Health Equity: 11/05/08

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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information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
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“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
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Health Organization PAHO/WHO or its country members”.
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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

[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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    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.