The SMP’s Health Links Forum looked back on 10 years of health partnerships, funded by the Scottish Government, between Scotland and Malawi, and explored the UN’s new Global Goals, in particular Goal 3 “Good Health and Well-being”.

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2. Global Goal 3:
“Good Health and Well-being”
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3. SMP Health Links Forum
Sustainable Development Goals
Cycles and circles
Dr Liz Grant
Assistant Principal Global Health
Director Global Health Academy

4. Goal 1. End poverty in all its forms everywhere Goal 10. Reduce inequality within and among countries
Goal 2. End hunger, achieve food security and improved nutrition, and
promote sustainable agriculture
Goal 11. Make cities and human settlements inclusive, safe, resilient and
sustainable
Goal 3. Ensure healthy lives and promote well-being for all
at all ages
Goal 12. Ensure sustainable consumption and production patterns
Goal 4. Ensure inclusive and equitable quality education and promote life-
long learning opportunities for all
Goal 13. Take urgent action to combat climate change and its impacts
Goal 5. Achieve gender equality and empower all women and girls Goal 14. Conserve and sustainably use the oceans, seas and marine
resources for sustainable development
Goal 6. Ensure availability and sustainable management of water and
sanitation for all
Goal 15. Protect, restore and promote sustainable use of terrestrial
ecosystems, sustainably manage forests, combat desertification, and halt
and reverse land degradation and halt biodiversity loss
Goal 7. Ensure access to affordable, reliable, sustainable, and modern
energy for all
Goal 16. Promote peaceful and inclusive societies for sustainable
development, provide access to justice for all and build effective,
accountable and inclusive institutions at all levels
Goal 8. Promote sustained, inclusive and sustainable economic growth, full
and productive employment and decent work for all
Goal 17. Strengthen the means of implementation and revitalize the global
partnership for sustainable development
Goal 9. Build resilient infrastructure, promote inclusive and sustainable
industrialization and foster innovation
17 SDGs proposed by the Open Working Group in July 2014, and
consolidated in the June 2015 Outcome Document

5. People
• End poverty and hunger, in all their forms and dimensions, Ensure
everyone can fulfil their potential in dignity and equality ( healthy lives)
and in a healthy environment.
Planet
• Protect the planet from degradation, including through sustainable
consumption and production, sustainably managing its natural resources
and taking urgent action on climate change
Prosperity
• All human beings can enjoy prosperous and fulfilling lives and that
economic, social and technological progress occurs in harmony with
nature.
Peace
• Foster peaceful, just and inclusive societies which are free from fear and
violence.
Partnership
• A revitalised Global Partnership for Sustainable Development, based on a
spirit of strengthened global solidarity, focussed in particular on the
needs of the poorest and most vulnerable and with the participation of
all countries, all stakeholders and all people

6. SDGs speak to a globally changing
world
• Ageing populations
• Reliance on technologies
• environmental degradation
• The online world
• Insecurity
• Urbanisation
• Search for meaning

7. 2030 Development Agenda
• A new emphasis on governance
• A new emphasis on economic development
• A need for implementation
• A new approach to funding - incentives for the
private sector to advance development while pursuing
profits.
policy choice and shifts in political choices
realignment of regulation
policy reforms at the national, regional and global level
an accountability framework to track progress.
7

8. Are SDGs attainable
The language of the SDGs
• Ending hunger and
poverty
• Promoting wellness ,
health for all
• Protecting the planet
from abuse
• Building safe prosperity
• Providing safe places
• Fostering peace
• “The healing of the
nations”
• “Preferential Options
for the Poor”
• “Leaving no-one
behind”

9. How are SDGs different from MDGs
Build on the MDGs
• Complete what wasn’t
achieved –( maternal,
newborn, reproductive
health)
• Incorporates unmet strands
from MDGs -
• Focus on vulnerable
populations left out in the
siloed MDG matrix
• Tries not to loose the MDG
momentum
Go beyond the MDGs
• New understanding of the
rights of humanity and o social
determination of health
• Creating conditions for change
rather than firefighting crises
• New emphasis on peaceful
and inclusive societies
• New set of targets on
implementation
• New recognition of inter-
connection and environment
• Leaving no one behind

