1.8th Global Conference on Health PromotionTackling health inequality through allPoliciesCecilia Vaca Jones,June 2013.

2. Essential framework of the Ecuadorian Government actionSumak Kawsay-Good Living 3. Objetive 1:To foster social and territorialequality, cohesion and integrationwith diversityObjective 2:To improve the citizens capabilities and potentialitiesObjective 3:To improve the quality of life ofthe populationObjective 4:To guarantee the rights of natureand promote healthy andsustainable environmentObjective 5:To guarantee sovereignty andpeace; to promote Ecuadorsstrategic insertion in the worldand Latin American integrationObjective 6:To guarantee stable, fair anddignified work in its diverse formsObjetive 7:To build and strengthen public andintercultural spaces for socialinteractionObjetive 8:To affirm and strengthen nationalidentity, diverse identities,plurinationality and interculturalityObjetive 9:To guarantee rights and justiceObjective 10:To guarantee access to public andpolitical participationObjetive 11:To establish a sustainable socio-economic system based onsolidarityObjetive 12:To build a democratic State forGood Living 4. NATIONALSYSTEM OFINCLUSIONAND SOCIALEQUITYHealthSocial securityEducationRiskmanagementPhysical cultureand sportHabitat andhousingCultureCommunicationand informationLeisureScience andtechnologyHuman securityand transport 5. Articulates andcoordinates thepolicies of socialdevelopment sectorSocialdevelopmentsector 6. PoliciestogenerateequityOvercomeinequalitiesStrengthenIntegralsocialprotectionEnsure an earlychildhoodsystemEnsurehealthy andnutritiousfoodImprovequality ineducationRespect andrecognize theancestralmedicalpracticesPromotesports andphysicalactivityPromotehealthylivingpracticesStrengthenprevention,control andsurveillance ofdiseasesPromote integralattention throughlifecycleGuaranteehousing andhealthy anddignified habitatReduce social andenvironmentalvulnerabilityPromote anuniversal socialsecurity system 7. RESULTS 8. 1,934.002,608.003,762.003,910.004,467.005,609.005,835.00-1,000.002,000.003,000.004,000.005,000.006,000.007,000.002006 2007 2008 2009 2010 2011 2012BUDGET EVOLUTIONSource: Ministry of Finance ESIGEF-SOCIAL INVESTMENTWe focus on the social development of the country 9. SOCIAL INVESTMENT PER PERSONBetween 2006 and 2011 social spending per person onhealth, education, culture, security, environment, increased by USD 299.Fuente: Ministry of Social Development (MCDS),Integrated System of Social Indicators of Ecuador (SIISE)We invest in the human being to ensure equality and fairnessSocial investment per person 10. INCOME POVERTY REDUCTION05101520253035402006 2011 201237,6%28,6%27,3%16,9%11,6% 11,2%Source: National Institute of Statistics and Census. ENEMDU.Our main objective is to eradicate povertyPovertyExtreme poverty 11. INCREASING EQUALITY%Source: National Secretariat of Planning and Development SENPLADES-We continue narrowing the gap between rich and poor 12. EDUCATION MANAGEMENTMore than 500.000 children and teenagers were included in theeducational system88.0%89.0%90.0%91.0%92.0%93.0%94.0%95.0%96.0%2006 2011 201291.2%95.4% 95.6%Elementary schooleducationNet attendance rate0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%2006 2011 201247.9%62.1% 63.9%Highschool educationNet attendance rateSource: National Institute of Statistics and Census. ENEMDU 13. WATER SAFETYSource: National Institute of Statistics and Census. ENEMDUUniversal access to safe drinking water68.2% 71.1% 70.1%73.7%73.3%72.6% 73.8%73.8% 74.5%62.9% 62.2%64.3%70.5%61.2%73.8%75.6%64.7%68.5%80.7% 