Promoting health and well-being in the Eastern Mediterranean Region: moving from theory to action to achieve the health -related SDGs
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Promoting health and well-being in the Eastern Mediterranean Region: moving from theory to action to achieve the health -related SDGs
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Promoting health and well-being in the Eastern Mediterranean Region: moving from theory to action to achieve the health -related SDGs
- 1. 1 Promoting health and well-being in the Eastern Mediterranean Region: Director, Healthier Populations Department Dr Maha El-Adawy Moving from theory to action to achieve the health-related Sustainable Development Goals
- 2. 2 What is well-being? Well-being is not just the absence of disease or infirmity. It includes physical, economic, social, developmental, mental, emotional and psychological elements Promoting health helps meet the needs of communities and ensure the well-being of all Mental health Quality of life Enabling environment Emotional well-being Physical health Health & Well-being Well-being refers to the state of being healthy and satisfied with life
- 3. 3 We have come a long way since Alma- Ata….. The Alma-Ata Declaration (1978) The Sustainable Development Goals (2015) The Astana Declaration on Primary Care (2018) The Geneva Charter for Well- being (2021)
- 4. We have a great opportunity…
- 5. Resolution on well-being endorsed by 75th World Health Assembly The 75th World Health Assembly endorsed the proposal submitted by the United Arab Emirates to move ahead with developing a global framework on well-being and health promotion The global framework will focus on empowering communities and creating enabling environments through a whole-of-government approach, and integrating health and well-being in all policies
- 6. 6 Well-being needs a whole-of-government and whole-of-society approach The effects of COVID-19 policies on the health of societies Health in all policies, multisectoral approach It is time for a paradigm shift
- 7. 7 Promoting health and well-being is needed even in emergency contexts The provision of vaccination, sanitation and clean drinking water Using different health promotion strategies and community-based actions during emergencies and among displaced populations Health literacy and effective health education to promote healthy behaviours that support infection prevention and control
- 8. Healthy settings and regional Healthy Cities network and programme Promoting physical activity: Sports and health 8 We are not starting from scratch… In Tunisia, Tunis city is implementing a Global Urban Governance Project for Health and Well-being The National Strategy for Well-being 2031 of the United Arab Emirates Qatar has started reorienting its health system and integrating health promotion and well-being at the primary health care level
- 9. What does it take to get there…?
- 10. Proposed strategic objectives Adopting a settings-based systems approach for health and well-being Increasing health literacy to promote health and well-being Developing institutional capacity for health promotion and well-being within the health sector Enhancing community engagement and inclusion 1 0
- 11. 11 Member States to… Strengthen health promotion and disease prevention through good governance and health system strengthening Develop national plans of action to achieve the highest attainable standard of physical and mental health Take multisectoral action to create and establish healthy environments and promote healthy settings Support the creation and institutionalization of innovative mechanisms to share evidence on developing high-impact policies
- 12. WHO will support by… Developing a regional roadmap for the development of national plans of action to promote health and well- being Providing technical support for interdisciplinary research and the development of measurement frameworks Assisting Member States to accelerate efforts to ensure healthy lives and promote well-being for all
- 13. 1 3 The Regional Committee is invited to review the paper and endorse the proposed priority areas for action to promote health and well-being in the Eastern Mediterranean Region Thank you – Merci – شكرا Dr Maha El-Adawy Director, Healthier Populations Department eladawym@who.int
Editor's Notes
- Let me start by defining what we mean by wellbeing. to be able to pursue engaging activities, work, and availability of and access to basic resources
- There are Global and Regional commitments to promoting health and well-being The Alma-Ata Declaration (1978) outlined that health is a human right for all, especially for vulnerable groups The Ottawa Charter for Health Promotion (1986) and the declarations from the nine subsequent global conferences on health promotion identified that health promotion is conducted with people, rather than for people, emphasizing the importance of community empowerment, health literacy and good governance The Adelaide Statement on Health in All Policies (HiAP) (2010) introduced a strategic approach that emphasizes collaboration across government sectors, so that they can all contribute to a healthy society The Rio Political Declaration on the Social Determinants of Health (2011) identified concrete action to address health inequities and social, environmental, economic and political determinants The Sustainable Development Goals of the United Nations (SDGs) (2015) place special emphasis on enhancing prosperity and equity, ensuring healthy lives and promoting well-being at all ages as an essential element of sustainable development The Astana Declaration on Primary Care (2018) emphasized the critical role of primary health care (PHC) around the world and reaffirmed a global