SDGs and Framework for Advancing UHC in EMR

SDGs and Framework for Advancing UHC in EMR Setting the in Scene 2 nd UNIVERSAL HEALTH COVERAGE CONFERENCE 22 -24 January 2017 Khartoum, Sudan Zafar Mirza Director Health System Development Eastern Mediterranean Regional Office

2 nd UNIVERSAL HEALTH COVERAGE CONFERENCE Theme of the Conference “Enhancing the transformation of health sector through advocating for whole of government and whole society approach”

Presentation Themes Transformation Agenda Institutional Challenge Implementation Gap

§ Scale-up § Reform § Improvement Transformation Paradigm Shift

Conceptual Transformation in Health Care WHO Constitution 1947 UN Human Rights Charter 1948 Alma-Atta Declaration 1978 Selective PHC Safety-net Approach Vertical Programs UHC

“UHC the most powerful concept that public health has to offer” “UHC is one of the most powerful social equalizers among all policy options. ”

Universal Health Coverage “all individuals and communities receive the health services they need, in good quality, without suffering financial hardship. ”

Expanding Universal Health Coverage

A framework for UHC as part of SDGs Results Action Equitable Health Outcomes & Wellbeing Inclusive Economic Growth & Employment Universal Health Coverage All communities and people receive the quality health services the need, without financial hardship Health System Strengthening Determinants of Health Goal Global Public Health Security & Resilient Societies

Transforming our World: the 2030 Agenda for Sustainable Development a plan of action for people, planet and prosperity

Economic S D Gs MDGs Environment Social

MDGs • The MDGs framework focused attention and resources on the attainment of particular goals • The MDGs have been an influential attempt and international target setting in the field of development • Three of the eight MDGs are focused on health without interlinkages ignoring that health is also a component of several other MDGs (nutrition, water and sanitation). SDGs • SDGs are universally applicable to all countries • Focus is on human rights principles and values - “Leaving No One Behind”, • The 17 goals are integrated, indivisible, and inter-linked with significant health dimension

WHO & Health-in – all-policies

Presentation Themes Transformation Agenda Institutional Challenge Implementation Gap

The Institutional Question form should follow the function! 1. Do we have fit-for-purpose institutions? 2. Are we making corresponding investments in strengthening our institutions?

The Institutional Reform 1. 2. 3. 4. 5. 6. Health Governance and Leadesrhip Civil service reform Work-culture and work-ethic e-Health Capacity building in management Accountability

Policy Coherence § Sectoral policies should have shared national goals § Mutually consistent and complementary policies

Development partners also need to change From IHP+ to IHP for UHC-2030

Joint Assessment of National Health Strategies (JANS)

Conclusions Transformation Agenda Institutional Challenge Implementation Gap § More than reform § No transformation without strong institutions § From policy to practice to impact § SDGs are transformative § Sudan is generally on track to § Institutional reforms should be a priority § Implementation is difficult without institutional reform

Thank you