Transcript Food Security- Poverty link

The EU role in Global Health
Communication
The EU role in Global Health
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This Communication proposes
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an EU vision on global health, defines the guiding principles
that should apply to all relevant policy sectors and presents a
number of areas where the EU could more effectively act.
The Communication is accompanied by three Staff
Working Documents dealing respectively with:
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"Contributing to Universal Coverage of Health Services
through Development Policy";
"Global health: responding to the challenges of globalization"
"European Research and Knowledge for global health".
Attention to Global Health
• The transnational and global dimension of health
has gradually taken a priority space in the areas
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• Foreign policies
• national health strategies,
• development partnerships and
• global public goods.
• Growing attention in :
• UN General Assembly
• World Health Assembly,
• ECOSOC
Consultation
o At EU Institutions and within EU
Member States (Spanish EU
Presidency)
o Stakeholders (monthly global
health Policy Forum and online
consultation 10-12/09, side event
at WHO-EB 01/10)
The Global Health Challenge
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Lights and shadows :
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Life expectancy doubled in last century. Prevention,
treatment, and care have increased.
Gaps have widened.
Globalizations risks and opportunities : Population
growth, urbanization, migration and trade flows,
aging, changing lifestyles, environmental
degradation.
The EU in Global Health
o Legal Framework :
o Treaty of the European Union
o The Charter of Fundamental Rights
o EU added value
o The EU's social model,
o Its global trade and development aid
position.
Global health governance and
international policy frameworks
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The World Health Assembly (WHA)
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International Health Treaties
Non-binding resolutions and national capacities/political will
The health MDG 4, 5 and 6 (+ all)
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enhanced political and financial efforts of the international
community
progress uneven and largely off track in many developing
countries.
o HIV/AIDS (MDG 6), ARVT increase
o Maternal mortality rates (MDG 5) barely declined.
o Sub-Saharan Africa alsio slow MDG 4
Factors undermining progress
o Unbalanced and fragmented attention to
health priorities
o Health fragility (capacity/willingness)
o Weak health systems. And weak links to
MDG 1 on nutrition, MDG 3 on gender
equality and MDG 7 on water/sanitation.
Health system fragmented
o > 100 global initiatives
o Advocacies by problems, isolated funding gap
analysis (consolidated > 40 b, "extrapolated" >
120 b), vertical approaches, duplication and
opportunity cost
o The case of a safe delivery : basic service
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Vs. divided into? :
o MDG 4 : reducing neonatal death
o MDG 5 : SRHRs : reducing maternal deaths
o MDG 6 :
o AIDS : PMTCT
o Malaria : AN PrTx
o Tb : BCG
EU challenges in development policy
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Health finnancing/ MDG progress/ ODA
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EU health aid :
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level /equity / aligned /predictable ?
Where aligned and predictable (GBS, MDGc) : scale?
dialogue?
EU health development policy
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Focus on poverty diseases
Attention to human resources for health
Need to increase coherence, health sector assessment and
dialogue capacity and links with research/evidence
Health policy areas
Budegting
HIS
Monitoring
Situation
analysis
Health
strategies
(service
delivery)
Reproductive
health
Child health Communicable
diseases
NCDs
Availability of
HRH
Access to
medicines
Adequate
Infrastructures/
logistics
Inclusive
leadership
Patient
Universal
centred care coverage
Fair finnancing
Health in all
policies
The EU and global health
o The EU’s leading role in international trade,
global environmental governance and in
development aid, as well as its values and
experience on solidarity towards universal and
equitable quality health care give it strong
legitimacy to act on global health.
The challenge of governance
o Plethora of actors and initiatives
o Clearer and more efficient global leadership.
The challenge of universal coverage
o Ensuring access to health services for all
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Increasing domestic resources and development aid
in the poorest countries.
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Improving resource allocation within countries
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Stepping up policy dialogue on holistic health
systems linked to the aid effectiveness agenda,
The challenge of policy coherence
o Policy Coherence for Development
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trade and financing,
migration,
security,
food security
climate change.
