Future Global Priorities                  or             Beyond 2015                 Gorik Ooms  Researcher, Institute of ...
www.aids2012.org   Washington D.C., USA, 22-27 July 2012
Beyond 2015?• My guess is as good as yours...• My guess:  Only 1 health goal  → Universal Health Coverage (UHC)           ...
Why this could be bad news for thefight against AIDS...• UHC sounds like “health for all by the year  2000”, but then by t...
“Primary health care is essential health care …made universally accessible … at a cost that thecommunity and country can a...
Why this could be good news for thefight against AIDS...• „AIDS exceptionalism‟ has run its course• The paradigm shift it ...
• The new paradigm is implicit, unclear, fragile,...• The “Right To Health” (R2H) or health seen as a  human right, with c...
TUESDAY          :: NOON ::           Steps off fromIn front (South) of the Convention    Center & at archives metrowww.We...
• R2H does not support the prioritization of a  single disease• Could UHC = R2H???                       www.aids2012.org ...
How to make sure that UHC = R2H?1. Question conventional understanding of   „sustainability‟2. Clarify national and global...
Sustainability = context-specific =depends on who is held responsible                 www.aids2012.org   Washington D.C., ...
What does „shared responsibility‟ reallymean?                  www.aids2012.org   Washington D.C., USA, 22-27 July 2012
The „diagonal approach‟…… now more than ever                www.aids2012.org   Washington D.C., USA, 22-27 July 2012
Conclusion (personal opinion)UHC will work for the fightagainst AIDS......if and only if AIDS fighterswork for UHC        ...
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Gorik Ooms at Aids2012: Future Global Priorities or Beyond 2015

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Gorik Ooms at Aids2012: Future Global Priorities or Beyond 2015

  1. 1. Future Global Priorities or Beyond 2015 Gorik Ooms Researcher, Institute of Tropical MedicineExecutive director, Hélène De Beir Foundation www.aids2012.org Washington D.C., USA, 22-27 July 2012
  2. 2. www.aids2012.org Washington D.C., USA, 22-27 July 2012
  3. 3. Beyond 2015?• My guess is as good as yours...• My guess: Only 1 health goal → Universal Health Coverage (UHC) www.aids2012.org Washington D.C., USA, 22-27 July 2012
  4. 4. Why this could be bad news for thefight against AIDS...• UHC sounds like “health for all by the year 2000”, but then by the year 2100 or so• The fatal flaw of the Alma Ata Declaration:“Primary health care is essential health care …made universally accessible … at a cost that thecommunity and country can afford to maintain atevery stage of their development in the spirit ofself-reliance and self-determination.” www.aids2012.org Washington D.C., USA, 22-27 July 2012
  5. 5. “Primary health care is essential health care …made universally accessible … at a cost that thecommunity and country can afford to maintain atevery stage of their development in the spirit ofself-reliance and self-determination.”• Sounds good, but for people living with AIDS in low-income countries, it means death (for the sake of self-reliance) www.aids2012.org Washington D.C., USA, 22-27 July 2012
  6. 6. Why this could be good news for thefight against AIDS...• „AIDS exceptionalism‟ has run its course• The paradigm shift it imposed is truly Copernican: – From national responsibility (with some external assistance) – To human responsibility (national and international)(Note: global responsibilization may have inducednational deresponsibilization) www.aids2012.org Washington D.C., USA, 22-27 July 2012
  7. 7. • The new paradigm is implicit, unclear, fragile,...• The “Right To Health” (R2H) or health seen as a human right, with corresponding entitlements and national and global dues, could provide a solid foundation for the paradigm shift www.aids2012.org Washington D.C., USA, 22-27 July 2012
  8. 8. TUESDAY :: NOON :: Steps off fromIn front (South) of the Convention Center & at archives metrowww.WeCanEndAIDS.org www.aids2012.org Washington D.C., USA, 22-27 July 2012
  9. 9. • R2H does not support the prioritization of a single disease• Could UHC = R2H??? www.aids2012.org Washington D.C., USA, 22-27 July 2012
  10. 10. How to make sure that UHC = R2H?1. Question conventional understanding of „sustainability‟2. Clarify national and global responsibility, and where they meet (a.k.a. „shared responsibility‟) – a Framework Convention on Global Health?3. Promote „diagonal approach‟ www.aids2012.org Washington D.C., USA, 22-27 July 2012
  11. 11. Sustainability = context-specific =depends on who is held responsible www.aids2012.org Washington D.C., USA, 22-27 July 2012
  12. 12. What does „shared responsibility‟ reallymean? www.aids2012.org Washington D.C., USA, 22-27 July 2012
  13. 13. The „diagonal approach‟…… now more than ever www.aids2012.org Washington D.C., USA, 22-27 July 2012
  14. 14. Conclusion (personal opinion)UHC will work for the fightagainst AIDS......if and only if AIDS fighterswork for UHC www.aids2012.org Washington D.C., USA, 22-27 July 2012

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