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COOPERATION IN HEALTH DEVELOPMENT IN LATIN AMERICA AND THE CARIBBEAN IN THE GLOBAL CONTEXT: CHALLENGES AND OPPORTUNITIES Dr. Rebecca de los Ríos Principal.

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Presentation on theme: "COOPERATION IN HEALTH DEVELOPMENT IN LATIN AMERICA AND THE CARIBBEAN IN THE GLOBAL CONTEXT: CHALLENGES AND OPPORTUNITIES Dr. Rebecca de los Ríos Principal."— Presentation transcript:

1 COOPERATION IN HEALTH DEVELOPMENT IN LATIN AMERICA AND THE CARIBBEAN IN THE GLOBAL CONTEXT: CHALLENGES AND OPPORTUNITIES Dr. Rebecca de los Ríos Principal Advisor External Relations, Partnerships and Resource Mobilization Leaders in International Health Program Cooperation and Diplomacy in Health Module 2012 Session

2 Milestone that marked a shift: 2000 Millennium Summit

3 IV Forum Busan Korea Why use graphics from PowerPointing.com? 1st High-Level Forum in Rome Harmonization Doha Declaration on Financing for Development Monterrey Consensus Commitment of 0.7% II Forum Paris Declaration Millenium Development Goals (MDGs) Global Meetings on Cooperation for Development III Forum Action Agenda of Accra Forum on Cooperation for Development ECOSOC High Level Forum on SSC Bogota Declaration Forum on Cooperation for Development ECOSOC World Develop- ment Summit

4 Have the member countries of the CAD fulfilled their commitment? If they had fulfilled their commitment, the annual amount available would be 300 billion dollars. But it is only 133 billion dollars. What to do?

5 Paris Declaration: Global Commitments of Donors and Partners Agreed upon by those who signed and/or endorsed the Agenda of Aid Effectiveness

6 The agreements continually changed: A New geopolitics of cooperation for development Second High Level Forum on Joint Progress toward Enhanced Aid Effectiveness (Harmonisation, Alignment, and Results It proposes improvement in the areas of ownership, partnerships and delivering results..Capacity development also lies at the heart of the Agenda for Action. There is a reconigtion of the role of Soutth-South Cooperation Busan has been an expression of shifting geopolitical realities: For a New Global Partnership for Development

7 What Happened in Health: Expansion and Presence of New Actors Financing Global Health Taken from Financing Global Health 2011: Continued Growth as MDG Deadline Approaches Institute of Health Metric and Evaluation. University of Washington. 2011

8 New Actors Appear: Public-Private Partnerships, NGOs

9 Multiple Global Initiatives

10 Where are Latin America and the Caribbean in the Global Context? Taken from Financing Global Health 2011: Continued Growth as MDG Deadline Approaches Institute of Health Metric and Evaluation. University of Washington. 2011

11 How has international aid grown since the Millennium Summit? Source: De Los Ríos R, Arósquipa C, Vigil-Oliver W. Rev Panam Salud Publica. 2011;30(2)133–43 Variación porcentual de la asistencia para el desarrollo de la salud

12 Source: Done by PAHO/WHO based on IHME DAH Database Country and Regional Recipient Level Database Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2011; retrieved: Jan 2012 Note: Abbreviations: CAD: Development Aid Committee (DAC); BIRF: International Bank for Reconstruction and Development; IDA: International Development Association; BID: Inter American Development Bank (IDB); GAVI: Global Alliance on Vaccines and Immunizations; FBMG: Bill and Melinda Gates Foundation Growth Dynamics: Volatile and Cyclical Financiamiento de la asistencia internacional para el desarrollo de la salud (ADS) por fuente en la Región de América Latina y el Caribe (desembolsos en millones de dólares constantes de 2009)

