Presentation – The Issue-based Coalition on Health and Well-being
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Presentation – The Issue-based Coalition on Health and Well-being 12 May 2017, Geneva, Switzerland By Dr Zsuzsanna Jakab, WHO Regional Director for Europe
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Presentation – The Issue-based Coalition on Health and Well-being
- 1. The Issue-based Coalition on Health and Well-being Dr Zsuzsanna Jakab WHO Regional Director for Europe
- 2. What is the Issue-based Coalition (IBC)? • A pan-European enabling mechanism to facilitate and promote the improvement of health and well-being for all at all ages in the Region, with a special focus on leaving no one behind • A coalition of partners: United Nations agencies (the Food and Agriculture Organization of the United Nations, the Joint United Nations Programme on HIV/AIDS, the United Nations Children’s Fund, the United Nations Development Programme, the United Nations Office for Project Services, the United Nations Population Fund (UNFPA), the United Nations Refugee Agency (UNHCR) and UN Women) and other intergovernmental organizations and stakeholders, which will coordinate their activities
- 3. Specific objectives for 2017–2019 • Strengthen the regional partnership and involvement of stakeholders at all levels of governance support Member States in the implementation of the health and related targets of the Sustainable Development Goals (SDGs). • Map existing norms, policies and standards and identify priorities, opportunities and gaps in programming and in developing mechanisms in order to address them. • Provide coherent and timely programming as well as policy and/or normative guidance and technical support on health-related issues at the regional and country levels. • Increase the effective and efficient use of human and financial resources within and among United Nations agencies and partners on health-related initiatives and interventions, including regional joint resource mobilization efforts. • Improve coordination, communication and information-sharing on key lessons and good practices on the basis of the focus to leave no one behind due to poor health.
- 6. Important cross-cutting aspects Health throughout the life-course Communicable diseases Universal health coverage Migration Gender, equity and human rights, multisectoral action, monitoring
- 7. Main types of joint activities • Joint advocacy initiatives • Expertise and thematic rosters • Policy alignment • Sharing of knowledge and position papers • Specific country implementation
- 8. Workstream I Health throughout the life-course Communicable Diseases Universal Health Coverage Migration Coordination Focus: health throughout the life-course SDG targets: 3.1, 3.2, 3.7 and Goal 5 Focus areas for 2017–2019: • Neonatal survival in the high-burden countries of central Asia and the Caucasus • Quality of care for mothers and children in primary care facilities and hospitals • Health promotion at schools and development of responsive school health services • Implementation of the European Strategy on women’s health and well-being
- 9. Workstream I Health throughout the life-course Communicable Diseases Universal Health Coverage Migration Coordination Focus - Child and maternal health SDG Target: 3.1, 3.2, 3.7 and goal 5 Focus areas 2017-2019: • neonatal survival in the high burden countries of Central Asia and the Caucasus • quality of care for mothers and children in primary care facilities and hospitals • health promotion at schools and development of responsive school health services • Implementation of the European women’s health and well-being strategy Planned products: - Neonatal survival - Workshops in 6 countries of central Asia and the Caucasus - A report on the use of the Integrated Management of Childhood Illness strategy in Europe - A quality-improvement approach to hospital care for mothers and children in 3 countries - Schools - Curricula for school-based health education for 10 countries - Women - A monitoring framework for the European women’s health strategy - A tool for the subnational assessments of women’s health and well-being - Strategic areas for an IBC on gender
- 10. Workstream II Health throughout the life course Communicable diseases Universal Health Coverage Migration Focus: communicable diseases SDG targets: 3.3, 3.B Focus area for 2017–2019: • Reducing the burden of tuberculosis, HIV and viral hepatitis in European Member States Planned products: • United Nations joint paper • Global Ministerial Conference
- 11. Workstream III Health throughout the life course Communicable Diseases Universal health coverage Migration Focus: universal health coverage SDG targets: 3.8, 3.B Focus areas for 2017–2019: • Improving access to safe, effective, quality and affordable medicines • Building capacity for the provision of medical products by: sharing experiences, training and supporting systems for the provision of medical products in the Region sharing experiences, training and supporting systems for regulation of and access to medical products in the Region
- 12. Workstream III Health throughout the life course Communicable Diseases Universal health coverage Migration Focus: universal health coverage SDG targets: 3.8, 3.B Focus area 2017-2019: Medical Products • Building capacity through • sharing experiences, training and supporting systems for provision of medical products in the Region • sharing experiences, training and supporting systems for the regulation and access to medical products in the Region Planned products: • Regional Procurement and Supply Management Practitioners’ Forum developed by end of 2017 • Training workshops in 4 countries targeting national staff and counterparts • Joint consultation with medical product industry on demand for and quality of products, and reliable product forecasts shared with the industry for a number of essential health products • Training and capacity-building related to WHO guidance, norms and standards for health product regulation
- 13. Workstream IV Health throughout the life course Communicable Diseases Universal Health Coverage Migration Focus: migration SDG targets: 10.7, Goal 3 and others Focus areas for 2017–2019: • Supporting Member States to strengthen preparedness and capacity for adequately managing the public health challenges related to large-scale migration through an interagency collaboration and delivery of country support • Supporting Member States through the development of technical guidance materials, and through the provision of distance-learning opportunities in the field of migration and health
