seeds of health and health equity in the context of sustainable human development
DESCRIPTION
This presentation shows the work conducted as part of a project initiated by the UNDP Regional Bureau for Europe and the Commonwealth of Independent States in 2013, systematically analyzing whether, how, and in which ways UNDP’s development projects address social, economic and environmental determinants of health and health equity. The project was implemented in collaboration with the UCL Institute of Health Equity in London, UK. It outlines the study aims, context, opportunities, partnerships, methodologies used, key findings and most importantly recommendations for the future.TRANSCRIPT
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SEEDs of Health and Health Equity in the Context of
Sustainable Human Development
Team Leaders MeetingUNDP IRC, 14 October 2014
Dr. Christoph HamelmannRegional Team Leader HIV, Health and Development
UNDP Europe and Central Asia
• Analyse which social, economic and environmental determinants (SEEDs) of health and aspects of health equity are likely to be affected by UNDP’s development projects and how the projects are likely to impact on health and health equity
• To understand the potential for co-benefits for health and development for development projects
• To prepare concepts for embedding health equity into development projects
Study Aims
• Global Commission on Social Determinants of Health• Rio Political Declaration on Social Determinants of Health• European Determinants of Health and Health Divide Review• UN 2011 Declaration on Prevention and Control of NCDs
through multisectoral action; global UN IATF on NCD; regional UN IATF on NCD and SEEDs of Health
• European Health 2020 Strategy (whole-of-government/whole of society approach)
• Post-2015 and SDG agenda
Context, Opportunities, Partnerships
• Enlisted all UNDP RBEC projects • Selected 50 projects under defined criteria, including covering
all countries, all practices, considering project budgets• Used all available project documents (Pro-doc/LPAC and other
project proposals; internal and external reports)• Interviewed selected project managers• Used standard assessment and interview tools including
standard checklists for SEEDs of health and dimensions of health equity
• Involved internal and external expert peer review group• Study team: Regional HHD and UCL Institute of Health Equity
Methods
• SEEDs of health and dimensions of heath equity in all projects
• Many projects address structural determinants of health
• All projects involve multi-sectoral implementation
Key Findings (1)
• Potential impact on health not noted for 76% of SEEDs of health identified
• Dimensions of health equity monitored only 17% of all SEEDs identified
Key Findings (2)
Opportunities for more impact
• Fully integrate SEEDs of H/HE into UNDP programming in order to maximise co-benefits for health and development
• Develop the methodology for screening, monitoring and evaluation of H/HE aspects in development projects
Recommendations (1)
• Work with partners to include SEEDs of H/HE framework in the discourse of right to health, national development plans, the UNDAFs and the post-2015 / SDG agenda
Recommendations (2)
OWG Report: Goals and Targets
GOALS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Main targets 5 5 9 7 6 6 3 10 5 7 7 8 3 7 9 10 19
Affect health 5 5 9 6 4 6 2 9 4 7 6 8 3 5 7 8 19
Enablers 2 3 4 3 3 2 2 2 3 3 3 3 2 3 3 2 0
Thank You!
[email protected]: @cahamelmann
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