Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health and development
•Download as PPTX, PDF•
3 likes•1,311 views
Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health and development by Dr Zsuzsanna Jakab, WHO Regional Director for Europe
Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (16)
Similar to Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health and development
Similar to Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health and development (20)
More from WHO Regional Office for Europe
More from WHO Regional Office for Europe (20)
Recently uploaded
Recently uploaded (20)
Presentation - Health 2020 and Agenda 2030: Realizing co-benefits for health and development
- 1. Health 2020 and Agenda 2030 Realizing co-benefits for health and development Dr Zsuzsanna Jakab WHO Regional Director for Europe WHO Regions for Health Network 23rd annual meeting Kaunas, Lithuania, 22–23 September 2016
- 2. PARTNERSHIPS Health 2020 • improve health for all and reduce health inequalities, and • improve leadership and participatory governance for health. DELOPMENTS Health 2020’s two strategic objectives are to: • invest in health through a life-course approach and by empowering people; • tackle the major health challenges of communicable and noncommunicable diseases (NCDs); • strengthen people-centred health systems, public health capacity and emergency preparedness, surveillance and response; and • create resilient communities and supportive environments. Health 2020’s four priorities for policy action are to:
- 3. PARTNERSHIPS Agenda 2030: health is central to development Health and well-being are outcomes, determinants and enablers of the 17 Sustainable Development Goals (SDGs)
- 4. Speaking one language Health equity Social, economic and environmental determinants Resilient communities Life-course approach Whole of society Health in all policies Empowerment Whole of government Human rights and gender equity Leave no one behind Empowered people Resilient nations Good governance and peace-building Human rights and gender equity Health in all SDGs Social, economic and environmental dimensions HEALTH DISCOURSE DEVELOPMENT DISCOURSE
- 5. PARTNERSHIPS Health in all policies = health in all SDGs
- 6. PARTNERSHIPS Towards a roadmap for achieving co- benefits for health and development
- 7. PARTNERSHIPS
- 9. PARTNERSHIPS Health is central to development
- 10. PARTNERSHIPS Health equity and leaving no one behind
- 11. PARTNERSHIPS Investments in health and development
- 12. PARTNERSHIPS Regions: sharing Health 2020 and Agenda 2030 practices
- 14. A joint monitoring framework for Health 2020, NCDs and SDGs 14 Alcohol Education Health expenditure Household consumption Mortality Income inequality Sanitation Smoking Social support Tuberculosis treatment Unemployment Vaccination
- 15. PARTNERSHIPS Health 2020 & Agenda 2030: a historic window of opportunities
- 16. Towards a roadmap for implementing the 2030 Agenda RoadmapConsultations with experts Consultations with civil society Consultations with UN agencies Online review Standing Committee of the Regional Committee
- 17. PARTNERSHIPS Agenda 2030: Health is central to development Photo: Fotolia Leaving no one behind Health for all
- 18. Better health for Europe - more equitable and sustainable.
Editor's Notes
- Let me start with our European policy and strategy framework for health and well-being, Health 2020. At last week’s WHO Regional Committee meeting in Copenhagen, one Member State delegation was calling it a ‘prophecy’’! Why? With its focus on equity, stressing a whole-of-government and whole-of society approach, highlighting the critical relevance of social, economic and environmental determinants of health and linking investment for health with sustainable development it was a visionary framework when it was adopted in 2012 by all 53 WHO Europe member states – 3 years before the Agenda 2030 and the sustainable development goals.
- Today, one year after the UN General Assembly adopted the Agenda 2030 with the 17 Sustainable Development Goals, the centrality of health as outcome, determinant and enabler for sustainable development is widely acknowledged. And if we work smart and well coordinated on the implementation of Health 2020 and the Agenda 2030, partnering across all sectors and society, there clearly will be synergies and co-benefits for our investments in health and sustainable development.
