Title PageThe Right to Development and the Millennium Development Goals

Elvira Beracochea, MD. MPH

elvira@midego.com

138th APHA Annual Meeting Monday, November 8, 2008

Disclosures

I am president and CEO of MIDEGO, a consulting company dedicated to help achieve the MDGs through personal and organizational development programs and tools.

I believe in and practice human rights based approaches.

I believe we can achieve the MDGs. We will if we must! I work to make it a must!

Objectives

1. Discuss simple ways of applying rights based approaches towards achieving the Millennium Development Goals

2. Discuss the main challenges to rights based approaches and ways to overcome them

Know the Legal Framework and International Declarations

• UDHR•The Right to Development•The Millennium Declaration*•CEDAW•ICESCR•General Comment 14•Paris Declaration*

Goals of the Millennium Declaration

Know the Duty Bearers, Right Holders and Advocates

• Global Health is a Human Right

•Global Health is someone’s duty

•WHOSE?

Developed AND Developing Nations

Global Health Formula

How to realize it?

Global Plan to Achieve the MDGs

2015 Targets

Global Health = public health + development assistance + accountability

Role of Public Health Professionals

Respect, Protect and Fulfill

Advocate and Demonstrate Effectiveness

Values of the Millennium Declaration

• Freedom• Equality• Solidarity• Tolerance• Respect for Nature• Shared Responsibility for International Relations• Peace• Disarmament

Advocacy

Paris Declaration: Principles

•Ownership

•Harmonization

•Alignment

•Results

•Accountability

Advocacy

Development Assistance

PROTECT: Ownership and Alignment

1. GOVERNANCE: Participation and Representation2. Three ONES: One plan - One Coordination - One M&E3. Plans based on National Health Plans and annual targets4. Plans include donor budget estimates and expenditures5. Donors use and strengthen existing public health systems

and institutions

Implementing a RBA

RESPECT: Harmonization

1. Consensus on comparative advantage and complementarity to decide which donor will contribute to achieve goals

2. Simplification of processes

3. Clear coordination and communication procedures across civil society organizations, FBOs and NGOS

Global Coordination

•8,000,000 children die of preventable and treatable conditions– Could 100,000 CBOs prevent 80 deaths

each?

•500,000 women die of preventable pregnancy and delivery complications– Could 1000 NGOs prevent 500 deaths

each?

Accountability

FULFILL: Managing for Results

1. Result-oriented development plans included in the National Health Plan

2. Interventions managed at country level

3. ONE M&E

4. Annual report and joint annual reviews

How to Measure Progress?

FULFILL: Mutual Accountability

• Joint decision making and transparent aid commitment

• Transparency: Response to questions within 3 months

Role of Public Health Professionals

Respect, Protect and Fulfill

Demonstrate Effectiveness

Q&A

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