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Achieving the Global Public Health Agenda

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Achieving the Global Public Health Agenda Department of Economic and Social Affairs Office for ECOSOC Support and Coordination Achieving the Global Public Health Agenda Dialogues at the Economic and Social Council United Nations New York, 2009 ii NOTE United Nations Publications ISBN: 978-92-1-104596-3 Sales No.E.09.II.A.5 Copyright © United Nations 2009 All rights reserved Caption photo front cover: Patients wait for treatment at hospital in Sudan Three young women patients wait for check-in for treatment, under a tent in the compound of the Fistula Unit of Zalingei hospital in Sudan. Date: 24 May 2007 – © UN Photo/Fred Noy/149571 For further information please contact: United Nations Department of Economic and Social Affairs Office for ECOSOC Support and Coordination 1 United Nations Plaza, Room DC1-1428 New York, N.Y. 10017, USA. The views expressed in this publication are those of the authors and do not necessarily reflect the views of the United Nations Department of Economic and Social Affairs. Achieving the Global Public Health Agenda – Dialogues at the ECOSOC iii DESA The Department of Economic and Social Affairs of the United Nations Secretariat is a vital interface between global policies in the economic, social and environmental spheres and national action. The Department works in three main interlinked areas: (i) it compiles, generates and analyses a wide range of economic, social and environmental data and information on which States Members of the United Nations draw to review common problems and to take stock of policy options; (ii) it facilitates the negotiations of Member States in many intergovernmental bodies on joint courses of action to address ongoing or emerging global challenges; and (iii) it advises interested Governments on the ways and means of translating policy frameworks developed in United Nations conferences and summits into programmes at the country level and, through technical assistance, helps build national capabilities. iv ACKNOWLEDGEMENTS This book has been prepared by the Office for ECOSOC Support and Coordination, Department of Economic and Social Affairs of the United Nations. The Secretary- General’s report to the Annual Ministerial Review of the High-level Segment of the Economic and Social Council (ECOSOC) on “Implementing the Internationally Agreed Goals and Commitments in Regard to Global Public Health” and the Ministerial Declaration of the ECOSOC High-level Segment are attached as annexes. The book also draws upon the debates and outcomes of the Council’s session. The roundtables and panels were sponsored by the Global Alliance for ICT and Development-United Nations (GAID), International AIDS Vaccine Initiative (IAVI), International Centre for trade and Sustainable Development (ICTSD), International Monetary Fund (IMF), International Office for Migration (IOM), United Nations Office of the High Representative for the Least Developed Countries, Landlocked Developing Countries and Small Island Developing States (OHRLLS), United Nations Office of the Special Adviser on Africa (OSAA), Office of the Special Advisor on Gender Issues (OSAGI), the Joint United Nations Programme on HIV/AIDS (UNAIDS), United Nations Conference on Trade and Development (UNCTAD), United Nations Conference on Trade and Development (UNCTAD), Population Division of the Department of Economic and Social Affairs of the United Nations (UNDESA), United Nations Fund for Population Activities (UNFPA), United Nations Children’s Fund (UNICEF), United Nations Industrial Development Organization (UNIDO), United Nations Office for Partnerships (UNOP), World Bank, World Health Organization (WHO), and the World Trade Organization (WTO). v CONTENTS Glossary of Acronyms xv Preface 1 Introduction 3 1. Achieving Global Public Health 5 Overview 5 Transcending Global Crises and to Achieve Development Goals 9 H.E. Mr.Ban Ki-moon Secretary-General United Nations Collective Action in Public Health: Finding Solutions through Global and Regional Cooperation 13 H.E. Ms. Sylvie Lucas President of the Economic and Social Council Permanent Representative of Luxembourg to the United Nations Reaffirming the Development Commitment 16 H.E. Mr. Hans-Rudolf Merz President Swiss Confederation Combating Non-Communicable Diseases to reach Health Related Development Goals 18 H.R.H. Princess Muna Al-Hussein Hashemite Kingdom of Jordan The Global Health Standard: Viewing Health Systems as More than Care 21 H.E. Mr. Urmas Paet Foreign Minister Republic of Estonia A Strong Political Leadership for a Sustainable Health System 24 H.E. Mr. Nicolas Schmit Delegate Minister for Foreign Affairs and Immigration Grand-Duchy of Luxembourg Multiple Crises: Overcoming Enormous Challenges in an Interconnected World 28 