76.8%74.8% 75.2%72.1%78.5%85.9%78.5%84.4%39.5%44.5%37.2%43.6%46.7%42.9%40.4%42.3%40.1%70.0% 73.2%72.7% 76.2%76.4%74.4%78.8%79.5%80.2%34.6%29.6%25%35%45%55%65%75%85%2003 2005 2006 2007 2008 2009 2010 2011 2012Nacional Afroecuatoriano Blanco Indgena Mestizo Montubio 14. SEWERAGE SYSTEM49.5%53.0% 52.6% 55.2%57.6%57.6%58.8%63.4%65.5%37.1%39.3%36.3%46.9%41.7%52.9%54.9%51.9%58.3%63.4%60.8%63.2%58.1%60.2% 66.6%79.4%70.6%71.6%20.0%24.4% 24.7%27.4% 28.1% 27.2%19.9%24.4% 24.5%51.6%55.2% 54.8%57.8% 60.8%59.5%64.4%70.0%72.1%16.3%17.9%10.9%10%20%30%40%50%60%70%80%2003 2005 2006 2007 2008 2009 2010 2011 2012Nacional Afroecuatoriano Blanco Indgena Mestizo MontubioUniversal access to basic sanitation servicesSource: National Institute of Statistics and Census. ENEMDU 15. We foster good housing atmospheres to create social cohesionSource: National Institute of Statistics and Census .ENEMDU2009 2010 2011 201235.6%36.3%34.4%33.2%Qualitative HousingDeficit2009 2010 2011 201221.2%19.3%16.5%13.7%Quantitative HousingDeficitDIGNIFIED HOUSING AND PLANNED URBANDEVELOPMENT 16. SOCIAL PROTECTION AND SOCIAL SECURITYWe have significantly increased the social security coverageSource: National Institute of Statistics and Census . ENEMDU2007 2008 2009 2010 2011 2012PEA covered by social insurance 25.7 27.1 29.55 33.1 37.95 41.21Ocupados plenos cubiertos por elseguro social41.30 43.70 50.60 55.00 61.70 63.700.010.020.030.040.050.060.070.0PorcentajeFull-time employees covered bysocial securityEAP covered by social security 17. SOCIAL PROTECTION AND SOCIAL SECURITYSource: Viceministry of Insurance and Social MovilityMIES-0100,000200,000300,000400,000500,000600,0002006 2012198,056588,152Pensions for seniors Pensions for Peoplewith DisabilitiesWe are moving towards an universal social security system020,00040,00060,00080,000100,000120,0002006 20125,039104,888 18. Source: Ministry of Public HealthHEALTH CARE AVAILABLE TO ALLWe are constructing a friendly, free and accessible health caresystem16.2220.3325.5130.9334.40 34.6140.000.005.0010.0015.0020.0025.0030.0035.0040.0045.002006 2007 2008 2009 2010 2011 2012Ministry of Public HealthAppointments per year(millions) 19. 2006 2012160,000Number of children withneonatal screening0Budget for Rare and CatastrophicDiseases(millon USD)010,000,00020,000,00030,000,00040,000,00050,000,00060,000,00070,000,00080,000,0002006 2011 20124,129,00070,477,59080,000,000NEONATAL SCREENING ANDCATASTROPHIC ILLNESSWe protect the most vulnerable peopleSource: Ministry of Public Health 20. RIGHTS OF NATUREWe promote a healthy, friendly and dignified environmentfor allNature or Pacha Mama, the place where lifereproduces itself and accomplishes itself, hasthe right to be fully respected regarding itsexistence, maintenance and regeneration ofvital cycles, structures, functions andevolutionary processes. (Art.71 Constitution ofthe Republic of Ecuador). 21. Social Achievements 22. CHALLENGES 23. PUBLICPOLICYGENERATION OF INTERSECTORPUBLIC POLICYCOMPLEMENTARITYCOORDINATION OF PUBLICSERVICES BETWEENDIFFERENT GOVERNMENTLEVELSCHALLENGESTerritorial Public Policy 24. CHALLENGESSolidarity and UniversalSocial Security SystemNational Health System.Primary Health CareProtection andSocial MobilitySystemPrioritized multisectorialstrategies: EarlyChildhood, teen pregnancyprevention and eradication ofmalnutritionUrban andenvironmentalrevolutionJOINT RESPONSIBILITY, PREVENTION AND TERRITORIALISATIONTo be fair, effective and loyal to our principles and social objectives 25. YASUNI ITT 26. We are building theSumak Kawsaysociety