Achieving the MDGs and beyond:  the importance of national ownership and capacities Viroj Tangcharoensathien International...
Thailand MDG achievement  <ul><li>Early 2000s, almost all MDG targets were achieved  </li></ul><ul><li>In 2004 MDG review,...
Why health MDG were achieved? <ul><li>Sustainable health-system development.  </li></ul><ul><ul><li>Wide geographical cove...
Why sustainable HSD? <ul><li>Political and financial commitments to health  </li></ul><ul><ul><li>Policy formulation influ...
Sample of Thailand MDG Plus
Why MDG Plus agenda?  <ul><li>Sub-national evidences  </li></ul><ul><li>Political concerns: equity, national security  </l...
What’s beyond 2015?  <ul><li>Sustaining MDG Plus achievements  </li></ul><ul><li>Maintain  </li></ul><ul><ul><li>multisect...
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Viroj tangcharoensathien

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Transcript of "Viroj tangcharoensathien"

  1. 1. Achieving the MDGs and beyond: the importance of national ownership and capacities Viroj Tangcharoensathien International Health Policy Program, Ministry of Public Health, Thailand
  2. 2. Thailand MDG achievement <ul><li>Early 2000s, almost all MDG targets were achieved </li></ul><ul><li>In 2004 MDG review, engaging multi-stakeholders, a concept of MDG Plus was introduced, </li></ul><ul><ul><li>Move beyond--making global MDG target as “point of departure” instead of “end point”; </li></ul></ul><ul><ul><li>Plans, strategies and targets of line ministries form national MDG Plus targets, and approved by Cabinet </li></ul></ul><ul><ul><ul><li>Bottom up and engagement creates ownership and commitments </li></ul></ul></ul><ul><ul><li>Equity concerns </li></ul></ul><ul><ul><ul><li>Beyond national average: ensure equitable achievement, focusing poorer geographical areas, Muslim communities </li></ul></ul></ul>
  3. 3. Why health MDG were achieved? <ul><li>Sustainable health-system development. </li></ul><ul><ul><li>Wide geographical coverage of functioning primary health care </li></ul></ul><ul><ul><ul><li>Heavy investment in health delivery infrastructure </li></ul></ul></ul><ul><ul><ul><li>Production and deployment of health workforce </li></ul></ul></ul><ul><ul><li>Improve financial risk protection, ensuring better access to care </li></ul></ul><ul><li>Synergistic contributions from other sectors </li></ul><ul><ul><li>Universal education move from 1 ry to 2 nd free education </li></ul></ul><ul><ul><ul><li>High level of female literacy rate and decreasing gender gap, </li></ul></ul></ul><ul><ul><li>Poverty reduction and improved living standards </li></ul></ul><ul><ul><li>Better access to information and social services: transportation and communications </li></ul></ul>
  4. 4. Why sustainable HSD? <ul><li>Political and financial commitments to health </li></ul><ul><ul><li>Policy formulation influenced by pro-poor, pro-rural and universality ideologies </li></ul></ul><ul><ul><li>Continuity of policies by successive governments </li></ul></ul><ul><ul><li>Rapid economic growth though slow progress in Gini </li></ul></ul><ul><li>Improved institutional capacities </li></ul><ul><ul><li>Generating evidence to guide upstream decision, downstream implementation and reprogramming, </li></ul></ul><ul><ul><li>Effective interface between evidence and policy decisions </li></ul></ul><ul><li>Implementation capacities </li></ul><ul><ul><li>Pragmatism, pilot and scale up of innovations </li></ul></ul><ul><ul><li>Street level bureaucrats’ capacity and effectiveness in translating health policy to implementation, M&E </li></ul></ul>
  5. 5. Sample of Thailand MDG Plus
  6. 6. Why MDG Plus agenda? <ul><li>Sub-national evidences </li></ul><ul><li>Political concerns: equity, national security </li></ul><ul><li>Infrastructure favourable to move beyond global MDG </li></ul><ul><ul><li>Economic, health, education, agriculture </li></ul></ul><ul><li>Intersectoral engagement and actions </li></ul>
  7. 7. What’s beyond 2015? <ul><li>Sustaining MDG Plus achievements </li></ul><ul><li>Maintain </li></ul><ul><ul><li>multisectoral actions of human development </li></ul></ul><ul><ul><li>Embracing holistic, equity, national ownership, community participation, financial and programmatic sustainability </li></ul></ul><ul><li>Emerging national agenda </li></ul><ul><ul><li>Chronic non-communicable diseases: a national agenda </li></ul></ul><ul><ul><li>Social determinant of ill health </li></ul></ul><ul><ul><li>International trade and impact on health </li></ul></ul>
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