Ms. Margaret Chan Director General World Health Organization Addressing Inequalities and ‘Closing the Gap’ in Global Health 32 Sir. Michael Marmot vi Contents Chair Commission on Social Determinants of Health Women, Global Health, and the Increase in Non-Communicable Diseases 35 Ms. Cherie Blair Founder Cherie Blair Foundation for Women Overcoming Great Obstacles in Maternal Health 38 Ms. Sarah Omega Kidangasi Maternal Health Advocate Kenya 2. High-Level Policy Dialogue on Current Developments in the World Economy and International Economic Cooperation in the Context of Achieving the Millennium Development Goals 41 Overview 41 The World Economic Situation and Prospects 45 Mr. Sha Zukang Under-Secretary-General for Economic and Social Affairs United Nations Current Developments in the World Economy and International Trade 48 Mr. Pascal Lamy Director-General World Trade Organization (WTO) Global Growth Performance and its Challenges 51 Mr. Supachai Panitchpakdi Secretary-General United Nations Conference on Trade and Development (UNCTAD) The World Economy: Situation and Challenges 56 Mr. Murilo Portugal Deputy Managing Director International Monetary Fund Global Economic Outlook and Implications for Developing Countries 61 Mr. Joy Phumaphi Vice-President, Human Development Network World Bank Achieving the Global Public Health Agenda – Dialogues at the ECOSOC vii 3. The Annual Ministerial Review: “Implementing the Internationally Agreed Goals and Commitments in regard to Global Public Health” 65 PART A: Annual Ministerial Review Preparatory Meetings 65 Overview 65 Report of the Special Event on “Philanthropy and the Global Public Health Agenda” New York, USA, 23 February 2009 70 Dr. Jeffrey L. Sturchio President and CEO Global Health Council Report of South Asia Regional Meeting: “Financing strategies for health care” Colombo, Sri Lanka, 16-18 March 2009 72 Dr. H.A.P. Kahandaliyanage Secretary Ministry of Healthcare & Nutrition Sri Lanka Asia and Pacific Regional Meeting: “Promoting Health literacy” Beijing, China, 29-30 April 2009 74 H.E. Mr. Chen Zhu Minister of Health China Western Asia Regional Meeting: “Preventing and Controlling Non-Communicable Diseases”, Doha, Qatar, 10-11 May 2009 76 H.E. Mr. Abdullah bin Khalid Al-Qahtani Minister of Health Qatar Latin America and the Caribbean Regional Meeting: “Progress in Reduction of the HIV/AIDS Pandemic and its Interconnection with Development” Jamaica, 5-6 June 2009 79 H.E. Mr. Rudyard Spencer Minister of Health and the Environment Jamaica Report of the African Regional Meeting: “eHealth – Use of Information and Communication Technologies for Health” Accra, Ghana, 10-11 June 2009 81 H.E. Dr. George Sipa-Adjah Yankey Minister of Health Ghana viii Contents PART B - 2009 Annual Ministerial Review 83 National Voluntary Presentations of Bolivia, China, Jamaica, Japan, Mali, Sri Lanka, Sudan 83 Overview 83 Jamaica 86 China 87 Japan 88 Bolivia 89 Mali 90 Sri Lanka 91 Sudan 92 4. Partnerships in Health – Lessons from Multi-Stakeholder Initiatives in Global Public Health 93 Overview 93 The Prominent Role of Partnerships in the Success of the AIDS Response 95 Mr. Michel Sidibe Executive Director UNAIDS UNITAID: New Partnerships for Innovative Financing Mechanisms 97 Mr. Philippe Douste-Blazy United Nations Special Advisor on Innovative Financing for Development and Chair of the Board of UNITAID Lessons from the AIDS Movement for Current and Future Partnerships 99 Mr. Michel Kazatchkine Executive Director The Global Fund to Fight Aids, Tuberculosis and Malaria The Global Movement of the Roll Back Malaria Partnership 101 Ms. Awa Marie Coll-Seck Executive Director Roll Back Malaria Partnership Progress in the Fight against Tuberculosis through the Stop TB Partnership 103 Dr. Marcos Espinal Executive Secretary The Stop TB Partnership Strengthen Partnerships in Support of the Campaign to End Fistula 106 Ms. Natalie Imbruglia Spokesperson for the Campaign to End Fistula United Nations Population Fund Achieving the Global Public Health Agenda – Dialogues at the ECOSOC ix 5. Social Trends and Emerging Challenges and their Impact on Public Health: Renewing our Commitment to the Vulnerable in Crisis 109 Overview 109 Financial Crisis, Recession, and the Development Agenda 112 Mr. Richard Newfarmer Special Representative of the World Bank to the United Nations and the World Trade Organization Improving Health Outcomes in an Economic Crisis 116 Dr. Carissa Etienne Assistant Director General for Health Systems and Services World Health Organization (WHO) Dedicating Health Resources to those who need it 118 Mr. Assane Diop Executive Director, Social Protection Sector International Labour Organization (ILO) The Health of Children and the Health of the Elderly: Implications for Economic Growth 122 Dr. Alberto Palloni Professor of Demography and International Studies
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