10. SDG 3 Ensure healthy lives and
promote wellbeing for all at all ages

11. Goal 3. Ensure healthy lives and promote well-being for
all at all ages (19 July 2014)
11
3.1 by 2030 reduce the global maternal mortality ratio to less than 70 per 100,000 live births
3.2 by 2030 end preventable deaths of newborns and under-five children
3.3 by 2030 end the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne
diseases, and other communicable diseases
3.4 by 2030 reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment,
and promote mental health and well-being
3.5 strengthen prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
3.6 by 2020 halve global deaths and injuries from road traffic accidents
3.7 by 2030 ensure universal access to sexual and reproductive health care services, including for family planning, information and
education, and the integration of reproductive health into national strategies and programmes
3.8 achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and
access to safe, effective, quality, and affordable essential medicines and vaccines for all
3.9 by 2030 substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water, and soil pollution and
contamination
3.a strengthen implementation of the Framework Convention on Tobacco Control in all countries as appropriate
3.b support research and development of vaccines and medicines for the communicable and non-communicable diseases that
primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha
Declaration which affirms the right of developing countries to use to the full the provisions in the TRIPS agreement regarding
flexibilities to protect public health and, in particular, provide access to medicines for all
3.c increase substantially health financing and the recruitment, development and training and retention of the health workforce in
developing countries, especially in LDCs and SIDS
3.d strengthen the capacity of all countries, particularly developing countries, for early warning, risk reduction, and management of
national and global health risks

12. What will make a difference
•Numbers
•Skills
•Knowledge
•Application
•Location – primary,
secondary, tertiary
•NCDs
•Infectious
•NTD
•ENID
•Logistics, pharmaceutical,
•IT
•Infrastructure
•Governance
•Architecture
•Being born -
•Survival
•Reproductive health
•Working health
•Dying well
Life stages
Health
system
building
blocks
WorkforceDiseases

13. New paradigm
• Healthy lives for all – emphasis on the person
UHC – emphasis on the mechanism
• Relational not partisan
• Alternative relationships – of sectors, peoples.
Ideas, cadres, structures
• Health measurement and accountability post
2015: a call to action

14. Outputs /outcomes: (a) universal access to SRH services, and
the integration of reproductive health into national strategies
and programmes; (b) UHC achieved; (c) strengthened
implementation of the WHO FCTC (d) R&D for vaccines and
medicines supported and access to affordable medicines and
vaccines in accordance with TRIPs provided; (f) health financing
increased and health workforce strengthened; (g) early warning,
risk reduction and management of health risks strengthened
Impacts: (a) global maternal mortality ratio reduced; preventable deaths of newborns and children
under 5 years of age ended; (b) major communicable disease epidemics ended; (c) reduced by one
third premature mortality from NCDs reduced by one third; (d) number of global deaths and injuries
from road traffic accidents halved; (e) number of deaths and illnesses from hazardous chemicals and
air, water and soil pollution and contamination substantially reduced;
Goal 3: Ensuring Healthy Lives
OTHER SDGs

15. Universal Health Coverage
Goal: to ensure that all people obtain the health services
they need without suffering financial hardship when
paying for them.
• a strong, efficient, well-run health system;
• a system for financing health services;
• access to essential medicines and technologies;
• a sufficient capacity of well-trained, motivated health
workers.
Priority must be healthy lives for all

16. Paying

17. UN secretary-General Ban Ki-moon at the
opening of the Addis Ababa Conference
• Financing needs for sustainable development
are high, but the challenges are
surmountable,”
• “The Addis Ababa Action Agenda will help to
turn these needs into investment
opportunities.”

18. The Addis Ababa Action Agenda & agreements
• Technology—A Technology Facilitation
Mechanism to boost collaboration among
governments, civil society, private sector,
the scientific community, United Nations
entities and other stakeholders
• Infrastructure—A Global Infrastructure
Forum to identify and address
infrastructure gaps, highlight opportunities
for investment and cooperation, and work
to ensure that projects are
environmentally, socially and economically
sustainable.
• Social protection—a social compact in
favour of the poor and vulnerable groups,
through the provision of social protection
systems and measures for all, including
social protection floors.
• .
• Health—tax on harmful substances to
deter consumption and to increase
domestic resources eg tobacco .
• Micro, small and medium-sized
enterprises—Countries committed to
promote affordable and stable access to
credit for smaller enterprises. Pledges
to develop and operationalize a global
strategy for youth employment and
implement the International Labour
Organization Global Jobs Pact by 2020

19. AAAA calls
• Foreign target of 0.7 % for development
assistance, and 0.15 to 0.20 per cent for poorest
in a package of measures.
• Taxation—UN Committee of Experts on
International Cooperation in Tax Matters to
improve its effectiveness and operational
capacity, and engagement with the Economic and
Social Council and with national tax authorities.
• Climate change jointly mobilizing $100 billion
per year by 2020 / phase out inefficient fossil
fuel subsidies that lead to wasteful consumption.