13 There are differences according to the per-capita income of countries

14 Source: De Los Rios, R; Vilanova Carmen based on Credit Reporting System. OECD.Stat Extracts, date retrieved: March-April, 2012 ; Note: According to World Bank data, the high income countries are Antigua & Barbuda, Barbados, Netherlands Antilles, Turks & Caicos, Trinidad & Tobago; middle-high income countries are Argentina, Belize, Chile, Costa Rica, Cuba, Dominica, Grenada, Jamaica, Mexico, Panama, Saint Kitts & Nevis, Saint Lucia, Saint Vincent & the Grenadines, Suriname, Uruguay, Venezuela; low-middle income countries are Bolivia, Brazil, Colombia, Ecuador, El Salvador, Guatemala, Guyana, Honduras, Nicaragua, Paraguay, Peru, República Dominicana; low income country is Haiti; Regional/multi-country includes the region and sub- regions of Central America, South America and the West Indies Financing by Developed Countries Official Health Development Aid according to group of entry of countries by year, (Millions of U.S. Dollars at constant prices 2010)

15 Source: Developed by PAHO/WHO based on statistics of the Creditor Reporting System. OECD.Stat Extracts, date retrieved: March-April, 2012 Notes: Medical services and research: includes academic training of the health personnel and medical services specialized in medical research Basic Health: includes basic health, basic health infrastructure, training staff in basic health and health education Infectious diseases: includes control of infectious diseases, malaria and tuberculosis Reproductive health and family planning: includes reproductive health, family planning and training of staff working in reproductive health and family planning Alignment with Regional Health Problems? Ayuda oficial al desarrollo (AOD) por tema de salud en América Latina y el Caribe (acumulado )

16 Source: Developed by PAHO/WHO from the statistical database of the OECD Creditor Reporting System, date retrieved: March-April, 2012 NOTES : Nordic countries include: Denmark, Finland, Norway and Sweden The rest of the countries include: Australia, Austria, Belgium, France, Greece, Ireland, Italy, Luxemburg, United Kingdom and Switzerland Who are the principal cooperating countries? Ayuda Oficial al Desarrollo en Salud (AOD-S) según país cooperante en América Latina y el Caribe, (Millones US$ precios constantes 2010)

17 How has International Aid to Governments for the Development of Health behaved before and after the year 2000? Source: De Los Ríos R, Arósquipa C, Vigil-Oliver W. Rev Panam Salud Publica. 2011;30(2)133–43.

18 What is the variation of Public Health Expenditures before and after the year 2000? GPS-F: Public spending on health as a source. This refers to government expenses that are financed by internal sources. Source: De Los Ríos R, Arósquipa C, Vigil-Oliver W. Rev Panam Salud Publica. 2011;30(2)133–43.

19 Challenges: Donor Relations Promote less circumstantial cooperation, focusing on capacity development and processes aimed at facilitating greater sustainability. A partnerships where donors meet the internationally agreed upon principles such as harmonization, alignment, coordination and above all, the recognition of the stewardship role of governments.

20 August 2011 Vol. 30, No. 2 NÚMERO ESPECIAL SOBRE SALUD INTERNACIONAL / SPECIAL ISSUE ON INTERNATIONAL HEALTH El financiamiento internacional para la cooperación al desarrollo de la salud de América Latina y el Caribe Rebecca De Los Ríos, Carlos Arósquipa y William Vigil-Oliver Importance of Evidence and Information for Dialogue with Donors Ayuda Oficial para el Desarrollo de la Salud según países receptores, donantes y años

21 Challenge in the models: Innovative cooperation Changing the paradigm, seeking non-traditional funding mechanisms, articulating actors, establishing alliances and partnerships (public- private partnerships, joint civil society, academia, etc.) Mobilizing resources, ideas, innovations, and capacities of countries in the region to mutually beneficial partnerships.

22 Opportunities Countries have better capacities and knowledge to share: leadership of middle income countries. Health problems are increasingly shared. The answers and solutions are becoming more collaborative

23 Regional leadership promoting cooperation among countries for the development of health.

24 The exchange of knowledge and joint learning: A necessity for cooperation in health. Click to see the history of the cases in the Portal

25 We hope that this presentation will provide you with elements that foster discussions and debates Muchas Gracias Thank You Muito Obrigada


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