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Ricardo Baptista Leite Governance for Health Leadership to Transform Global Goals into Local Action & Partnerships RICARDO BAPTISTA LEITE, MD, MP Medical Doctor and Member of the Portuguese Parliament Member of the Parliamentary Health Committee | Foreign Affairs Committee National Spokesperson for Health | Social Democratic Party Founder and President of ‘UNITE – Global Parliamentarians Network to Infectious Diseases’ Vice President of the ‘Parliamentary Network on the World Bank and International Monetary Fund’ Head of Public Health | Católica University of Portugal Guest Lecturer | NOVA Medical School Former Deputy Mayor of Cascais [email protected] | @RBaptistaLeite Portugal: Cascais – Sintra – Estoril Coast @RBaptistaLeite Industrial Revolution @RBaptistaLeite Industrialization of Healthcare @RBaptistaLeite Health Factory, Norway, 2010 Rising Healthcare Costs and Rising Burden of Disease Risks of Unsustainability Universal Health Coverage Worse health - mainly for most vulnerable populations Rise of inequalities and poverty @RBaptistaLeite What is the future of Health Systems? “In health care, the days of business as usual are over.” Michael Porter Porter ME, Lee TH, The Strategy That Will Fix Health Care, Harvard Business Review, October2013 @RBaptistaLeite Future of Healthcare | Value Agenda Health Outcomes PREM’s PROM’s @RBaptistaLeite Outcomes Matter % of patients with controlled arterial hypertension % of patients with controlled type-2 diabetes Primary Healthcare P4P vs. Classical Um Novo Modelo de Acesso à Inovação em Saúde Baseado em Resultados, Estudo BCG, 2016 @RBaptistaLeite Outcomes vs Spending Adapted by Ricardo Baptista Leite. Acknowledgment to slide owner Vivek Muthu @RBaptistaLeite Determinants of Health Dahlgren and Whitehead, 1991 @RBaptistaLeite @RBaptistaLeite Community Value-based Health System Public – Social - Private C-BOM’s Community Based Outcome Measurements @RBaptistaLeite @RBaptistaLeite UN General Agenda 21 MDGs Assembly, 2015 Sustainable development program with Program that integrates eight dimensions of With the increase of extreme identification of the axes for sustainable sustainable development, aimed at reducing environmental phenomena and the Paris development integrated with the social and environmental disparities. An (2015) commitment, the UN Summit contribution of local communities. innovative design that ensures the agreed on a new ambitious program until achievement of goals by 2015. 2030. @RBaptistaLeite @RBaptistaLeite The 2030 agenda- 17 Goals, 169 Targets AN AGENDA FOR ALL ““ A global response is necessary; one that identifies the causes of conflict and integrates peace, sustainable development and human rights in a holistic way – from concept to implementation” António Guterres UN Secretary-General @RBaptistaLeite Not Approved Councilor submits City Councilor presents proposal in the proposal to city City Hall council Digital CSO publishes a summaryofthe Portal Approved proposal and updates the SDG indicators Cascais SDG on the ‘Cascais 2030’ Dashboard Checklist Budget and future council actions and policies Based on Cascais 2030 outcomes, the Cascais are prepared in accordance with SDG goals and CSO presents an yearly report prior to recommendations from the ‘Cascais 2030 Local the preparation ofthe city hall’s budget 2030 Network’ Outcomes CSO incorporates recommendations in the ‘Cascais 2030’ dashboard, including new or adapted Initiate indicators Monitor inclusive Recommendations on process (Re)define the and assess new policies and (invite all Cascais ‘Cascais 2030’ local SDG actions needed to potential agenda complianc 2030 Local locally implement SDGs e (on going stakeholder process) s to Network participate) Baptista-Leite R., To besubmitted for publication @RBaptistaLeite The commitment: ‘Cascais 2030 SDG Checklist’ @RBaptistaLeite Cascais 2030 ONLINE Local Network PLATFORM CASCAIS Budgetary and 2030 Policy Recommendati ons @RBaptistaLeite SMART HEALTH CASCAIS • Monitoring key health and social indicators of the population of Cascais, first Municipality in Health Portugal with this methodology • Indicators are geo-referenced, and monitored at the most detailed level of localization as possible (7 number zip code) • 3 Partnerships for data feed (monthly updates): Education • Ministry of Education – Institute for Statistics; • Institute for Social Security Statistics; • Services of the Ministry of Health Social Services • Future expansion through partnerships with local health care services, hospitals, GPs etc. @RBaptistaLeite SDG3: ACHIEVE UNIVERSAL HEALTH COVERAGE, INCLUDING FINANCIAL RISK PROTECTION, ACCESS TO QUALITY ESSENTIAL HEALTH-CARE SERVICES AND ACCESS TO SAFE, EFFECTIVE, QUALITY AND AFFORDABLE ESSENTIAL MEDICINES AND VACCINES FOR ALL @RBaptistaLeite