Maki E. Ortiz Domínguez SENADORA DE LA REPÚBLICA

Informe del Women in Parliaments Global Forum (WIP)

Washington, D.C., 08-11 de Octubre de 2014.

Senadora Maki Esther Ortiz Domínguez Presidenta de la Comisión de Salud

INFORME DE LA SENADORA MAKI ESTHER ORTIZ DOMÍNGUEZ, PRESIDENTA DE LA COMISIÓN DE SALUD, QUIEN ASISTIÓ COMO SENADORA DE LA REPÚBLICA MEXICANA AL FORO GLOBAL “LAS MUJERES EN LOS PARLAMENTOS”, Women in Parliaments Global Forum (WIP), CELEBRADO DEL 8 AL 11 DE OCTUBRE DE 2014, CON MOTIVO DEL BANCO MUNDIAL Y LA REUNIÓN ANUAL DEL FONDO MONETARIO 2014.

WIP, por sus siglas en inglés, es una fundación internacional e independiente, establecida en Zurich, Suiza, con la finalidad de construir una red de mujeres parlamentarias de todo el mundo. Con cifras de 2013, dicha fundación, señaló la existencia de poco más de 9 mil mujeres que forman parte de los parlamentos de todos los países, por lo que a partir de ello, se pretende reunir a las mujeres parlamentarias con el propósito de realizar una comunidad que a su vez les presente mayores oportunidades y conocimiento en política sobre temas globales que se pueden llevar al ámbito legislativo.

A partir de ello, cada año se realiza una agenda con diversos eventos alrededor del mundo, con la finalidad de invitar a las mujeres parlamentarias a participar en ellos y lograr así un intercambio de ideas y estrategias que se han impulsado en diversos países en cuanto a la elaboración de normas, con la finalidad de conocer los beneficios o desventajas que se han obtenido a partir de la legislación.

Maki E. Ortiz Domínguez SENADORA DE LA REPÚBLICA

Durante el 2014, se llevaron a cabo eventos en Londres, Brasil, Islandia, Bélgica, Rwanda, Morocco y Washington, este último en el cual la Senadora Maki Esther Ortiz Domínguez, participó.

En esta ocasión, en Washington D.C., se celebró el Women in Parliaments Global Forum, del 8 al 11 de Octubre, con motivo del Banco Mundial y la Reunión Anual del Fondo Monetario Internacional, FMI 2014, dicho Foro tuvo el propósito de reunir a las autoridades del FMI y del Banco Mundial, para discutir temas relacionados con la economía internacional y su desarrollo, el clima, los costos de energías, el empleo y la equidad de género, por señalar algunos de los principales tópicos.

Durante la participación de los expertos del FMI y del Banco Mundial, se recalcó que los miembros de los parlamentos, tienen la oportunidad de ser el conducto para generar un cambio global. Así mismo, se discutieron diversos temas que se encuentran pendientes en el Congreso Norteamericano, a partir del cual los diversos miembros de los parlamentos, dieron su punto de vista, reconociendo tanto las oportunidades como los retos de la actualidad, entre los cuales se encuentra el desempleo, por lo que se coincidió en la importancia de generar una estrategia que promueva un crecimiento sostenido de la economía. Así mismo, se destacó que las políticas de crecimiento no han sido las idóneas y por lo mismo el crecimiento y desarrollo de la economía se ha visto estancado en general.

Durante las diversas intervenciones programadas, también se mencionó que el Banco Mundial, tiene como objetivo enfocar su desarrollo apoyado en la equidad

Maki E. Ortiz Domínguez SENADORA DE LA REPÚBLICA

de género. A lo largo de las exposiciones se dio la oportunidad de que los miembros de los parlamentos obtuvieran de los expertos, conocimientos tales como la manera en que se desarrollarán las Normas Sociales para el Ambiente (Environmetantal and Social Standards, ESS) y las estrategias que se plantean para lograr las metas; un hecho que se destacó, consiste en que el crecimiento económico y la mitigación del cambio climático, deben de ir de la mano, con la finalidad de que ambos se logren a la par.

Así mismo, expertos del Fondo Monetario Internacional, interactuaron en una discusión que integró temas como la identidad de los países, su infraestructura y el compromiso entre el FMI y los actores locales, resaltando que deben ser más inteligentes en la manera en cómo se involucran con los países.

Finalmente otro de los temas que se analizó, fue referente a la reciente epidemia de Ébola, misma que tuvo mayor impacto en Sierra Leona, Liberia y en Guinea, en 2014 y cuyos efectos se reflejaron en el atraso del crecimiento económico y la disminución de investigación e infraestructura médica, a partir de lo cual, se resaltó que el Banco Mundial podría representar una gran oportunidad para dichos países.

Se concluyó que dentro de los objetivos de la Red de mujeres parlamentarias, como miembros parlamentarios, incluirán temas como los medios de vida, la creación de empleo y el empleo juvenil, con la finalidad de continuar impulsando el crecimiento de la economía a nivel nacional y mundial.

