maternal mortality Achieve universal health coverage Tackle the social determinants of health
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E4A Evidence Network: Health in the post-‐2015 development agenda
What might come out of it?
WARNING !!! DANGER !!! RMNCH may lose out! Universal Health ?? With MNCH as a tracer? Equity? EffecNve coverage? Renewal to health workforce?
GMHC 2013 10 POINT MANIFESTO The Lancet to promote
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E4A Evidence Network: Health in the post-‐2015 development agenda
1 Build on past success 2 PoliJcal, economic and social goals for women as women 3 Women more central in the conJnuum of care with quality, redefine the conJnuum of care, with quality, integraJon, NCDs, social determinants, poverty 4 Responsive financing mechanism to meet country needs. 5. Emphasis on reaching the unseen – the culturally excluded. If we are truly serious about equity we have to ask fundamental quesJons about the roles of women 6 Invite, include and incorporate the voices of women – to shape their own futures 7 The mother and the newborn child together –addressing preventable sJllbirths 8 Data on maternal deaths and health outcomes essenJal 9 Technology – mobile health, women effecJvely and safely connected to health systems 10 Sustainability, universal access, free at the point of demand within a strong health system, with skilled workers, especially midwives and those providing midwifery services.