20. The SDGs call for “businesses to apply their creativity
and innovation to solving sustainable development
challenges”.
The goals call for
• Changes in the way societies
produce and consume goods
and services
• Investment in urban
development that fosters
cohesion and compassion and
stimulates well being
• New ways to shape the role
of the private sector from
micro-finance to
multinational
• Equal rights to resources,
access to services,
technologies, social
protection systems
• Decoupling economic
growth from environmental
degradation
• Achieving rightful and
purposeful employment

21. CSR: “Compassionate Sustainable Reciprocity”
Global Health Academy
A different way of redeeming, resourcing and reinvesting in
society in a comprehensive collective way for systemic change

22. Solutions
“We will foster a dynamic and
well functioning business sector
while protecting labour rights”

23. The SDGs call for “ intercultural understanding, tolerance,
mutual respect, and an ethic of global citizenship and shared
responsibility.
• Changes in the way societies
produce and consume goods
and services
• Investment in urban
development that fosters
cohesion and compassion and
stimulates well being
• New ways to listen to and
respond to the ways that civil
society shapes social norms.
• Equal rights to resources,
access to services,
technologies, social
protection systems
• Reimagining global
citizenship and decoupling
exclusivity from social
growth
• Achieving connection
The goals call for

24. Civil Society: there needs to be a different way of recognising
that all cultures and civilisations can contribute to, and are
crucial enablers of sustainable development
“on behalf of the peoples we serve … we commit to achieving
sustainable development in its three dimensions – economic, social and
environmental - ( still work to be done! )

25. Solutions
“We, the Peoples”
An agenda of the people, by the
people, and for the people - the
road is mapped
It will be for all of us to ensure
that the journey is successful.

26. To change the health in the world we need to
change the world of health
• Person-health intimately
connected to the health
of the planet – air, seas,
land, & the architecture,
infrastructure, that makes
(and breaks) societies.
• Whose responsibility is
health, wellness and
healthiness?
• Why does this matter to
business?
Businesses in many SSA
countries
• Create at least 60% of
GDP,
• 80% of capital flows,
• 90% of jobs
• Their footprint dominates
social structures
Business not the whole solution but one important component

27. For health what would this look like
• Businesses being and behaving according to sustainability principles -
across the business chain
• Civil society holding businesses to account
• Ethos of businesses supporting healthy workplace environment
• Civil society advocating for healthy workplace environments
• Businesses making, managing and marketing products safely
• Civil society voting with feet and money
• Businesses challenging unethical practice
• Civil societies challenging unethical practice
• Business sharing skills and knowledge – the how to make things work –
the chain
• Civil society taking up these skills and resharing, reusing,
• Business Agendas aligned to compassionate profit
• Civil Society Agendas aligned to compassionate living
• Accountable Business against Civil society benchmarks of business and
health

28. New approaches
• PAHO Health in All Policies
(HiAP) - an approach that
assesses the health
implications of decisions,
seeks synergies, and avoids
harmful health impacts in
order to improve population
health and health equity.
• - focus on legitimacy,
accountability, transparency,
access to information,
participation, sustainability,
and multi-sectoral
collaboration.

29. Roles for all of us
• Better understand the political economy of health
• Support state structures in cross sectoral modelling,
planning
• Investment case support
• Co-benefit analysis in ‘systems for health’
• Witnessing and equity monitoring
• Harnessing and transferring innovations in public-
private relations
• Capacity building of academia and learning platforms
with the global south
• Pro-equity business model articulation
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30. What will make the goals fail
• Systems struggling to transition = not engaging high-level leadership in
implementation, coordinated Ministries of Finance, Economy and Planning,
Health, Agriculture etc.
• Business not buying in – arrangements based on traditional transactional analysis
costs
• Local communities not being empowered to act, or even worse , contributing but
their contribution not being recognised. No one sure of the rights, resources,
capacities and incentives to drive development and scale up solutions
• Investment in talking about the goals bit not delivering to the goals. – shoehorning
goal delivery into matrix for reporting that fail to take account of new systems of
work. Need accountability but not at the cost of silos.
• Lack of a coherent financial architecture

31. Moving forward
Don’t underestimate the
gap between the
converted and the
unconverted

32. Health volunteering overseas
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33. Project governance for
health partnerships
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34. AOB
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35. Zikomo!
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