WHOs New 5 Year Strategy The Thirteenth General

WHO’s New 5 -Year Strategy The Thirteenth General Programme of Work – GPW 13 …and the impact framework 21 st ANNUAL REVIEW MEETING OF THE HEALTH SECTOR - SKY LIGHT HOTEL, ADDIS ABABA Dr Boureima Hama Sambo, WHO COUNTRY REPRESENTATIVE - ETHIOPIA

Objectives of the Presentation • Provide an overview of the GPW 13 and its Results Framework • Highlight how Ethiopia would contribute to the goals and targets in GPW 13 and relevance to HSTP II • Highlight the need to strengthen the health information system in developing the M&E framework • Increased focus on information revolution in HSTPII 2

WHO GPW 13 and the results framework are based on SDGs 11/9/2020 GPW 13 WHO's New 5 -Year Strategy 3

WHO’s Vision A world in which all people attain the highest possible standard of health and well-being. Is rooted in the 1948 constitution 11/9/2020 GPW 13 WHO's New 5 -Year Strategy 4

Programme Budget Appropriation Resolution 72. 1 In resolution WHA 72. 1, the 72 nd World Health Assembly in May 2019; • Approved the Programme budget for 2020 -21 • Requested the Director-General, inter alia, to continue developing the results framework of the Thirteenth General Programme of Work, 2019– 2023 (GPW 13) in consultation with Member States, including through the regional committees. • To present it to the Executive Board at its 146 th session in January 2020. Source: Resolution WHA 72. 1 5

GPW 13 is WHO’s new 5 -year strategy ü Aligns all work with the Sustainable Development Goals (SDGs) ü Establishes a clear mission ü Sets 3 strategic priorities attached to ambitious goals ………to focus our work on impact at country level 11/9/2020 GPW 13 WHO's New 5 -Year Strategy 6

The ‘Triple Billion’ Goal 1 billion 1 more people with health coverage billion more people better protected 1 billion lives improved We must reach the “triple billion” in the next 5 years to be on track for delivery of the SDG targets by 2030. 11/9/2020 GPW 13 WHO's New 5 -Year Strategy 7

3 Strategic Priorities • Advancing Universal Health Coverage • Delivery of essential health services • Financial protection • Access to essential health products • Addressing Health Emergencies • • • Prepare for emergencies Prevent epidemics and pandemics Detect and respond to health emergencies • Promoting Healthier Populations • Determinants of health • Risk factors to health • Channels to address health determinants & risks

Aligning for Impact at Country Level Measurement • WHO Constitution objective Attainment by all peoples of the highest possible level of health Healthy life expectancy measure (HALE) Triple Billion targets Outcomes Platforms 10 +2 B 1 1 billion more people benefitting from universal health coverage B 2 1 billion more people better protected from health emergencies B 3 1 billion more people enjoying better health and well-being Outcome 1. 1. Improved access to quality essential health services Outcome 2. 1. Countries prepared for health emergencies Outcome 3. 1. Determinants of health addressed Outcome 1. 2. Reduced number of people suffering financial hardships Outcome 2. 2. Epidemics and pandemics prevented Outcome 3. 2. Risk factors reduced through multisectoral action Outcome 1. 3. Improved access to essential medicines, vaccines, diagnostics and devices for primary health care Outcome 2. 3. Health emergencies rapidly detected and responded to Outcome 3. 3. Healthy settings and Health in All Policies promoted outputs • UHC Index • Better Protected 4. More effective and efficient WHO better supporting countries Outcome 4. 1. Strengthened country capacity in data and innovation Outcome 4. 2. Strengthened leadership, governance, and advocacy for health outputs Outcome 4. 3. Financial, human, and administrative resources managed in an efficient, effective, resultsoriented and transparent manner outputs outputs • Index Healthier populations index - Targets (46) Flexible toolkit for countries - Country by country assessment of Secretariat delivery - Qualitative and quantitative indicators outputs Outputs 42 11/9/2020 GPW 13 WHO's New 5 -Year Strategy 9

Constitutional objective | Healthy life expectancy Outcomes | Indicators and milestones Outputs Balanced Scorecard Country case studies Strategic priorities | Triple billion targets Programme Budget GPW 13 Impact Measurement GPW 13 Results Framework Country case studies

WHO Impact Framework 3 • Countries will select priorities and track progress on selected targets using associated indicators. • Not every country will track every indictor Healthy Life Expectancy (HALE) Triple Billion Targets 2 Universal health coverage 1 Health emergencies Healthier populations 46 Programmatic Indicators and Milestones 11

Summary of Target Alignment Number of Targets Sustainable Development Goals 29 Health assembly resolutions/action plans/frameworks 10 Sustainable development goals and health assembly resolutions/action plans/frameworks 5 New targets (in respect of antimicrobial resistance and mortality from climate sensitive diseases 2 Total 46

Triple Billion Targets Universal health coverage index Health emergencies index 15 14 ‘service coverage’ indicators 6 1 ‘financial protection’ indicator 1 ‘prepare’ index 4 ‘prevent’ indicators Healthier populations index 14 1 ‘respond’ indicator 14* indicators * Methodology in development SDG indicators Not SDG indicators but involve SDG inputs and are within the 46 programmatic indicators Other indicators, currently being collected/monitored 13

UHC Billion 1 billion more people benefitting from UHC 1 4

Universal Health Coverage Index Service coverage (SDG 3. 8. 1) Financial protection (SDG 3. 8. 2) Universal health coverage 15

Health Emergencies Billion 1 billion more people better protected from health emergencies Outcomes: 1. Countries prepared for health emergencies 2. Epidemics & pandemics prevented 3. Health emergencies rapidly detected & responded to 1 6

Better Protected from Health Emergencies Index Outcomes Tracer indicators Impact Countries prepared for health emergencies Epidemics & pandemics prevented Health emergencies rapidly detected & responded to IHR States Parties selfassessment Annual Reporting (SPAR) Vaccine coverage of at-risk groups for epidemic or pandemic prone diseases Timely detection and response to potential health emergencies 1 billion people better protected from health emergencies Additional impact indicators • Proportion of vulnerable people in fragile settings provided with essential health services • Number of deaths, missing persons and directly affected persons attributed to disasters per 100 000 population 17

The Emergencies Index Prepare indicator (IHR capacities) Prevent indicator (vaccine coverage) • Average Detect and respond indicator • The emergencies index will range from 0 (no protection) to 100 (perfect protection) and will be banded into 5 levels • No country is at level 5 • Level 1 & 2 contribute to 2. 8 billion 18

Update on Healthier Population Billion 1 billion more people enjoying better health and well-being 1 9

Healthier Populations Index* • Examples of environmental, social and behavioral risks Good nutrition Healthy life choices Healthy home environment Safer roads Healthier population Clean air No tobacco Less alcohol * Methodology in development Clean water 20

Country contribution to the global triple billion targets 2018 Example 2023 population: 35. 7 million Universal health coverage index 8. 9 million 2023 17. 9 million Contribution to global billion + 9. 0 million Difference in population covered Health emergencies index Level 1 Level 2 + 35. 7 million If moved up a level = total population Healthier populations index Base-line 14. 3 million + 14. 3 million Number of people with healthier lives

Data Availability One third of countries do not have recent primary or underlying data for over half of the SDG indicators Source: World Health Statistics 2019, WHO 22

Key Messages • Ethiopia to consider the results framework during the preparation of HSTP II • Indices for the preparation of M&E framework • Targets during the development of HSTPII targets • Strengthen its health information system to monitor progress

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