Vision 2023 midterm review and push forward

1. Vision 2023: Midterm Review and
Push Forward
Agenda item 2
Professor Dr Maha El Rabbat
Chair, Vision 2023 Midterm Push Forward Taskforce
Sixty-eighth session of the WHO Regional Committee for the Eastern Mediterranean
Cairo, Egypt, 11–14 October 2021

2. Taskforce members
• External experts: Dr Maha El Rabat (Chair), Dr Abdulla Assaedi, Dr
Omer Suleiman, Dr Ruth Mabry
• WHO taskforce members: Dr Rana Hajjeh, Dr Arash Rashidian, Dr
Amir Hassan, Dr Elil Renganathan, Dr Iman Shankiti,
Dr Palitha Mahipala, Mr Toby Boyd and Dr Jamal Nasher
• Contributors: Dr Rayana Bou Haka, Dr Qaiser Pasha, Mr Anand
Sivasankara Kurup, Mr Jaafar Jaffal and Ms Hala Khudari

3. Aim: Develop the Vision 2023 Midterm Push Forward Plan based
on a review that highlights achievements, lessons learned, success
stories and weaknesses that support or hinder implementation of
Vision 2023
Review questions
• To what extent has the technical agenda advanced?
• What tangible results have been achieved?
• How efficiently has WHO organized itself to optimize results?
• What have been the main internal and external factors?
• What changes are needed to achieve the envisioned results?
Preparation
(Feb to Mid-March)
Inception report
1
Data collection
(Mid-March to late April)
Review report
2
Strategic planning
(late April to end-July)
Midterm Push Forward Plan
3
Dissemination
(August)
Paper for 68th Regional Committee
Vision 2023:
Midterm Review and Push Forward

4. Advances on Vision 2023 technical
agenda
• Numerous results achieved by Member States, the Regional
Office and WHO country offices
• COVID-19 an opportunity to address health emergencies, but
also to focus on Vision 2023’s six approaches driving public
health
• BUT it is difficult to assess midpoint progress without clear
regional and country-specific milestones and targets

5. Example: Awareness of Vision 2023
Awareness of Vision 2023 by Member States,
WHO staff and partners

6. Integrating
communicable
diseases/NCDs/
maternal and child
health into UHC – but
progress not yet
reflected in the UHC
service coverage index
1
Supporting countries to
implement national
action plan on health
security (NAPHS) and
COVID-19 response
2
Accelerating health
promotion – but not
reflected in many SDG
indicators
3
Tangible results

7. • Progress: Sustained high coverage of
skilled birth attendance, decline in
reported number of new cases of TB
and improved vaccination coverage
• Slow progress: MMR, U5MR, NMR and
mortality rates due to road traffic
injuries and accessibility to improved
drinking water and sanitation facilities
• Progress stalled: mortality rates on
NCDs and pollution, incidence of
malaria in endemic countries
Example: Progress on SDG3+
Source: Presentation for the launch of the SDGs progress
report, 16 June 2021
Progress on 50 health-related SDG indicators

8. 1. Increase awareness of and engagement with Vision 2023 (4 actions)
2. Enhance and accelerate implementation of the strategy and the priority
transformational changes (2 actions)
3. Harmonize monitoring mechanisms to better assess progress, report on
achievements and measure impact (6 actions)
4. Strengthen and empower fit-for-purpose WHO country offices (6 actions)
5. Be a catalytic leader in health using an integrated approach for enhanced country
impact (7 actions)
6. Strengthen capacities in communication and resource mobilization based on a
regional strategy (6 actions)
6 recommendations (31 actions)

9. EMR
Vision
2023
1. Develop a
collective regional
health agenda
(6 actions)
2. Work
collaboratively
and share
oversight
(6 actions)
3. Define needed
improvements in
essential public
health functions
(6 actions)
4. Work in
multidisciplinary
teams
(5 actions)
5. Promote
WHO’s leadership
in health
(5 actions)
6. Ensure all WHO
staff are working
towards Vision
2023
(6 actions)
Accelerating actions: the “how”

10. Monitor and share
progress of Vision 2023
Advocacy campaign for
Vision 2023
UHC expansion enhanced
and integrated
Information systems
to generate timely, quality
data to guide decision-
making
Reginal Office
strengthened
and country offices
empowered and
fit-for-purpose
Adoption of lessons
learned from COVID-19
response
Advocacy for
whole-of-government
approach to promote
healthier populations and
leave no one behind
Be a catalytic leader
in health using an
integrated approach for
country impact
Regional strategy
for communication,
resource mobilization and
partnership
9 quick wins for 2021

11. 35 deliverables proposed for Programme
Budget 2022–2023
Examples: National UHC roadmaps developed
Mechanisms for production and procurement of vaccines, medicines and medical
products established
Plans for health systems recovery from COVID-19 developed and initiated
Robust health information systems built to generate quality and timely reporting of
disaggregated data
Regional and country partnerships and intercountry collaboration expanded
Vision 2023 communication and advocacy action plan is implemented, and
States regularly updated

12. Monitoring
and evaluation
framework
Final evaluation to document achievements, challenges and
gaps, lessons learned and best practices
Annual progress reports to be submitted to the 69th
and 70th sessions of the Regional Committee
Shortlist of 50 indicators to measure progress
and impact of Vision 2023
Vision Implementation Framework to provide
a theory of change for Vision 2023

13. Recommended roles and responsibilities of
WHO
Strengthen, empower and capacitate WHO country offices and ensure sufficient and appropriate
backstopping from other levels of the Organization
Scale up and strengthen regional and country level partnerships to support the
regional health agenda
Facilitate the establishment of a regional high-level policy platform
Provide regular updates on progress and achievements, success stories and lessons learned to
Member States, including but not limited to 69th and 70th sessions of the Regional Committee
Plan for a final evaluation to document achievements, challenges and gaps, lessons learned and best
practices

14. Ensure adequate implementation of all programmes and initiatives to meet commitments
under Vision 2023 and the Midterm Push Forward Plan
Address health security and build resilient health systems in line with global discussions
Ensure health system performance is monitored effectively and that all health-related SDG
indicators are collected, analysed and shared
Consider new initiatives, such as innovation hubs, intercountry collaboration mechanisms and
self-sufficient approaches
Recommended roles and responsibilities of
Member States

15. Thank you