Health in the post-2015 development agenda

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The United Nations Secretary-General (UNSG) has convened a High Level Panel (HLP) of Eminent Persons on the post-2015 development agenda. This will review options to replace the Millennium Development Goals (MDGs).

The HLP will report to the UNSG in May 2013, ahead of the MDG Summit and UN General Assembly in September 2013.

This presentation explores the political process and the likely options for global health in the post-2015 development agenda.

It was prepared for a discussion with participants in the Evidence for Action network on the margins of the Global Maternal Health Conference 2013, in Arusha, Tanzania.

Published in: Health & Medicine
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Health in the post-2015 development agenda

  1. 1. E4A Evidence Network: Health in the post-2015 development agenda ` Evidence Update 4: Health in the post-2015 development agenda Arusha, Tanzania 17 January, 2013 Jim Campbell Director, ICS Integrare, Barcelona, Spain enquiries@integrare.es `
  2. 2. E4A Evidence Network: Health in the post-2015 development agenda ` Overview • The post-2015 process • The World We Want – Thematic consultation – emerging themes • What might come out of it? `
  3. 3. E4A Evidence Network: Health in the post-2015 development agenda ` post-2015 process High Level Panel of Eminent Persons July 2012 – announced on the post-2015 development agenda “consultation” processes • President Susilo Bambang Yudhoyono (Indonesia) (Sep 12 – New York) • President Ellen Johnson Sirleaf (Nov 12 – London) (Liberia) (Jan/Feb – Monrovia) • Prime Minister David Cameron (UK) “Golden Thread” May 2013 – report to the UNSG – we must put a new and practical emphasis on transparency, accountability and open government. September 2013 – MDG Summit Too many developing countries are held back by corruption September 2013 – UNGA http://www.un.org/sg/management/hlppost2015.shtml http://beyond2015.org https://www.gov.uk/government/news/prime-ministers-letter-to-g8-leaders `
  4. 4. E4A Evidence Network: Health in the post-2015 development agenda ` not forgetting ICPD+20 (Cairo 1994) http://icpdbeyond2014.org/uploads/browser/files/linking_icpd_to_un_development_agenda.pdf `
  5. 5. E4A Evidence Network: Health in the post-2015 development agenda ` ‘World We Want’ - Health thematic consultation UNICEF, WHO, Sweden and Oct 2012 – March 2013 Botswana consultation processes Supported by: UN interagency group, including March 2013 – Botswana meeting UNAIDS, UNFPA, UNDP, UNDESA and OHCHR. recommendations on health to feed into the inter-governmental process. http://www.who.int/topics/millennium_development_goals/post2015/en/index.html http://www.worldwewant2015.org/health `
  6. 6. E4A Evidence Network: Health in the post-2015 development agenda ` ‘World We Want’ - Health thematic consultation Also political aspects of this……. “needs to include a narrative that is clear about a more effective Carlson/Nordstrom (2012). engagement of global partners responding to country needs” Global engagement for health could achieve better results now and after 2015. “We could change the lives of many The Lancet, Vol38, Nov3,2012 more poor people, particularly women and children, if governments like our own, implementing countries, and major global health players were working more effectively and strategically together” “Are we as international partners responding in the most effective way to the health needs of women and children in low-income countries?” `
  7. 7. E4A Evidence Network: Health in the post-2015 development agenda ` ‘World We Want’ - Health thematic consultation Over 100+ papers….and counting!! Emerging themes: • Summaries - grouped and • “Unfinished agenda” of MDGs individual • Universal Health Coverage (UNGA • Synthesis - under-way by Resolution) + UC + UH WHO/UNICEF • NCDs • UNAIDS now hosting themed • Social determinants consultation on HIV and AIDS • Right to health • Measurement and targets Includes Zoë’s paper on UHC and – healthy life years / age equity! expectancy / UHC • Cross-sectoral action • Fragile states http://www.worldwewant2015.org/health `
  8. 8. E4A Evidence Network: Health in the post-2015 development agenda ` ‘World We Want’ - Health thematic consultation End preventable child and maternal mortality Achieve universal health coverage Tackle the social determinants of health `
  9. 9. E4A Evidence Network: Health in the post-2015 development agenda ` What might come out of it? WARNING !!! DANGER !!! RMNCH may lose out! Universal Health ?? With MNCH as a tracer? Equity? GMHC 2013 Effective coverage? 10 POINT MANIFESTO Renewal to health workforce? The Lancet to promote `
  10. 10. E4A Evidence Network: Health in the post-2015 development agenda ` 1 Build on past success 2 Political, economic and social goals for women as women 3 Women more central in the continuum of care with quality, redefine the continuum of care, with quality, integration, NCDs, social determinants, poverty 4 Responsive financing mechanism to meet country needs. 5. Emphasis on reaching the unseen – the culturally excluded. If we are truly serious about equity we have to ask fundamental questions about the roles of women 6 Invite, include and incorporate the voices of women – to shape their own futures 7 The mother and the newborn child together –addressing preventable stillbirths 8 Data on maternal deaths and health outcomes essential 9 Technology – mobile health, women effectively and safely connected to health systems 10 Sustainability, universal access, free at the point of demand within a strong health system, with skilled workers, especially midwives and those providing midwifery services. `

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