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Health in the post-2015 agenda: the global consultation process

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1 Health in the post-2015 agenda: the global consultation process
Second Global Symposium on Health Systems Research Beijing, China Anders Nordström (Ministry of Foreign Affairs, Sweden) Kumanan Rasanathan (Health Section, UNICEF, New York) 1 November 2012

2 SG's High-level Panel of Eminent Persons
Post-2015 process 2010 MDG Summit Rio+20 UN System Task Team SG's High-level Panel of Eminent Persons Working Group on Sustainable Development Goals Adoption of the post-2015 UN development agenda

3 Overview of presentation
The overall post-2015 process The global thematic consultation on health Key issues for health goals post-2015 Open discussion

4 UN System Task Team: Proposed integrated framework for realizing the "future we want for all" in the post-2015 UN development agenda Human rights Equality Sustainability Environmental sustainability Peace and Security Inclusive social development Inclusive economic development Inclusive social development: Adequate nutrition for all Quality education for all Reduced mortality and morbidity Gender equality Universal access to clean water and sanitation Inclusive economic development Eradicating income poverty and hunger Reducing inequalities Ensuring decent work and productive employment

5 SG's High-level Panel of Eminent Persons on the post-2015 UN development agenda
Mandate: MDG+10 Summit Output: SG will deliver a report to UNGA by the 2nd quarter of 2013 Input: Work based on report of UN System Task Team Work to be informed by Rio+20 and UNDG's consultations Co-Chair: Susilo Bambang Yudhoyono President of Indonesia Co-Chair: Ellen Johnson Sirleaf President of Liberia Co-Chair: David Cameron Prime Minister of the UK Appointed by the UN Secretary-General on 31 July 2012 Mandate: to advise on the global development agenda beyond The Panel will hold its first meeting at the end of September in the margins of the annual high-level debate of the United Nations General Assembly.  It is expected to submit a report to the Secretary-General in the first half of 2013. Fulbert Gero Amoussouga (Benin) Mr. Gero Amoussouga heads the Economic Analysis Unit of the President of the Republic of Benin, current chair of the African Union.  He is also the Director of the Graduate School of the Faculty of Economics and Management at the University of Abomey, where he specialises in research on African economic development. Vanessa Petrelli Corrêa (Brazil) Ms. Petrelli Corrêa is President of Brazil’s Institute for Applied Economic Research, a public federal foundation linked to the Secretariat for Strategic Studies of the presidency of Brazil.  The Institute conducts research to support the design and implementation of governmental policies and development programmes in Brazil, and is responsible for technical coordination of Brazil’s follow-up process for the Millennium Development Goals. Yingfan Wang (China) Mr. Wang is a current member of the Secretary-General’s Millennium Development Goals Advocacy Group, a group of eminent personalities who have shown outstanding leadership in promoting the implementation of the Millennium Development Goals.  He is a career diplomat.  In 1995, he served as Vice-Minister of Foreign Affairs until the year 2000, when he became the Permanent Representative of China to the United Nations in New York.  From 2003 to 2008, he served as Vice-Chairman of the Foreign Affairs Committee of the Chinese National People's Congress. Maria Angela Holguin (Colombia) Ms. Holguín is the current Foreign Minister of Colombia.  Her career spans two decades of activity in the private and public sectors, including senior positions in the Office of the President of the Republic, the Ministry of Foreign Affairs and the Office of the Inspector General of the Nation.  She previously served as Permanent Representative of Colombia to the United Nations. Gisela Alonso (Cuba) Ms. Alonso is the current President of the Cuban Agency of Environment.  Ms. Alonso has been an active advocate for the sustainable development of small island developing States. Jean-Michel Severino (France) Mr. Severino was the Director General of the French Development Agency. He worked for the French Ministry of Finance and Economy in several capacities, including adviser of the Minister for Development, leader of the Development Ministry’s geographical coordination, and Director of the Ministry’s Development Programs.  In the period 1996–2000 he was at the World Bank, first as Director for Central Europe, and then Vice-President for Asia. Horst Kohler (Germany) Mr. Kohler is a former President of the Federal Republic of Germany ( ).  He previously served as Managing Director of the International Monetary Fund, and President of the European Bank for Reconstruction and Development. Naoto Kan (Japan) Mr. Kan is a former Prime Minister of Japan, Minister of Health and Welfare, and Chairman of Japan’s Foreign Affairs Committee.  He is currently an adviser on renewable energy for Japan’s Technical Committee on Renewable Energy.  As Prime Minister, Mr. Kan led Japan’s emergency response to the 2011 Great East Japan Earthquake, tsunami and Fukushima Daiichi nuclear accident. Queen Rania of Jordan (Jordan) Queen Rania Al Abdullah is the wife of King Abdullah of the Hashemite Kingdom of Jordan.  