- How closely Health 2020 and the Agenda 2030 are interlinked, shows already a quick look to the key conceptual terms used in the health discourse on the one hand and the development discourse on the other. Just to highlight a few examples: The key strategic objectives of health equity and whole-of government of Health 2020 – the overarching focus ‘Leave no one behind’ and good governance of the Agenda 2030; and we see social, economic and factors as relevant determinants for health and well-being and at the same time as key pillars for sustainable development. The concept of resilient communities and nations is featuring strongly in both frameworks, as does the concept of empowered people as a pre-condition for well-being and sustainable development. The rights- and gender based approach – it is there in both frameworks. And the life course approach? Although the term does not exist explicitly in the Agenda 2030, many of the targets of the SDGs fully reflect the life course concept including intergenerational responsibilities, and by advancing the debate like we did through the Minsk Declaration on the life-course Approach in the Context of Health 2020 last year – act early, act appropriately during the life’s transitions, act together – we underline our forward looking approach and strong focus of improving impact. And health in all policies?
- Health in all policies means health in all SDGs for the Agenda 2030 . By addressing poverty (goal 1), hunger (goal 2), by improving quality education (goal 4) and decent working conditions (goal 8), by protecting our environment and changing our production and consumption in a responsible way (together 9 out of the 17 goals), by acknowledging in all we do the principles of basic rights and equity including gender equality (goals 5 and 10), by understanding that we can only succeed through good governance and peaceful and secure environments (goal 16) and yes, not to forget, allocating resources and investments in private and public sector in line with our commitments and target settings (goal 17) – by contributing to all of this through leading and steering the integration of the health objectives and priority areas for action into the Agenda 2030 process we are moving the implementation of Health 2020 to a new level and provide a resilient and supportive environment which will let us succeed in achieving SDG 3 Good Health and Well-Being for All!
- Let me now come to the very practical, implementation aspects. All countries in the Region have started to work on nationalizing and further localizing the Agenda 2030, as the Goals are universally applicable. An increasing number of governments are integrating the SDGs in national visions, sustainable development strategies, plans and roadmaps. National target setting is ongoing. Institutional mechanisms are under development. Many national parliaments are engaged. This offers great opportunities to align national development and national health plans, and provide a whole new dynamic particularly for intersectoral interventions for health addressing social, economic and environmental determinants and health inequities. We welcome the submissions from our European Member States to the high level political Forum, the central body where annual reporting of the Agenda 2030 occurs. Health and well-being, and “leave no one behind” are among the priorities in many of our countries. At the European Regional level, UN agencies work together. Under the Regional Coordination Mechanism which brings together all UN regional directors two times a year, a UN issue based coalition on health is currently being developed. Led by WHO/EURO, it will address all Health 2020 related issues, but from now in the context of the Agenda 2030 and proactively strengthening synergies on regional and country levels.
- But we do not stop at national level: As members of the WHO Europe Regions for Health Network you are well aware about the mandates and responsibilities regions and even municipalities have in shaping, regulating and implementing health and development policies and programmes. With our Healthy Setting Networks which include also the Healthy Cities Network and others, our regional office is offering Member States platforms for sharing experiences and mutual learning. We can proudly say that these Healthy Setting Networks including yours, the Regions for Health Network, have become laboratories for innovation and scaling up of people-centred health planning and implementation. And there are many encouraging signs that you will also play an important role in translating Health 2020 and the Agenda 2030 successfully into co-benefits for health and development that are tangible for the people. In fact, there is already much to learn from the Regions for Health Network with its currently 28 members from 22 countries. Allow me just to highlight a few examples without being exclusive.
- The Autonomous Province of Trento has just shared and indeed is showcasing what a participatory approach and governance for health can mean when it is translated into action on regional level. Participation of all sectors and stakeholders does not only start during implementation, it starts right away at the planning stage, citizens were involved in very innovative ways in defining the vision and scope of the new regional health plan, 2015-2025, and agreed together on a strong focus on equity and on empowerment through improved health literacy. The scope has been broadened to include critical areas for intersectoral health interventions to address the determinants of health, and you can see in the conceptual framework of the Trentino health plan the priority areas chosen that link up so well with the Agenda 2030 and its goals and targets, such as work life, education, social cohesion and resilient communities.
