STRENGTHENING HEALTH SYSTEMS: TOWARD UNIVERSAL HEALTH COVERAGE & GLOBAL HEALTH SECURITY

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STRENGTHENING HEALTH SYSTEMS: TOWARD UNIVERSAL HEALTH COVERAGE & GLOBAL HEALTH SECURITY APRIL 10, 2018 @GlobalHealthOrg #WHA71

WELCOME LOYCE PACE PRESIDENT & EXECUTIVE DIRECTOR GLOBAL HEALTH COUNCIL @GlobalHealthOrg #WHA71

Welcome & Logistics Loyce Pace, Global Health Council Global Health Security Ashley Arabasadi, Management Sciences for Health Innovative Financing for Universal Health Coverage Crystal Lander, Living Goods Q&A AGENDA Next Steps & Closing Elizabeth Kohlway, GHC @GlobalHealthOrg #WHA71

ABOUT GLOBAL HEALTH COUNCIL GHC is the leading membership organization supporting and connecting advocates, implementers, and stakeholders around global health priorities worldwide. The organization represents the collaborative voice of the community on key issues, convenes stakeholders around key priorities, and actively engages with decision makers to influence global health policy. Join Today! www.globalhealth.org/join

THE WORLD HEALTH ASSEMBLY (WHA) @GlobalHealthOrg #WHA71

BACKGROUND Each year, senior health officials from WHO Member States convene in Geneva to participate in the World Health Assembly (WHA) The main functions of the WHA are to determine the policies of WHO, appoint the Director-General, supervise financial policies, review and approve the proposed program budget, set new goals, and assign new tasks In preparation for WHA, WHO gathers and posts documentation, such as the provisional agenda, daily journals, information, and resolutions on a comprehensive WHA71 webpage: http://apps.who.int/gb/e/e_wha71.html *Please reference this webpage frequently as the agenda will likely change, and documents will be added* @GlobalHealthOrg #WHA71

@GlobalHealthOrg #WHA71

ABOUT GHC s WHA Policy Scrums are an opportunity for the global health community to huddle together to share insights and intelligence with each other, prepare key messages and strategies, and ultimately mobilize to become more effective advocates at WHA and beyond. This year, GHC will host bi-weekly scrums leading up to the WHA (May (21-30) on the following cross-cutting topics: WHO Engagement with Civil Society Organizations (CSOs) Strengthening Health Systems Promoting Integration of Health Issues Priorities of the U.S. Delegation @GlobalHealthOrg #WHA71

@GlobalHealthOrg #WHA71 QUESTIONS? COMMENTS? If you would like to ask a question, please use the chat box When asking a question, please type your full name and organization: Ex. John Smith, Global Health Council: How do I ask a question?

1. Will you be attending WHA this year? [Select one] Yes No Maybe POLL @GlobalHealthOrg #WHA71

GLOBAL HEALTH SECURITY ASHLEY ARABASADI HEALTH SECURITY POLICY ADVISOR & GLOBAL HEALTH SECURITY AGENDA CONSORTIUM CHAIR MANAGEMENT SCIENCES FOR HEALTH @GlobalHealthOrg #WHA71

WHA Policy Scrum Global Health Security Ashley Arabasadi, MSH Health Security Advisor Chair, GHSAC

GHSA Multilateral Institutions ONE HEALTH WHO International Health Regulations (IHR) World Organization for Animal Health (OIE) Performance of Veterinary Services (PVS) UN Food and Agriculture Organization (FAO)

GHSA STRUCTURE JEE ALLIANCE Ministers GHSA Steering Group Advisors Action Packages Prevent Detect Respond AMR Biosecurity/ Biosafety Zoonotic Diseases National Lab Systems Real-Time Surveillance Reporting Emergency Operation Centers Multi- Sectoral Response MCM/ Personnel Deployment Immunization Workforce Development THE OFFICE OF GLOBAL14 AFFAIRS

GHSA Stakeholders JEE Alliance 68 members, countries, organizations, etc Civil Society GHSAC, GHC, PSRT, CEPI, C7/C20 Working Group, Next Gen GHSA Steering Group and Advisors (WHO, FAO, OIE) G7/G20

Global Leadership Remains Vital Pandemics can kill millions and cost billions Pandemics cause political and economic instability Global Health Security Weak health systems threaten economic growth When one country isn t prepared, all countries aren t prepared Stopping outbreaks at the source should remain at the top of the agenda for Heads of State

GHSA Achievements are Irrefutable Sustained high level engagement, galvanized multi-sectoral attention Created and adopted first-ever global metrics and independent assessment for IHR: Now integrated into Joint External Evaluation, over 65 completed Tangible improvements: Ebola in Democratic Republic of Congo; Cholera in Cameroon, Measles in Pakistan, Yellow Fever in Uganda Mobilizing private sector and next generation GHSA Catalyzes Measurable Change

Next phase of GHSA External Evaluation & Transparent Reporting National Plan Financing Political Commitment Regular and Independent Monitoring and Accountability

GHSA 2024: Role and Objectives Align and leverage efforts with relevant partners: International organizations (e.g., WHO, OIE, FAO, World Bank) Non-governmental stakeholders (e.g., private sector, non-governmental organizations, universities, philanthropies) Relevant initiatives (e.g., JEE Alliance, Global Partnership) Strategic Objectives: Promoting and supporting health security at the country level Developing tools and sharing lessons learned to strengthen country health security capacities Promoting a multi-sectoral and multi-stakeholder approach to health security Increasing domestic and international partner financial support for health security Strengthening accountability for global health security

Civil Society Recommendations on GHSA 2.0 Cost, implement, and finance Joint External Evaluations and associated National Action Plans Track political and financial commitments to advance the GHSA among countries and non-governmental stakeholders Accelerate progress on the Biosecurity, Biosafety, and One Health-related GHSA action package targets Promote transparent progress monitoring for global health security Refine action packages to advance critical priorities such as research and development, workforce capacity building and medicines quality assurance Actively engage next generation leaders in specific activities to measurably advance the GHSA

Civil Society Recommendations to 142 nd WHO EB Urge WHO and Member States to enact the recommendations of the 2017 International Working Group on Financing Preparedness and ensure that every country has a costed, financed National Action Plan by 2019. Urge creation of an independent monitoring and accountability mechanism, further action on the Research and Development Blueprint, and the robust inclusion of antimicrobial resistance in WHO s health preparedness and response plans.