An advocate and a humanitarian, Queen Rania serves as an Eminent Advocate for the United Nations Children’s Fund (UNICEF) and Honorary Chairperson for the United Nations Girls’ Education Initiative.  The Jordan River Foundation is Queen Rania’s non-governmental organization.  It focuses on the disadvantaged in Jordan. Betty Maina (Kenya) Ms. Maina is the Chief Executive of Kenya’s Association of Manufacturers, one of the country’s leading business associations with some 700 members.  Ms. Maina was previously at the Institute of Economic Affairs, the Center for International Private Enterprise, and the Kenya Leadership Institute, among others.  She served on Denmark’s Africa Commission and currently sits on various boards in the public sector. Abhijit Banerjee (India) Mr. Banerjee is currently the Ford Foundation International Professor of Economics at the Massachusetts Institute of Technology.  In 2003, he co-founded the Abdul Latif Jameel Poverty Action Lab.  He is a past President of the Bureau for the Research in the Economic Analysis of Development.  His areas of research are development economics and economic theory. Andris Piebalgs (Latvia) Mr. Piebalgs is the current Commissioner for Development for the European Commission.  He was previously European Commissioner for Energy ( ), Deputy Secretary of State, Ministry of Foreign Affairs of Latvia ( ), Minister of Finance of Latvia ( ) and Minister of Education of Latvia ( ). Patricia Espinosa (Mexico) Ms. Espinosa is the current Secretary of Foreign Affairs for Mexico.  From June 2001 to 2006, she served as Ambassador to Austria, Slovenia, Slovakia, and Germany, and as Permanent Representative to the International Organizations in Vienna.  Previously, she was Director General of Regional Organizations of the Americas at the Secretariat of Foreign Affairs. Paul Polman (Netherlands) Mr. Polman is the Chief Executive Officer of Unilever.  Prior to joining Unilever, Mr. Polman was Chief Financial Officer of Nestlé S.A.  He serves as President of the Kilimanjaro Blind Trust and Chairman of Perkins International Advisory Board.  He is also a member of the International Business Council of the World Economic Forum, the Swiss American Chamber of Commerce, and the World Business Council for Sustainable Development. Ngozi Okonjo-Iweala (Nigeria) Ms. Okonjo-Iweala is the Minister of Finance for the Federal Republic of Nigeria.  Prior to this appointment, she was the Managing Director of World Bank and Foreign Minister of Nigeria.  Prior to her ministerial career, Ms. Okonjo-Iweala was Vice-President and Corporate Secretary of the World Bank Group. Elvira Nabiullina (Russian Federation) Ms. Nabiullina is currently the Economic Adviser to Russian President Vladimir Putin.  She is a former Minister of Economic Development and Trade and Deputy Minister of Economy. Graça Machel (South Africa) Ms. Machel is a current member of The Elders, an independent group of global leaders who work together for peace and human rights which she co-founded with her husband, former President Nelson Mandela of South Africa.  She is also a United Nations independent expert on the impact of armed conflict on children, international advocate for women’s and children's rights, former freedom fighter and Education and Culture Minister of Mozambique. Sung-Hwan Kim (Republic of Korea) Mr. Kim is the current Minister of Foreign Affairs and Trade for the Republic of Korea. He has held a number of ministerial and senior diplomatic posts representing the Republic of Korea to international organizations, the United States, the Russian Federation, Uzbekistan and India. Gunilla Carlsson (Sweden) Ms. Carlsson is the current Minister for International Development Cooperation of Sweden.  She has held a number of senior posts in the Swedish Government in the areas of foreign affairs, European Union affairs and education, and is a former member of the European Parliament. Emilia Pires (Timor-Leste) Ms. Pires is the Minister of Finance of Timor-Leste.  Ms. Pires has a background in development, and senior experience in planning, public finance management, development and aid policies. Kadir Topbaş (Turkey) Mr. Topbaş is the current Mayor of Istanbul and President of United Cities and Local Governments, and an expert in urban rehabilitation, social transformation and the management of the urban challenges faced by fast-growing cities. John Podesta (United States) Mr. Podesta is Chair of the Center for American Progress.  He previously served as Co-Chair of the Obama-Biden Transition and as White House Chief of Staff to President Bill Clinton.  He served in the President's Cabinet and as a principal on the National Security Council. Tawakel Karman (Yemen) Ms. Karman is a young Yemini journalist, human rights activist and politician who was awarded the 2011 Nobel Prize for her role in promoting the “non-violent struggle for the safety of women and for women’s rights to full participation in peacebuilding work" during the 2011 Yemeni uprising. Benin Brazil China Colombia Cuba France Germany Japan Jordan Kenya India Latvia Mexico Nether lands Nigeria Russian Fed South Africa Rep Korea Sweden Timor-Leste Turkey USA Yemen Ex Officio

