Leaders in International Health Program (LIHP)

2013

Module 8 activitiesDecember 03, 2013

Convergence of Health Agendas PAHO, UNASUR and ACTO:

A possible cooperation?

ParticipantS:Ximena Pamela Díaz Bermúdez: OPS/OMSFlávia Thedim Costa Bueno: Instituto Suramericano de Gobierno en Salud –ISAGS/UNASURLuis Francisco Sánchez Otero: Organización del Tratado de Cooperación Amazónica - OTCA

Spanish version not available yet:

Visit our blogBe part of our practice community

This presentation can be download from http://cooperacioninternacionalensalud.wordpress.com/

Visit our Blog Be part of our prectice comunity

ANTES DE EMPEZAR/ BEFORE STARTINGANTES DE EMPEZAR/ BEFORE STARTING

• Existence of multiple health agendas currently in development, with frailties of coordination and synergy between the actors, which can lead to duplication of effort.

1. PROBLEM1. PROBLEM

• Health agendas of the agencies to which we belong as a team have common points based on the MDGs and DSS PHC.

• Some points with similar activities with risk of duplication of activities.

• The actors are in most cases the same.• Several previous labor agreements with

countries

2. JUSTIFICATION 2. JUSTIFICATION

o International relations (constitutive treaty bodies - general strategic policy guidelines, values, etc..)

o International Cooperation (cooperation strategies health blocks, cooperation models used)

3. FORCES3. FORCES

• Strategies and models of international cooperation

• Political and strategic guidelines of the institutions.

• Relationships are established between the states.

• Signed international commitments.• Capacity of countries to implement

these agreements.

3. FORCES3. FORCES

Insatitutional strategic political

guidelines

international relations

Health agendas of

international organizations

private

interests

Strategies and models of international cooperation

• Develop a common baseline between the three organizations, to guide health work.

• From the present analysis points of convergence for the development of joint projects.

• Identify lines of action (and communication) that can be implemented among agencies to minimize duplication and promote joint efforts.

4. UTILITY4. UTILITY

• Exist convergences on the agendas of Health PAHO / WHO, UNASUR and ACTO?

5. GENERETOR QUESTION5. GENERETOR QUESTION

• Characterize possible areas of cooperation, based on the analysis of convergence of the health agenda of PAHO/WHO, UNASUR and ACTO in South America countries.

6. GENERAL PURPOSE6. GENERAL PURPOSE

• Identify the thematic lines of cooperation in health developed by PAHO / WHO, UNASUR and OCTA;

• Check the agreements and understandings between these agencies over the past five years;

• Define the main strengths, vulnerabilities and best practices on cooperation established by PAHO / WHO, UNASUR and ACTO.

7. SPECIFIC OBJECTIVES7. SPECIFIC OBJECTIVES

• Comparative analysis focused on the analysis of the diaries, official documents, work plans and agreements PAHO, UNASUR and ACTO.

8. PROJECT TYPE8. PROJECT TYPE

9. ACTION DEVELPMENT9. ACTION DEVELPMENT

POLICY ANALYSIS IN THE REGIONPOLICY ANALYSIS IN THE REGION

RELATIONS BETWEEN INTERGOVERNMENTAL ORGANIZATIONS IN INTERNATIONAL HEALTHRELATIONS BETWEEN INTERGOVERNMENTAL ORGANIZATIONS IN INTERNATIONAL HEALTH

ACTORS AND SPACES OF DIALOGUE IN OUR PROJECTACTORS AND SPACES OF DIALOGUE IN OUR PROJECT

AGENDAS IN OUR RELATIONSHIP BETWEEN PROJECTAGENDAS IN OUR RELATIONSHIP BETWEEN PROJECT

Foreign policy of the Countries

Bi / tri National Cooperation

Bi / tri National Cooperation

Regional/SubregionalCooperation

Regional/SubregionalCooperation

International Law(Treaties, Agreements)

Amazon Cooperation AgendaQuinquennial Plan 2010-2015Health Agenda for the Americas

POLICY ANALYSIS IN THE REGIONPOLICY ANALYSIS IN THE REGION

Internacional Health– Principal Estate Nation Focus International Agreements

– emphasis Interests of the Country Needs Countries

RELATIONS BETWEEN INTERGOVERNMENTAL ORGANIZATIONS IN INTERNATIONAL HEALTH

RELATIONS BETWEEN INTERGOVERNMENTAL ORGANIZATIONS IN INTERNATIONAL HEALTH

OTCA

OPAS

UNASUR

ACTORS AND SPACES OF DIALOGUE IN OUR PROJECTACTORS AND SPACES OF DIALOGUE IN OUR PROJECT

UNASUR OTCA

Plan quinquenal 2010 – 2015

Presupuesto para programas

Agenda de Cooperación Amazónica

Presupuesto por Programas y Proyectos

Number of country membersPAHO: 35UNASUR: 12ACTO: 08

Number of country membersPAHO: 35UNASUR: 12ACTO: 08

RELATIONSHIP BETWEEN AGENDAS IN OUR PROJECTRELATIONSHIP BETWEEN AGENDAS IN OUR PROJECT

Health agenda PAHO/WHO

Work Agenda CSS

ACTO Work Agenda

Product: Set of subjects / cross agendas

First: Literature review and data collection by a matrixFirst: Literature review and data collection by a matrix