- In another publication of the Regions for Health Network and the Skane Region in Sweden, further excellent examples are being shared from Skane, Andalusia, Trento and Wales how in practical terms health and development planning and implementation interlink on regional level. The case reports summarize important lessons learnt and underline as key factor for success the strengthening of the social contract through participatory planning and governance processes. The report concludes that this requires a health in all policies approach, particularly the involvement of what the report has termed ‘core social arenas’, such as labour market, business, education and civil sector, by all groups and strata of the populations. This will build the social capital and the call is being made towards a ‘social investment paradigm’ where health and well-being of the population is at the center, again with a particular focus on reducing inequities along the exposure, service provision and outcome streams of the social, economic and environmental determinants of health.
- How to mainstream health equity into regional planning, is demonstrated in the report of another Swedish region, Västra Götaland. It is a real-life showcase for lessons of moving health and development concepts into an Action Plan and practice. Among others, the region is advising us to identify and make smart use of what the region calls ‘windows of opportunity’ which provide the important chance to address health and development problems by converging the policy and political stream and achieving consensus on the what, the how and the who related to the problems and solutions. Clear mandates, goals and targets were seen as critical, as were institutional anchoring and legal and regulatory frameworks.
- Whoever had or still has doubts that investments in health count for sustainable development and well-being should take the recent publication of Wales, also a member of the Regions for Health Network, by heart. In it, our friends from Wales offer research evidence and expert opinion in support of preventing ill health and reducing inequalities to achieve a sustainable economy, thriving society and the best attainable health and well-being for the present and future generations in their region. We will hear a lot more about it in the presentation from Rebecca Evans, Welsh Government Minister for Social Service and Public Health; Rebecca, it is really a great opportunity to have you with us here in Kaunas. Also in this case, we learn about the importance of the ‘window of opportunity’, a very well prepared and planned for window of opportunity I must say: with the ground-breaking 2015 ‘Well-being of Future Generations Act’, Wales has put in place a very powerful legal framework to address the increasing health, social and economic challenges in a more effective and sustainable way. And you will prove the case that this approach is offering excellent returns on investment, Rebecca.
- In December 2015, the Veneto region hosted an international conference under the leadership of its General Director for Health, Dr. Domenico Mantoan. Back in the 90ies, the Veneto region had already a strong focus highlighting the importance of an investment approach to health and development, not only with regard to its own policies and practices, but with the vision that regions are well placed in Europe as drivers for change if they share experiences and work together, nationally and internationally. In 2003, the Veneto Region together with the Government of Italy supported the WHO Europe to open the WHO European Office for Investment for Health and Development, 9 years before Health 2020 and 12 years before the Agenda 2030 were adopted. This office, as part of the WHO Regional Office for Europe and its Division of Policy and Governance for Health and Well-being has since made major contributions to European and global policy and strategy developments in the context of health and development, has plaid a strong role in supporting Member States particular in addressing determinants of health and health equity through intersectoral action and is hosting the support team to the Regions for Health Network. I could not agree more with the words of Dr. Mantoan in the foreword to the Veneto model publication, I quote: ‘…it is important to keep the United Nations Sustainable Development Goals in mind if we wish to be efficient in setting our priorities’. With the recent 10 years extension of the support of the Veneto region and the Italian government to the WHO European Office for Investment for Health and Development in Venice, the foundation is firmly set to translate your reminder into action, and we are grateful for that.