Maki E. Ortiz Domínguez SENADORA DE LA REPÚBLICA

ANEXO 1

Miembros participantes del Women in Parliaments Global Forum (WIP), Washington D.C., 8-11 Octubre, 2014.

Maki E. Ortiz Domínguez SENADORA DE LA REPÚBLICA

ANEXO 2

Links 1. Programa del Women in Parliaments Global Forum http://www.womeninparliaments.org/wp-content/uploads/2014/10/Programme-WIP- Exclusive-Activities-8-11-Oct-Washington-2014.pdf

2. Reporte Final del Women in Parliaments Global Forum http://www.womeninparliaments.org/wp-content/uploads/2014/11/Final-Report-.pdf

3. Intervención de la Senadora Maki Esther Ortiz Domínguez http://www.womeninparliaments.org/wp-content/uploads/2014/07/Sen-Maki-speach- Washington3.pdf

4. Presentación en Power Point de la Senadora Maki Esther Ortiz Domínguez http://www.womeninparliaments.org/wp-content/uploads/2014/07/WIP-Washington- Sen-MAKI3-PowerPoint.pdf

WOMEN IN PARLIAMENTS GLOBAL FORUM (WIP) AT THE WORLD BANK / IMF ANNUAL MEETING 2014

8 - 11 OCTOBER 2014 WASHINGTON D.C, UNITED STATES

FIRST DRAFT PROGRAMME

EVENT OVERVIEW

The Women in Parliaments Global Forum (WIP) is gathering in Washington D.C, from 8-11 October 2014, on the occasion of the World Bank and International Monetary Fund Annual Meeting 2014.

From 8 to 9 October, WIP Delegates will join the Parliamentary Network Meeting of the World Bank and the IMF. This meeting will give female Parliamentarians a unique opportunity to engage with senior management and experts of the IMF and the World Bank Group, to discuss current issues related to international finance and development. The Managing Director of the IMF, Christine Lagarde , will introduce the 2-day meeting. Discussions will address issues like climate and energy pricing, youth employment solutions, gender equality and global economy.

On Friday 10 October, within the framework of the World Bank/IMF Civil Society Forum, WIP will co-host the Special Session “How does economic empowerment of women enhance stability in fragile and transition contexts? ”. This Session will be followed by a WIP Community Workshop and a WIP Community reception, gathering WIP Delegates and members of the WIP Advisory Board.

On Saturday 11, WIP Delegates have been invited to visit the National Museum of Women in the Arts, the only major museum in the world dedicated exclusively to recognizing the achievements of women artists.

FIRST DRAFT PROGRAMME

WORLD BANK /IMF ANNUAL MEETING THE PARLIAMENTARY NETWORK DELEGATION

TUESDAY, 7 OCTOBER

REGISTRATION AND BADGE PICK -UP World Bank I building, 1850 I Street NW

WEDNESDAY, 8 OCTOBER

Venue: World Bank I building, 1850 I Street NW

07:30 Late registration and badge pick-up for participants

08:00 Meeting point for all participants- Departure

Venue: George Washington University, Jack Morton Auditorium; 805 21st St NW

08:30 IMF CONFERENCE ON CHALLENGES OF JOB -RICH AND INCLUSIVE GROWTH

08.45 MPs to be seated by 8:45 am

09:00 BREAKFAST AND OPENING REMARKS By Christine Lagarde, Managing Director IMF

09:15 THE IMPERATIVE OF ROBUST AND SUSTAINED GROWTH

Speakers: § John Fernald, Senior Research Adviser, Federal Reserve Bank of San Francisco § Paul Romer, Professor of Economics, Director, The Urbanization Project, NYU/STERN § Michael Spence, Nobel Laureate, William R. Berkley Professor in Economics & Business, NYU/STERN § Ernesto Zedillo, Director for the Study of Globalization, Yale University, and former President of Mexico

10:45 Transfer to WB Conference Room

Venue: 1818 H Street; MC 4-800

FIRST DRAFT PROGRAMME

11:00 COFFEE BREAK

11:15 INTRODUCTION

Speakers: § Jeremy Lefroy, President, Parliamentary Network on the World Bank & IMF § Jill Wilkins, Manager, Global Engagement, World Bank Group § Sabina Bhatia, Chief of Public Affairs, IMF § Zita Gurmai, President, PES Women & Founding Member of WIP

12:00 UPDATE : WORLD BANK REFORMS

What is new at the Bank? The Global Practices & New Country Partnership Framework.

