Wednesday, November 5, 2008

[EQ] Are the MDG's Priority in Development Strategies and Aid Programmes?

ARE THE MDGs PRIORITY IN DEVELOPMENT STRATEGIES AND AID PROGRAMMES?


ONLY FEW ARE!

 

Working Paper number 48 October, 2008

Sakiko Fukuda-Parr, Professor of International Affairs, The New School University, New York

International Poverty Centre - United Nations Development Programme

 

Available online as PDF file [28p.] at: http://www.undp-povertycentre.org/pub/IPCWorkingPaper48.pdf

 

“……..The gap between strong political commitment to the Millennium Development Goals (MDGs) and slow progress towards meeting them is often attributed to weak “ownership” by developing country governments. This Working Paper addresses the issue of ownership by analysing the substance of 22 developing countries’ Poverty Reduction Strategy Papers (PRSPs) and the policy frameworks of 21 bilateral programmes.

 

Two major findings of the analysis are as follows. First, economic growth for income poverty reduction and social sector investments (education, health and water) are important priorities in most of the PRSPs; decent work, hunger and nutrition, the environment and access to technology tend to be neglected. PRSPs also emphasise governance as an important means of achieving the MDGs, but they focus mostly on economic governance rather than on democratic (participatory and equitable) processes.

 

Since the key motivation for the MDGs as reflected in the Millennium Declaration was to promote a more inclusive globalisation through participatory processes, the PRSPs are undercutting their core policy purpose. Implementation could be refocused if greater attention were paid to the neglected objectives and dimensions in the MDGs’ design, as major goals and with quantitative indicators.

 

The single most effective revision could be to add a goal of reducing inequality in income and other dimensions of poverty within and between countries. Second, this Working Paper distinguishes between three functional uses of global goals: as consensus objectives, as monitoring benchmarks, and as planning targets.

Most donor policy statements and PRSPs use MDGs as consensus objectives. Most PRSPs also use MDGs as planning targets, but without adapting them to local conditions and priorities. In most cases where MDG targets are set, they are in line with the MDG 2015 targets; this is not necessarily a sign of “ownership” because these targets are not accompanied by coherent action plans. If the MDGs are to be used as planning targets for resource allocation purposes, the international community could develop a more consistent and effective approach to the local incorporation of MDGs into national planning and priority setting….”

 

 

 

 

 

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[EQ] Promoting Health Equity: A Resource to Help CommunitiesAddress Social Determinants of Health

Promoting Health Equity:
A Resource to Help Communities Address Social Determinants of Health

 

Laura K. Brennan Ramirez, Transtria L.L.C.

Elizabeth A. Baker, Saint Louis University School of Public Health

Marilyn Metzler, Centers for Disease Control and Prevention

Social Determinants of Health Work Group at the Centers for Disease Control and Prevention,
U.S. Department of Health and Human Services. 2008

 

Available online PDF (116p.] at:  http://www.cdc.gov/nccdphp/dach/chaps/pdf/SDOHworkbook.pdf

 

“….A growing number of research studies have documented the relationship between social determinants of health and health outcomes.  However, relatively little is known about how to translate this knowledge into practice.  To address this gap, the Centers for Disease Control and Prevention (CDC), in partnership with Transtria LLC and the Saint Louis University Prevention Research Center, developed Promoting Health Equity:

A Resource to Help Communities Address Social Determinants of Health.

 

This workbook was created to support new and existing partnerships to address the social determinants of health inequities. It highlights lessons learned by communities and provides information and tools to develop, implement and evaluate interventions that address social determinants of health inequities.  It was designed for a wide range of users interested in achieving health equity.

