PAHO’s Approach in Support of Member States for the Attainment of the Health- related Millennium Development Goals
SCPP March 2004
38th Session of the Subcommittee on Planning and Programming
Washington, D.C., 24-26 March 2004
PAHO´s Approach in Support of Member States for the Attainment of the Health-related Millennium Development Goals
Millennium Development Compact
Collectiveintentionality to reducepoverty through buildingon mutual responsibilities:
The Millennium DevelopmentGoals are the first global development visionthat combines global politicalendorsement with a clearfocus on, and means toengage directly with, theworld’s poor people.
Millennium Development Goals
• The Millennium Development Goals are time-bound and measurable goals and targets to be achieved between 1990 and 2015. They include:
1. halving extreme poverty and hunger 2. achieving universal primary education3. promoting gender equality 4. reducing under 5 mortality by two-thirds5. reducing maternal mortality by three-quarters6. reversing the spread of HIV/AIDS, malaria, and TB7. ensuring environmental sustainability8. developing a global partnership for development, with targets for
aid, trade, and debt relief.
Brasilia Declaration (November 2003)
• “ Promoting political consensus around the implementation of the Millenium Development Goals in Latin America and the Caribbean”
• Organized by the IDB, World Bank, ECLAC, UNDP, and Brazilian Government with the presence of Heads of State, parlamentarians, senior officials, and representatives of civil society and the private sector, and representatives of the international community
MDGs and Health
• The MDGs have brought the investment in people’s health to the very center of the global development agenda. This opens new opportunities for the health sector and health organizations to gain wide support for the health agenda.
• But: the progress on the health MDGs is too slow, particularly in low-income countries.
HLF on Health MDGs (January 2004)
WHO and the World Bank convened a meeting of the High-Level Forum on Health on 8 and 9 January 2004.
Outcomes of the meeting include: • a recommendation to the Development Committee for practical
steps to ensure a closer relationship between the PRSP process and the achievement of the MDGs;
• joint work to assess the effectiveness of donor harmonization in health;
• a mandate for further joint work on human resources for health, and to explore a link with the Global Commission on International Migration;
• and an endorsement of plans to establish the Health Metrics Network.
MDG Target Synergy for Health
• Classic social determinants of health
• Environmental determinants of health
• New global determinants
• Health targets as a contribution to poverty reduction and quality of life
Indivisibility and Synergy
Millenium Development Goals
Goal 1
Goal 2
Goal 3
Goal 4
Goal 5
Goal 6
Goal 7
Goal 8
The goals needto be seen asanindivisiblepackage.
Health and Development Synergy
18
17
16
15
14
13
12
11 10 9
8
7
6
5
4
3
21
PovertyPovertyHungerHunger
Primary educationPrimary education
Gender disparityGender disparity
Health and Development Synergy
18
17
16
15
14
13
12
11 10 9
8
7
6
5
4
3
21
SafeSafewaterwater
PovertyPovertyHungerHunger
Primary educationPrimary education
Gender disparityGender disparity
EnvironmentEnvironmentSlumSlumdwellersdwellers
Health and Development Synergy
18
17
16
15
14
13
12
11 10 9
8
7
6
5
4
3
21
SafeSafewaterwater
PovertyPovertyHungerHunger
Primary educationPrimary education
Gender disparityGender disparity
EnvironmentEnvironmentSlumSlumdwellersdwellers
FinancialFinancialsystemsystem
TradeTrade
SmallSmallnationsnations
Debt Debt reliefrelief
WorkWork
ITIT
Health and Development Synergy
18
17
16
15
14
13
12
11 10 9
8
7
6
5
4
3
21
Under 5 Under 5 MORTALITYMORTALITY
MATERNALMATERNALMORTALITYMORTALITY
HIV/AIDSHIV/AIDS
MAL/INF MAL/INF DISDIS
SafeSafewaterwater
PovertyPovertyHungerHunger
Primary educationPrimary education
Gender disparityGender disparity
EnvironmentEnvironmentSlumSlumdwellersdwellers
EssentialEssentialdrugsdrugs
FinancialFinancialsystemsystem
TradeTrade
SmallSmallnationsnations
Debt Debt reliefrelief
WorkWork
ITIT
MDG
PAHO Priorities and MDGs
The unfinished health agenda
The new health challengesMaintaining health
achievements
HFA
- Reducing the gap- Ensuring access- Achieving results
Four Principles
• Country ownership
• Accountable governance and targeted development
• Costing for investment to reach the poorest
• Policy not charity
Key Principle: Country Ownership
• While the MDG documents call for the simultaneous achievement of multiple targets by 2015, each country in turn must debate which of these benchmarks would enable the most effective use of scarce resources to help the poor – according to criteria set by the country. Trade-offs and synergies between targets also need to be explored as well as synergies between various international activities, ie PRSPS.
Strategic Goals to Support Countries
• Increase awareness of and investment in the health priorities.
• Intensify action on national health development to support MDG progress.
• Integrate the work on MDGs with the initiatives on health goals and targets and outcome-oriented health policies in the Americas.
• Increase health literacy and empowerment of communities.
Strategic Goals to Support Countries
• Improve measurement of progress through high- quality disaggregated health data at regional, subregional, and country levels.
• Initiate research to strengthen the evidence base and generate new knowledge.
• Integrate the strategic dimensions of the work on MDGs with other strategic efforts.
• Engage and increase cooperation with other partners—particularly at the country level—to obtain results.
PAHO Integrated Approach to MDGs
HPR
PH
PHCSOC PRO
INTSEC
COMPARTMDGs
Health promotion
Public health
Primary health care
Communityparticipation
Inter-sectorality
Socialprotection
MDGs and Democracy
• MDGs as a democratic debate about government performance, especially through making impartial data available:
Posted at the
door of every
village hall.