Speaker: § Cyril Muller, Vice President, External and Corporate Relations, World Bank Group (TBC)

13:00 LUNCH Venue: MC C1 Dining Room East

15:00 SESSION WITH IMF EXECUTIVE BOARD MEMBERS Venue: IMF Headquarters 2 Building, Room 01A-280A&B

Meeting Host: Steve Field, Executive Director for the United Kingdom

16:15 SESSION ON CLIMATE AND ENERGY PRICING Venue: 1818 H Street; MC 4-800

Speakers: § Chas Feinstein, Director, Global Practice on Energy & Extractives, WB Group § Ian Parry, Principal Environmental Fiscal Policy Expert, Fiscal Affairs Department, IMF § Helen Mountford, Programme Director, The New Climate Economy, The Global Commission on the Economy and Climate, and Director of Economics, World Resources Institute

17:00 SESSION ON AFRICA - ECONOMIC IMPACT OF THE EBOLA OUTBREAK

Speaker: § Francisco H.G. Ferrerira, Africa Region Chief Economist, World Bank Group

18:30 RECEPTION Venue: The District Commons, 2200 Pennsylvania Avenue NW

FIRST DRAFT PROGRAMME

THURSDAY, 9 OCTOBER

Venue: 1818 H Street; MC 4-800

08:00 BREAKFAST Breakfast meeting with Jim Kolbe, former US Congressman Senior Transatlantic Fellow, The German Marshall Fund of the United States.

09:30 SESSION ENVIRONMENTAL SAFEGUARDS

Speakers: § Mark Alan King, Chief Environmental and Social Standards Officer, World Bank Group § Charles D. Leva, Chief Counsel, World Bank Group

10:30 COFFEE

10:45 SESSION ON REGIONAL ECONOMIC OUTLOOK

12:00 THE BANK ’S GOVERNANCE AGENDA AND THE ROLE OF PARLIAMENTS

Speakers: § Jeff Thindwa, GII Practice Manager, Governance Practice, World Bank Group § Mario Marcel, Director, Governance Practice, World Bank Group

13:00 LUNCH Venue: MC C1 Dining Room ABC

14:30 THE FUTURE OF THE PARLIAMENTARY NETWORK ON THE WORLD BANK & IMF

Speaker: § Jeremy Lefroy, President, Parliamentary Network on the World Bank & IMF

FIRST DRAFT PROGRAMME

WIP EXCLUSIVE ACTIVITIES

FRIDAY, 10 OCTOBER

11:00-12:30 WIP SESSION AT THE WORLD BANK AND IMF CIVIL SOCIETY FORUM Venue: Room I 2-250, Building 1850 I ST. N.W. Washington

How does economic empowerment of women enhance stability in fragile and transition contexts?

As part of the World Bank and IMF Civil Society Forum, WIP is co-hosting a session which will address the role women play in peace-building processes with particular attention given to access to finance, participation in food security and nutrition activities, and access to influence governance and decision making arenas.

Speakers: § Ms. Laure Wessemius Chibrac, Director Cordaid Investments § Ms. Rahima Ahmad Abady, Member of Khurshed woman Cooperative in Balkh province § Ms. Caren Grown Senior Director CCSS, Global Practice Gender of the WB Group § Mme Marie-Louise Kamikazim, CEO of WISE (Women's Initiative for Self Empowerment) in Burundi. § Ms. Silvana Koch-Mehrin, CEO and Founder of the Women in Parliaments Global Forum (WIP) and Former Vice-President of the European Parliament.

13:00-14:30 WIP LUNCH Venue: UPS Townhouse, 421 New Jersey Avenue, Southeast, Washington, DC

Keynote: Begoña Lasagabaster, Acting Director of UN Women’s Policy Division, UN Women During this WIP Community lunch debate, participants will be given the unique opportunity to discuss topics related to the previous World Bank and IMF Annual Meeting sessions with a special focus on female leadership.

FIRST DRAFT PROGRAMME

15:00-17:00 WIP WORKING SESSION Venue: UPS Townhouse is 421 New Jersey Avenue, Southeast, Washington, DC

"The bold ones - high-impact female leaders who transform politics"

High-impact female leaders stand out on many aspects: they contribute more to society politics to a great extent. This gives them outsized importance for society and the economy. But what do they do that outshines the rest? What makes them leaders? And will female leaders be the ones to rebuild trust of citizens in political decision making? The WIP discussion will provide insights of outstanding female politicians from different continents. All participants are invited to share their individual impact stories.

Introductory remarks: § Henedina Razon-Abad, Dep. Speaker of the House of Representatives, Philippines § Maki Esther Ortiz Domínguez, Miembro de la Cámara de Senadores, Mexico § Epaïnete née Djimina Assil, Membre de l'Assemblée Nationale, Chad § Marija Obradovic, Member of the National Assembly, Serbia

18:00-19:00 WIP ADVISORY BOARD AND DELEGATES RECEPTION AT THE UN FOUNDATION Venue: 1750 Pennsylvania Avenue, Ste. 300

Kindly hosted by the UN Foundation on their premises, this reception gathers dignitaries from the WIP network, including distinguished WIP delegates as well as members of the WIP Advisory Board.