 

Download or order a free copy of Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health from the CDC Community Health and Program Services web site:

 

Order a free copy (maximum of 10):  http://wwwn.cdc.gov/pubs/CHAPS.aspx

 

Table of Contents

Introduction

Chapter One: Achieving Health Equity
 What is health equity?  How do social determinants influence health? Learning from doing


Chapter Two: Communities Working to Achieve Health Equity
Background: The Social Determinants of Disparities in Health Forum Small-scale program and policy initiatives

Case Study 1: Project Brotherhood
Case Study 2: Poder Es Salud (Power for Health)
Case Study 3: Project BRAVE: Building and Revitalizing an Anti-Violence Environment Traditional public health program and policy initiatives
Case Study 4: Healthy Eating and Exercising to Reduce Diabetes
Case Study 5: Taking Action: The Boston Public Health Commision’s Efforts to Undo Racism
Case Study 6: The Community Action Model to Address Disparities in Health Large-scale program and policy initiatives

Case Study 7: New Deal for Communities
Case Study 8: From Neurons to King County Neighborhoods p.28 Case Study 9: The Delta Health Center


Chapter Three: Developing a Social Determinants of Health


Chapter Four: Closing Thoughts
 

Tables

Figures

Suggested Readings and Resources

References

 

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMS Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

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[EQ] Closing the Gap in a Generation - Live Webcast from London 6 - 7 November, 2008

 

Closing the Gap in a Generation Conference
Health Equity through Action on the Social Determinants of Health

Live Webcast from London
6 – 7 November, 2008

 
Hosted by the Secretary of State for Health, the Rt. Hon. Alan Johnson MP, the International Conference on the work of the WHO Commission on the Social Determinants of Health will be webcast live from London.

Over 300 delegates from around the world, including ministers, leading policy makers, representatives of international organisations, business and civil society will gather in London to explore the recommendations made in the Commission's report.

To hear the discussions as they happen and to watch presentations by leaders in the field register now at www.csdhconference.org/countdown 

The full programme and speaker biographies can be viewed at:
https://www.eventsforce.net/rslive/frontend/reg/thome.csp?pageID=9180&CSPCHDx=0000000000000&eventID=53&mode=preview&version=future&eventID=53

The conference will be streamed live in varying bandwidths so that they are accessible to as wide a global audience as possible.  The event, along with some key interviews, will also be available to view until February 2009.

The conference will run from 09:00 on Thursday 6 November until 17.00 on Friday 7 November.  It will be held at the Queen Elizabeth II Conference Centre, Westminster, London SW1.  There will also be a opening reception for delegates at 18.00 on Wednesday 5 November to be held at the centre.

Please note the conference is free of charge to attend and the proceedings will be in English.

Aim

The aim of the conference is to share learning from the CSDH report and consider how these lessons can be applied to promote a social determinants of health approach to reducing health inequalities.

Objectives

• to learn from the issues arising out of the CSDH final report
• to  share stakeholders  experiences in work to reduce health inequalities
• to build partnerships across government and other  agencies, research institutions, civil society and the private sector to develop a social determinants of health agenda. 
• to consider how  to take forward the Commission’s work , ensuring synergy with the World Health Organization's process.

Audience

The audience will draw from across the world and will include: national policy makers, leading experts and academics, representatives of international agencies, representatives of non governmental agencies and civil society and business leaders. Country partners that have supported the work of the Commission over the last three years will be invited.

            PROGRAM:
           
https://www.eventsforce.net/rslive/frontend/reg/tOtherPage.csp?pageID=9308&CSPCHDx=0000000000000&ef_sel_menu=335&eventID=53&eventID=53

 

 THURSDAY 6th NOVEMBER

0900 - 0915

Welcome to Day One

John Humphreys
BBC presenter and writer

0915 - 0950

Opening address by the Secretary of State for Health for England

This address is intended to establish high-level commitment to the SDH agenda and it will cover

·                          Welcome by DH.

·                          The DH commitment to the work of the CSDH.

·                          The importance of partnerships and learning from others.

·                          The global / country dynamic.

·                          Relationship to ongoing and future work in England.

Alan Johnson

Secreatry of State for Health of England

0950 - 1025

Closing the Health Gap in a Generation: The work of the Commission on the Social Determinants of Health and its recommendations.

Presentation of the report and its top-line recommendations. How these may relate to future work and developing partnerships.

Michael Marmot

Chair of the Commission on the Social Determinants of Health

1025 - 1045

Crossing Cultures:
The European regional approach to addressing the social determinants and health equity.

Marc Danzon will discuss the WHO approach to addressing the SDH in the context of a Region that ranges from low to high income countries and where cultures are highly diverse.