Global Health knowledge
o Equity and ownership in development of
new tools
o To be acceptable, affordable, and
accessible
o Evidence-based health policy decisions.
An Enhanced EU Response
o The EU should apply the common values
and principles of solidarity towards
equitable and universal coverage of
quality health services in all external and
internal policies and actions.
Democratic and inclusive
governance
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At global level,
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At regional level,
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the EU should endeavour to defend a single position and to
increase coordination and effectiveness of the UN system
and WHO and gradually shift to fund its general budget.
the EU should promote regional health networks and
inclusion of global health issues, and cooperation with ECDC
At national level,
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the EU should enhance its support to the full participation of
all stakeholders and promote parliamentary scrutiny
Towards universal coverage of basic
quality health care
o Where :
o The EU should give priority to and increase
its support for countries in fragile contexts,
aid orphans and/or those worst off- track
from the health MDGs.
Towards universal coverage of basic
quality health care
o What :
o The EU should concentrate its support on
strengthening of health systems
o This approach is particularly important for
MDG 5.
o International Health Partnership and Joint
Assessment of National Strategies
o The EU should promote this approach in global
financing initiatives.
Towards universal coverage of basic
quality health care
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How :
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Aid effectiveness objectives,
o Predictability of at least three years and join MDGc
o Partner countries owned development programmes
o Partner countries' procurement and public financing
management systems.
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Additional innovative financing, role EIB
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Joint health sector monitoring and dialogue
o mobilise domestic revenues, fair financing of health systems
(inc ab. user fees)
o EU -WHO, national public funding gaps for delivery of basic
health care.
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Multi-sector nature of health
o links to gender, nutrition (Interlinking health and food security
interventions) water, sanitation, environmental quality and
education
Coherence between relevant EU
policies related to global health
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The EU should ensure that all relevant internal or
external policies contribute to promoting equitable
and universal coverage of quality health services.
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impact assessment of the relevant policy areas should
analyse the effects of policy options on global health
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The linkage between the EU's humanitarian and
development aid should be promoted.
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Commitments made on policy coherence for
development.
Coherence between relevant EU
policies related to global health
o On trade,
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more effective use of TRIPS provisions.
Ensure that EU bilateral trade agreements avoid
clauses which may undermine access to medicines.
Generic competition and rational use of medicines.
Control of Falsified medicines and illicit drugs.
Health-relevant environmental agreements.
Coherence between relevant EU
policies related to global health
o On migration,
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availability of health professionals.
o speed up progress towards the agreed commitments
under the European Union Strategy for Action on the
Crisis in Human Resources for Health in Developing
Countries
o contribute to the WHA Voluntary Code of Practice on
the International Recruitment of Health Personnel.
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EU Member States should step up their efforts to
ensure that everyone - including migrants- in the
EU has access to quality health services without
discrimination.
Coherence between relevant EU
policies related to global health
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On security,
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On food security, food assistance and nutrition
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access to health services for populations under stress in fragile
contexts
global and third countries' national capacities of early prediction,
detection and response to global health threats, under the
International Health Regulations.
increase access to food and link with national health strategies that
include nutrition services and monitoring of nutritional status in the
population,
one-UN global leadership on nutrition and on developing of a Global
Multi-sectorial Nutrition Framework
On climate change,
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the EU will take global health objectives into account in
implementing the collective commitment by developed countries
Research and evidence based
dialogue and action
o address the highly fragmented landscape
o research that benefits the health of all people.
o Balance the complete health research process of
innovation, implementation, access, monitoring
and evaluation.
o Partner countries to build and sustain their
national research capacity.
o Improve health information systems to inform
policies.
o Promote the use of ICT, including eHealth.
o The EU will promote with the global
community the values and principles of
solidarity towards equitable and
universal coverage of quality health
services in all external and internal
policies and actions.
Thank you