2017 GH Sesi 13 YM The Future of Global Health
Sustainable Development Goals
2
3
4
5
6
WHO Six main lines of action for SDGs
• Intersectoral action by multiple stakeholders
• Health systems strengthening for UHC
• Respect for equity and human rights
• Sustainable financing
• Scientific research and innovation
• Monitoring and evaluation
7
A world in which everyone can live healthy,
productive lives*
• Achieving this vision will require a strong, effective WHO that is able
to meet emerging challenges and achieve the health objectives of the
Sustainable Development Goals.
• We need a WHO – fit for the 21st century – that belongs to all,
equally.
• We need a WHO that is efficiently managed, adequately resourced
and results driven, with a strong focus on transparency, accountability
and value for money.
*http://www.who.int/dg/vision/en/
WHO Priorities: http://www.who.int/dg/priorities/en/
Health for all
Health
emergencies
The health impacts
of climate and
environmental
change
Women, children
and adolescents
A transformed
WHO
New vision and strengthened partnership for
WHO and China*
• Additional voluntary contribution of US$ 20 million in support of
WHO’s glo al work
• Enhanced collaboration to
• reduce the impact of health emergencies;
• build stronger health systems to deliver universal health coverage;
• focus on the well-being of women, children and adolescents
*source: http://www.who.int/mediacentre/news/releases/2017/vision-partnership-china/en/
WHO’s draft thirteenth general programme of work: 2019− 0
Global health outlook?
Large scale transitions shaping public health*
Demographic
Epidemiological
Urban
Energy
Economic
Nutrition
Cultural
Democratic
Ecological
*Rayner & Lang (2012)
Crisis is the new normal
Urbanization
Globalization
Accelerators of health
syste ’s risis
Climate change
Health system resilience?
The capacity of health actors, institutions, and
populations to prepare for and effectively
respond to crises; maintain core functions
when a crisis hits; and, informed by lessons
learned during the crisis, reorganise if
conditions require it
(Kruk et al 2015)
Dividends of resilient health systems?*
In times of crisis
In times of calm
• Lives saved
• Livelihoods protected
• Healthier people
• Stronger nations
*Ref: Kruk et al 2015
Elements of health system resilience?
Elements of resilient health systems?*
Aware
Diverse
Self regulating
Integrated
Adaptive
*Ref: Kruk et al 2015
Detect health threats before they strike
Deliver ranges of services with universal
coverage
Prevents health disruptions from turning
into disasters
Rapidly deploy resources from beyond
health system
Rebounds from shock stronger than before
Mechanisms by which
the harmful effects of
ecosystem change can
affect human health
Whitmee et al (2015)
The present status
of the control
variables for seven
of the nine
planetary
boundaries
Whitmee et al (2015)
Global trends in
population,
consumption,
health, and the
environment
Whitmee et al (2015)
WHO Constitution (1946)
The attainment by all peoples of
the highest possible level of health
…Health is a state of o plete physi al, e tal a d so ial well ei g
a d ot erely the a se e of diseases or i fir ity
Planetary health
The health of human civilization and the state of
the natural systems on which it depe ds
Whitmee et al (2015)
Planetary health?
• Attention to the extensive degradation of our planet for human
advancement.
• Focuses on reversing this trend by better balancing human needs with the
preservation of the Earth to sustain the health and well-being of future
generations.
• Interdependence of human health, animal health, and the health of the
environment.
• Require a multidisciplinary, cross-sector, and transborder approach to
change mindsets and behaviors at every level, from global to local.
Relative rank of
countries by
proportional and
absolute impact on
the environment
Whitmee et al (2015)
Potential actions by key constituencies
Health professionals
Research funders and the academic community
• Need to be well informed about the
dangers posed by global
environmental change to health and
potential health co-benefits from
policies to prevent damage to natural
systems.
• Frame what questions get asked by
scientists and steer development of new
ways of addressing major gaps in
knowledge, scientific awareness, and
academic focus.
• Through advocacy and outreach, help
mobilise a wide community of actors.
• Help to build capacity to address the
present neglected agenda of
environmental health and poverty
related diseases
• Planetary health as a field straddling
many uncoordinated disciplines demands
investment and the development of a
culture of interdisciplinary research.
• The health research community should
forge links with the full range of relevant
disciplines in the natural, physical, and
social sciences to understand complex
systems and assess potential policy
solutions.
