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OVERVIEW OF MACROECONOMIC & HEALTH

OVERVIEW OF MACROECONOMIC & HEALTH. KEY POINTS FROM THE OCTOBER 2003 GLOBAL CONSULTATION. Briefing for Permanent Mission Representatives. The CMH Report: key recommendations. Priorities investments to high-burden disease and conditions Cost the gap to expand access to available interventions

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OVERVIEW OF MACROECONOMIC & HEALTH

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  1. OVERVIEW OF MACROECONOMIC & HEALTH KEY POINTS FROM THE OCTOBER 2003 GLOBAL CONSULTATION Briefing for Permanent Mission Representatives

  2. The CMH Report: key recommendations • Priorities investments to high-burden disease and conditions • Cost the gap to expand access to available interventions • Set domestic and external expenditure targets • Partnership commitment to address the gap at global and country levels • WHO,World Bank & IMF provide support

  3. Macroeconomics & Health: support to countries • Disseminate CMH Report findings • Advocate for increased and equitable investment in health and social sectors • Support to analyse and cost funding gaps • Aid the process of creation of an investment plan • Assist national efforts to scale up

  4. Dialogues with countries June 2002 1st Global Consultation: CMH Report follow-up • Participants included 20 developing countries, world bank, bilateral donors and Gates Foundation • 1st Consultation translates CMH Report into country-led strategies • Country-specific approach, integrated into existing poverty reduction strategies • Calls for substantial increase in resources 3 Regional Meetings in 2003 • SEARO,EMRO,AFRO • 30 countries made plans relevant to national and regional contexts

  5. October 2003 Consultation: 40 countries participated • 31 Ministers of Health plus 19 from Finance and Planning Ministries • World Bank, Asian Development Bank, IMF • 74 WHO staff from country offices, regions and HQ • 6 NGOs and 10 UN organizations • Civil society and private sector • 5 sub-regional entities (e.g. CARICOM, ORAS & NEPAD) • 11 academic institutions • Several major media agencies

  6. Consultation participants agreed to: • Foster political commitment to health across ministries by improving the analysis of benefits of investing in public health • Put health investments in a macroeconomic framework: What is cost-effective, appropriates, realistic?How could it be achieved? • Work to greatly increase total resources: internal and external • Increase health system efficiency and synergies across sectors • Develop innovative donor/recipient partnerships relation • Deal with human resources gaps which constitute main impediment to progress

  7. Overview: Declaration of the October Consultation • Health placed within a broad commitment for social justice, good governance and peace • Finding effective ways to address health systems challenges • Support strategies for increased investments and their implementation • A broad partnership that honours donor commitments • Linking to ‘3 by 5’ to meet the HIV/AIDS global health emergency • Strengthen appropriate national and sub-regional mechanisms • Orient priorities toward pro-poor approaches, eg. Within PRSPs • Focus upon capacity building, leadership skills and incentive for skilled human resources

  8. Pressing Issues • Innovative and creative support to countries • Sustainable investments in infrastructure and human resources • Address challengers of middle-income countries • Scaling up requires external support that does not increase debt burden • Impact of high AIDS burden on human resources • Discuss the role of global public health goods in the country context

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