The Lancet – University of Oslo Commission on Global Governance for Health

In Collaboration with The Harvard Global Health Institute

Harnessing the Global Forces for Health

Ole Petter Ottersen,3rd Commission meeting

New DelhiNovember 9th, 2012

Why meet in India?

•Jashodara: “India has everything”•A major global actor• Poverty reduction as a premise for a healthy democratic nation•Technological hub of the world

– Medical technology– ICT – telecom– Major producer of generics

•How to harness the technological revolution for global health?

Hon’ble Minister, Mr Jairam Ramesh 08.11.12:

«Poverty in India is health poverty»

Hon’ble Minister, Mr Jairam Ramesh 08.11.12

• Criticality of expenditure on health – but organization matters!

• Back to basics: Potable water and sanitation • Global level: TRIPS and climate –

organizational anchor needed • «Global governance starts with local

government» - local community institutions essential for water delivery

• The value of the civil society – but civil society should not work in a binary environment

• Top down vs bottom up: build from lower level of ambitions – when incremental is a positive word

Hon’ble Minister, Mr Jairam Ramesh 08.11.12

Building Global Global Governance for Health one piece at the time

Lessons from the seminar on November 8

• Fragmentation

• The necessity of Civil Society as change-makers in global governance

• Harnessing the market forces

• GM foods and nutraceuticals: why not the same stringent scientific requirements as for drugs?

• Commodification and commercialization of the human body (parts)

Challenges to address during the meeting

1. Global governance vs sovereignty of the state

(Nkosana)

1. What values should guide development of recommendations? (Desmond)

2. How to structure the development of our recommendations? (Sakiko)

Aims of Commission meeting III

• Developing recommendations– Agree on value claims to guide the developing

recommendations– Draft a set of recommendations

• Decide how to move forward with Zero Draft– Identify research needs– Reach conceptual clarity– Analytical framework

Harnessing the Global Forces for Health

”If globalization is about flows and interdependence, global governance can be seen as the political

endeavor that affects the speed and direction of such movements”

(The Zero-draft, 2012)

Health equity as goal:The Commission on Social Determinants of Health

”Where systematic differences in health are judged to be avoidable by reasonable action they are, quite simply, unfair. It is this that we label health inequity. ”

Sir Michael Marmot