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Partners in Population and Development
Inter-Ministerial Conference
November 2012, Dhaka, Bangladesh
Overview
What is the Framework Convention on Global Health
(FCGH)?
Why an FCGH?
Benefiting the Global South
Towards an FCGH
Legal pathways towards a global health treaty
Background to the FCGH: Persisting
Health Inequities and Challenges
Health inequities
Life expectancy in Sub-Saharan Africa (2011): 54 years
Life expectancy in high-income countries (2008): 80
years
Continued and emerging global health challenges
AIDS, TB, hunger, maternal and child deaths, lack of
access to sanitation, etc., persist
Rapidly growing NCDs, injuries in the South
Background to the FCGH: Global
Response Required and Possible
Pressures requiring global response
Growing but insufficient funding
Health worker migration
Population growth
Trade and intellectual property (access to medicines)
Global industry (e.g., tobacco, “big food”)
Power of law
Framework Convention on Tobacco Control
176 countries party to FCTC
Action: more than 60% of 72 long-term state parties have increased
tobacco taxes and expanded smoke-free public places
Proposed Response: The FCGH
Proposal for a new global health treaty
Core elements defined
Framework convention – global framework and
commitments with protocols on specific issues (e.g.,
R&D, health worker migration)
UN Secretary-General Ban Ki-moon (2011): “Let the
AIDS response be a beacon of global solidarity for
health as a human right and set the stage for a future
United Nations framework convention on global
health.”
UNAIDS has strongly endorsed the need for an FCGH
Central FCGH Elements
Universal health coverage
Standards for health systems, public health interventions,
underlying determinants of health
Financing framework covering domestic and global health
financing
Right to health grounding, including accountability,
participation, equity
Elevate health in other regimes (e.g., trade, financing,
agriculture)
Alignment with national health strategies and systems
Innovative financing mechanisms
Strong mechanisms of monitoring, evaluation, and
compliance
Health and Equity
Legal framework for policies and funding to
significantly close health inequities and benefit health
especially of least healthy populations
Health equity
Country-specific equity targets and strategies
Prioritize and support policies and processes to meet
health needs of marginalized populations
Women’s rights
Address violence against women (e.g., legal capacitybuilding, norm change)
Maternal and child mortality audits
Population and Sustainable
Development
Wealth from health
Productivity increase from better health
Improved child health > improved education >
increased wealth
Sustainable development and population
Universal health coverage to include comprehensive
reproductive health services
Reduce child mortality > reduced fertility
Access to Medicines and Health
Workers
Protect access to medicines
Require bilateral and multilateral trade agreements to protect
access to medicine
R&D
Protocol based on WHO’s Consultative Working Expert
Group
Targets on public financing for R&D to address health needs
in the South
Research outcomes as global public goods
Health worker migration
Build on WHO Global Code of Practice on the International
Recruitment of Health Personnel
Accountable Health Systems
Accountability > increased confidence and legitimacy
of state
Strengthen government efforts to improve population
health
State and development partners ultimately all
accountable to the public, especially those suffering
most from health inequities
Mechanisms
Transparency
Remedies to health rights violations
Corrective measures where shortcomings
Country-led Processes
Establish legal norm and mechanisms to increase
development partner alignment with national health plans
developed through inclusive, participatory processes
Framework for sufficient, predictable, long-term financing
Benefiting the people: Strengthen capacities and policies to
ensure community and civil society input in local, national,
and international/development partner policies and to
advance the right to health
Inclusive and participatory processes for translating FCGH
norms to national targets and policies
Possible Pathways Towards the
FCGH
UN General Assembly
Establish committee to explore possibility (and begin
drafting?) an FCGH
Request member states to submit to Secretariat views on an
FCGH
World Health Assembly
Request Director-General initiate process towards an FCGH
Establish working group to negotiate and draft an FCGH
UN Human Rights Council
Human Rights Council Advisory Committee to explore or
negotiate an FCGH
PPD Actions
Advance the FCGH
Briefing of PPD member state UN ambassadors
UN or WHA resolution to support and initiative process
towards an FCGH
PPD permanent representative to UN and PPD ambassador
send diplomatic correspondence to UN Secretary-General
Support FCGH principles in post-2015 development goals
The FCGH and the post-2015 development agenda
FCGH and Post-2015 Incorporation, available at
http://jalihealth.org/publications.html
Involving Civil Society and
Communities
Ensure FCGH meets the needs of poorest and most
marginalized populations
Support Southern civil society and communities in
input into FCGH
Civil society and communities as crucial allies towards
a transformative FCGH
Joint Action and Learning Initiative on National
and Global Responsibilities for Health (JALI)
What is JALI?
A global civil-society led coalition advocating for and
supporting development of an FCGH
Committed to an ambitious treaty that will truly be
grounded in the right to health
Initiating broad and inclusive process to develop FCGH
contents
JALI
Who is JALI?
Steering Committee and Secretariat members
Center for Human Rights and Development (Uganda)
Communications for Development Centre (Nigeria)
Centre for Excellence for Universal Health Coverage (Bangladesh)
Medico International (Germany)
O’Neill Institute, Georgetown University Law Center (USA)
Hélène De Beir Foundation (Belgium)
Individual members from Brazil, India, Kenya, Nigeria, Norway,
United Kingdom
Advisory Panel being formed
Who supports JALI?
Rockefeller Foundation
For Further Information…
JALI developing a “framework of a framework” to give
more detail on the proposed FCGH
Draft planned for end of 2012
www.jalihealth.org
Contacts
Sameera Hussain ([email protected]), School of
Public Health, BRAC University, Bangladesh
Moses Mulumba ([email protected]), Center for
Human Rights and Development, Uganda
Eric Friedman ([email protected]),
Georgetown University Law Center, USA