2
3
4
5
6
WHO Six main lines of action for SDGs
• Intersectoral action by multiple stakeholders
• Health systems strengthening for UHC
• Respect for equity and human rights
• Sustainable financing
• Scientific research and innovation
• Monitoring and evaluation
7
A world in which everyone can live healthy,
productive lives*
• Achieving this vision will require a strong, effective WHO that is able
to meet emerging challenges and achieve the health objectives of the
Sustainable Development Goals.
• We need a WHO – fit for the 21st century – that belongs to all,
equally.
• We need a WHO that is efficiently managed, adequately resourced
and results driven, with a strong focus on transparency, accountability
and value for money.
*http://www.who.int/dg/vision/en/
WHO Priorities: http://www.who.int/dg/priorities/en/
Health for all
Health
emergencies
The health impacts
of climate and
environmental
change
Women, children
and adolescents
A transformed
WHO
New vision and strengthened partnership for
WHO and China*
• Additional voluntary contribution of US$ 20 million in support of
WHO’s glo al work
• Enhanced collaboration to
• reduce the impact of health emergencies;
• build stronger health systems to deliver universal health coverage;
• focus on the well-being of women, children and adolescents
*source: http://www.who.int/mediacentre/news/releases/2017/vision-partnership-china/en/
WHO’s draft thirteenth general programme of work: 2019− 0
Global health outlook?
Large scale transitions shaping public health*
Demographic
Epidemiological
Urban
Energy
Economic
Nutrition
Cultural
Democratic
Ecological
*Rayner & Lang (2012)
Crisis is the new normal
Urbanization
Globalization
Accelerators of health
syste ’s risis
Climate change
Health system resilience?
The capacity of health actors, institutions, and
populations to prepare for and effectively
respond to crises; maintain core functions
when a crisis hits; and, informed by lessons
learned during the crisis, reorganise if
conditions require it
(Kruk et al 2015)
Dividends of resilient health systems?*
In times of crisis
In times of calm
• Lives saved
• Livelihoods protected
• Healthier people
• Stronger nations
*Ref: Kruk et al 2015
Elements of health system resilience?
Elements of resilient health systems?*
Aware
Diverse
Self regulating
Integrated
Adaptive
*Ref: Kruk et al 2015
Detect health threats before they strike
Deliver ranges of services with universal
coverage
Prevents health disruptions from turning
into disasters
Rapidly deploy resources from beyond
health system
Rebounds from shock stronger than before
Mechanisms by which
the harmful effects of
ecosystem change can
affect human health
Whitmee et al (2015)
The present status
of the control
variables for seven
of the nine
planetary
boundaries
Whitmee et al (2015)
Global trends in
population,
consumption,
health, and the
environment
Whitmee et al (2015)
WHO Constitution (1946)
The attainment by all peoples of
the highest possible level of health
…Health is a state of o plete physi al, e tal a d so ial well ei g
a d ot erely the a se e of diseases or i fir ity
Planetary health
The health of human civilization and the state of
the natural systems on which it depe ds
Whitmee et al (2015)
Planetary health?
• Attention to the extensive degradation of our planet for human
advancement.
• Focuses on reversing this trend by better balancing human needs with the
preservation of the Earth to sustain the health and well-being of future
generations.
• Interdependence of human health, animal health, and the health of the
environment.
• Require a multidisciplinary, cross-sector, and transborder approach to
change mindsets and behaviors at every level, from global to local.
Relative rank of
countries by
proportional and
absolute impact on
the environment
Whitmee et al (2015)
Potential actions by key constituencies
Health professionals
Research funders and the academic community
• Need to be well informed about the
dangers posed by global
environmental change to health and
potential health co-benefits from
policies to prevent damage to natural
systems.
• Frame what questions get asked by
scientists and steer development of new
ways of addressing major gaps in
knowledge, scientific awareness, and
academic focus.
• Through advocacy and outreach, help
mobilise a wide community of actors.
• Help to build capacity to address the
present neglected agenda of
environmental health and poverty
related diseases
• Planetary health as a field straddling
many uncoordinated disciplines demands
investment and the development of a
culture of interdisciplinary research.
• The health research community should
forge links with the full range of relevant
disciplines in the natural, physical, and
social sciences to understand complex
systems and assess potential policy
solutions.