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Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM
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Lancet-LIDC Commission on the Millennium Development Goals: Applying the principles to health - Professor Anne Mills, LSHTM

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Professor Anne Mills explains how to apply the principles of the Lancet-LIDC Commission to future development goal setting in the health sector.

Professor Anne Mills explains how to apply the principles of the Lancet-LIDC Commission to future development goal setting in the health sector.

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  • 1. Lancet-LIDC Commission: Applying the principles to health Anne Mills London School of Hygiene and Tropical Medicine
  • 2. Reminder of the issues with current health MDGs <ul><li>Have set different health communities against each other (‘killer diseases’; child, maternal) </li></ul><ul><li>Split the mother, neonate and child </li></ul><ul><li>Ignored the unifying role of the health system in supporting achievement of all health MDGs </li></ul><ul><li>Neglected synergies across MDGs – eg between poverty reduction and health; between education and health </li></ul>
  • 3. A principled way forward <ul><li>Holism </li></ul><ul><li>Equity </li></ul><ul><li>Ownership </li></ul><ul><li>Global obligation </li></ul><ul><li>Sustainability </li></ul><ul><li>As applied to health development </li></ul>
  • 4. A holistic approach to health development <ul><li>Focus on broad health gains through health systems approach </li></ul><ul><li>Build on framework of reasonable health expectations over a lifetime (pregnancy, infancy, childhood, adolescence, adulthood, elderly) </li></ul><ul><li>Look for synergies across conditions and services – eg ante-natal care, malaria, HIV </li></ul><ul><li>Link to other elements of wellbeing – eg education </li></ul>
  • 5. Equity and health <ul><li>Life-course approach embeds intergenerational equity in health development </li></ul><ul><li>Focus on the most disadvantaged - pro-poor approach – and addressing the major causes of inequity (not just lack of income) in specific settings </li></ul><ul><li>Monitor progress </li></ul>
  • 6. Ownership and health <ul><li>Make national decisions on priorities, on the basis of national needs and opportunities </li></ul><ul><li>Support national programmes to analyse and understand determinants of poor health outcomes, to enhance evidence-based decision making and strengthen country negotiating power </li></ul>
  • 7. Global obligation and health <ul><li>Focus on interactions between rich and poor countries which constrain health improvement – eg health worker migration; access to medicines </li></ul><ul><li>Strengthen science and innovation systems in poorer countries to support more equitable partnerships </li></ul>
  • 8. Sustainability and health <ul><li>Reliable and continued funding needed from both domestic and external sources – deliver on commitments </li></ul><ul><li>Address the fragmentation of external funding to health; build rather than destroy country capacity </li></ul><ul><li>Support systems to be more resilient and less dependent </li></ul><ul><li>Support countries in their choices </li></ul>
  • 9. The vision <ul><li>Future health development goals focused on sustainable health systems, built around delivering objectives across the life course and linked to other elements of wellbeing </li></ul><ul><li>Objectives agreed by international consensus, but developed into goals through process led at national level, building up to regional and global goals </li></ul><ul><li>Aim to generate wellbeing for all within a pro-poor approach </li></ul>

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