6 UNDG-led national consultations in 50 countries (next 12 months)
AFRO AMRO EMRO EURO SEARO WPRO Algeria Angola Burkina Faso CAR DRC Ethiopia Ghana Kenya Mali Malawi Mauritius Mozambique Niger Nigeria Senegal South Africa Tanzania Togo Uganda Zambia Brazil Bolivia Costa Rica Colombia El Salvador Guatemala Honduras Peru Santa Lucia Djibouti Egypt Jordan Morocco Pakistan Sudan Armenia Bosnia H Kazakhstan Moldova Tajikistan Turkey Bangladesh India Indonesia Timor-Leste China Lao PNG Solomon Viet Nam Objectives: Influence the intergovernmental process by amplifying the voices of local communities Outputs: Clear recommendations for governments Who coordinates at country level? UN Resident Coordinators (UNRCs) will provide overall strategic guidance Ministries of Planning are likely to lead Ministries of Health may be involved

7 11 global thematic consultations, including one on health
Lead UN Agencies Events Sponsor Growth and employment ILO, UNCTAD, UNDP Tokyo, May 2012 Japan Inequalities UNICEF, UNWOMEN Global consultation in Feb/March 2013 (Denmark) Denmark Education UNESCO, UNICEF Global consultation in Feb/March 2013 (?Senegal) Canada Environmental sustainability UNDP, UNEP TBD Food security and nutrition FAO, WFP Governance UNDP, OHCHR Global consultation in Jan/Feb 2013 (South Africa) Germany Conflict and fragility UNDP Population dynamics UNFPA, UN-HABITAT Health WHO, UNICEF Global consultation in Mar 2013 (Botswana) Sweden and Botswana Water Energy

8 A parallel process? Working Group on Sustainable Development Goals
Mandate: Rio+20 Objective: Tasked to develop a proposal for the Sustainable Development Goals UN Secretary-General: "The Panel’s work will be closely coordinated with that of the intergovernmental working group tasked to design Sustainable Development Goals, as agreed at the Rio +20 conference. The reports of both groups will be submitted to Member States for their further deliberations." Members: Working Group comprised of 30 representatives nominated by Member States (September 2012) Output: A report to the UNGA containing a proposal for sustainable development goals (between Sep 2013/14)

