Youth Commissionon Global Governance for Health The Lancet – University of Oslo

Millennium Development Goals and Health in Post-2015 Development Agenda

4th AYNLA Millennium Convention, Nueva Ecijia Dec 14 2013

Usman Ahmad MushtaqYouth commissioner

Send your questions and comments on twitter: @uamushtaq

Overview

• Unfinished Business: MDGs• Changing Global Health Agenda• Health and Sustainable Development• Next Generation of Development Goals

Background and Context

• Universal Health Care: Definition, Dimensions, Monitoring and Evaluation

• Rationale, UHC as a Health Thematic Area Goal

Health as a Goal: the Health Thematic Area

• Rationale, Scope, Overarching Measures, Thematic Exemplars (food, water, energy, cities, jobs, disasters)

Health as an Indicator: health in the other Thematic Areas

• Parallel processes• Post-2015: HLP, UNDG Consultations (National, Thematic), SDSN• Post-Rio+20/SDGs: OWG, Other Follow Up

Process: the post-2015 development agenda and the post-

Rio+20 agenda

Human Development Report 2013

BACKGROUND AND CONTEXT

MDGs, their origins

• Millennium Summit aimed to discuss UN roles in the 21st century

• Adopted on September 8th 2000, after the 3-day summit at UNHQ,

• Follow-up outcome adopted on December 14th 2000 for its implementation

• Originally developed by a small group of people from OECD• Striving to "free all men, women, and children from the abject

and dehumanizing conditions of extreme poverty

Unfinished Business: Millennium Development Goals (MDGs)

What they were

• A powerful force in maintaining political support for development

• A simple framework, readily understandable, quantitative monitoring

• Conceived as a compact between developing country aspirations and role of developed world in assisting

• Opportunities for massive funding

The “Buts”

• Unequal progress between countries and socioeconomic groups within countries

• Many aren’t on target to meet MDGs and some have regressed• Targets weren’t set with any reference to the abilities of countries or

taking into account their economic, social or political situations• Health goals weren’t tied to the burden of disease• Fragmented approach to development (silos)• Lack of specificity on MDG 7 on environment and climate change

Bottom line: MDGs are unfinished business to 2015, and likely beyond.

Post-2015 Era

In 2015, the MDGs will come to an end. What can we expect next in terms of global development?

Where we are at

Shifting disease burden (rise of NCDs, Climate Change)

Health Systems Strengthening

Social Determinants of Health, Health in All Policies (HiAP)

Rio+20 and Sustainable Development Context

Health Equity

Health as a Human Right

Did I mention the biggest threat to Health?

New generation

• Global Relevance: future goals likely to be framed in terms of global challenges that require shared solutions

• Opportunities to measure process across economic, social and environmental pillars of sustainable development

• Should not undermine work on existing MDGs• Process likely to be competitive between sectors, and between preferred means

of achievement and measurement• Should not undermine work on existing MDGs

We must understand that goals and indicators influence our understand of development, political agendas and resources transfers, especially funding.

• “Sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs” –From the Brundtland Commission (The World Environment and Development’s Report on our Common Future, 1987)

What is Sustainable Development?

Pillars of Sustainable Development

And Health?

Input

• Health is a precondition

Outcome

• Health is a beneficiary

Measure

• Health is therefore an indicator of progress

Health as a Goal

Health as an Indicator

Rationale for Health Indicators

1. Win-wins are possible, but health gains from development are not automatic. Bad development policies can worsen health outcomes. Health needs to be consciously taken into account (HiAP, HIA)

2. Health metrics/indicators can measure progress across the economic, social and environmental pillars of sustainable development.

3. Health concerns are immediate, personal and local. It can generate public/political interest in policies with diffuse or deferred outcomes (such as reducing CO2 emissions).

Scope of Health Indicators

• Health is an input to Sustainable Development: contributes to poverty reduction as an ends (healthy people have stronger cognitive and physical capabilities to earn and learn), as well as through means (UHC can contribute via financial protection)

• Health is an outcome of Sustainable Development: of appropriate policies in a wide range of other sectors such as transport, energy, urban planning, water and sanitationExemplars energy, water and sanitation.

Health indicators are able to capture successes, barriers and distribution (equity).

So how are we going to get there?

Post-2015 and

Sustainable Development Goals Process

The context of SDGs a post Rio+20 process

• Framework facilitated by UN • 1992 Earth Summits, important milestone in the narrative

around SD. • Outcomes: Rio Declaration, Agenda 21. Legally binding

agreements*: UNCBD, UNFCCC, UNCCD• Subsequently the formation of UNCSD under ECOSOC • Rio+20 a 20 year anniversary of the Earth Summit in 1992

mandated by a 64th UNGA resolution • Outcomes: Process to define SDGs, “upgrade of UNEP”,

HLPF

Earth Summit and Rio+20

Two processes

Member States

Intergovernmental Open Working Group

on SDGs(OWG)

UN System

UNTT Technical Support Team on

SDGs

Thematic collaborations

Civil Society

Multi-stakeholder advisory group on

SDGs

Rio+20 Man

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S

DG

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HLP and OWG reports to 68th UNGA

2013-2014

2010 MDG Summit

Member States

HLP of Eminent Persons on Post-

2015 Development Agenda (HLP)

UN System

UN Task Team

UNDG MDG Task Force

Consultations

Civil Society

Sustainable Development

Solutions Network(SDSN)

Man

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he

Po

st-

201

5 D

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Informal Coordination

UN Open Working Group on SDGs

• 8 meetings in total over a year, last one in February 2014• Mandated to draft the Future Development Goals by 2014• 30 seats shared by 70 countries• Chaired by Mr. Kõrösi (Hungary) & Mr. Kamau (Kenya)• Young people represented to all meetings advocating for youth and

health related issues. • You can watch all the meetings live as they happen

(www.webtv.un.org, www.sustainabledevelopment.un.org)

Overview of the process

What to understand

• Long and complicated process• Everyone has their own priorities• Many many many stakeholders from different backgrounds and

fields of interest• Many many many meetings• Many many many reports

But what to remember: an impressive will of collaboration between sectors and interest from all over the world.

My World Survey

www.myworld2015.org

Your voice

• Reflect on the priorities and opportunities you wish to see in Philippines and South East Asia

• Think about your role as future health professional• Be advocate for change• Make your voice heard!

• www.uncsdchildrenyouth.org

Students local and national campaigns