WIP Advisory Board Members § Begoña Lasagabaster, Acting Director of UN Women’s Policy Division, UN Women § Ertharin Cousin, Executive Director of the World Food Programme § Jeni Klugman, Director of Gender and Development at the WB Group § Kathy Calvin, President and CEO of the United Nations Foundation § Rebeca Grynspan, Head of the Ibero-American Secretariat § Uschi Schreiber, EY’s Global Vice Chair

FIRST DRAFT PROGRAMME

SATURDAY, 11 OCTOBER

10:00-11:30 PRIVATE VISIT TO THE NATIONAL MUSEUM OF WOMEN IN THE ARTS Venue: 1250 New York Ave NW

Founded in 1987, this National Museum of Women in the Arts is the only major museum in the world solely dedicated to recognizing women’s creative contributions. It brings recognition to the achievements of women artists of all periods and nationalities by exhibiting, preserving, acquiring, and researching art by women and by teaching the public about their accomplishments. Do not miss the opportunity to join the WIP delegation for this exclusive visit.

FIRST DRAFT PROGRAMME

PRACTICAL INFORMATION

VENUES

WORLD BANK GROUP 1818 H Street, NW, Washington, DC

INTERNATIONAL MONETARY FUND 700 19th Street, NW, Washington, DC

UN FOUNDATION 1750 Pennsylvania Avenue, Ste. 300, Washington, DC

CONTACT

Alynn Cappon (WIP): [email protected] or [email protected]

Gergana IVANOVA (World Bank): [email protected]

FIRST DRAFT PROGRAMME

WIP Delegates

Monika Kryemadhi Member of the Assembly Albania Klodiana Spahiu Member of the Assembly Albania Mesila Fatmir DODA Member of the Assembly Albania Hayat Taiati née Meziani Membre de l'Assemblée Populaire Algeria Epaïnete née Djimina Assil Membre de l'Assemblée Nationale Chad Estelle Flore Angangou Member of the National Assembly Gabon Albertine Maganga Moussavou Member of the National Assembly Gabon Niki Founta Member of the Hellenic Parliament Greece Zita Gurmai Former MEP & President PES Women Hungary Joy Adhiambo Gwendo Member of the Senate Kenya Naisula Lesuuda Member of the Senate Kenya Judith Achieng Member of the Senate Kenya Zipporah Jepchirchir Kittony Member of the Senate Kenya Catherine Mukiite Nabwala Member of the Senate Kenya

Maki Esther Ortiz Domínguez Miembro de la Cámara de Senadores Mexico Corina Fusu Member of the Parliament Moldova Charmaine Scotty Member of the Parliament Nauru Deputy Speaker of the House Henedina Razon-Abad of Representatives Philippines Ecaterina Andronescu Member of the Senate Romania Cynthia Debra Tobierre Member of the Senate Saint Lucia Marija Obradovic Member of the National Assembly Serbia Dubravka Filipovski Member of the National Assembly Serbia Dahir Haji Gelle Farah Member of the Federal Parliament Somalia María del Carmen Dueñas Miembro del Senado Spain María de los Ángeles Armisén Miembro del Senado Spain Coralí Cunyat Badosa Miembro del Senado Spain Encarnación Llinares Cuesta Miembro del Senado Spain Anywar Beatrice Atim Member of the Parliament Uganda Mary Macleod Member of the House of Commons UK

FIRST DRAFT PROGRAMME

WIP Advisory Board

Begoña Lasagabaster Acting Director of UN Women’s Policy Division , UN Women Ertharin Cousin Executive Director of the World Food Programme Jeni Klugman Director of Gender and Development at the WB Group Kathy Calvin President and CEO of the UN Foundation Nkosazana Dlamini -Zuma Chairperson of the African Union Commission (remotely) Rebeca Grynspan Head of the Ibero -American Secretariat Saadia Zahidi Senior Director of the World Economic Forum (remotely) Silvana Koch -Mehrin Founder and CEO of WIP Uschi Schreiber EY’s Global Vice Chair

The Network Discusses Opportunities in D.C.

ashington, D.C. – In a time of great global economic uncertainty, Members of Parliament W (MPs) from across the globe convened for a workshop with high-level staff from the World Bank & International Monetary Fund (IMF) during 8-10 October in Washington, D.C. The workshop was held in the midst of the Annual Meetings for the two development organizations, as the PN sought to continue fostering dialogue between local actors and development partners in the knowledge-sharing process. The event was hosted by The Parliamentary Network on the World Bank & IMF (PN) and Women In Parliaments (WIP), which for the first time, partnered with the Network. Half the participants were women, highlighting the importance of inclusive, gender-equal leadership and development today. MPs learned how the World Bank & IMF serve as a resource of expertise and investment, while also having the forum to discuss ways in which a more comprehensive relationship would yield inclusive, good governance practice.