SDG3: ACHIEVE UNIVERSAL HEALTH COVERAGE, INCLUDING FINANCIAL RISK PROTECTION, ACCESS TO QUALITY ESSENTIAL HEALTH-CARE SERVICES AND ACCESS TO SAFE, EFFECTIVE, QUALITY AND AFFORDABLE ESSENTIAL MEDICINES AND VACCINES FOR ALL @RBaptistaLeite Results @RBaptistaLeite Fast Track Cities Portugal • 10 cities in Portugal signed the Paris Declaration and formally became Fast Track Cities. • The signing of the Declaration took place in the Senate Room of the Portuguese National Parliament. Members of Parliament approve health budgets, change laws and There is a need to influence policies, keep governments and multilateral organizations accountable and are at an interface between decision makers, civil TAKE ACTION to deliver society and community-based organizations. GLOBAL POLICY GOALS All are needed to achieve these global targets towards ending aligned with UN SDGs infectious diseases by 2030. Confidential and only for internal use 6 Eastern Europe UNITE Regional 38 and Central Western and Asia 0 Central Chapters India Europe 10 UNITE REGIONAL CHAPTERS 1 China 96 MEMBERS FROM 3 5 Western and 50 COUNTRIES Central North Africa America 6 19 16 Asia and Central, South Eastern and 2 Pacific America & the Southern Middle East Caribbean Africa and North Africa Confidential and only for internal use UNITE Theory of Change 5 PILARS UNITE PRIME STRATEGY PROMOTE RAISE INCREASE MOBILIZE ENSURE Political Political Political Advocacy Political Political Accountability Awareness to influence Will Leadership of all stakeholders that is possible to Policy changes with actions to change Laws and to end IDs end IDs to end IDs to end IDs adequate Budget allocation to end IDs Confidential and only for internal use UNITE Network Governance Structure What does it mean to ‘End Infectious Diseases’? (metrics/goals per disease) UNITE Global UNITE Regional Policy Country Specific Policy Recommendations (PR) Chapters Hubs MPs UNITE Executive Secretariat | HQ Peer-2-Peer Networking / Impact measurement Best Practice UNITE Global feedback and sharing communication Board, UNITE POLITIC advisors, UNITE Political ambassadors Action UNITE AL and UNITE Plan MP IMPACT partners (PAP) PRIME Strategy (PI)* *such as accountability, awareness, advocacy, political will, law changes, budget reallocation. Confidential and only for internal use UNITE Network has the support of the UNITE’s Secretariat Amish Laxmidas Policy and Partnerships Director / Susana Santos Communications Director Fundraising and Innovation Director Gefra Fulane Scientific and Research Victoria Grandsoult Advocacy and Community Director Engagement Director Joana Mendes Óscar Madureira Executive Assistant and Legal Advisor Human Rights Officer Cristina Bernardo Executive Director Confidential and only for internal use UNITE Global Parliamentarians Network Success Stories Confidential and only for internal use Promote Political Accountability Mariam Jashi (UNITE’s Regional Chair for Eastern Europe & Central Asia) was to end IDs able to ‘successfully strengthen efforts to address communicable diseases, including HIV/AIDS, tuberculosis, malaria and hepatitis as part of universal health coverage’ (article 32 Political Declaration UHC) by leading a political voice of the work conducted by World Hepatitis Alliance at the Civil Society Engagement Mechanism for UHC (CSEM2030). Confidential and only for internal use Raise Political Awareness UNITE/INHSU 2018 Joint Action Policy Day > 100 participants from around the World Confidential and only for internal use Raise Political Awareness UNITE/HRI/AP DES Joint Action Policy Day 2019 > 180 participants from around the World Confidential and only for internal use Raise Political Awareness US Elected Prosecutors with MPs and Community Organizations in Portugal At the 2019 Policy Day we have included a new generation of prosecutors who can be a strong voice against drug criminalization and influence the media-setting. Our partners influence in raising awareness: https://www.nytimes.com/2018/12/11/opinio n/how-local-prosecutors-can-reform-their- justice-systems.html Confidential and only for internal use Increase Political Advocacy A Global Declaration to eliminate hepatitis C in people who use drugs, was launched as a Call for Action in the 2018 UNITE and INHSU Joint Action Policy Day at the Portuguese Parliament. It was endorsed by 28 Organizations. Confidential and only for internal use Increase Political Advocacy A Call to Action on Global Fund 6th Replenishment and Harm reduction signed by 15 MPs from 13 Countries during the 2019 UNITE and HRI Joint Action Policy Day. Confidential and only for internal use Mobilize Political Will Meetings of UNITE MPs with Community Organizations Political will in Kenya After 2018 Joint Action Policy Day, UNITE’s MP Esther
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