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Partners for Health in South-East Asia Conference Report New Delhi, India 16–18 March 2011 WHO Library Cataloguing-in-Publication data World Health Organization, Regional Offi ce for South-East Asia. Partners for health in South-East Asia: conference report. 1. Public-Private Sector Partnerships. 2. Health Services Administration. 3. Delivery of Health Care. 4. Health Status. 5. Maternal Mortality. 6. International Cooperation. 7. Health Planning. 8. Health priorities. 9. Communicable Diseases. ISBN 978-92-9022-405-1 (NLM classifi cation: WA 530) © World Health Organization 2011 All rights reserved. Requests for publications, or for permission to reproduce or translate WHO publications, whether for sale or for noncommercial distribution, can be obtained from Publishing and Sales, World Health Organization, Regional Offi ce for South-East Asia, Indraprastha Estate, Mahatma Gandhi Marg, New Delhi-110 002, India (fax: +91-11- 23370197; e-mail: publications@ searo.who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specifi c companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. This publication contains the collective views of an international group of experts and does not necessarily represent the decisions or the stated policy of the World Health Organization. Printed in India Contents Foreword v Acronyms and abbreviations vii Executive summary ix Recommendations xiv Introduction xxi Objectives xxii 1. Opening ceremony 1 2. Special address 10 2.1 Partnerships in Health 10 3. Plenary sessions 14 3.1 Millennium Development Goals: the progress so far and opportunities ahead 14 3.2 The challenge of noncommunicable diseases 18 3.3 Building health system capacity 22 3.4 Health partnerships and collaboration: the imperatives of collective responsibility to address the health of the poor and vulnerable 29 3.5 Partnerships in action: reporting from the fi eld 37 4. Best practices: parallel sessions 46 4.1 Addressing child and maternal mortality 46 4.2 Ensuring universal access to health services 48 4.3 Revitalizing primary health care – addressing health inequities 50 4.4 Integrated approach to prevention and control of noncommunicable diseases 52 4.5 Health for the urban poor – the way forward 54 4.6 Protecting health from climate change 56 4.7 Public–private partnerships in health 58 4.8 Financing for universal coverage 60 4.9 Opening new frontiers and innovative opportunities for collaboration in the health sector: South–South and beyond 62 4.10 Perspectives and roles of stakeholders in health development in the Region 65 5. Refl ections on the roles of stakeholders in health development in the Region 77 6. Closing session 84 6.1 Delhi Call for Action on Partnerships for Health 84 6.2 Closing remarks 88 Annexes 90 Annex 1: Programme 91 Annex 2: List of Participants 105 Annex 3: Delhi Call for Action - Drafting Committee 126 Annex 4: Regional Director’s address 128 Annex 5: Millenium Development Goals 130 Annex 6: Fact Sheet – Child and maternal mortality in South-East Asia 131 Annex 7: Fact Sheet – Millenium Development Goal 6: Fighting HIV/AIDS, Malaria and Tuberculosis in South-East Asia Region 139 Annex 8: Fact Sheet – Health Systems Strengthening 143 Annex 9: Fact Sheet – The growing crisis of noncommunicable diseases in the South-East Asia Region 147 Foreword The Conference of Partners for Health in ity were the subject of South-East Asia held in New Delhi from the several interventions, 16-18 March 2011 was a resounding success. as was the growing This was primarily due to the high-level par- burden to health sys- ticipation and engagement of a wide array of tems and society, of partners representing governments, multi- noncommunicable diseases such as cardio- lateral and regional intergovernmental orga- vascular diseases, cancer, diabetes, chronic re- nizations, nongovernmental organizations, spiratory diseases and conditions like mental foundations, the private sector, media as well illness, injuries and disabilities. The heavy as research and academic institutions. burden of infectious diseases and neglected tropical diseases was similarly addressed in In plenary and parallel thematic sessions, various sessions. partners engaged in lively discussions on the health priorities for the Region, as well as the The meeting culminated in the “Delhi Call roles and responsibilities of each in advancing for Action on Partnerships for Health”, a these priorities. Participants from all over the commitment to, amongst other things, create, world shared invaluable insights on the chal- revitalize and sustain partnerships through lenges and opportunities for effective collabo- aligned and integrated action in consonance ration in health, elaborated best practices and with national development priorities. The lessons learnt and explored innovative ways participants also rededicated themselves to of working together to accelerate the achieve- achieving better and equitable health for the ment of health development goals. people of the South-East Asia Region and accelerate efforts to achieve the Millennium The Conference was held at a particularly Development Goals through community important juncture for health development empowerment and revitalization of primary globally as well as in the South-East Asia Re- health care. gion. Underpinning the three-day discussions was the acknowledgement by a myriad of The principles embodied in the Delhi Call for Action and the deliberations summarized partners of the threat to health development in this Report are representative of the com- in the South-East Asia Region as a result of bined efforts, resources, knowledge, commit- the global food, fuel, economic and climate ment and passion which are vital to help pre- change crises. vent the unnecessary suffering, morbidity and Throughout the proceedings, particularly in mortality and thereby promote the health of their recommendations, partners were mind- the peoples of South-East Asia. ful that the 11 Member States of WHO’s South-East Asia Region hold more than one quarter of the world’s population and bear a disproportionate share of the global burden of disease. The unacceptably high rates of Dr Samlee Plianbangchang maternal and child mortality and morbid- Regional Director Acronyms and abbreviations ADB Asian Development Bank ALMA African Leaders Malaria Alliance ASEAN Association of Southeast Asian Nations BGMEA Bangladesh Garment Manufacturers and Exporters Association BPL below poverty line BRAC Bangladesh Rural Advancement Committee BRICS Brazil, Russia, India, China and South Africa CDC Centers for Disease Control and Prevention CSO civil society organization CSR corporate social responsibility DFID Department for International Development (UK) DOTS directly observed therapy – short course GAVI Global Alliance for Vaccines and Immunization GDD the Global Disease Detection (network) GDP gross domestic product GIPA greater and meaningful involvement of people living with HIV/AIDS Global Fund Global Fund to fi ght AIDS, Tuberculosis and Malaria H4+ Agencies UNAIDS, UNFPA, UNICEF, WHO and the World Bank HPP healthy public policy HRH human resources for health IHP+ International Health Partnership Plus IIM Indian Institute of Management ILO International Labour Organization IMR infant mortality rate MDGs Millennium Development Goals MMR maternal mortality ratio MOU Memorandum of Understanding MoVE-IT monitoring of vital events using information technology MSM men who have sex with men NCD noncommunicable disease NEPAD New Partnership for Africa's Development NGO nongovernmental organization NHC National Health Commission (Thailand) NHCO National Health Commission Offi ce (Thailand) NRHM National Rural Health Mission NTP National TB Control Programme ODA Offi cial Development Assistance PEN Package of Essential NCD (interventions) PPM public–private mix R&D research and development RBM Roll Back Malaria SAARC South Asian Association for Regional Cooperation SBA skilled birth attendant SEA South-East Asia SEAPIN South-East Asia Primary Health Care Innovations Network SWAp sector-wide approach TB tuberculosis TFR total fertility rate TRP target rating point UN United Nations UNAIDS Joint United Nations Programme on HIV/AIDS UNDP United Nations Development Programme UNEP United Nations Environment Programme UNFPA United Nations Population Fund UNIC United Nations Information Centre (UNIC) UNICEF United Nations Children’s Fund WHO World Health Organization WONCA World Organization