Global Health Security Broader Context Health Security (GHSA) Health Security Health System (HSS) National Capability Health Detect Security Health Care (UHC) Sustainable Development Goals Prevent Respond Detect Country Context Adherence to Adherence Global Norms to Global Norms Broader Broader Economic Economic Factors Factors Health Health System Sector Political Commitments Political Commitment Risk Environment, Stability Stability GHSA 2024

WHA Planning and Events Getting Local With Global Health Security: A Pathway Towards Sustainable Action Monday, May 21st, 2018 Geneva Press Club, 4-6PM Co-sponsored by MSH, GHSAC, GHC, GHTC, Resolve to Save Lives, NTI, PATH, Next Generation Protecting the world from infectious disease threats requires that national governments share the responsibility of serving those most in need, but how do countries prioritize their investments in a rapidly changing world? How does the health security agenda help achieve progress on UHC and the Sustainable Development Goals? On the margins of the 71st World Health Assembly, this event will convene global and national leaders for a discussion on how investments in global health security strengthen public health systems, promote UHC, and drive economic growth and local research and development. This event will outline the best case for investment in health security, explore how to scale up innovative programming at the country level, and provide recommendations on increasing country ownership and domestic buy-in for health security.

UNIVERSAL HEALTH COVERAGE CRYSTAL LANDER DIRECTOR, ADVOCACY LIVING GOODS @GlobalHealthOrg #WHA71

Innovative Financing for Universal Health Coverage Crystal Lander, Director of Advocacy

Living Goods vision The world we want to see By 2030, every mother and child will have access to basic healthcare in their community. The widespread adoption of high-impact, low-cost community health will be a breakthrough every bit as transformative as a new vaccine, or the eradication of a disease. Millions of lives will be saved. Entire countries will be healthier. 28

What Do You Know About UHC? 29

What does universal health coverage (UHC) mean? A. UHC means that all individuals and communities receive the health services they need, when and where they need them. B. UHC prevents people from being pushed into poverty when paying for health services out of their own pockets. C. UHC enables everyone to access the services that address the most important causes of disease and death. D. UHC is about health services for individuals and populations, such as controlling mosquito breeding grounds. E. All the above 30

How much of the world s population is not able to obtain the health services they need? At least 30% of the world s population At least 50% of the world s population At least 70% of the world s population At least 90% of the world s population 31

Globally, about 100 million people are being pushed into 'extreme poverty' (living on $ 1.90 or less a day) because they have to pay for health care services. True False 32

Pathways to UHC More than 100 countries on the path Quality Healthcare for All Current level in most countries Redesign health systems Diversify funding Health workforce trained, supervised, supported and paid. Stronger integrated health systems 33

Risk sharing and pooling of funds through insurance So let s review the basics around Innovative Financing Leveraging health benefits from investment in other sectors Strategic purchasing and results based financing Global health initiatives and innovative financing approaches Public-Private Partnerships 34

Finding the Right Piece for the Puzzle Donor Funding Hybrid Models UHC Blended Financing Traditional Donor can t do it alone but won t go way over night Performancebased financing Domestic Resource Mobilization 35

The World Health Organization Global Dialogue on Partnerships for Sustainable Financing of Noncommunicable Disease Prevention and Control April 9-11, 2018 Copenhagen, Denmark The Third Annual UHC Financing Forum: Greater Equity for Better Health and Financial Protection April 19-20, 2018 Washington, DC 36

Diverse Pathways and Partnerships to Universal Health Coverage Thursday, May 24, 2018 8:00 to 10 a.m. Geneva Press Club Goal of Session: Provide specific examples featuring new models for innovative financing interventions in countries Share opportunities for collaboration by donors or investors, governments, and implementing organizations or entrepreneurs Explore the role domestic resource mobilization and community economic empowerment plays in access to health care both today and in years to come 37

QUESTIONS? @GlobalHealthOrg #WHA71

NEXT STEPS LIZ KOHLWAY SENIOR MANAGER, EXTERNAL AFFAIRS & OPERATIONS GLOBAL HEALTH COUNCIL @GlobalHealthOrg #WHA71

@GlobalHealthOrg #WHA71 COMING SOON Next WHA Policy Scrum ~ April 24 at 2:00 PM EDT Seventy-First World Health Assembly ~ May 21 30 GHC @ WHA ~ For information on how to become a GHC delegate and access information such as hotel room blocks, calendar of events, & more, visit http://globalhealth.org/wha71/ WHA Side Events Calendar ~ If you have a side event for our WHA calendar, please email events@globalhealth.org. You can access the calendar here: http://globalhealth.org/events/category/specialevents/

@GlobalHealthOrg #WHA71 THANK YOU FOR ATTENDING! QUESTIONS? E-MAIL EVENTS@GLOBALHEALTH.ORG. JOIN GHC TODAY! WWW.GLOBALHEALTH.ORG/JOIN NEXT WHA POLICY SCRUM: APRIL 24 AT 2:00 PM EDT