The Parliamentary Network’s Role in Inclusive Development

The international delegation of MPs from the Parliamentary Network and World Bank/IMF officials gave great attention to the role that MPs can play in carrying out missions of crucially shared importance. Cyril Muller (Vice President, External and Corporate Relations, WBG) noted that a new approach has commenced. The Bank now asks of a challenge, “Who in the world has solved this specific problem and how did they do it?” The message is clear: MPs have the opportunity to be a conduit for global change. Whereas one Executive Director for the IMF remarked that in the past, “it was unheard of for the IMF to meet with parliamentarians,” Several speakers Participants of the workshop breathe easy after two days of stressed MP engagement with World Bank & thorough discussion. IMF projects, simply because good governance is a key in inclusive devel opment. As Mario Marcel (Director of Governance Practice, WBG) put it, “The better parliaments work, the better governance will be.”

“What should we do to get a US Congressman to take a taxi for thirteen blocks and come here to join us?” – PN Board Member Göran Pettersson to Former Congressman Jim Kolbe

Another important moment for the Parliamentary Network occurred when MPs and Former Congressman Jim Kolbe sat down for a breakfast session to discuss the role of the US Congress in international devel opment. Mr. Kolbe gave what parliamentarians described as an “exceptional” presentation, giving insight into how the development agenda is legally prefaced, who are the main actors today, and what challenges the US Congress will have in the near-future. The discussion was lengthy, giving MPs the opportunity to discuss freely their opinions and ideas with Mr. Kolbe. He felt certain that the Parliamentary Network should reach out to Congressional Staff who possess institutional knowledge in aiding the process of further PN – Congressional engagement in the future.

Keynote Session on the Challenges of Job-Rich and Inclusive Growth

Madame Christine Lagarde (Managing Director, IMF) made opening remarks of this session, stressing the subpar, mediocre nature of growth around the world. She noted how international growth has become uneven and brittle, citing concerns of global (200 million people, 30 million since the Great Recession), youth (13% worldwide, equating to 75 million young people), and women’s (46% can not find a in the Middle East job) unemployment. A Panel of the world’s renowned economists discussed how to achieve robust and sustained growth. Issues such as urbanisation were brought to the forefront, as Paul Romer noted, “Cities are worth more to than they cost to build.” Further, the lack of leadership was stressed by former President Ernesto Zedillo, carrying Madame Lagarde’s comments into his own; “our growth perspectives are mediocre because policies are the same.” The discussion section had plenty of questions from MPs, asking how they can bring about change and shared prosperity to their respective countries.

Madame Lagarde addressing the audience of the Jack Morton Auditorium.

Luncheon Remarks on Women’s Economic Empowerment

Ms. Karen Grown, Senior Director for the World Bank Gender Unit, joined the MPs for lunch to discuss how the Bank will focus its work across all sectors with a lens of gender equality in the future. MPs from WIP asked questions, gave commentary, and further inspired Ms. Grown “to establish a mutual relationship between MPs and the Bank’s Gender Group.”

Featured Sessions on Social Safeguards, the Environment, and Energy Pricing

MPs were given an excellent opportunity to be informed of the new framework for Environmental and Social Standards (ESS) at the World Bank from several lenses. Mark Alan King (WBG) discussed the process to “Reinvigorate the relationship between the Bank and borrower, creating an intensive relationship to achieve success.” Further, MPs met with the Bank Information Centre (BIC) and Oxfam, which advocate for local communities affected by projects funded by the Bank. Finally, economists from the WBG, IMF & World Resources Institute (WRI) discussed the global impact of ‘smart regulation’. “Economic growth and climate mitigation can be achieved together. In fact, we cannot have one without the other. ”

Meeting with the IMF Executive Directors (EDs)

In what was already referred to as “unheard of” in previous years, MPs met with EDs from the IMF to discu ss the ways in which the Fund intersected with the work of MPs and the PN. Mr. Steve Field (ED for the IMF, UK) was enthused to have a deep and comprehensive interaction with MPs, as the discussion ranged from topics such as country ownership, infrastructu re, and engagement between the Fund and local actors. Mr. Field explained, “We need to be more intelligent about the way we engage with countries,” citing the need to make sure “the right issues are being debated” ED Field and MP Pettersson (Sweden) co -Chair globally. the session with IMF EDs.

“Is this a wakeup call?” – Chair of the PN, Jeremy Lefroy to Africa Region Chief Economist of the World Bank, Francisco H. G. Ferreira

Mr. Ferreira, with serious melancholy, presented to the workshop his estimates for the short and medium-term economic impact of the Ebola epidemic. Primarily an issue of human tragedy, the forecasts and mandate for his study showed a 2.5-3% loss in growth for Sierra Leone, Liberia and Guinea in 2014, equating to $360 million. The region-wide results are more stunning if containment is not swiftly completed: $32 billion in the next two years. The direct and indirect effects of the epidemic are disrupting economic activity and not encouraging investment where medical infrastructure is greatly needed. MP Helen Kuyembeh of Sierra Leone gave stunning testimony, noting the urgency to act must be present or the consequences will be dire. Further, broader questions of medical infrastructure in the affected regions and how the World Bank can be a light in a time of darkness were given.

