Towards a more equitable, healthier and more sustainable Europe
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Presentation by Dr Zsuzsanna Jakab,WHO Regional Director for Europe, at the Third High-level Meeting of the Small Countries Initiative, in Monaco, on 11–12 October 2016
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Towards a more equitable, healthier and more sustainable Europe
- 1. Towards a more equitable, healthier and more sustainable Europe Dr Zsuzsanna Jakab WHO Regional Director for Europe Third High-level Meeting of the Small Countries Initiative Monaco, 11–12 October 2016
- 2. The Small Countries Initiative
- 3. From Andorra to Monaco Documenting Health 2020 implementation and mutual learning Intersectoral action (ISA) for health and well-being • Contribution to the methodology of the mapping exercise • Collection of eight case studies • Analysis of the case studies • First publication on ISA presented today • Compendium with full case studies Life-course approach • Setting up methodology for data collection • Collection of eight case studies • Validation of case studies by WHO focal points • First draft (compendium) presented today
- 4. From Andorra to Monaco Developing joint capacity-building events • Establishment of the Small Countries Health Information Network (SCHIN) • Terms of reference, scope and purpose of the Network defined • First meeting hosted by Malta, 3–4 March • Second meeting tomorrow in Monaco • SCHIN chairmanship: Malta • Global health diplomacy course, Cyprus, December 2016 Better engagement of media • Dedicated section of WHO/Europe website • Engagement in social media • Second workshop this afternoon in Monaco
- 5. The 2030 Agenda for Sustainable Development: advancing health and well-being in all countries
- 6. PARTNERSHIPS The 2030 Agenda Health is central to development Health and well-being is an outcome, a determinant and an enabler of the 17 Sustainable Development Goals (SDGs)
- 7. PARTNERSHIPS Health in all policies = health in all SDGs
- 8. PARTNERSHIPS World Health Assembly 2016 on health in the 2030 Agenda for Sustainable Development Member States agreed to: • prioritize health system strengthening; • increase collaboration at all levels across and within all government sectors; • prioritize investments in health; • support research and development; • strengthen the dialogue between medical, veterinary and environmental communities; • develop high-quality, inclusive, transparent national accountability processes.
- 9. PARTNERSHIPS Health 2020 and the 2030 Agenda A historic window of opportunity
- 10. PARTNERSHIPS Creating a roadmap to achieve co- benefits for health and development
- 11. A joint monitoring framework for Health 2020, noncommunicable diseases (NCDs) and the SDGs Alcohol Educational attainment Health expenditure Household consumption Mortality Reducing income inequality Sanitation Smoking Social support Tuberculosis treatment Unemployment Vaccination
- 12. Creating a roadmap for implementation of the 2030 Agenda RoadmapConsultations with experts Consultations with civil society Consultations with UN agencies Online review Standing Committee of the Regional Committee
- 13. Small countries can pioneer the global health agenda by: • further advancing the implementation of Health 2020 in the perspective of the SDGs; • further improving and developing technical capacity – sharing information, good practices, experiences and lessons learned; • supporting the scale-up of innovations and the sharing of best practices – for example, those aimed at responding to the increasingly numerous urgencies caused by climate change; • engaging with other governments, civil society, scientists and the wider global health and development community on intersectoral action.
- 14. PARTNERSHIPS Agenda 2030: Health is central to development Photo: Fotolia Leaving no one behind Health for all
- 15. Better health for Europe More equitable and sustainable
Notes de l'éditeur
- Honourable Ministers, Excellencies, colleagues, ladies and gentlemen, It is a great pleasure for me to be here with all of you in Monaco.
- First of all I would like to thank all of you for the progress we have achieved over these few years in implementing Health 2020, in your countries. The first meeting, hosted by San Marino, in 2014 served as a forum to share information on small countries’ experiences, lessons learnt and plans related to Health 2020 implementation, and to discuss how to advance the collaboration among small countries on improving health for all and reducing inequalities, and improving leadership and participatory governance. The meeting was of paramount importance for the small countries initiatives, as together we set the four main streams of activities of the initiative, namely: Document Health 2020 implementation in small countries; Develop joint capacity-building events on core themes of Health 2020; Create a supportive environment for Health 2020 through better engagement of media as an implementation partner; and Create a platform for sharing experiences and mutual learning about Health 2020. In July 2015, in Soldeu, Andorra, we designed our Second High-Level meeting around two of the pillars of Health 2020: inter-sectoral action for health and the life-course approach. In this past year, the small countries initiative has indeed been very active. Let me give you a short summary of the main achievements.