commitment that PHC is about caring for people rather than treating diseases or conditions. It refocused efforts on PHC to ensure that everyone everywhere is able to enjoy the highest possible attainable standard of health at both population and individual levels, through scaling up health systems WHO’s vision for the Eastern Mediterranean Region, Vision 2023 (2018), calls for solidarity and action to achieve Health for All, by All in the Region through promoting healthier lives and well-being across all ages and advocating for HiAP, multisectoral action, community engagement and strategic partnerships, leaving no one behind The UN Declaration on Universal Health Coverage (2019) identified the promotion of health and well-being as key components of UHC and reaffirmed that the health sector has a key role in coordinating across sectors and different governmental levels and stakeholders to promote public health. The Declaration expresses the resolve to progressively provide, by 2025, one billion additional people with quality essential health services and quality, safe, effective, affordable and essential medicines, vaccines, diagnostics and health technologies, with a view to covering all people by 2030. WHO’s Thirteenth General Programme of Work (GPW 13) (2019) is based on the SDG agenda. It sets out WHO’s strategic direction and provides a framework to measure progress around three interconnected strategic priorities to ensure healthy lives and well-being for all at all ages. It takes an evidence-based approach to public health and recognizes that a combination of high-level political support and community engagement is needed to help achieve its vision while also recognizing the need for proactive engagement with civil society . The Geneva Charter for Well-being (2021) was agreed at the Tenth Global Conference on Health Promotion for Well-being, Equity and Sustainable Development. The Geneva Charter builds on the Ottawa Charter for Health Promotion and the legacy of nine global conferences on health promotion. It expresses the urgency of creating societies with sustainable well-being, committed to achieving equitable health now and for future generations without breaching ecological limits The Astana Declaration on Primary Care (2018) emphasized the critical role of primary health care (PHC) around the world and reaffirmed a global commitment that PHC is about caring for people rather than treating diseases or conditions. It refocused efforts on PHC to ensure that everyone everywhere is able to enjoy the highest possible attainable standard of health at both population and individual levels, through scaling up health systems WHO’s vision for the Eastern Mediterranean Region, Vision 2023 (2018), calls for solidarity and action to achieve Health for All, by All in the Region through promoting healthier lives and well-being across all ages and advocating for HiAP, multisectoral action, community engagement and strategic partnerships, leaving no one behind The UN Declaration on Universal Health Coverage (2019) identified the promotion of health and well-being as key components of UHC and reaffirmed that the health sector has a key role in coordinating across sectors and different governmental levels and stakeholders to promote public health. The Declaration expresses the resolve to progressively provide, by 2025, one billion additional people with quality essential health services and quality, safe, effective, affordable and essential medicines, vaccines, diagnostics and health technologies, with a view to covering all people by 2030. WHO’s Thirteenth General Programme of Work (GPW 13) (2019) is based on the SDG agenda. It sets out WHO’s strategic direction and provides a framework to measure progress around three interconnected strategic priorities to ensure healthy lives and well-being for all at all ages. It takes an evidence-based approach to public health and recognizes that a combination of high-level political support and community engagement is needed to help achieve its vision while also recognizing the need for proactive engagement with civil society . The Geneva Charter for Well-being (2021) was agreed at the Tenth Global Conference on Health Promotion for Well-being, Equity and Sustainable Development. The Geneva Charter builds on the Ottawa Charter for Health Promotion and the legacy of nine global conferences on health promotion. It expresses the urgency of creating societies with sustainable well-being, committed to achieving equitable health now and for future generations without breaching ecological limits (17) The United Arab Emirates submitted resolution A75/A/CONF./4 on health and well-being promotion to the 150th session of the WHO Executive Board. It was accepted by the Board and endorsed by the Seventy-fifth World Health Assembly. The resolution encourages governments to empower communities and create enabling environments for health and well-being through a whole-of-government approach, integrating HiAP and provision of adequate health and social measures through multisectoral action supported by an enabling international environment. The Report of the Commission on Social Determinants of Health in the Eastern Mediterranean Region and its recommendations on building back fairer underline the importance of health equity to ensure health and well-being for all and leaving no one behind. WHO has long experience in community approaches to health in the Eastern Mediterranean Region, including the Regional Healthy City Network, established in 2012, which currently includes over 105 cities from 15 countries. The core concept of the Healthy Cities Programme is establishing a multisectoral platform for health and well-being through political commitment and community engagement.
