Session 20 Guillemot Health Adaptation Overview

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International Institute for Environment and Development CBA5 Conference Presentations

Joy Guillemot, WHO led CBA5 Session 20 on ways to "Scale-up Community Based Adaptation to Protect Public Health". Examples of Climate Adaptation projects in Vietnam, Samoa, Bhutan, Bangladesh, and Jordan highlighted approaches and opportunities to scaling up for health protection from Climate Change.

Technology Health & Medicine

Scaling up CBA for Health Protection from Climate Change Joining up Community Approaches and National Policy

Rada Dukpa Kristie Ebi Thuan Nguyen Osama Kittaneh Iqbal Kabir Bhutan Fiji Vietnam Jordan Bangladesh Royal Ministry of Health National Health Services Red Cross Red Crescent Ministry of Health Ministry of Health & FW Session 20: Scaling up CBA for Health Adaptation & Protection from Climate Change Examples from five countries: Chair: Joy Guillemot, WHO-Geneva Discussant: Kristie Ebi, IPCC WGII

National Scale Health Protection Health Policy, National strategies, Governance, & Resource Mobilization Community Scale Health Protection Health Risks, Needs & Implementation Gov't Private NGO CBO Health Sector: Providers of Care & Prevention Government NGO/CBO Private Sector Community Development & Disaster Risk Mgmt Mechanisms Institutions

Central questions to scaling health protection for climate resilient communities ,[object Object],[object Object],[object Object]

More Resources on Climate Change & Health: http://www.who.int/globalchange/en/ Joy Guillemot, Technical Officer [email_address]

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Presentation at USAID's Global Health Mini-University on Friday, March 4, 2016. Preparing for Future Shocks: Building Resilient Health Systems Kate Greene (HFG), Bob Emrey (USAID/GH/OHS), Jodi Charles (USAID/GH/OHS), Temitayo Ifafore, (USAID/GH/OHS) After the recent Ebola outbreak, global health experts have turned to resilience frameworks used by other fields such as agriculture and engineering to understand how to build health systems that can withstand shocks, including infectious disease outbreaks, natural disasters, and political conflict. Speakers will first briefly outline each of the five key elements of the Resilience Framework, adapted from the Rockefeller Foundation and presented in a Lancet article in 2015, that can be applied to health systems. Participants will then work in small groups to discuss which health systems interventions should be pursued in response to a one-page description of an unnamed country. Speakers will then reveal what real-world interventions they designed for the country example and answer questions.

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Public Health policy development in developing countries is addressed by four policy questions: 1. Does the introduction of a health policy at national, international level imply corresponding improvement in the quality of health of a country/population? 2. For effective health systems with efficient outcome: should health related policies be locally/nationally or internationally motivated (initiated)? 3. Should developing countries rely on the West for changes in the health of their population? 4. What is the impact of health policies adopted at the international scene on the health of populations in developing countries?

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Universal health coverage (UHC)—ensuring that everyone has access to quality, affordable health services when needed—can be a vehicle for improved equity, health, financial well-being, and economic development. In its 2013 report, Global Health 2035, the Commission on Investing in Health (CIH) made the case that progressive (“pro-poor”) pathways towards UHC, which target the poor from the outset, are the most efficient way to achieve both improved health outcomes and increased financial protection (FP). Countries worldwide are now embarking on health system changes to move closer to achieving UHC, often with a clear pro-poor intent. While they can draw on guidance related to the technical aspects of UHC (the “what” of UHC), such as on service package design, there is less information on the “how” of UHC—that is, on how to maximize the chances of successful implementation. Motivated by a shared interest in helping to close this information gap, a diverse international group of 21 practitioners and academics, including ministry of health officials and representatives of global health agencies and foundations, convened at The Rockefeller Foundation’s Bellagio Center for a three-day workshop from July 7–9, 2015. The participants shared their experiences of implementing UHC and discussed the limited evidence on how to implement UHC, focusing on a set of seven key “how” questions from across five domains of UHC.

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A movement towards universal health coverage (UHC) – ensuring that everyone who needs health services is able to get them, without undue financial hardship – has been growing across the globe (1). This has led to a sharp increase in the demand for expertise, evidence and measures of progress and a push to make UHC one of the goals of the post-2015 development agenda (2). This paper proposes a framework for tracking country and global progress towards UHC; its aim is to inform and guide these discussions and assessment of both aggregate and equitable coverage of essential health services as well as financial protection. Monitoring progress towards these two components of UHC will be complementary and critical to achieving desirable health outcome goals, such as ending preventable deaths and promoting healthy life expectancy and also reducing poverty and protecting household incomes. This paper was written jointly by the World Health Organization (WHO) and The World Bank Group on the basis of consultations and discussions with country representatives, technical experts and global health and development partners (3). A draft of this paper was posted online and circulated widely for consultation between December 2013 and February 2014. Nearly 70 submissions were received from countries, development partners, civil society, academics and other interested stakeholders. The feedback was synthesized and reviewed at a meeting of country and global experts in Bellagio, Italy, in March 2014 (4). The paper was modified to reflect the views emerging from these consultations.

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The purpose of this presentation is to equip audiences with the ability to: Define universal health coverage (UHC) and understand the basic tenets of UHC Identify how UHC fits in USAID’s health and poverty reduction strategies Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC Identify relevant UHC resources within the Office of Health Systems and USAID The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.

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Session 20 Guillemot Health Adaptation Overview

1. Scaling up CBA for Health Protection from Climate Change Joining up Community Approaches and National Policy

2. Rada Dukpa Kristie Ebi Thuan Nguyen Osama Kittaneh Iqbal Kabir Bhutan Fiji Vietnam Jordan Bangladesh Royal Ministry of Health National Health Services Red Cross Red Crescent Ministry of Health Ministry of Health & FW Session 20: Scaling up CBA for Health Adaptation & Protection from Climate Change Examples from five countries: Chair: Joy Guillemot, WHO-Geneva Discussant: Kristie Ebi, IPCC WGII

4. National Scale Health Protection Health Policy, National strategies, Governance, & Resource Mobilization Community Scale Health Protection Health Risks, Needs & Implementation Gov't Private NGO CBO Health Sector: Providers of Care & Prevention Government NGO/CBO Private Sector Community Development & Disaster Risk Mgmt Mechanisms Institutions

6. More Resources on Climate Change & Health: http://www.who.int/globalchange/en/ Joy Guillemot, Technical Officer [email_address]

Session 20 Guillemot Health Adaptation Overview

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