28Th Meeting of Ministers of Health, Bangkok, Thailand, 7 September
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Report of the Twenty-eighth Meeting f Ministers of Health of Countries f the South-East Asia Region Thailand, 7 September 201 0 4 SEA-HM Meet-28 Distribution: General Report of the Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Asia Region Bangkok, Thailand, 7 September 2010 © World Health Organization 2010 All rights reserved. Requests for publications, or for permission to repro- duce or translate WHO publications, whether for sale or for noncommercial distribution, can be obtained from Publishing and Sales, World Health Or- ganization, Regional Office for South-East Asia, Indraprastha Estate, Ma- hatma Gandhi Marg, New Delhi-110 002, India (fax: +91-11-23370197; e-mail: publications@ searo.who.int). 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Printed in India Contents Part 1: Introduction .......................................................... 1 Part 2: Inaugural session .................................................. 5 Part 3: Business session .................................................. 11 Introductory Session ...........................................................11 Review of Kathmandu Declaration on protecting health facilities from disasters and follow-up actions on the decisions and recommendations of the Twenty-seventh Health Ministers’ meeting: (Agenda item 3) ...................................................14 Urbanization and health (Agenda item 4) ...............................19 Bangkok Declaration on Urbanization and Health ....................24 Decentralization of health-care services (Agenda Item 5) .........26 Any other item (Agenda item 6) ...........................................30 Elective Posts for the Sixty-fourth World Health Assembly and the 129th Session of the WHO Executive Board ...........31 Adoption of the Report (Agenda item 7) .................................32 Closing session (Agenda item 8) ...........................................33 Annexes 1. Agenda ........................................................................39 2. List of participants ........................................................40 3. Full text of welcome speech by His Excellency Mr Jurin Laksanawisit, Minister of Public Health, Royal Thai Government ..................................................48 4. Full text of address by Dr Samlee Plianbangchang, Regional Director, WHO South-East Asia Region.................51 5. Full text of address by Dr Margaret Chan, Director-General, World Health Organization .....................54 6. Full text of inaugural address by His Excellency Mr Abhisit Vejjajiva, Prime Minister, Royal Thai Government ..................................................57 7. Kathmandu Declaration on Protecting Health Facilities from Disasters ..............................................................60 Report of the Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Asia Region iii Part 1 Introduction 1. The meetings of the ministers of health of the countries of the WHO South-East Asia Region have been providing a forum to discuss important health issues in the Region as well as to forge bilateral and intercountry cooperation and regional solidarity. The first meeting of the Ministers of Health was held in 1981 in Jakarta, Indonesia and since then the ministers have been meeting regularly. 2. The objectives of the meetings of the Ministers of Health are: To reinforce the commitment of the Member States to the attainment of the highest possible level of health for their people. To exchange national experiences on the social, political and economic dimensions of health in the process of national development. To explore and identify new avenues for further intercountry cooperation and collaboration in health and health-related fields. 3. The meetings of the ministers of health have focused attention on priority issues and have led to several important initiatives in the countries of the WHO South-East Asia Region. 4. These meetings have contributed immensely towards enhancing cooperation, reinforcing political commitment and, most importantly, providing an opportunity for Member States to “unitedly” tap the potential for ensuring the well-being of people of the Region. Report of the Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Asia Region 1 5. In keeping with the spirit of cooperation, with effect from the Twenty-fourth Meeting Ministers of Health held in Dhaka, Bangladesh, the practice of adopting a ‘ministerial declaration’ on the current World Health Day theme was started. These ‘ministerial declarations’, which have since been adopted in successive meetings of the Ministers of Health, have served as an effective basis for Member States and WHO for working together towards achievement of the results stipulated in the World Health Day themes. 6. For example, the Twenty-seventh Meeting of the Ministers of Health held in Kathmandu in September 2009, keeping in view the vulnerability of the Region to natural disasters, deliberated on protecting health facilities from emergencies and also adopted the Kathmandu Declaration on the subject. The Declaration expressed the commitment of the Member States to initiate necessary steps in this direction and urged the Director-General and the Regional Director to continue to provide leadership and technical support in building partnerships in this area. 7. Also, concerned with the global recession, the ministers discussed the Impact of the global financial crisis on health and agreed to the need of effectively involving the private sector in this social cause. It was also agreed that governments should be ready to bridge financing gaps resulting from decreased ODA funds so that nobody is denied health care due to lack of means in line with the philosophy of universal access embodied in the PHC approach. 2 Report of the Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Asia Region 8. There is a visible improvement not only in the quality of healthcare services but there is also a marked improvement in their accessibility in the countries of the Region; however, it is also true that more concentrated efforts are required. 9. The Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Region was held in Bangkok, Thailand, on 7 September 2010, at the invitation of the Royal Thai Government. H.E. Mr Abhisit Vejjajiva, Prime Minister, Royal Thai Government, delivered the inaugural address at the joint inauguration of the Twenty-eighth Meeting of Ministers of Health and the Sixty-third Session of the WHO Regional Committee for South-East Asia. 10. Honourable Ministers from Bangladesh, Bhutan, India, Maldives, Myanmar, Thailand and Timor-Leste participated in the meeting. H.E. Mr Jurin Laksanawisit, Minister of Public Health, Royal Thai Government, chaired the meeting. H.E. Mr Ghulam Nabi Azad, Minister of Health and Family Welfare, Government of India, was the Co-chair. 11. The agenda of the meeting included the following three items: Review of Kathmandu Declaration/Follow-up actions on the decisions and recommendations of the Twenty-seventh Meeting of Ministers of Health Report of the Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Asia Region 3 Urbanization and Health Decentralization of healthcare services 12. The agenda, as adopted by the ministers and the list of participants are contained in Annexes 1 and 2, respectively. 4 Report of the Twenty-eighth Meeting of Ministers of Health of Countries of the South-East Asia Region Part 2 Inaugural session 13. A joint inauguration of the Twenty-eighth meeting of Ministers of Health and the Sixty-third Session of the WHO Regional Committee for South-East Asia was held in Bangkok, Thailand, on 7 September 2010. Welcome address by His Excellency Mr Jurin Laksanawisit, Minister of Public Health, Royal Thai Government 14. His Excellency Mr Jurin Laksanawisit, Minister of Public Health, the Royal Thai Government, welcomed the distinguished delegates to the joint inaugural session of the Twenty-eighth Meeting of the Ministers of Health and the Sixty- third Session of the Regional Committee of the WHO South-