- Once again, small countries have been at the forefront of our initiative in WHO Europe. Small countries are launching today their publication on intersectoral action for health and well-being. This is the FIRST publication on this topic stemming from the larger mapping exercise carried out in the WHO European Region. I would like to commend you for this important achievement. There is a lot of interest on mechanisms of intersectoral action, on enabling factors as well as on learning more on the challenges and how these were overcome. I have no doubt that your contribution on this will be highly appreciated in our Region. Your active involvement in advacing our knowledge on intersectoral action was not all. Small countries are also the first to collect case studies on life-course approach. This is a follow up action to the Andorra statement that, as you know, was on life-course. I do know that all of you have been very open to share your experiences and that you are very much looking forward to hear about the findings from the other countries. We will hear about this in the following session and in the session on life-course tomorrow. In this third meeting we will build on what has already been done, and take into consideration Health 2020 as a mean to implement the 2030 Agenda for Sustainable Development and the Paris Climate Agreement.
- Another importance milestone after the Andorra meeting was the establishment of the Small Countries Health Information Network. I am aware of the many challenges that small countries face in dealing with health information and I am therefore very glad that substantial progress has been made on this. You have nominated focal points for this area of work, they have met in Malta last March, and they will meet again here tomorrow, for their second meeting. We will hear more on this in the session dedicated to health information. Let me also mention that in these past months the WHO team in Copenhagen has been working on developing a Global Health Diplomacy Course tailored for the small countries. I am happy this is happening in Cyprus, next December. We have not neglected our activities on communication. We have now a dedicated section of the WHO Europe website, we engage small countries in our social media activities and we will have this afternoon, here in Monaco, a workshop dedicated on the communication of the new global political agenda. The 2030 agenda is also the leitmotif of this meeting: the world is changing and small countries want to position themselves ahead of the game. In this third meeting we will build on what has already been done, and take into consideration Health 2020 as a mean to implement the 2030 Agenda for Sustainable Development and the Paris Climate Agreement.
- In this meeting we will look at further developments, in synergizing phase II of Health 2020 with the 2030 Agenda for sustainable development and the wider challenges such as climate change. The 2030 Agenda for Sustainable Development and its 17 Development Goals can help us to further promote health and well-being in our Region. There is a strong call for commitment at the highest political level, including inclusive and participatory governance, a whole of government and a whole of society approach as well as health in all policies. It allows to further address the social, economic and environmental determinants of health. And such as in Health 2020: “no-one should be left behind”. Different to the Millennium Development Goals, the 17 sustainable development goals are global in nature and universally applicable, and therefore relevant to all our countries. Advancing in one goal will contribute to all the other goals.
- Today, more than 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.
- Health in all policies means health in all SDGs in 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 reducing the climate change risks (goal 13) 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!
- In May 2016, all Member States at the World Health Assembly agreed to scale up action to achieve the SDGs. Specific interventions include : prioritize health system strengthening increase collaboration at all levels across and within all government sectors prioritize investments in health support research & development strengthen the dialogue between medical, veterinary and environmental communities develop quality, inclusive, transparent national accountability processes.
- 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.
- 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.
- 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. 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.
- We now need to develop a regional roadmap to implement the SDGs. This will build on what we have already achieved. 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 throughout on governance and inter-sectoral 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, in various forums, including virtual forum, with all of you, and provide a regular update to the Standing Committee of the Regional Committee.
- You can all contribute to support the development of the roadmap, as well as addressing the wider challenges of climate change. Before concluding, let me recall, what together we said last year in Paris, with your Sovereign, His Serene Highness, Prince Albert II. Climate Change has no borders and is projected to become worse. The health consequences are already felt worldwide and will affect the achievement of the Sustainable Development Goal 3: health and well-being for all at all ages. Today we have delegates from the European Region’s small countries. In other regions of the world, the very existence of some small countries are endangered and need our full solidarity. Implementing Health 2020 and addressing sustainable development, will increase countries adaptive capacity. With your experience and existing capacity, we will be able to further advance the implementation of Health 2020 in the SDG perspective further improve and develop technical capacity, share information, good practices, experiences and lessons learned, also on climate change and health; support the scale-up of innovations and share best practices which are, for example, aimed at responding to the increasingly numerous urgencies caused by climate change; engage with other Governments, civil society, scientists, and the wider global health and development community on intersectoral action; and therefore, contribute to the achievements towards and beyond the next Environment and Health Ministerial Conference in June 2017 in Ostrava, Czech Republic.
- Health 2020 and Agenda 2030: Whether through ‘health for all’ or ‘leaving no one behind’ – we will work for the well-being and sustainable development of current and future generations.
- Thank you for your attention.