MDGs and Health in post 2015 Development Agenda

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  • Can be downloaded online from the UNDP website.
  • CHANGE IN THE GLOBAL AGENDA: In contrast to the current set of health-related MDGs, there is now greater recognition of the need to focus on means as well as ends: health as a human right, health equity, equality of opportunity, global agreements that enhance health security, stronger and more resilient health systems, innovation and efficiency as a response to financial constraints, addressing the economic, social and environment determinants of health, and multi-sectoral responses that see health as an outcome of all policies.


  • 1. Youth Commission on Global Governance for Health The Lancet – University of Oslo Millennium Development Goals and Health in Post-2015 Development Agenda 4th AYNLA Millennium Convention, Nueva Ecijia Dec 14 2013 Usman Ahmad Mushtaq Youth commissioner Send your questions and comments on twitter: @uamushtaq
  • 2. Overview Background and Context • Unfinished Business: MDGs • Changing Global Health Agenda • Health and Sustainable Development • Next Generation of Development Goals Health as a Goal: the Health Thematic Area • Universal Health Care: Definition, Dimensions, Monitoring and Evaluation • Rationale, UHC as a Health Thematic Area Goal Health as an Indicator: health in the other Thematic Areas Process: the post-2015 development agenda and the post-Rio+20 agenda • Rationale, Scope, Overarching Measures, Thematic Exemplars (food, water, energy, cities, jobs, disasters) • Parallel processes • Post-2015: HLP, UNDG Consultations (National, Thematic), SDSN • Post-Rio+20/SDGs: OWG, Other Follow Up
  • 3. Human Development Report 2013
  • 5. MDGs, their origins • Millennium Summit aimed to discuss UN roles in the 21st century • Adopted on September 8th 2000, after the 3-day summit at UNHQ, • Follow-up outcome adopted on December 14th 2000 for its implementation • Originally developed by a small group of people from OECD • Striving to "free all men, women, and children from the abject and dehumanizing conditions of extreme poverty
  • 6. Unfinished Business: Millennium Development Goals (MDGs)
  • 7. What they were • A powerful force in maintaining political support for development • A simple framework, readily understandable, quantitative monitoring • Conceived as a compact between developing country aspirations and role of developed world in assisting • Opportunities for massive funding
  • 8. The “Buts” • Unequal progress between countries and socioeconomic groups within countries • Many aren’t on target to meet MDGs and some have regressed • Targets weren’t set with any reference to the abilities of countries or taking into account their economic, social or political situations • Health goals weren’t tied to the burden of disease • Fragmented approach to development (silos) • Lack of specificity on MDG 7 on environment and climate change Bottom line: MDGs are unfinished business to 2015, and likely beyond.
  • 9. Post-2015 Era In 2015, the MDGs will come to an end. What can we expect next in terms of global development?
  • 10. Where we are at Shifting disease burden (rise of NCDs, Climate Change) Health Equity Health as a Human Right Health Systems Strengthening Social Determinants of Health, Health in All Policies (HiAP) Rio+20 and Sustainable Development Context
  • 11. Did I mention the biggest threat to Health?
  • 12. New generation • Global Relevance: future goals likely to be framed in terms of global challenges that require shared solutions • Opportunities to measure process across economic, social and environmental pillars of sustainable development • Should not undermine work on existing MDGs • Process likely to be competitive between sectors, and between preferred means of achievement and measurement • Should not undermine work on existing MDGs We must understand that goals and indicators influence our understand of development, political agendas and resources transfers, especially funding.
  • 13. What is Sustainable Development? • “Sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs” –From the Brundtland Commission (The World Environment and Development’s Report on our Common Future, 1987)
  • 14. Pillars of Sustainable Development
  • 15. And Health? Input Outcome Measure • Health is a precondition Health as a Goal • Health is a beneficiary • Health is therefore an indicator of progress Health as an Indicator
  • 16. Rationale for Health Indicators 1. Win-wins are possible, but health gains from development are not automatic. Bad development policies can worsen health outcomes. Health needs to be consciously taken into account (HiAP, HIA) 2. Health metrics/indicators can measure progress across the economic, social and environmental pillars of sustainable development. 3. Health concerns are immediate, personal and local. It can generate public/political interest in policies with diffuse or deferred outcomes (such as reducing CO2 emissions).
  • 17. Scope of Health Indicators • Health is an input to Sustainable Development: contributes to poverty reduction as an ends (healthy people have stronger cognitive and physical capabilities to earn and learn), as well as through means (UHC can contribute via financial protection) • Health is an outcome of Sustainable Development: of appropriate policies in a wide range of other sectors such as transport, energy, urban planning, water and sanitation Exemplars energy, water and sanitation. Health indicators are able to capture successes, barriers and distribution (equity).
  • 18. So how are we going to get there? Post-2015 and Sustainable Development Goals Process
  • 19. The context of SDGs a post Rio+20 process
  • 20. Earth Summit and Rio+20 • Framework facilitated by UN • 1992 Earth Summits, important milestone in the narrative around SD. • Outcomes: Rio Declaration, Agenda 21. Legally binding agreements*: UNCBD, UNFCCC, UNCCD • Subsequently the formation of UNCSD under ECOSOC • Rio+20 a 20 year anniversary of the Earth Summit in 1992 mandated by a 64th UNGA resolution • Outcomes: Process to define SDGs, “upgrade of UNEP”, HLPF
  • 21. 2010 MDG Summit Mandated the Post2015 Development Agenda Two processes Rio+20 Mandated for the SDGs Informal Coordination HLP and OWG reports to 68th UNGA 2013-2014
  • 22. UN Open Working Group on SDGs • • • • • 8 meetings in total over a year, last one in February 2014 Mandated to draft the Future Development Goals by 2014 30 seats shared by 70 countries Chaired by Mr. Kõrösi (Hungary) & Mr. Kamau (Kenya) Young people represented to all meetings advocating for youth and health related issues. • You can watch all the meetings live as they happen (,
  • 23. Overview of the process
  • 24. What to understand • Long and complicated process • Everyone has their own priorities • Many many many stakeholders from different backgrounds and fields of interest • Many many many meetings • Many many many reports But what to remember: an impressive will of collaboration between sectors and interest from all over the world.
  • 25. My World Survey
  • 26. Your voice • Reflect on the priorities and opportunities you wish to see in Philippines and South East Asia • Think about your role as future health professional • Be advocate for change • Make your voice heard! •
  • 27. Students local and national campaigns