- The time does not allow me to highlight the many other initiatives, published and not published, of regions implementing Health 2020 in an intersectoral, regional development context. But whoever thought that regions play only a role as early implementers and innovators, should take good note of this new brochure, jointly published under the lead of Euregion Meuse-Rhine in collaboration with Northrhine Westphalia, Maastricht University and the WHO Regions for Health Network. It analysis and summarizes the experience of regions in 10 WHO Member States and can therefore already be considered itself as a scale-up of learning experiences through collaboration of the European regions. Effective implementation of Health 2020 and achieving the targets of the Agenda 2030 Sustainable Development Goals puts a premium on knowledge products and tools which allow rapid scale up of interventions which have been proven as feasible and successful in pilots. In a very systematic way, the various components and steps to be taken for rapid and successful scale up particularly of intersectoral action are being highlighted. This will be very useful in the future for many regions and beyond. One of the critical steps identified is the continuous need for quality data, for monitoring and for evaluation.
- As the WHO Regional Office for Europe, we have worked together with Member States to develop Health 2020 indicators and improve data collection, and developed a monitoring system with national targets that allows improved reporting, follow-up and review processes. Following the information pyramid, most of these data are being collected on regional and municipality levels before they get further aggregated. Following the great demand, we have created information networks also among regions, support them technically and offer opportunities for sharing experiences and further harmonization. Further, targeted, intersectoral health interventions have always relied on sectoral data beyond the health sector and many Member States work on national and sub-national levels on methods for cross-sectoral data analysis to improve development and implementation of their health and other sectoral plans. The Agenda 2030 with its many targets and indicators, its international reporting requirements and its still largely unresolved challenge how to disaggregate data to measure progress along various dimensions of inequality constitutes additional challenges in our effort for better evidence of outcomes and impact. We at the WHO Regional Office for Europe have started the process of reviewing the further harmonization of indicators, reporting mechanisms and analysis across the Health 2020 and Agenda 2030 frameworks and will assist Member States, also through our Healthy Setting Networks, in this endeavour. It is and will be again an area in which much can be learnt from innovations on regional level, and we are looking forward to an even more intensified collaboration in this area with you.
- Let me conclude by aligning myself with the wisdom of the regions: One critical factor of success is the smart use of windows of opportunity. The first step is to realize when there is one. We did not know that there will be this Agenda 2030 when we adopted Health 2020. But we were convinced that our strategies, priorities, concepts and approaches were right and forward looking. Today, we can build already on a number of years practical experience in implementing whole-of government and whole-of-society approaches which reflect good governance for health in the 21st century, in addressing social, economic and environmental determinants of health, in focusing on health equity and universal health coverage. This practical experience extends from international, to national and to sub-national levels. We have seen that our frameworks and practices fit very well with the goals and targets of the Agenda 2030 and that people-centredness demands to concentrate more of our efforts on lower levels of administration and service delivery. But this additional dynamic across the sectors which is currently created during the initial implementation stages of the Agenda 2030 – this is the historic opportunity that will not return. It is therefore up to us to apply the lessons learnt we have shared and published: Let’s use this window of opportunity, on all levels, and let’s strengthen further our networks so that we use this opportunity most effectively.
- We now need to start to develop a regional roadmap to implement the SDGs. This will build on what we have already. From an initial mapping carried out, it becomes apparent, that the implementation of the SDGs requires: A review and identification of regional priorities towards 2030. A stronger focus on throughout on governance and inter-sectoral l action for health as well as ““no-one left behind” Alignments of national development and health policies and policy coherence across multiple goals A stronger focus on the means of implementation, is also required, to both advance Health 2020 and the SDGs. This will certainly include strengthened public health capacities, more partnership, increased financing for health, innovation, further research, and enhanced monitoring and accountability We are ready to work with all of you. We plan to consult with political and societal leaders, technical and professional experts, civil society, UN agencies, as well as online with all of you, and provide a regular update to the Standing Committee of the Regional Committee.
- Health 2020 and Agenda 2030: Whether through health for all or leaving no one behind – we work for the well-being and sustainable development of current and future generations.
- Thank you for your attention