Marc Danzon

Regional Director for Europe, World Health Organization

1045 - 1105

A Country Perspective

This will give an opportunity to bring in experience from outside Europe and to ground the discussion into practical issues for a country.

Beth Wambui Mugo
Minister of Public Health and Sanitation, Kenya

1105 - 1135

COFFEE BREAK

1135 - 1220

Reflections and Forward Thinking

An interview with the Commissioners
This is designed to be a highly interactive session, run by facilitators experienced in this methodology.  
Nick Boyd will ask the Commissioners a trigger question on their reflection of what they have heard so far (they have a maximum of 5 minutes to answer).
Clive Needle will ask questions in the audience and facilitate a dialogue with the Commissioners.  There are no formal presentations.

Interviews by Nick Boyd, International Health Consultant

Discussion facilitated by Clive Needle, Director, EuroHealthNet

- Gail Wilensky
CSDH Commissioner, Senior Fellow Project HOPE
- Hoda Rashad
 CSDH Commissioner, Director and Research  Professor, Social Research Center of the American University in Cairo

1220 -
1300

The Need to Know:  Discussion at round tables in preparation for the parallel sessions on day two

Participants will have been asked to sit at tables dedicated to one of the knowledge network areas that will be picked up in parallel sessions on day two.  They will be asked to consider what they need to get from the sessions that will help them to take action when they return to their organisation/country.
Tables will put their questions to session leads via ‘tablets’ at each table.  These are interactive IT links,  which allow session leads to either respond immediately, or to capture key questions to be addressed in their parallel sessions.

All Participants

1300 - 1400

LUNCH
1330 - 1350 David Cutler Video link (tbc)


Lunch is an opportunity for networking.  However, there will also be an opportunity to hear from and ask questions of David Cutler, Barack Obama’s health advisor, in an interactive video link interview, facilitated by John Humphrys.

1400 - 1410

Opening afternoon session

 John Humphreys

1410 - 1430

Global Partners: Addressing the Social Determinants of Health Through International Development
This opening presentation will set the scene for discussion of work between international agencies and countries on the development agenda and in meeting the MDGs.  Participants will be briefed to address the equity issue.

Gillian Merron
Parliamentary Under-Secretary of State for International Development, DFID

1430 - 1500 

Consensus and Diversity: The role of pan-national organisations

Interview with two representatives of multi-country agencies with differing cultural perspectives.  A maximum of 10 minutes is allowed for the interview with each participant and 10 minutes for questions from the floor.

Interviews by John Humphrys

Robert Madelin
Director General for Health and Consumer Protection, European Commission
Bience Gawanas (TBC)
Commissioner of Social Affairs, African Union

1500 - 1520

Health as a Human Right

A presentation based on the UN report that he was responsible for producing. This will set for the scene for the next panel session.

 

Paul Hunt
Former UN Special Rapporteur on the Right to Health

1520 - 1550

COFFEE BREAK

1550 - 1630

Equity Through Development:
A panel discussion on balancing the demands of social and economic development.

This panel discussion is intended to bring out the priorities and roles of key international agencies in relation to this agenda.  There will be no formal presentations and Richard Horton will  promote a dialogue between the panel and the audience.

Chaired by Richard Horton, Editor, The Lancet

Armin Fidler
Lead Advisor for Health Policy & Strategy, World Bank
Peter Scherer
Head of Health Sector, OECD
Peter Salama
Chief of Health, UNICEF
Tim Evans
Assistant Director General, WHO
Ndioro Ndiaye
CSDH Commissioner, Deputy Director-General, International Organization for Migration

1630 - 1700

Reflections and Forward Thinking: An Interview with the Commissioners

This is designed to be a highly interactive session, run by facilitators experienced in this methodology.  
 

Interviews by Nick Boyd, International Health Consultant

Discussion facilitated by Clive Needle, Director, EuroHealthNet

- Mirai Chatterjee
 CSDH Commissioner, Coordinator of Social Security for India's Self-Employed Women's Association, SEWA
- Giovanni Berlinguer
 CSDH Commissioner, Member of the European Parliament

1700 - 1720

Summary of key points made from Day One

Michael Marmot

Chair of the CSDH

1720 - 1730

 CLOSE

John Humphreys

1900 - 2230

Conference Dinner – The Painted Hall, Old Royal Naval College, Greenwich.