The Future of the Network – Opportunities and Challenges

The Parliamentary Network dedicated a session to placing relevant items on the table for discussion. Most notably, the focus of resources towards livelihood, job creation and youth employment will become a goal of the Network. Further, the PN is dedicating its energy towards: the publication of “Policy Primers”, an information al tool for MPs to enhance the debate domestically; a field visit to Peru in 2015; and an annual conference more likely to take place in Washington in April 2015. The discussion allowed MPs to voice their concerns of how to improve the effectiveness of the Network, where Chair Jeremy Lefroy was open to all suggestions in making the Parliamentary Network an organization of stronger impact in the future.

The Parliamentary Network on the World Bank & International Monetary Fund 66, Avenue d’Iéna 75116 Paris, France +33 (0)1 40 69 30 55 / [email protected] Check our website at http://www.parlnet.org

WOMEN IN PARLIAMENTS GLOBAL FORUM (WIP)

WORLD BANK/IFM ANNUAL MEETING 2014

WORKING SESSION

OCTOBER 10, 15:00 -17:00 HOURS

MAKI ORTIZ DOMINGUEZ, MEMBER OF THE SENATE OF MÉXICO

It is a great honor and privilege for me to be here with leaders sharing the challenges and achievements that guide us and encourage us to continue to work for women’s empowerment and development.

Every woman who has the opportunity to lead a community or serve in government can transform high-impact policies. Many of us here can certainly understand the needs of women and family members.

Unintentionally and because it is our nature to be supportive, we take care of our children, parents, husbands, and vulnerable people, and have make links and collaborative actions in every position we are. Women are advancing in the world. Increasingly, we are more women in political and decision making positions, more female presidents and global leaders, more deputies, senators, judges, entrepreneurs and professionals; we all are transforming our societies.

But, how did we as women advance in society and to get leadership? I think that, fortunately, all of us come from families who believed in the equal access of women and men to education and social participation. An important part, at least in my case, has been to be involved with people’s social needs through non - government organization and charity work. My work has been focused on achieving access to healthcare for all.

1 Even more, you recognize that we all need each other’s contribution to get things done, either in private enterprise, civil society or government. Incidentally, you are championing a cause. In so many cases, we realize that decision making helps us advance in our role and responsibility. In my case, I decided to work in politics in order to improve the health conditions of my country.

I did it first, locally and then at the state and national level. It is through my work and career in politics that I realized that unlike men, many of my opponents, I had a social support gathered by previous community work with children, the elderly, women, migrants, the sick and disables and many of my colleagues: doctors, nurses and health professionals.

Since I have decision making roles, I became aware of the importance of solidarity between women, and each other’s support. Women have occupied at least half of positions on my staff and I am always looking for talented women in each state of my country, and wherever they are.

As a legislator, I supported and passed laws with a gender perspective. For instance: the National Women’s Law Institute (2001); the General Act on Equality between Women and Men (2006); the General Law on Women's Access to a Life Free of Violence (2007); and the Law on the Protection of the Rights of Children and Adolescents (2000 and 2014).

Although, we all have faced exclusion, marginalization and barriers to achieve full integration. But, with our strength and determination, we have overcome those challenges and allowed us to transform people’s lives.

Just a few decades ago, the number of women in decision making roles were very limited. They were only a few women participating in politics, and much less occupying power positions. In Mexico, in 1952 there was only one woman in the Deputy Chamber, today there are 187 representatives. In 1964 there were only three senators, at the present time, we are 44 women in the Senate today. Twenty years ago only five percent of representatives in the deputy chamber were women,

2 today thirty seven percent are women, and due to a recent reform, it will be close to gender parity in Mexican Congress.

Certainly, we have used affirmative action such as quotas, especially in the legislature. Although I personally believe that talent must prevail instead of gender, quotas have been useful in in this transition period.

Let me share with you some data. In Mexico, in nineteen seventy (1970), more than twenty five percent of women were illiterate; today it is only eight percent. In two thousand twelve (2012) fifty five percent of college graduates were women. Our universities now have an enrollment of 1.7 million women, whereas 20 years ago it was only 600,000, that makes us more competitive and help us to advance in more positions. I know that, in a short period we will have a female president in Mexico.

In nineteen ninety five (1995) the participation of women in economic activities was thirty six percent, in to two thousand thirteen (2013) is forty four percent, which means more economic influence.

As a medical graduate, I was always interested in helping the disadvantaged and supported vulnerable groups in various ways. This desire and concern to help others led me to get involved in community work and politics.