METHODOLOGY ANALYSIS AND MAPPING OF SHARESMETHODOLOGY ANALYSIS AND MAPPING OF SHARES

TEMA OPS UNASUR OTCAENFERMEDADES TRANSMISIBLESENFERMEDADES NO TRANSMISIBLESSISTEMAS/ SERVICIOS DE SALUDCAPACIDADES INSTITUCIONALES GESTION DEL CONCIMIENTOINTERCULTURALIDADDETERMINANTES SOCIALES EN SALUDAGUA SEGURACLIMA Y SALUD*RIESGO QUIMICO SALUD AMBIENTALEMERGENCIAS Y DESASTRESSEGURIDAD ALIMENTARIA

SIN ACTIVIDAD O DESARROLLO

ACTIVIDAD ESCASA O EN FORMULACION

EN DESARROLLO O IMPLEMENTACIÓN

ACTIVIDAD IMPLEMENTADA

LINEAS>EJES DE LAS AGENDAS DE TRABAJOLINEAS>EJES DE LAS AGENDAS DE TRABAJO

Resources:Availability mobilization of financial, technical, symbolic

Marcos:Vision of world

Significance:Relationship between objectives and stakeholder participation

Risk-return:Meanings of what is at stake for institutions

Risk-return:Meanings of what is at stake for institutions

Power:influences,decisions,Resource Control

Power:influences,decisions,Resource Control

Interests:Expectations, benefits

FACTORS THAT MAY AFFECT DECISIONSFACTORS THAT MAY AFFECT DECISIONS

Mapping commonalities working

Second stage: Selection and analysis of tracer topicMapping the converging agendas in health;Identification of joint synergies and strategic issues between these converging agendas;Identification and selection of a structuring element tracer possible converging agendas among these agencies.

Second stage: Selection and analysis of tracer topicMapping the converging agendas in health;Identification of joint synergies and strategic issues between these converging agendas;Identification and selection of a structuring element tracer possible converging agendas among these agencies.

SELECTION OF TOPICS OF WORKSELECTION OF TOPICS OF WORK

BENEFICIARIOS DIRECTOS E INDIRECTOS

Salas SISI

Acuerdos de trabajo y comunicación de

actividades

Analisis de factibilidad institucional

Resultado del análisis de las agendas de trabajo y los puntos

comunes de trabajo

• Third: Develop baseline proposal that allows to propose strategies for triangular cooperation, which will be presented to the leaders of the three agencies.

• Third: Develop baseline proposal that allows to propose strategies for triangular cooperation, which will be presented to the leaders of the three agencies.

FINAL PROPOSAL FOR COOPERATION IN CONVERGENCE ISSUESFINAL PROPOSAL FOR COOPERATION IN CONVERGENCE ISSUES

MODULE 8: Our Task

Develop general considerations on the relationship of the country project topic with the force of trade.

 Explain if the discussions and activities of the module helped you to define new possibilities regarding your country project topic.

Forces and contexts

• The main force of our project is the International relations.

• We also see cross-cutting perspectives:

• External country policy• International cooperation model • Private sector • Institutional Politic and Strategic

guidelines

Insatitutional strategic political

guidelines

international relations

Health agendas of

international organizations

private

interest

s

Strategies and models of international cooperation

TRADE FORCE

• economies of the countries in the context of globalization are more linked than ever and the field of health is strongly marked by the different interests of the global economy.

• private interests are present in the scenario of the health agendas, and they can constituted, depending on the contexts a central element in the configuration of responses to the large health problems that lives the region.

Economic Power and International Rules

Economic Power and International Rules

Relevant accordingsRelevant accordings

COUNTRY(IES) FINANCIAL AND ECONOMIC POLICIES

International coopertion

International coopertion

HEALTH SYSTEMS

International Actors

International Actors

Relationship between trade and financial factors on health management in International Relations

Relationship between trade and financial factors on health management in International Relations

TRADE FORCES

• Full right to health is an exercise that demands not only the effort of the health sector, particularly, in the constitution of comprehensive and quality health systems, but also of other sectors like that of the production and the trade

• Many countries carry out to negotiations on trade agreements, such as TRIPS that can affect directly the access to the drugs.

• As UN documents point out the standards of protection of the intellectual property can have direct effect in the access health technologies and drugs (UN, 2009).

TRADE FORCES

• Drug production involves four dimensions: highlightening two of them: techno science and market

• The role of the industry has been subject to academic reflection, political and economic dispute with an important role performed by the state and its entities: health authority and regulatory frameworks

Why is trade analysis relevant to our project

• Increase the role of the states in the recognition of use of the flexibilities of the Agreement on Trade-related Aspects of the Intellectual Property Rights as a strategy to guarantee people's access to the drugs.

• Generating evidence on the relationships between health, equity, and trade is a challenge in the region and the dissemination of this information can be useful for the citizenship and the active role of the social groups in the struggle for the health as right.

• With the development of the Agendas, in one moment, this could be a important theme to have cross activities between PAHO, UNASUR and ACTO.

GRACIAS

THANK YOU