1. Development Stories from
Europe and Central Asia Empowering
lives, building
resilience
Dr. Christoph Hamelmann
Regional Practice Leader HIV, Health and Development
UNDP Europe and Central Asia
Annual Business and Technical Conference of the WHO
European Healthy Cities Network and Network of European
National Healthy Cities Networks
St. Petersburg, 14-16 June 2012

2. Overview
• Case Reports
• Environment and Health: Glocalization of Action
• Reflections on Building Resilience
• Resilience as Component of Sustainable
Development
• Link with WHO Health 2020 and Rio+20

3. Bulgaria: Job Opportunities through Business Support
What the Challenge was
• Economy collapsing and in
transition
• high unemployment, rural areas
fall behind
• lack of self-confidence in
entrepreneurship in rural areas
Innovation / Pilot
• Business centre: support to open
Carpet factory HEMUS became leading employer in
village Kostandovo, over 80 women engaged business in depressed rural areas
• Loan guarantees and quality
certificates

4. Bulgaria: Job Opportunities through Business Support
Transformation & Scale Up
• Owned up by Ministry of Labour
and Social Policy
• Branding: Job Opportunities
through Business Support ‘JOBS’
• 42 business centres
Average Unemployment % • 37,700 new jobs in rural areas
Small villages
Mixed areas
• 60,900 people trained with new
Country business and vocational skills
Urban areas

5. Georgia: Justice for All
What the Challenge was
• Country in transition, poverty
• Conflict and post-conflict
situation, past civil unrests
• Break-away regions
• Weak legal system, many
unresolved legal issues
Innovation / Pilot
• As part of judicial reform and the
2007 Law on Legal AID
• First Legal AID Service office for
the poor, displaced, ethnic
Head of legal aid services at legal consultation with
displaced people
minorities, from remote areas

6. Georgia: Justice for All
Transformation & Scale Up
• Leadership by Ministry of Corrections
and Legal Assistance
• Rapid scale-up supported by UNDP
through training of lawyers, ‘knowing
your rights’ campaigns and service
marketing
• 11 Legal AID service offices and 3
consultation centres
• Over 12,000 legal consultations in
2010
Legal aid service to ethnic minority groups
– ethnic Greek woman in Georgia

7. Kyrgyzstan: Reducing harm from HIV
What the Challenge was
• People infected by HIV increasing
• Country at the crossroads of drug
trafficking through Central Asia
• Discrimination, marginalization
and criminalization of populations
most at risk
Innovation / Pilot
• Needle and syringe exchange
A health worker in Osh doing HIV testing • Methadone substitution
treatment (2002, first in CIS)
• Landmark court case on
protection rights for PLHIV
through legal aid clinic

8. Kyrgyzstan: Reducing harm from HIV
Transformation & Scale Up
• Owned up by Ministry of Health
with multi-sectoral government
approach
• CSOs: ‘Nothing about us without
us’
• National HIV Strategy and
National AIDS Law
National HIV Programme 2006-2010
• National scale-up of harm-
conforms with international standards and focuses
on populations at higher risk reduction services for IDUs
• National scale up of
comprehensive HIV/AIDS services

9. Albania: Mine-Free to Development
What the Challenge was Innovation / Pilot
• Landmines from Kosovo • Survey, mark, clear mines
conflict • Mine risk education
• Area in which people lived • Victim assistance (1/3 of
mainly from subsistence victims were children)
farming • Whole community
• Abandonment of fields engagement
and infrastructure

10. Albania: Mine-Free to Development
Transformation & Scale Up
• Early scale-up to all districts,39
villages, 25,000 inhabitants
• Clearing completed by 2005
• Mine action committees become
community development
committees
• Priority development plans
implemented through 185
Mine risk education taught children how to stay
safe
community organizations
• Government investments for
infrastructure and matching funds
for community contributions