As examples, I have approved federal funding for the larger social program in Mexico called "Opportunities" focused on helping poor families in rural and urban communities to invest in human capital, education, health, and nutrition of their children, by providing cash transfers to households, linked to regular school attendance and health clinic visits. It is important to mention that girls attending middle school and high school receive a 15% higher scholarship. Also, I recognized other women who have promoted other programs and affirmative actions, such as production options, credits and direct benefits for women.

As parliamentary and as Undersecretary of Health, I had the opportunity to improve healthcare conditions for many people. My concern has not only been to deal and

3 manage everyday activities, but to transform institutions, thinking on a future perspective.

At the beginning of this century, half of Mexican population, roughly about fifty million people, lacked health care access and healthcare insurance coverage. As a member of the Deputy Chamber, I participated reforming the law necessary to create what is now known in Mexico as “Seguro Popular”, a public insurance coverage system.

Nowadays, the Seguro Popular covers fifty six million people, almost half of Mexican population. But most importantly, 54 percent of them are women and in 75.6 percent of the registered families, women are the head of the household. It was an important public health policy that helps a large number of women.

This reform was aimed to provide universal health coverage to Mexican population, but also to increase funds to the public health system. From two thousand four (2004) to two thousand fourteen (2014), the healthcare system received historical budgets. The public resources increased more than doubled, and added one point as percentage to GDP to total health care expenditure.

Also, the Seguro Popular has reduced the incidence of out-of-pocket health expenditure and catastrophic health expenditure. Out-of-pocket health expenditure decreased by 22% in two thousand twelve (2012) from two thousand two (2002). And catastrophic health expenditure dropped from 3.1 to 2.0 between two thousand (2000) and two thousand ten (2010). These benefits allow families to invest in other priorities, such as education and housing, in order to increase their human capital.

In Mexico, we are proud that finally health insurance is no longer seen as an employment benefit, but a right of any citizen, such as in many other countries in the world . Universal Health Coverage is a movement that in two thousand twelve (2012) prompted the United Nations General Assembly to call on governments to “urgently and significantly scale -up efforts to accelerate the transition towards universal access to affordable and quality healthcare services”.

4 To deal with the main health problems of women, as Undersecretary in The Health Ministry, I had the opportunity to launch many strategies to reduce maternal mortality. Also, during the implementation of the Seguro Popular we gave priority to pregnant women to enroll with their families in the System. Also, we signed an agreement between social security schemes and the Seguro Popular to provide emergency obstetric care to all women regardless of her insurance policy. Furthermore, we created a Mobile Health Program (Caravanas de la Salud) which worked closely with midwives in rural communities to ensure emergency obstetric care, which were provided when needed.

These strategies allowed us to reduce, in a decade, 34 percent the rate of maternal mortality. The most recent ratio was situated below 40 deaths per 100,000 live births, lower than the average of the Latin America region.

Mexico, as others countries, is progressing toward the Millennium Development Goals. Child mortality dropped from 32.5 in nineteen ninety (1990) to 13.3 in two thousand twelve (2012), close to the target of 10.8. Maternal mortality was reduced from 82.0 in nineteen ninety (1990) to 42.3 in two thousand twelve (2012). In this case, we need to do much more, to accomplish the target of 22.2 maternal deaths per 100,000 live births at the year two thousand fifteen (2015).

To fight against Cervical and Breast cancer, we gave free treatment to all women with a positive diagnosis through its inclusion in the Catastrophic Health Expenditure Fund, of the Seguro Popular. We also significantly increased the number of mammography devices available for breast screening, in order to diagnose breast cancer in its early stages. Breast cancer, as you know, is the most common type of cancer in women in developing countries.

I am still working to transform health institutions. Just last week, I presented in the Senate a project to reform our Constitution, to create an integrated national heath system.

5 For this workshop, forum organizers have launched provocative questions: What do female leaders do that outshines the rest? What makes them leaders? And will female leaders be the ones to rebuild trust of citizens in political decision making?

Regarding the first question, female leaders are more assertive and persuasive, have a stronger need to get things done and are more willing to take risks than male leaders. Also, Women leaders were found to be more empathic and flexible, as well as stronger in interpersonal skills than their male counterparts, according to a new study conducted by Caliper, a Princeton-based management consulting firm, which has assessed the potential of more than two million applicants and employees for over 25,000 companies around the world, and Aurora, a London- based organization which advances women and comprises a 20,000 member bu sinesswomen’s network.

On the second question, I think many characteristics make female leaders. Women are perseverant, because they’ re always going to come across challenges. Now, we have more access to education which makes us more confident in our own abilities. Besides, we look for ways to give back to our community, trying to be generous, trustworthy and be willing to learn about ourselves and others. Also, women leaders take more care of their health. Even more, female leaders have vision and understand their role in the wider world. Their unique experiences and supportive natures make them more than capable of leading the future.

Finally, will female leaders be the ones to rebuild trust of citizens in political decision making? Certainly, I believe that women leaders can do it. Women are less likely than male to engage in corruption. Women are less likely to pay bribes but are more disadvantaged in corrupt systems, says Transparency International.

