Global Health and the Post 2015 Development Agenda. Yodi Mahendradhata Center for Health Policy and Management Faculty of Medicine, UGM

Transcription

1 Global Health and the Post 2015 Development Agenda Yodi Mahendradhata Center for Health Policy and Management Faculty of Medicine, UGM

2 What do we mean by Global Health...

3 In the name of Global Health... The term global health has become a means to brand the global prestige of an academic institution... fulfills the expectations of students... meet the international interests of faculty...accessing new and large sources of funding for global health MacFarlane et al (2008)

4 What do we mean by global health... Global health is the goal of improving health for all people in all nations by promoting wellness and eliminating avoidable diseases, disabilities, and deaths. It can be attained by combining clinical care at the level of the individual person with populationbased measures to promote health and prevent disease. This ambitious endeavor calls for an understanding of health determinants, practices, and solutions, as well as basic and applied research concerning risk factors, disease, and disability Institute of Medicine s Expert Committee (2008)

5 What do we mean by global health? an area for study, research, and practice that places a priority on improving health and achieving health equity for all people worldwide Koplan et al (2009) health issues that transcend national boundaries and governments and call for actions on the global forces that determine the health of people Kickbush (2006) collaborative international research and action for promoting health for all Beaglehole & Bonita (2010) worldwide improvement of health, reduction of disparities, and protection against global threats that disregard national borders MacFarlane et al (2008)

6 What do we mean by global health... Public Health for the world Fineberg & Hunter (2013)

7 The scope of global health? Definitely beyond global health Grey area Definitely part of global health

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9 MDGs Expiry: 31/12/2015

10 The global development agenda post 2015?

11 UN HIGH-LEVEL PANEL OF EMINENT PERSONS ON THE POST-2015 DEVELOPMENT AGENDA

12 HPLEP Meetings

13 Post 2015 Development Agenda: Notes from the 4th Meeting of the High Level Panel of Eminent Persons - Bali, March 25-27, 2013

14 We also recognize the need to promote a single and coherent post development agenda that integrates economic growth, social inclusion and environmental sustainability. It is essential that all post-2015 intergovernmental processes and outcomes, including the Rio+20 outcomes and its follow-up, are coherent and mutually reinforcing. High Level Panel of Eminent Persons (2013)

15 The triple bottom line

16 M.D.G Millennium Development Goals S.D.G Sustainable Development Goals

17 The Global Conversations National consultations Regional consultations Thematic consultations

18 MDGs are still fundamental MDGs could be adapted Expanded development agenda

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20 Maximizing healthy life expectancy Universal Health Coverage MDG-like goals

21 MDG-like goals Universal availability of both Basic Emergency Obstetrical Care and Comprehensive Essential Obstetrical Care Universal access to HIV, TB and malaria treatment Universal access to sexual and reproductive health and protection of sexual and reproductive rights

22 MDG-like goals Good health for the best possible physical, mental, and social well-being Improving health for the most vulnerable: women, children, and persons with disabilities Early childhood development Gender goal Child protection and care

23 MDG-like goals End preventable child and maternal deaths and morbidity Reduce child stunting Reduce dying from the four main NCDs One Health approach goal Targets for financing for health Accelerate global health research

24 The High Level Dialogue on Health in the Post-2015 Development Agenda Gaborone, Botswana 4-6 March, 2013

25 Identified priorities (1) The present health MDGs (4, 5 and 6) must remain central to the post-2015 agenda accelerating progress where targets have not been achieved setting more ambitious targets for the period to come. greater emphasis on equity between and within countries Sexual and reproductive health and rights must be addressed. comprehensive sexuality education protection from sexual violence and abuse.

26 Identified priorities (2) Additional health priorities based on rapid changes in the burden of disease in all countries must be addressed noncommunicable diseases and their risk factors mental health.

27 Emerging framework for health Overall Goal: Maximizing health at all stages of life Specific goals Accelerating progress on the health MDG (4,5 and 6) agenda. Reducing the burden of major NCDs with a focus on the most important NCDs Universal Health Coverage (UHC) as the health sector s key contribution to achieving the goals

28 The emerging global agenda for NCDs

29 NCD Action Plan Objectives Objective 1. Raise the priority accorded to the prevention and control of noncommunicable diseases in the global, regional and national development agendas and in internationallyagreed development goals through strengthened international cooperation and advocacy Objective 2. To strengthen national capacity, leadership, governance, multisectoral action and partnerships to accelerate country response for the prevention and control of noncommunicable diseases Objective 3. To reduce modifiable risk factors for noncommunicable diseases and underlying social determinants through creation of health-promoting environments Objective 4. To strengthen and reorient health systems to address the prevention and control of noncommunicable diseases and the underlying social determinants through peoplecentred primary health care and universal health coverage Objective 5. To promote and support national capacity for high quality research and development for the prevention and control of noncommunicable diseases Objective 6. To monitor the trends and determinants of noncommunicable diseases and evaluate progress in their prevention and control

30 The global research agenda for NCD

31 WHO Prioritized NCD research agenda Research for placing noncommunicable diseases in the global development agenda and for monitoring; Research to understand and influence the multisectoral, macroeconomic and social determinants of noncommunicable diseases and risk factors; Translation and health systems research for global application of proven cost effective strategies; Research to enable expensive but effective interventions to become accessible and used appropriately in resource constrained settings

32 Highlights from the prioritized research agenda for prevention and control of Non Communicable Diseases (WHO 2011)

33 Structure Cancer Cardiovascular diseases Diabetes Chronic respiratory diseases Health service delivery