Upload
eileen
View
50
Download
0
Tags:
Embed Size (px)
DESCRIPTION
OUTLINE. Progress towards the MDGs Positioning health in the post-2015 framework Addressing HIV in the new development agenda: Building on the unfinished business of the MDGs Integrating HIV into universal health coverage. MDGs DRIVING ADVANCES IN HEALTH. Child mortality 2012. - PowerPoint PPT Presentation
Citation preview
• Progress towards the MDGs
• Positioning health in the post-2015 framework
• Addressing HIV in the new development agenda:
• Building on the unfinished business of the MDGs
• Integrating HIV into universal health coverage
OUTLINE
MDGs DRIVING ADVANCES IN HEALTH
-47%Target: - 66%(1990 – 2015)
-53% Target: - 75%(1990 – 2015)
Incidence Mortality
-42%-29% -45%-33%
+3800%
Malaria (2000-2012) TB (1990-2012)
Mortality New Infections(2001-2012)
ART(2002-2013)
HIV
Maternal mortality 2010
Child mortality 2012
1. End poverty 2. End hunger; food security & nutrition; sustainable agriculture
3. Ensure healthy lives and promote well-being for all at all ages
4. Education and life-long learning
5. Gender equality, empower women & girls 6. Water and sanitation
7. Modern energy services 8 Sustainable economic growth & decent work
9. Sustainable industrialization and innovation
10. Reduce inequality within and among countries
11. Safe, inclusive & sustainable cities and settlements
12. Sustainable consumption and production patterns
13. Climate change 14. Marine resources
15. Terrestrial ecosystems and biodiversity 16. Peaceful and inclusive societies & rule of law
17. Global partnership for sustainable development
BEYOND MDGs - POSSIBLE FOCUS AREAS FOR SDGs
OVERARCHING HEALTH GOAL
Ensure healthy lives and promote well-being for all at all ages
HEALTHSUB-GOALS: 1. Maternal mortality (build on MDG)
2. Child (<5 years) mortality (MDG)3. End epidemics of AIDS, TB, malaria and NTDs and
combat hepatitis and other communicable diseases4. NCDs and mental health5. Alcohol and other substance use6. Road traffic accidents7. Sexual and reproductive health8. Universal Health Coverage incl. financial risk protection9. Hazardous chemicals, pollution & contamination
POSSIBLE HEALTH GOAL AND SUBGOALS
1. Focus on those MDGs most off-track
BUILD ON MDGs
2. More ambitious targets for those on track – ending AIDS, TB and malaria epidemicsUniversal access to HIV prevention, treatment, care and support servicesSustain and build on gains in TB – new TB strategy with goal of eliminating TBSustain and build on gains in the fight against malaria – new strategy in development
All people receive the services they need of adequate quality without incurring financial hardship
UNIVERSAL HEALTH COVERAGE – 3 DIMENSIONS
Examples of HIV contributions to UHC• HIV intervention packages• Intervention framework -
HIV prevention, care & treatment cascade
• Research agenda and innovation (basic, clinical, operational, social sciences)
COMPREHENSIVE QUALITY HEALTH SERVICES
Future priorities• Better defining core interventions• Expand coverage through progressive realization• Quality assurance & improvement• Linking HIV with other health areas – NCDs, SRH• Single framework for national strategic planning and costing
Examples of HIV contributions to UHC• Normative guidance for key populations• Models of service delivery to reach
marginalized and remote populations • Civil society as equal partners• Health & community systems
strengthening• Interventions for enabling environments
EQUITABLE COVERAGE FOR ALL
Future priorities• Improve & disaggregate strategic information • Address social determinants• Focus on populations and locations most affected • Focus on interventions where response is lagging• Research and innovation for better service delivery
FSW MSW MSM PWID0%5%
10%15%20%25%30%35%40%45%
42% 41% 39%
28%
Percentage of HIV testing coverage among key populations, regional median, 2007-2012
Data from multiple sources, with some sampling limitations
Examples of HIV contributions to UHC• Assessing resource needs and
programme costing• New investments in health• New funding approaches• Innovative financing (e.g. public-private
partnerships)• Improved efficiencies in service delivery• Access to affordable medicines and
other health commodities
FINANCING HIV RESPONSE
Future priorities• Continued external development assistance• Greater focus on domestic funding• Universal financial risk protection schemes • Cover associated out-of-pocket expenses• Address specific needs of middle-income countries
WHERE TO FROM NOW?
• SDGs: Position HIV prominently in the health goal and include HIV-sensitive indicators in other goals.
• MDGs: Build on the MDGs with even more ambitious HIV-related targets.
• UHC: Use the HIV experience to achieve UHC and use the UHC framework to accelerate and strengthen the HIV response.– Define core HIV interventions to be included in UHC packages– Expand HIV links with other health areas to achieve health equity– Focus where interventions are needed and responses lagging– Emphasize efficiency and quality– Ensure universal financial and social protection