Presentation for young nurses

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

4. BACKGROUND AND CONTEXT

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
(www.webtv.un.org, www.sustainabledevelopment.un.org)

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
www.myworld2015.org

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!
• www.uncsdchildrenyouth.org

27. Students local and national campaigns