Transport to the dinner will be by two boats leaving Westminster Pier at 19.15 prompt.
Coaches will pick up from and return to designated conference hotels. Hotel and conference centre pick ups from 18.45.
Dress is smart casual/business.

All

 FRIDAY 7th NOVEMBER

0900 - 0910

Welcome to Day Two

John Humphreys

0910 - 0925

Opening speech
Bringing together international learning and national policy making

A keynote speech that will cover:
• Welcome to day two.
• The importance of the SDH agenda.
• Making the connection between international and national work.

Hilary Benn
Secretary of State for Environment, Food & Rural Affairs

0925 - 0940

A Regional Perspective on the CSDH Report
A keynote presentation providing a regional perspective on the report and its implementation.

Hussein A. Gezairy
Regional Director for the Eastern Mediterranean

0940 - 1000

Developing a Model:
A country partner perspective on work with the CSDH

Presentation on working with the Commission and how it contributes to national developments in a country – Brazil.

Jose Gomes Temporao
Minister of State for Health, Brazil

1000 - 1020

Equity, Justice and the Social Determinants of Health

This presentation will focus on ethical globalisation which requires greater recognition of the responsibility of the international community in helping people who have been denied their fundamental rights. This requires taking human rights beyond their more traditional political and legal realms and applying them to other fields.
This keynote is intended to set the scene for the following panel.

Mary Robinson
President of Realizing Rights, Former UN High Commissioner for Human Rights

1020 - 1110

Sustainability and the Changing Environment

A panel discussion on the evidence, actions and impacts of the changing environment and climate change on communities and their health and how to mitigate these impacts through sustainable development.
This will explore issues of equity.
Participants will be asked to introduce what they see as the priority issues and their role in relation to these in a maximum of 10 minutes.  They will be asked not to use powerpoint.  Fiona Adshead will take questions form the audience assisted by Clive Needle.

Chaired by Fiona Adshead
Deputy Chief Medical Officer, Chief Government Advisor on Health Inequalities, DH. 
Richard Odingo
Vice Chair of the Intergovernmental Panel on Climate Change
Jonathon Porritt
Chairman of the UK Sustainable Development Commission
Fran Baum
CSDH Commissioner, Head of Department and Professor of Public Health at Flinders University
Luiz Augusto Galvao
Area Manager, Sustainable Development & Environmental Health, PAHO

1110 - 1140

COFFEE BREAK

1140 - 1310

Parallel Sessions

1. Equity from the Start

Clyde Hertzman, Director, Human Early Learning Partnership (HELP), University of British Columbia, Canada


2. Healthy People; Healthy Places

Tord Kjellstrom, Visiting Fellow, Professor, National Centre for Epidemiology and Population Health, Australian National University (ANU) Canberra & and Director, Health and Environemtn International Trust, & Jacob Kumaresan, Director, WHO Kobe Centre


3. Women and Gender Equity

Piroska Ostlin, Associate Professor, Karolinska Institute,  & Gita Sen Professor, Indian Institute of Management Bangalore


4. Fair Employment

Joan Benach, Associate Professor, Universitat Pompeu Fabra


5. Political Empowerment – Inclusion and Voice, and Social Protection

Jennie Popay, Professor of Sociology and Public Health at the Institute for Health Research, Lancaster University


6. Globalisation

Ron Labonte, Professor, University of Ottawa, Canada


7. Health Systems

Jane Doherty, Senior Researcher, Centre for Health  Policy, University of Witwatersrand & Rene Loewenson, Director, Training and Research Support Centre/ EQUINET


8. Measurement

Josiane Bonnefoy, Advisor, Ministry of Health for Chile, Mike Kelly, Public Health Excellence Centre Director, NICE & Antony Morgan, NICE


9. Priority Health Conditions and the Social Determinants: Striking Synergies

Erik Blas, Senior Advisor, Ethics, Equity, Trade & Human Rights, World Health Organization

 

These are key sessions to the conference that provide an opportunity for participants to work together on the issues raised by the report and to start to think how they will take next steps in thier own country and organisation.

