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Presentation - Achieving the UN Sustainable Development Goals 2030, Health 2020 and the SEE 2020 goals: how to make it happen
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3 April 2017, Chisinau, Republic of Moldova
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Presentation - Achieving the UN Sustainable Development Goals 2030, Health 2020 and the SEE 2020 goals: how to make it happen
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Organization 2017 Achieving the United Nations 2030 Sustainable Development Goals, Health 2020 and the SEE 2020 goals: how to make it happen? Dr Zsuzsanna Jakab WHO Regional Director for Europe 1
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Organization 2017 A changing world • A rapidly ageing society • Dominance of noncommunicable diseases (NCDs) and multimorbidities • Economic and financial pressures • Climate change, migration, conflicts • New technologies and social media 2
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Organization 2017 Major achievements of South-eastern Europe Health Network (SEEHN) member states 3
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Organization 2017 Increase in risk factors 4
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Organization 2017 Poor health is a drain on a country’s economy! • NCDs are costly due to both: – direct treatment costs; and – indirect costs resulting from productivity losses due to work loss. • An estimated 7–12% of GDP is lost annually due to NCDs. 5
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Organization 2017 Unemployment 6
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Organization 2017 • The Summit outcome document was agreed by 193 Member States. • It includes 17 Sustainable Development Goals. Transforming our world: the 2030 Agenda for Sustainable Development 7
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Organization 2017 The Sustainable Development Goals (SDGs) 8
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Organization 2017 SDG 3: Health for all at all ages Goal 3: ensure “healthy lives and promote well-being for all at all ages” 3.1 Reduce maternal mortality 3.2 End deaths of newborns and children 3.3 End epidemics of infectious diseases 3.7 Access to sexual and reproductive services 3.4. Reduce mortality from NCDs and promote mental health 3.5 Substance abuse, and harmful use of alcohol 3.6 Reduce deaths and injuries from road traffic accidents 3.a Framework Convention on Tobacco Control 3.9 Reduce deaths and illnesses from environmental contamination 3.8 Achieve universal health coverage 3.b Research and vaccines and medicines 3.c Health financing and health workforce 3.d Management of national and global health risks health throughout the life-course; SDG 3 includes 13 targets by thematic area: communicable diseases, NCDs and risk factors; resilient environments; health systems. 9
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Organization 2017 Health is central to development Health and well-being are: • outcomes • determinants and • enablers of the SDGs. 10
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Organization 2017 Health targets will be met only by linking policy action to actions for other SDGs 11
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Organization 2017 The health goal will contribute to meeting other goals 12
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Organization 2017 Measuring progress on the health-related SDGs index SEEHN countries ranking: • Albania (53) • Bosnia and Herzegovina (73) • Bulgaria (67) • Israel (23) • Montenegro (51) • Republic of Moldova (80) • Romania (74) • Serbia (65) • The former Yugoslav Republic of Macedonia (61) Key challenges: • smoking, overweight, NCDs, family planning Source: Lancet 2016; 388: 1813–50. 13
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Organization 2017 A number of political enablers 14
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Organization 2017 Health 2020 aligned with the 2030 Agenda 15
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Organization 2017 Endorsed resolutions and action plans to advance health and well-being 0 10 20 30 Regional Resolutions Global Resolutions 16
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Organization 2017 SEE 2020: health-enabled growth… ← Wages and earnings ← Hours worked ← Early retirement ← Labour force participation ← Labour supply by relatives of those in poor health ← Personal investment in education ← Health sector “economic footprint” ← Fiscal multipliers: social and economic benefits of health interventions ← Health as an investment sector 17
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Organization 2017 “The SDGs recognise that early childhood development can help drive the transformation we hope to achieve over the next 15 years.” – United Nations Secretary-General Ban Ki-moon (22 September 2015) The next cornerstone of regional cooperation for public health and well-being in south-eastern Europe 18
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Organization 2017 The European Health Policy Framework Health 2020 19
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Organization 2017 Achieving the SDGs: governance and leadership 20
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Organization 2017 Improving health throughout the life-course and acting on determinants 21
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Organization 2017 Multi- and intersectoral policies for health 22
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Organization 2017 Leaving no one behind 23
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Organization 2017 Preventing disease through a healthy environment 24
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Organization 2017 Paris, France, December 2016 25 Ostrava, Czechia, 13–15 June 2017
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Organization 2017 Universal health coverage: out-of-pocket payments (OOPs) as a percentage of total spending on health (High- and middle-income countries of the Region) 26
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Organization 2017 Strengthening public health 27
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Organization 2017 Implementing in partnership 28
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Organization 2017 Preventing and controlling NCDs in SEE Health Network member countries • Significant progress since 2011 • Premature mortality target expected to be achieve by the European Region and countries of the SEEHN • Good innovations but relatively slow in implementing and scaling-up prevention efforts • Countries discussed a relevant roadmap towards the third UN High- level meeting on NCDs in 2018 taking into account the uniqueness of European experiences in addressing NCDs 29
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Organization 2017 Strengthening health systems to sustain response to communicable diseases • Transformative organizational changes for people-centered care: – Health workforce training and distribution – People–centered services delivery models with tailored individual needs – Efficient health financing mechanism and tools • National leadership for change, promote roles of the regions • Engage all stakeholders, including affected communities • Share experiences and good practices 30
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Organization 2017 Better health for Europe: more equitable and sustainable 31
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Organization 2017 Thank you! 32
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