Introduction to the Regional Director's annual report

1. Introduction of the
Annual Report
Dr Ahmed Al Mandhari
WHO Regional Director for the Eastern Mediterranean
Agenda item 3

2. 2

3. 3
Regional Director leads 5-day consultation to
develop a vision for WHO's work in the Region
3

4. 4
Socioeconomic diversity reflected in health care disparities
4

5. 5
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6. 6
WHO team conducts country functional review
in Somalia, May 2018
6

7. 7
5% of all WHO
collaborating
centres are in
the Region
7

8. 8
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9. 9
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10. 10
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11. 11
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12. 12
Health for All by All
12

13. 13
“Triple billion” targets of WHO’s GPW 13
1 billion more
people
benefiting from
universal health
coverage
1 billion more
people better
protected from
health
emergencies
1 billion more
people enjoying
better health
and well-being
13

14. 14
UHC service coverage index, 2015
Source: World Health Organization/World Bank
Regional universal
health coverage is
lower (53%) than
the global average
(64%)
14

15. 15
Low investment in health services
15

16. In the Region, it is estimated that up
to 55.5 million people face financial
catastrophe and 7.7 million become
poor due to
out-of-pocket payments annually

17. 17
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18. 18
18
37
54
0 10 20 30 40 50 60 70 80 90 100
Somalia
Afghanistan
Yemen
EMR average
Lebanon
Jordan
Libya
Syrian
Oman
Bahrain
Kuwait
UAE
2015-2016 2011-2012
Death registration in countries of the Region
20122016
Reporting on cause
of death improving
but remains low at
54%

19. 19
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23. 23
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24. 24
Strengthening
family
practice to
achieve UHC
24

25. 25
2020
2016
2030
Strategy 2: Bridging programme for
general practioners in family
medicine
Strategy 1: Increase the number of
family medicine specialists
WHO strategies to increase number of family physicians
25

26. 26
18% of hospital
admissions are
associated with
severe adverse
events
26

27. 27
Celebrating National Patient Safety Day
27

28. 28
The private
sector
delivers
3381% of all
health
services
28

29. 29
“Triple billion” targets of WHO’s GPW 13
1 billion more
people
benefiting from
universal health
coverage
1 billion more
people better
protected
from health
emergencies
1 billion more
people enjoying
better health
and well-being
29

30. 30
650 million
people
Diverse
socioeconomic and
geopolitical
environments
Emergencies
A large proportion of the population live in
countries with graded emergencies – huge
health care needs
Nine countries in a fragile situation
30 million displaced people
Disease outbreaks
30

31. Grade 2 (Libya, Sudan)
Grade 1 (Afghanistan, Pakistan, Palestine)
Ungraded
Grade 3 (Yemen, Iraq, Syria, Somalia)
31
Graded emergencies, as of September 2018
31

32. 32
Grade 2 (Libya, Sudan)
Grade 1 (Afghanistan, Pakistan, Palestine)
Level 3 (Yemen, Iraq, Syria)
Grade 3 (Somalia)
Ungraded
Grade 2 (Libya, Sudan)
Grade 1 (Afghanistan, Pakistan, Palestine)
Grade 3 (Yemen, Iraq, Syria, Somalia)
Ungraded
32
Displaced populations, as of September 2018

33. Infectious disease outbreaks, as of September 2018
Gastroenteritis
Cholera
Chikungunya fever
Diphtheria
Legend
Acute watery diarrhoea
Crimean-Congo haemorrhagic fever
Middle East respiratory syndrome (MERS)
33
Libya
Sudan
Egypt
Saudi
Arabia
Yemen
Somalia
Afghanistan
Pakistan
Iraq
Typhoid
Chickenpox
33

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35. 35
Emergency
response
35

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40. 40
In 2017, 791 tonnes
of medical supplies
reached 23.5
million people
40

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Rehabilitating
primary health
care
centres in the
Syrian Arab
Republic
46

47. 47
Bridging the
humanitarian
development
peace divide
in health
47

48. 48
“Triple billion” targets of WHO’s GPW 13
1 billion more
people
benefiting from
universal health
coverage
1 billion more
people better
protected
from health
emergencies
1 billion
more people
enjoying
better health
and well-
being
48

49. 49
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50. 50
Coverage of main malaria interventions falls
short of universal access goal
71
70
21
48
79
51
0 10 20 30 40 50 60 70 80 90 100
Afghanistan
Djibouti
Pakistan
Somalia
Sudan
Yemen
%
Coverage of insecticide treated nets in high-burden countries
50

51. 51
The HIV infection rate is rising,
treatment rates are low
59
76
18
54
50
63
0
10
20
30
40
50
60
70
80
AFR AMR EM EUR SEAR WPR
ART Coverage by WHO Region (%)
51

52. 52
WHO’s Eastern Mediterranean Region has
highest rate of hepatitis C viral infections
7
10
11
14 14
15
0
2
4
6
8
10
12
14
16
AM SEA AF EUR WP EM
Estimated number of persons living with hepatitis C virus (millions) by
WHO region
52

53. 53
Antibiotic prescription practices in the Region
53
0 10 20 30 40 50 60 70 80
Bahrain (Kingdom of)
Saudi Arabia
Morocco
Oman
Egypt
Afghanistan
Tunisia
Iran (Islamic Republic of)
Yemen
Syrian Arab Republic
Sudan
Iraq
Mean % of patients receiving antibiotics
Pharmaceutical Sector Country Profiles 2014

54. 54
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55. 55
Regional polio situation, as of October 2018
Endemic
countries:
Pakistan and
Afghanistan
Outbreak country:
Somalia (VDPV2 & 3)
Very high-risk countries:
Somalia, Syrian Arab
Republic, Yemen
High-risk countries:
Djibouti, Iraq, Libya and
Sudan
55

56. 56
Polio vaccination
in Somalia
56

57. 57
National Emergency Action Plans implemented
in Afghanistan and Pakistan
57

58. 58
Cross-border polio transit teams immunize children
58

59. Nearly 1 in 2 adults in the Region are
overweight/obese
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
55.0%
60.0%
65.0%
70.0%
75.0%
80.0%
85.0%
Age-StandardizedRates(%)
Prevalence of overweight
(BMI≥25), age standardized
(adults 18+) 2010
Prevalence of overweight
(BMI≥25), age standardized
(adults 18+) 2014
Prevalence of obesity (BMI≥30),
age standardized (adults 18+)
2010
Prevalence of obesity (BMI≥30),
age standardized (adults 18+)
2014
59

60. WHO’s Eastern Mediterranean Region only WHO
region in which tobacco use is increasing
Source: WHO report on the global tobacco epidemic. Geneva: World Health
Organization; 2017 60

61. 61
Eastern Mediterranean Region has second
highest rate of road traffic fatalities
Source: WHO Global status report on road safety 2015 61

62. 62
7586% of
people with
mental health
conditions do
not receive the
treatment they
need
62

63. 63
Air Pollution
56%
Toxic Chemicals
11%
Occupational
Risks
11%
WASH
9%
Food Borne
Diseases
4%
Others 9% Environmental
risks account
for 23% of the
burden of
disease and 854
000 annual
deaths in the
Region
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World leaders
pledge to end
the TB
epidemic by
2030
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69. 69
Heads of state commit
to tackling
noncommunicable
diseases and mental
health
69

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Vision 2023: Health for all by all – A Call for Action
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Promote health | Keep the world safe | Serve the vulnerable
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