health in the post-2015 development agenda

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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, Tanzania17 January, 2013

Jim CampbellDirector, ICS Integrare, Barcelona, Spainenquiries@integrare.es

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E4A Evidence Network: Health in the post-2015 development agenda

Overview

• The post-2015 process

• The World We Want

– Thematic consultation

– 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 practical emphasis on transparency, accountability and open government. Too many developing countries are held back by corruption

July 2012 – announced

“consultation” processes

(Sep 12 – New York)

(Nov 12 – London)

(Jan/Feb – Monrovia)

May 2013 – report to the UNSG

September 2013 – MDG Summit

September 2013 – UNGA

http://www.un.org/sg/management/hlppost2015.shtmlhttp://beyond2015.orghttps://www.gov.uk/government/news/prime-ministers-letter-to-g8-leaders

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E4A Evidence Network: Health in the post-2015 development agenda

not forgetting ICPD+20 (Cairo 1994)

http://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 thematic consultation

UNICEF, WHO, Sweden and Botswana

Supported by:

UN interagency group, including UNAIDS, UNFPA, UNDP, UNDESA and OHCHR.

Oct 2012 – March 2013

consultation processes

March 2013 – Botswana meeting

recommendations on health to feed into the inter-governmental process.

http://www.who.int/topics/millennium_development_goals/post2015/en/index.htmlhttp://www.worldwewant2015.org/health

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E4A Evidence Network: Health in the post-2015 development agenda

‘World We Want’ - Health thematic consultation

Also political aspects of this…….

Carlson/Nordstrom (2012). Global engagement for health could achieve better results now and after 2015. The Lancet, Vol38, Nov3,2012

“needs to include a narrative that is clear about a more effective engagement of global partners responding to country needs”

“We could change the lives of many more poor people, particularly women and children, if governments like our own, implementing countries, and major global health players were working more effectively and strategically together”

“Are we as international partners responding in the most effective 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 thematic consultation

Over 100+ papers….and counting!!

• Summaries - grouped and individual

• Synthesis - under-way by WHO/UNICEF

• UNAIDS now hosting themed consultation on HIV and AIDS

Includes Zoë’s paper on UHC and equity!

Emerging themes:

• “Unfinished agenda” of MDGs

• Universal Health Coverage (UNGA Resolution) + UC + UH

• NCDs

• Social determinants

• Right to health

• Measurement and targets

– healthy life years / age expectancy / UHC

• Cross-sectoral action

• Fragile stateshttp://www.worldwewant2015.org/health

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E4A Evidence Network: Health in the post-2015 development agenda

‘World We Want’ - Health thematic consultation

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?

Effective 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 Political, economic and social goals for women as women

3 Women more central in the continuum of care with quality, redefine the continuum of care, with quality, integration, 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 questions 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 stillbirths

8 Data on maternal deaths and health outcomes essential

9 Technology – mobile health, women effectively 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.