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Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
Empowering lives, building resilience
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Empowering lives, building resilience

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  • 1. Development Stories fromEurope and Central Asia Empowering lives, building resilience Dr. Christoph Hamelmann Regional Practice Leader HIV, Health and Development UNDP Europe and Central Asia Annual Business and Technical Conference of the WHO European Healthy Cities Network and Network of European National Healthy Cities Networks St. Petersburg, 14-16 June 2012
  • 2. Overview• Case Reports• Environment and Health: Glocalization of Action• Reflections on Building Resilience• Resilience as Component of Sustainable Development• Link with WHO Health 2020 and Rio+20
  • 3. Bulgaria: Job Opportunities through Business Support What the Challenge was • Economy collapsing and in transition • high unemployment, rural areas fall behind • lack of self-confidence in entrepreneurship in rural areas Innovation / Pilot • Business centre: support to openCarpet factory HEMUS became leading employer in village Kostandovo, over 80 women engaged business in depressed rural areas • Loan guarantees and quality certificates
  • 4. Bulgaria: Job Opportunities through Business Support Transformation & Scale Up • Owned up by Ministry of Labour and Social Policy • Branding: Job Opportunities through Business Support ‘JOBS’ • 42 business centres Average Unemployment % • 37,700 new jobs in rural areas Small villages Mixed areas • 60,900 people trained with new Country business and vocational skills Urban areas
  • 5. Georgia: Justice for All What the Challenge was • Country in transition, poverty • Conflict and post-conflict situation, past civil unrests • Break-away regions • Weak legal system, many unresolved legal issues Innovation / Pilot • As part of judicial reform and the 2007 Law on Legal AID • First Legal AID Service office for the poor, displaced, ethnicHead of legal aid services at legal consultation with displaced people minorities, from remote areas
  • 6. Georgia: Justice for All Transformation & Scale Up • Leadership by Ministry of Corrections and Legal Assistance • Rapid scale-up supported by UNDP through training of lawyers, ‘knowing your rights’ campaigns and service marketing • 11 Legal AID service offices and 3 consultation centres • Over 12,000 legal consultations in 2010Legal aid service to ethnic minority groups – ethnic Greek woman in Georgia
  • 7. Kyrgyzstan: Reducing harm from HIV What the Challenge was • People infected by HIV increasing • Country at the crossroads of drug trafficking through Central Asia • Discrimination, marginalization and criminalization of populations most at risk Innovation / Pilot • Needle and syringe exchangeA health worker in Osh doing HIV testing • Methadone substitution treatment (2002, first in CIS) • Landmark court case on protection rights for PLHIV through legal aid clinic
  • 8. Kyrgyzstan: Reducing harm from HIV Transformation & Scale Up • Owned up by Ministry of Health with multi-sectoral government approach • CSOs: ‘Nothing about us without us’ • National HIV Strategy and National AIDS Law National HIV Programme 2006-2010 • National scale-up of harm-conforms with international standards and focuses on populations at higher risk reduction services for IDUs • National scale up of comprehensive HIV/AIDS services
  • 9. Albania: Mine-Free to Development What the Challenge was Innovation / Pilot• Landmines from Kosovo • Survey, mark, clear mines conflict • Mine risk education• Area in which people lived • Victim assistance (1/3 of mainly from subsistence victims were children) farming • Whole community• Abandonment of fields engagement and infrastructure
  • 10. Albania: Mine-Free to Development Transformation & Scale Up • Early scale-up to all districts,39 villages, 25,000 inhabitants • Clearing completed by 2005 • Mine action committees become community development committees • Priority development plans implemented through 185Mine risk education taught children how to stay safe community organizations • Government investments for infrastructure and matching funds for community contributions
  • 11. Croatia: Energy Charta for Public Sector Buildings What the Challenge was • Wasteful energy use, energy intensity 12 % over EU average • High carbon emission intensity • High energy bill for public sector buildings Innovation / Pilot • Pilot in Sisak, population 50,000A house in Osijek demonstrates the benefits of • 24 demonstration buildings passive solar heating • Over 2 years, energy consumption down 13%, savings $ 440,000, carbon emissions down by 780 tons
  • 12. Croatia: Energy Charta for Public Sector Buildings Transformation & Scale Up • 127 mayors, all 20 county prefects and 15 ministries signed Energy Charta • Marketing campaign with ‘Gaspar Energetic’, information and solar education centres • Croatian Energy Law, Strategy and Action Plan • Energy audit infrastructure and web-based EMIS • Trainings and job creation • 52% coverage of public sector buildings, most in health sector
  • 13. Environmental Impact of Health Sector Example: Greenhouse gases• Health sector accounts for 7.5 % of GDP in ECIS region• Technology intensive with significant consumption of resources, associated with environmental pollution and degradation• Accounts for an estimated 4.2 % of greenhouse gases (GHG) in the ECIS region• Up to 25 % of these GHG can be reduced within short- term, more through long-term measures• Reductions have also direct positive impact on life-years savedMinisterial European Environment and Health Task Force Meeting, Bled/Slovenia 2011
  • 14. Economic Commission for Europe Report Regional Preparatory Meeting Public procurement47. Sustainable public procurement was supported as afirst critical step to further the green economy at thenational as well as the sub-national level. Concreteprogress was proposed in the form of sustainable publicprocurement targets that could be met by an increasingnumber of countries over the years.
  • 15. Carbon Foot Printing &Marginal Abatement Costs in the Health Sector UK NHS Sustainable Development Unit, collaboration with UNDP and WHO
  • 16. Building Resilience: Key Lessons Learnt• It seems to need a trigger, often serious problem, crisis• Hardest hit are the poor and disadvantaged populations• Strong individual and community participation important• Multi-sectoral responses with particular focus on the poor and disadvantaged populations• Trouble shooting and preparedness for trouble shooting is not enough• Resilience is not endless and not a vehicle to justify dismantling of social protection under austerity policies
  • 17. Building Resilience: Key Lessons Learnt• Multi-level responses reflect glocalization of networks and increase impact in time, scale and scope• Strongest resilience when empowerment of people, communities and institutions results in breaking vicious cycle of trouble shooting and maintaining outdated systems, values and practices causing even more of it• Commitment to multi-generational responsibility• Transformational resilience as component of sustainable development
  • 18. Base Development Model Social Economicjustice growth Environmental protection
  • 19. Dynamic Model – non-sustainable
  • 20. Dynamic Model - sustainable Blue Path
  • 21. Links with WHO Europe Health 2020• Values: universality and equity, sustainability, rights-based and participatory approach, anti- discrimination, transparency and accountability• Strategies: Universal access to health services including emergency services; socio- economic and environmental determinants of health; Health in All Policies; whole government approach
  • 22. Glocalization in Action: WHO & UNDP Wednesday, 20 June 2012 Local action and partnerships for more resilient people and communities Panelists to include: Mr. Christian Bach, Minister for DevelopmentCooperation of Denmark; Dr. Margaret Chan, Director General of the World Health Organization (WHO); Ms. Helen Clark, United Nations Development Programme (UNDP)
  • 23. Glocalization in Action: WHO & UNDP Wednesday, 20 June 2012 Greening the health sector Wednesday, 20 June 2012 Health and sustainable development – reinforcing the links Panelists to include: Dr. Margaret Chan, Director General of the World Health Organization (WHO)
  • 24. Empowering Lives, Building ResilienceDevelopment Stories fromEurope and Central Asia Acknowledgment to all who participated in the projects and to those who compiled the brochure For further information: christoph.hamelmann@undp.org

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