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Helping Health Systems Develop: Russia’s Role. John Kirton and Jenilee Guebert G8 and G20 Research Groups Munk School of Global Affairs, University of Toronto April 20, 2011. Introduction. Beyond official development assistance to socioeconomic determinants of health
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Helping Health Systems Develop:Russia’s Role John Kirton and Jenilee Guebert G8 and G20 Research Groups Munk School of Global Affairs, University of Toronto April 20, 2011
Introduction • Beyond official development assistance to socioeconomic determinants of health • Beyond the Development Assistance Committee and the International Bank for Reconstruction and Development or the World Health Organization • Beyond health silos to a “whole of government” approach • A summit subject — for the G8, the G20 and other plurilateral summit institutions • Russia’s G8 2006: health first, development push at home
G8 Performance on Health Systems for Development • 1979–2010 with Muskoka Initiative on Maternal, Newborn and Child Health (MNCH) for Millennium Development Goals Nos. 4 & 6 • Russia’s G8 2006: priority, ministerial, commitments • G8 compliance
G20 Performance on Health Systems for Development • MDGs to Seoul Development Consensus • Noncommunicable diseases (NCDs) added for the first time • Indonesia’s initiative: a club where all can lead
United Nations Performanceon Health Systems for Development • 2010 maternal, newborn and child Health from Muskoka to New York • 2011 UN summit on noncommunicable diseases (September 19) • Russia’s role: First global NCD ministerial (April 28)
Russia’s Role • NCD risk factors: alcohol, tobacco, road accidents • From statist to private-public partnerships for health systems for development (privatization) • Historic and new footprint in Africa and nearby • Bringing the BRICS (Brazil, Russia, India, China and South Africa) into health systems for development • Add 2012 Asia Pacific Economic Cooperation Forum and the G20 2013/14
Raising the Resources • Principles • Save before you spend • Subsidize goods not bads • Tax bads not goods • Produce what you promise • Count on citizens to help • If we all do a little, we all gain a lot • Prevention first to shrink the strain
Raising the Resources • Actions: The Bottom Line • Phase out fossil fuel subsidies • Shift agricultural subsidies to healthy foods • Tax tobacco and transfats • Accountability assessments of Canada’s $5 billion