Dr Bettina Menne

Coordinator, Sustainable Development and Health (SDG)

WHO Regional Office for Europe

The 2030 Agenda for Sustainable Development: from global to local through participatory

approaches

Source: Treaty on European Union. (1994). Luxembourg: Office for Official Publications of the European Communities.

Life expectancy at birth

1969 1977 1985 1992 2000 2007 2015

81.9 Years

EU - Countries WHO European Region

77.8 Years

Commonwealth of

Independent States

71.7 Years

68.7 Years

70.9 Years

71.3 Years

Source: 2018 WHO European Health Information Gateway

Healthy life expectancy at age 60

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Source: 2018 WHO European Health Information Gateway

Goal 3: ensure “healthy lives

and proote well-being for all at

all ages”

3.1Reduce maternal mortality

3.2

End deaths of newborns and children

3.7Access to sexual and reproductive services

3.3

End epidemics of infectious diseases

3.4Reduce mortality from NCDs and promote mental health

3.5Substance abuse, and harmful use of alcohol

3.6Reduce

deaths and injuries from road traffic accidents

3.aFramework Convention on Tobacco Control

3.9Reduce deaths and illnesses from environmental contamination

3.8Achieve

universal health coverage

3.b Research and vaccines and medicines

3.c

Health financing and health workforce

3.d Management of national and global health risks

Health throughout life course

Communicable diseases

NCDs and risk factors

Environment and Health

Health systems

Health Emergencies

Good health and well-being for

all at all ages

Photo: © Elis Martinelli

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Mill

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sYears of Life Lost in the WHO European Region

2016 - forecast 2040

2016 2040

”We the peoples..........”

Source: https://sdg.gdrc.org/

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© Menne & Wippel

ACCELERATE

How do we get there?

Roadmap to implement the 2030 Agenda: the 4 As

ASSESSWhere are we?

ALIGN

Where do we want to be?

2030

ACCOUNT

How do we ensure progress?

2016

Five interdependent

strategic directions and

accelerators

Four enabling

measures and

accelerators

One Roadmap

‘65% of the 169 targets that form the base for the 17 SDGs can only be reached if coordination with and

inclusion of local and regional governments is assured’ UN Sustainable Development Solutions Network

Localizing the SDGs: what subnational governments need to know

• The implementation of the 2030 Agenda lies on adequate multi-level governance. This shared vision should strengthen policy design, planning and implementation.

• The integration of SDGs within sub-national level planning is a crucial step in landing the new agenda in regions and cities.

• Localization of follow-up of the 2030 Agenda can be done by promoting the participation of local and regional governments in national monitoring, and by adapting national indicators to local and regional contexts.

• Transparency, access to information, awareness and ownership of the 2030 Agenda. It moves accountability loops closer to the people and strengthens their voice.

Source: Forum “Venice City Solutions 2030-Financing the SDGs at the local level” celebrated in Venice, Italy on November 16, 2018.

42European Member States

reported on SDG

implementation at the High-

level Political Forum

Source: Transforming our world: the 2030 Agenda for Sustainable Development

1. Aligning, designing integrated

strategies and policies at local

and regional levels

Engaged Not mentioned

Source: VNRs

Engagement with local authorities (municipality, provincial, regional) when planning for and implementing the 2030

Agenda

2. Ensuring policy coherence for sustainable development

Source: http://www.euro.who.int/__data/assets/pdf_file/0004/386923/health-carbon-reductions-eng.pdf?ua=1

An example: SDG 13 and SDG 3

• The preventable mortality from reduced air pollutant emissions in 2030 is 74 000 deaths.

• The economic cost of prevented illnesses and mortality in 2030 is US$ 277 billion (2005 prices).

• between 0.5% and 1.2% of the annual GDP of the 53 Member States.

Source: http://www.euro.who.int/__data/assets/pdf_file/0004/386923/health-carbon-reductions-eng.pdf?ua=1

3. Leading transformation: Example Dutch All about Health network programme

Face-to-face

dialogue

TrustCommitment

Shared

values,

problems and

ambitionsExperimental

action

MonitorReflect

Adapt

Explorative network:Collaborative cycle

Entrepreneurial networks:Learning and adaptation cycle

Source: M. Bekker, Wageningen University and Research, The Netherlands

Example:

North-Rhine Westphalia: Landesarbeitsgemeinschaft Agenda 21 (LAG 21) is an umbrella organization that functions as a universal and interdisciplinary intermediary for sustainability, offering different support for different players. Within Germany it is also unique and bridges the gap between municipalities and civil society.Source: A territorial approach for the implementation of the SDGs in the EU – The role of the European Committee of the Regions

4. Health in stakeholder engagement

21Levels of participation

Multi-stakeholder participation occurs when there is a genuine interest to engage (government) and to be engaged (other stakeholders); and when

there is collective work and co-creation of knowledgeSource: K. Cázarez-Grageda, 2019

5. Peer to peer learning ANDORRA

National strategy on nutrition, sport and health: engaging the general public

ESTONIA

A multipronged alcohol policy involving all levels of society

LUXEMBOURG

Eat healthily, move more

MONACO

“Vers Monaco sans sida”: an integrated policy on HIV/AIDS

CYPRUS

Leaving no one behind – Cyprus puts universal health coverage in place

ICELAND Youth, health-promoting

communities and partnerships

MALTA

Leaving no one behind –

participatory development of

policy on health services for

transgender people

SAN MARINOPromoting healthy lifestylethrough schools and family

MONTENEGRO

Working towards SDG 6 and ratification

of the Protocol on Water and Health

SLOVENIA

Integrating population and individual services to reduce health inequalities at the community level through health-promotion centres

LATVIA

Involving the general public in the SDG review process

Source: Participatory approaches to reaching the SDGs - Policy briefings (2019) http://www.euro.who.int/en/health-topics/health-policy/sustainable-development-goals/publications/2019/participatory-approaches-to-reaching-the-sdgs-policy-briefings-2019

5. Peer-to-peer learning beyond bordersThere are limited links with other government levels in the Netherlands. Representatives from Utrecht regularly meet the national coordinator for SDG from the national Ministry of Foreign Affairs. However, the objectives and measures are different at national level. National level instruments do not cover the actions in Utrecht. Cooperation is mostly in international networks with peers and allows the city to learn from other practices and strategies aimed at the same challenges. The local authority embraces mutual learning, sharing ideas and practices with cities such as Ghent (Belgium), Bonn (Germany) and Malmö (Sweden) and also seeks cooperation and opportunities for mutual learning at national level. The local authority is particularly keen on cooperating with other local authorities that have an active approach to SDGs such as Oss and Rhenen, rather than with authorities re-labelling existing policies.

Source: A territorial approach for the implementation of the SDGs in the EU – The role of the European Committee of the Regions

6. Participatory

accountability

40 Regions from 27 CountriesReaching out to 130 Million people

MALE LIFE EXPECTANCY AT BIRTH

1969 1977 1985 1992 2000 2007 2015

79.2 Years

EU – Countries - MaleWHO European Region

Male

74.6 Years

Common Wealth

Independent States

66.9 Years

63.8 Years67.2 Years

68.1 Years

Dr. Bettina Menne and Dr Emilia AragonCoordinator, Sustainable Development and Health (SDG)

Division of Policy and Governance for Health and Wellbeing (PCR)

E-mail: menneb@who.int

http://www.euro.who.int/en/health-topics/health-policy/sustainable-development-goals