The United Nations Secretary-General (UNSG) has convened a High Level Panel (HLP) of Eminent Persons on the post-2015 development agenda. This will review options to replace the Millennium Development Goals (MDGs). The HLP will report to the UNSG in May 2013, ahead of the MDG Summit and UN General Assembly in September 2013. This presentation explores the political process and the likely options for global health in the post-2015 development agenda. It was prepared for a discussion with participants in the Evidence for Action network on the margins of the Global Maternal Health Conference 2013, in Arusha, Tanzania.

1. E4A Evidence Network: Health in the post-2015 development agenda `
Evidence Update 4:
Health in the post-2015
development agenda
Arusha, Tanzania
17 January, 2013
Jim Campbell
Director, ICS Integrare, Barcelona, Spain
enquiries@integrare.es
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2. E4A Evidence Network: Health in the post-2015 development agenda `
Overview
• The post-2015 process
• The World We Want
– Thematic consultation
– emerging themes
• What might come out of it?
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3. E4A Evidence Network: Health in the post-2015 development agenda `
post-2015 process
High Level Panel of Eminent Persons July 2012 – announced
on the post-2015 development
agenda “consultation” processes
• President Susilo Bambang Yudhoyono
(Indonesia)
(Sep 12 – New York)
• President Ellen Johnson Sirleaf (Nov 12 – London)
(Liberia) (Jan/Feb – Monrovia)
• Prime Minister David Cameron (UK)
“Golden Thread” May 2013 – report to the UNSG
– we must put a new and practical
emphasis on transparency,
accountability and open government. September 2013 – MDG Summit
Too many developing countries are
held back by corruption September 2013 – UNGA
http://www.un.org/sg/management/hlppost2015.shtml
http://beyond2015.org
https://www.gov.uk/government/news/prime-ministers-letter-to-g8-leaders
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4. E4A Evidence Network: Health in the post-2015 development agenda `
not forgetting ICPD+20 (Cairo 1994)
http://icpdbeyond2014.org/uploads/browser/files/linking_icpd_to_un_development_agenda.pdf
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5. E4A Evidence Network: Health in the post-2015 development agenda `
‘World We Want’ - Health thematic consultation
UNICEF, WHO, Sweden and Oct 2012 – March 2013
Botswana
consultation processes
Supported by:
UN interagency group, including March 2013 – Botswana meeting
UNAIDS, UNFPA, UNDP, UNDESA and
OHCHR.
recommendations on health to feed
into the inter-governmental process.
http://www.who.int/topics/millennium_development_goals/post2015/en/index.html
http://www.worldwewant2015.org/health
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6. E4A Evidence Network: Health in the post-2015 development agenda `
‘World We Want’ - Health thematic consultation
Also political aspects of this……. “needs to include a narrative that is
clear about a more effective
Carlson/Nordstrom (2012). engagement of global partners
responding to country needs”
Global engagement for health could
achieve better results now and after
2015. “We could change the lives of many
The Lancet, Vol38, Nov3,2012 more poor people, particularly women
and children, if governments like our
own, implementing countries, and
major global health players were
working more effectively and
strategically together”
“Are we as international partners
responding in the most effective way
to the health needs of women and
children in low-income countries?”
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7. E4A Evidence Network: Health in the post-2015 development agenda `
‘World We Want’ - Health thematic consultation
Over 100+ papers….and counting!! Emerging themes:
• Summaries - grouped and • “Unfinished agenda” of MDGs
individual • Universal Health Coverage (UNGA
• Synthesis - under-way by Resolution) + UC + UH
WHO/UNICEF • NCDs
• UNAIDS now hosting themed • Social determinants
consultation on HIV and AIDS • Right to health
• Measurement and targets
Includes Zoë’s paper on UHC and – healthy life years / age
equity! expectancy / UHC
• Cross-sectoral action
• Fragile states
http://www.worldwewant2015.org/health
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8. E4A Evidence Network: Health in the post-2015 development agenda `
‘World We Want’ - Health thematic consultation
End preventable child and maternal
mortality
Achieve universal health coverage
Tackle the social determinants of health
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9. E4A Evidence Network: Health in the post-2015 development agenda `
What might come out of it?
WARNING !!! DANGER !!! RMNCH
may lose out!
Universal Health ?? With MNCH as a
tracer?
Equity?
GMHC 2013
Effective coverage? 10 POINT MANIFESTO
Renewal to health workforce?
The Lancet to promote
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10. E4A Evidence Network: Health in the post-2015 development agenda `
1 Build on past success
2 Political, economic and social goals for women as women
3 Women more central in the continuum of care with quality, redefine the continuum of
care, with quality, integration, NCDs, social determinants, poverty
4 Responsive financing mechanism to meet country needs.
5. Emphasis on reaching the unseen – the culturally excluded. If we are truly serious about
equity we have to ask fundamental questions about the roles of women
6 Invite, include and incorporate the voices of women – to shape their own futures
7 The mother and the newborn child together –addressing preventable stillbirths
8 Data on maternal deaths and health outcomes essential
9 Technology – mobile health, women effectively and safely connected to health systems
10 Sustainability, universal access, free at the point of demand within a strong health
system, with skilled workers, especially midwives and those providing midwifery services.
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