9 UNSG submits report to UNGA
Timelines UNSG submits report to UNGA First meeting of High-level Panel Post-2015 Framework Mandated by 2010 MDG Summit Report submitted to SG High-level Panel established Sep 31 July 2012 Sep 2012 Spring 2013 Sep Working Group on SDG established Working Group report submitted to UNGA (between Sep 2013 and Sep2014) Mandated by Rio+20 Outcome Doc SDG Process

10 The global consultation on health

11 Objectives Stimulate wide ranging discussion at global, regional and country levels, on progress made and lessons learnt from the present MDGs relating to health Discuss and develop a shared understanding -- among Member States, UN agencies, civil society and others -- on the positioning of health in the post 2015 development framework Propose options for health goals and related targets and indicators for the post-2015 development agenda, as well as approaches for implementation, measurement and monitoring

12 Outputs Synthesis document of the outcome of the consultations on how health should be reflected in the post 2015 development agenda, to be submitted to the UN High Level Panel and the UN Secretary-General on the post-2015 development agenda Substantive thinking that can continue to inform post-2015 deliberation around health Engaged and informed constituency motivated to continue to engage in post-2015 discussions

13 Governance Task Team Sponsoring Governments UN Interagency Team
WHO, UNICEF, Governments of Sweden and Botswana Small secretariat based at WHO Sponsoring Governments Sweden and Botswana UN Interagency Team WHO, UNICEF, UNFPA, UNAIDS, OHCHR, UN DESA and UNDP

14 Components Background papers – “think piece”, measurement, civil society Web consultation – main process, commence Oct – Dec Academic consultation – Beijing, Oct 2012 Civil society consultation – call for proposals issued Private sector consultation – Amsterdam, Nov 2012 Member state consultations – Geneva and New York, Sep, Nov, Dec 2012 Cross-sectoral review group – Jan 2013 High Level Dialogue – Botswana, Mar 2013

15 Lessons learnt from the health MDGs
What are the lessons learnt from the health related MDGs? Strengths and shortcomings of the health-related MDGs How useful or damaging have the specific goals, indicators and targets been? Lessons learnt relating to measuring progress and impact

16 Health priorities post-2015
What is the priority health agenda for the 15 years after 2015? What progress has been made towards the health MDGs? What unfinished health agenda remains? In what way are new health needs evolving? Intersection of health with other development priorities and intersectoral strategies How has the development landscape changed since 2000?

17 Framing the health goal(s)
How does health fit in the post 2015 development agenda? How do health, and health goals, interact with the dimensions of sustainable development? Links with the development of the Sustainable Development Goals? How do we ensure that the unfinished MDG agenda is reflected in the post 2015 agenda? How can overarching health goal(s) be framed in a way that has traction with politicians and the public; and are also amenable to measurement and monitoring? Capturing equity, the specific needs of marginalized populations, social determinants, and the implementation of human rights-based approaches in overarching health goal(s)

18 Measurement of progress towards the health goals
What are the best indicators and targets for health? Health status (e.g. life expectancy, years of healthy life) Conditions and means that create better health and can protect people from poverty (including universal health coverage) Combination of both? Other options? How can a very limited number of high level indicators and targets be linked to the much broader monitoring needs of the health sector? How can measurement move beyond averages to track progress of different groups within countries and measure equity?

19 Ensuring a process and outcome that is relevant to the key stakeholders
How can key stakeholders and partners, singly and collectively, best help to position health in the post-2015 agenda? Enhancing country ownership, commitment, capacity and accountability for the goals, targets and indicators How can we ensure effective working relations between countries and key partners in terms of alignment and harmonisation with a focus on development results? How can civil society and NGOs, as well as the private sector and academia be engaged more effectively in defining and furthering the health-related goals and targets, while also bearing in mind their accountability and responsibility?

20 Make your voice heard! www.worldwewant2015.org/health


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