- The provision of vaccination, sanitation and clean drinking water are basic public health interventions that are undeniably responsible for improved health outcomes and well-being Using different health promotion strategies and community-based actions during emergencies and among displaced populations enhances the opportunity for better outcomes, improves and sustains people-centred approaches to emergency responses, builds resilience in local communities and helps mitigate the impact of disasters and emergencies Health literacy and effective health education to promote healthy behaviours that support infection prevention and control
- • Many activities are taking place but sporadic or on adhoc basis. We need to build on what is going on in holistic manner: For example: The decision of the United Arab Emirates to adopt its National Strategy for Well-being 2031 (48) will introduce a systems approach to health promotion because it covers all levels within the country — national, community and individual — and considers all aspects of well-being in an integrated manner, including economic, societal, environmental, digital and health factors. It also considers settings and lifestyles. In this way the Strategy will lead the country towards the achievement of SDG 3 and UHC. • Qatar has started reorienting its health system and integrating health promotion and well-being at the PHC level by establishing well-being clinics in some centres in each municipality to provide health promotion and well-being services including case assessment and referral. • In Tunisia, Tunis city is implementing a Global Urban Governance Project for Health and Well-being co-funded by the Swiss Agency for Development and Cooperation (SDC). A governance mechanism has been established at the municipal level with the participation of all sectors including public, private, academia and other UN organizations; this mechanism will address the governance aspects needed for the implementation of a systems approach. The EM Commission on Social Determinants of Health In Egypt, a health literacy was assessed and used to improve health and equity among fishermen in their communities In Sudan, health literacy programmes were introduced to improve access to essential services SDC health equity and social inclusion project (MOR& oPT)
- Adopt a settings-based, systems approach to promote wellbeing
- We are proposing strategic directions as follow:
- 1. URGES Member States to: 1.1. Strengthen health promotion and disease prevention through good governance and health system strengthening; 1.2. Identify national priorities for health and wellbeing, based on local context and mandates to ensure healthy lives and promote well-being for all throughout the life course and to achieve universal health coverage by 2030 1.3. Support research and studies for knowledge and evidence creation for effective planning and assessing different interventions related to promoting health and wellbeing 1.4. Promote community empowerment and engagement to improve health-seeking behaviours 1.5. Support the creation and institutionalization of innovative mechanisms to share evidence on developing high-impact policies to promote and protect people’s physical, mental and social health and well-being, and comprehensively address structural, social, economic, environmental and other determinants of health by working across all sectors through a whole-of-government, whole-of-society and health-in-all policies approach; 1.6. Take multisectoral action to create and establish healthy environments and promote healthy settings for healthy lifestyles; 1.7. Develop national plans of action aiming to achieve the highest attainable standard of physical and mental health, and advancing action across sectors and at all levels, while benefiting from the knowledge and experiences of other specialized agencies of the United Nations system and relevant partners.
- Develop a regional road map for working with relevant sectors to promote health and well-being and address their determinants Provide technical support for interdisciplinary research and the development of measurement frameworks Support Member States to accelerate efforts to ensure healthy lives and promote well-being for all throughout life as they work towards achieving universal health coverage by 2030.