- 14. Workstream IV Health throughout the life course Communicable Diseases Universal Health Coverage Migration Focus – Migration SDG Target: 10.7, goal 3 and others Focus area 2017-2019: Supporting Member States • to strengthen preparedness and capacity for adequately managing the public health challenges related to large-scale migration through an inter-agency collaboration and delivery of country support • through development of technical guidance materials, and through the provision of distance-learning opportunities in the field of migration and health Planned products: - A regional interagency contingency plan - Assessment of 3 countries using the Toolkit for assessing health system capacity to manage large influxes of refugees, asylum-seekers and migrants (developed by WHO in collaboration with the UNHCR, the UNFPA and the International Organization for Migration) - New technical guidance materials and distance-learning opportunities - Convening of an annual meeting of the Knowledge Management Committee
- 15. Coordination Coordination One IBC meeting per year Implementation plan Compendium on existing capacities Advocacy Communication plan Joint guidance on leaving no one behind Identification of gaps and emerging needs Monitoring and evaluation Multi- and intersectoral streamlining Joint advocacy paper on implementing the recommendations of the 5th Ministerial Conference on Environment and Health Organization of an IBC meeting to follow up on the 2016 Paris high-level conference Second conference on the theme “Working together for better health and well-being”
- 16. Next steps • Set second IBC meeting dates (2 days) – Streamline vertical and horizontal coordination – Agree on a detailed implementation plan for 2017–2018 – Agree on joint communication activities • Regular progress reports • Regular communication within and across organizations • Creation of an inter- and multisectoral platform • Integration into a United Nations Development Assistance Framework
Editor's Notes
- Dear Colleagues and friends, It is a big pleasure to briefly present where we are with the issue based coalition on health and well’being. In November we came together as agencies to discuss the content of the IBC. After this we developed a joint workplan. I will present here briefly the content of this workplan and next steps.
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- For workstreams were identified, which reflect: areas of joint cooperation; high urgency and high political importance, common high burden of diseases or priorities across all countries (addressing the unmet), populations in particularly vulnerable conditions (addressing those most at need), existing commitments that ultimately will help to implement the SDGs goals and targets and building on areas with existing cooperation.
- Advancing health and well-being for all at all ages, means also improving the social, economic, environmental, commercial, and cultural determinants of health, such as promoting good quality early childhood development, education, employment and living conditions; Promoting active labour market policies for a healthy workforce; coordinating social protection ‘ ending gender inequalities, violence and exclusion and strengthening women’s safety, building women’s human capital and capabilities Environmental protection etc
- Therefore, in addition, a workstream an overall coordination, co-production, and communication was identified, which includes cross-cutting aspects, such as: Health equity, gender and human rights; Multisectoral action for health and well-being, through the Regional Platform for Working Together for Better Health and Well-being and the Environment and Health process; Monitoring of SDG implementation and disaggregated coherent data. One existing area, where mechanisms are already established, namely non-communicable diseases, will be further considered and cooperation further enhanced.
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- Workstream 1 on health throughout the lifecourse will first focus on child and maternal health. In particular to eliminate preventable neonatal and childhood deaths and enable children in the Region to realize their full potential for health and development. Newborn mortality is now the highest burden in most countries and poor quality of health care is one of the main barriers to its reduction. Childhood development, health behaviors at school and adolescent health has been insufficiently addressed. Every year, 1 million children still do not receive all scheduled vaccinations. Child maltreatment, adolescent tobacco use, mental health and physical inactivity are significant concerns for children and adolescents across the Region (rest to read out)
- Workstream 2 was identified as the European Region is the only region in the world where HIV incidence (number of newly diagnosed cases reported) (target 3.3) continues to rise rapidly and the region with highest multidrug resistant TB. Read slide
- Achieving Universal health coverage is one of the targets under the health goal. Within UHC, at the meeting of our agencies we identified “access to safe, effective, quality, and affordable medicines”, a key issue to further work on. Latest available data for the European Region shows large variation between countries in public expenditure on pharmaceuticals ranging from less than 10% in countries like The Netherlands, Norway and Denmark, to more than 30% of total health care expenditure in Serbia, Hungary, Tajikistan and Georgia. Medicines, vaccines and health products often make up the largest portion of countries’ (and households’) health spending – their impact on health financing places them in a central position in all discussions. Read rest of slide
- Following the recent increase in arrivals of refugees and migrants to the European Region, countries have called for enhanced public health action to protect and promote the health of mobile populations, thus facilitating their integration into national health systems and host societies. Responding to this emerging need, the WHO Regional Committee for Europe approved in September 2016 the first Strategy and Action Plan on Refugee and Migrant Health in the WHO European Region. This workstream therefor focuses on working together around the nine areas of joint cooperation. Read the rest
- Within the overall workstream on coordination, advocacy and multi and intersectoral action, we plan to hold Face to face IBC meeting per year, and need to identify the date for the next meeting A compendium on existing tools and capacities, is already under production by many agencies, we need to see now how to best with least resources we can do this There is a big need for communication between us but also to the oputside world. We need to discuss on how to make these IBCs most visible We also propose as a follow up to the Paris and the Ministerial Conference on Environment and Health to develop joint papers on implementation, as well as to discuss the next multisectoral meeting.
- Therefore, the next steps include .. read