Helping Health Systems Develop:

Russia’s RoleJohn Kirton and Jenilee GuebertG8 and G20 Research Groups

Munk School of Global Affairs, University of TorontoApril 20, 2011

Introduction

Beyond official development assistance to socioeconomic determinants of health

Beyond the Development Assistance Committee and the International Bank for Reconstruction and Development or the World Health Organization

Beyond health silos to a “whole of government” approach A summit subject — for the G8, the G20 and other

plurilateral summit institutions Russia’s G8 2006: health first, development push at home

G8 Performance on Health Systems for Development

1979–2010 with Muskoka Initiative on Maternal, Newborn and Child Health (MNCH) for Millennium Development Goals Nos. 4 & 6

Russia’s G8 2006: priority, ministerial, commitments G8 compliance

G20 Performance on Health Systems for Development

MDGs to Seoul Development Consensus Noncommunicable diseases (NCDs) added for the first

time Indonesia’s initiative: a club where all can lead

United Nations Performanceon Health Systems for

Development

2010 maternal, newborn and child Health from Muskoka to New York

2011 UN summit on noncommunicable diseases (September 19)

Russia’s role: First global NCD ministerial (April 28)

Russia’s Role

NCD risk factors: alcohol, tobacco, road accidents From statist to private-public partnerships for health

systems for development (privatization) Historic and new footprint in Africa and nearby Bringing the BRICS (Brazil, Russia, India, China and

South Africa) into health systems for development Add 2012 Asia Pacific Economic Cooperation Forum

and the G20 2013/14

Raising the Resources

Principles Save before you spend Subsidize goods not bads Tax bads not goods Produce what you promise Count on citizens to help If we all do a little, we all gain a lot Prevention first to shrink the strain

Raising the Resources

Actions: The Bottom Line Phase out fossil fuel subsidies Shift agricultural subsidies to healthy foods Tax tobacco and transfats Accountability assessments of Canada’s $5 billion