11. Croatia: Energy Charta for
Public Sector Buildings
What the Challenge was
• Wasteful energy use, energy
intensity 12 % over EU average
• High carbon emission intensity
• High energy bill for public sector
buildings
Innovation / Pilot
• Pilot in Sisak, population 50,000
A house in Osijek demonstrates the benefits of • 24 demonstration buildings
passive solar heating
• Over 2 years, energy
consumption down 13%, savings
$ 440,000, carbon emissions
down by 780 tons

12. Croatia: Energy Charta for
Public Sector Buildings
Transformation & Scale Up
• 127 mayors, all 20 county prefects
and 15 ministries signed Energy
Charta
• Marketing campaign with ‘Gaspar
Energetic’, information and solar
education centres
• Croatian Energy Law, Strategy and
Action Plan
• Energy audit infrastructure and
web-based EMIS
• Trainings and job creation
• 52% coverage of public sector
buildings, most in health sector

13. Environmental Impact of Health Sector
Example: Greenhouse gases
• Health sector accounts for 7.5 % of GDP in ECIS region
• Technology intensive with significant consumption of
resources, associated with environmental pollution and
degradation
• Accounts for an estimated 4.2 % of greenhouse gases (GHG) in
the ECIS region
• Up to 25 % of these GHG can be reduced within short-
term, more through long-term measures
• Reductions have also direct positive impact on life-years saved
Ministerial European Environment and Health Task Force Meeting, Bled/Slovenia 2011

14. Economic Commission for Europe
Report Regional Preparatory Meeting
Public procurement
47. Sustainable public procurement was supported as a
first critical step to further the green economy at the
national as well as the sub-national level. Concrete
progress was proposed in the form of sustainable public
procurement targets that could be met by an increasing
number of countries over the years.

15. Carbon Foot Printing &
Marginal Abatement Costs in the Health Sector
UK NHS Sustainable Development Unit, collaboration with UNDP and WHO

16. Building Resilience:
Key Lessons Learnt
• It seems to need a trigger, often serious problem, crisis
• Hardest hit are the poor and disadvantaged populations
• Strong individual and community participation
important
• Multi-sectoral responses with particular focus on the
poor and disadvantaged populations
• Trouble shooting and preparedness for trouble shooting
is not enough
• Resilience is not endless and not a vehicle to justify
dismantling of social protection under austerity policies

17. Building Resilience:
Key Lessons Learnt
• Multi-level responses reflect glocalization of networks
and increase impact in time, scale and scope
• Strongest resilience when empowerment of
people, communities and institutions results in
breaking vicious cycle of trouble shooting and
maintaining outdated systems, values and practices
causing even more of it
• Commitment to multi-generational responsibility
• Transformational resilience as component of
sustainable development

18. Base Development Model
Social Economic
justice growth
Environmental protection

19. Dynamic Model – non-sustainable

20. Dynamic Model - sustainable
Blue Path

21. Links with WHO Europe Health 2020
• Values: universality and
equity, sustainability, rights-based and
participatory approach, anti-
discrimination, transparency and
accountability
• Strategies: Universal access to health
services including emergency services; socio-
economic and environmental determinants
of health; Health in All Policies; whole
government approach

22. Glocalization in Action: WHO & UNDP
Wednesday, 20 June 2012
Local action and partnerships for more resilient
people and communities
Panelists to include:
Mr. Christian Bach, Minister for Development
Cooperation of Denmark; Dr. Margaret Chan, Director
General of the World Health Organization (WHO);
Ms. Helen Clark, United Nations Development
Programme (UNDP)

23. Glocalization in Action: WHO & UNDP
Wednesday, 20 June 2012
Greening the health sector
Wednesday, 20 June 2012
Health and sustainable development –
reinforcing the links
Panelists to include:
Dr. Margaret Chan, Director General of the
World Health Organization (WHO)

24. Empowering
Lives, Building
Resilience
Development Stories from
Europe and Central Asia
Acknowledgment to all
who participated in the
projects and to those who
compiled the brochure
For further information:
christoph.hamelmann@undp.org