1310 - 1415

 LUNCH

1330 - 1350 onwards The Roots of Health
A hot buffet will be served with full seating available.  This will be an opportunity for networking. However, there will be a screening of excerpts from the ‘Roots of Health’ documentary with introduction by the producer/director Linda Harrar, Independent Film Maker.  Participants may collect lunch and take it into the screening.

1415 - 1505

 Café Conversation: Intersectoral Action and Policy Coherence

The stage will be set with the appearance of a café to promote the feeling of informal dialogue.

Four tables will represent differing areas of expertise, i.e; Business and Corporate, Research and Academia, Civil Society and NGOs and Policy and Politics.

A set of trigger questions will be used to promote dialogue between the tables and with the audience.

Facilitated by John Humphrys

Business and Corporate agenda:
Rita Sussmuth (TBC)
President of the European Network for Enterprise for Health
Mark Walport
Director of the Wellcome Trust
Anne MacCaig
CEO of Cafedirect
Stephen Howard
CEO of Business in the Community
Arun Nanda
Executive Director, Mahindra & Mahindra

The Academic and Research Agenda:
Yan Guo
CSDH Commissioner, Peking University Health Science Centre, China
Denny Vagero
CSDH Commissioner, Director of the Centre for Health Equity Studies, Sweden
Monique Begin
CSDH Commissioner, School of Management University of Ontario, Canada
Kiyoshi Kurokawa
CSDH Commissioner, Professor, National Graduate Institute for Policy Studies, Japan

National Leaders, Policy and Politics:
Siti Fadilah Supari
Minister of Health Indonesia
Jeanette Vega
Under-Secretary for Public Health Chile
Sylvie Stachenko (TBC)
Deputy Chief Public Health Officer, Public Health Agency of Canada
Paulo Ivo Garrido,
Minister of Health, Mozambique

Civil Society and the Non-Government Sector:
David Sanders (TBC)
People's Health Movement
Maurice B. Mittelmark
Vice-Chair of Communications, The International Union of Health Promotion and Education
Mirai Chatterjee
CSDH Commissioner, Coordinator of Social Security for India's Self-Employed Women's Association, SEWA
Mary Amuyunzu-Nyamongo
Executive Director & co-founder, African Institute for Health & Development

1505 - 1535

 Recommendations into Practice:

Round table discussions on ways of  taking forward work on the social determinants of health.

This will use electronic tablets in order to ask questions of Michael Marmot while work is in progress and to feedback key issues to him.  Each table will be asked to identify 1 – 3 actions that they will take to follow up from the conference. Michael will have an opportunity to review these before his final next steps session.

All

1535 - 1605

 COFFEE BREAK

1605 - 1635

Beyond Care: A panel discussion on the role of health systems in tackling social determinants of health.

Participants will  reflect on:
The wider role of health systems in addressing the social determinants of health.
The importance of PHC to the agenda.
Equity in access.
The role of the health sector as a corporate citizen in relation to employment, transport, procurement etc.

Participants will introduce what they see as the priority issues and the actions that can be taken.  They will be give a maximum of 10 minutes and they will be asked not to use powerpoint as it is intended that this should provide for interaction with the audience. 

Chaired by Una O’Brien, Director General of Policy and Strategy, DH
David Satcher
CSDH Commissioner, Director of the Centre of Excellence on Health Disparities
Risa Lavizzo-Mourey
President & CEO, Robert Wood Johnson Foundation
Bjarne Hakon Hanssen
Minister of Health and Care Services, Norway

1635 - 1705

 Moving Forward:

Closing remarks and next steps

Reflection on learning from the conference based on work at tables and report back by parallel session rapporteurs.  Indication of what will happen next.

Michael Marmot
Chair of CSDH

1705 - 1710

 The London Experience: Highlights of the Conference

There will be live weblinks of the plenary and panel sessions for people not attending the conference and these will be supplemented with interviews with Commissioners and other participants.  Highlights from the conference will be drawn from these and with the addition of supplementary footage from informal situations, will be presented as the highlights of the conference.

Introduced by John Humphreys

1710 - 1715

 Final Remarks

 John Humphreys

 1715

 CLOSE

 


 
The Webcast Team support@joosetv.com

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMS Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

 

 

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.