Still more, women, due to our sensitivity, are more likely to understand the suffering of others, we have the ability to listen, understand and comprehend the needs of others. In addition to this great gift, we assume responsibilities and commit ourselves to overcome adverse situations.

6 I think we are advancing, in part because most of us are mothers and we are educating new generations in full equality between men and women. In addition, because we realized that no one is going to give us what we are entitled.

Our strength as women comes from the fact of being ourselves, proud to make decisions based on knowledge but always keeping in mind our deep sense of womanhood.

Comprehension and understanding, responsibility and commitment allow us to visualize the different problems and encourage us to find many ways of solution.

My commitment is to work for a better health care system in my country, for the well being of vulnerable groups, as well as for empowerment and advancing of women in society.

To conclude, as a Senator in the Mexican Congress, this workshop will help me learn from all of you and from your experiences as leaders in order to create, adapt and innovate legislation and public policy in my country.

Thanks

7 Women In Parliaments Global Forum at the World Bank/IMF Annual Meeting 2014 Working Session

Senator Maki Esther Ortiz Dominguez October 10th, 2014 PARTIDO ACCIÓN NACIONAL ADVANCING WOMEN’S RIGHTS

ü National Women’s Law Institute (2001)

ü General Act on Equality between Women and Men (2006)

ü General Law on Women's Access to a Life Free of Violence (2007)

ü Law on Prevention and Punishment of Trafficking In Persons (2007)

üLaw on the Protection of the Rights of Children and Adolescents (2000 y 2014) Chamber of Deputies Gender composition

100 99,4 90 97,5 95,1 95,1 93,8 94,3 93,4 91,8 91,1 92,0 91,2 89,5 89,5 88,4 80 85,5 82,6 83,2

70 75,1 74,2 60 68,2 62,6 50 37,4 40 31,8

Percentaje 30 24,9 25,8 17,4 16,8 20 14,5 10,5 10,5 11,6 8,2 8,9 8,0 8,8 4,9 4,9 6,2 5,7 6,6 10 2,5 0,6 0

LII

LIII

LIX

LXI

LIV

LVI

XLII

LXII

LVII

XLIII

LVIII

XLV

XLIX

XLIV

XLVI

XLVII XLVIII Legislatures Men Women

Senate Gender composition

100,0

80,0 84,4 82,0 79,7 60,0 75,6 76,2 65,4 34,6 40,0 24,4 20,3 23,8 15,6 18,0 Percentage 20,0

LXI LIX

LXII

LVII

LVIII Legislatures Men Women PARTIDO ACCIÓN NACIONAL ADVANCING WOMEN’S RIGHTS

üIn 1970, more than 25% of women were illiterate; in 2013 it is only 8%.

üIn 2012 55% percent of college graduates were women .

ü1.7 million are enrolled in universities.

ü In 2013 the participation of women in economic activities was 44%. Education Nutrition PROSPERA

Health Empowerment WOMEN: ü 54% of covered population. ü 68% of medical consultations and 80% of hospital discharges. ü In 75.6 percent of the registered families, women are the head of the household

Seguro popular: Population covered in millions Total expenditure (% of GDP)

6,1 5,1

2000 2012

Health expenditure by institución (Millions) 464.5 435.5 368.4 406.5 349.3 268.9 305.1 236.3 Economic Impact

Out-of-pocket health expenditure

58,2 44,09

2002 2012 Catastrophic health expenditure *

3,1

2000 2010

* Catastrophic expenditure is exceeding 30% of the payment capacity of families

Millennium Development Goals

MEXICO:

Child mortality: child deaths per 1,000 live births Target 2015: Reduce by two thirds the mortality rate

Target 1990 2000 2012 2015 32.5 20.8 13.3 10.8

Maternal mortality : maternal deaths per 100,000 live births: Target 2015: Reduce by three quarters the maternal mortality ratio

Target 1990 2000 2012 2015 82.0 74.1 42.3 22.2 PARTIDO ACCIÓN NACIONAL

Cervical and Breast Cancer

Free treatment to all women with a positive diagnosis. Complete schemes of 3 doses of HPV vaccine Mastographs . The Bold Ones - High-Impact Female Leaders who Transform Politics"

• What do they do that outshines the rest?

• What makes them leaders?

• Will female leaders be the ones to rebuild trust of citizens in political decision making? Female Leaders

What do they do that outshines the rest? • Assertive and persuasive. • Empathic and flexible, as well as stronger

What makes them leaders? • Perseverance • Confidence • Education • Giving Back • Balance and Understanding Your Own Needs • Vision

Will female leaders be the ones to rebuild trust of citizens in political decision making? • Less likely to engage in corruption. • Trasparent • Sensitivity • Comprehension and understanding, responsibility and commitment Thanks !!!

Senator Maki Esther Ortiz Dominguez October 10th, 2014