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Progress towards the MDGs Positioning health in the post-2015 framework

OUTLINE. Progress towards the MDGs Positioning health in the post-2015 framework Addressing HIV in the new development agenda: Building on the unfinished business of the MDGs Integrating HIV into universal health coverage. MDGs DRIVING ADVANCES IN HEALTH. Child mortality 2012.

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Progress towards the MDGs Positioning health in the post-2015 framework

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  1. OUTLINE • Progress towards the MDGs • Positioning health in the post-2015 framework • Addressing HIV in the new development agenda: • Building on the unfinished business of the MDGs • Integrating HIV into universal health coverage

  2. MDGs DRIVING ADVANCES IN HEALTH Child mortality 2012 Target: - 66% (1990 – 2015) Maternal mortality 2010 -53% -47% +3800% Target: - 75% (1990 – 2015) Malaria (2000-2012) TB (1990-2012) HIV -33% -29% -42% -45% Incidence Mortality Mortality New Infections (2001-2012) ART (2002-2013)

  3. BEYOND MDGs - POSSIBLE FOCUS AREAS FOR SDGs

  4. POSSIBLE HEALTH GOAL AND SUBGOALS

  5. BUILD ON MDGs 1. Focus on those MDGs most off-track 2. More ambitious targets for those on track – ending AIDS, TB and malaria epidemics Universal access to HIV prevention, treatment, care and support services Sustain and build on gains in TB – new TB strategy with goal of eliminating TB Sustain and build on gains in the fight against malaria – new strategy in development

  6. UNIVERSAL HEALTH COVERAGE – 3 DIMENSIONS All people receive the services they need of adequate quality without incurring financial hardship

  7. COMPREHENSIVE QUALITY HEALTH SERVICES Examples of HIV contributions to UHC • HIV intervention packages • Intervention framework - HIV prevention, care & treatment cascade • Research agenda and innovation (basic, clinical, operational, social sciences) Future priorities • Better defining core interventions • Expand coverage through progressive realization • Quality assurance & improvement • Linking HIV with other health areas – NCDs, SRH • Single framework for national strategic planning and costing

  8. EQUITABLE COVERAGE FOR ALL • Examples of HIV contributions to UHC • Normative guidance for key populations • Models of service delivery to reach marginalized and remote populations • Civil society as equal partners • Health & community systems strengthening • Interventions for enabling environments Data from multiple sources, with some sampling limitations • Future priorities • Improve & disaggregate strategic information • Address social determinants • Focus on populations and locations most affected • Focus on interventions where response is lagging • Research and innovation for better service delivery

  9. FINANCING HIV RESPONSE Examples of HIV contributions to UHC • Assessing resource needs and programme costing • New investments in health • New funding approaches • Innovative financing (e.g. public-private partnerships) • Improved efficiencies in service delivery • Access to affordable medicines and other health commodities Future priorities • Continued external development assistance • Greater focus on domestic funding • Universal financial risk protection schemes • Cover associated out-of-pocket expenses • Address specific needs of middle-income countries

  10. WHERE TO FROM NOW? • SDGs: Position HIV prominently in the health goal and include HIV-sensitive indicators in other goals. • MDGs: Build on the MDGs with even more ambitious HIV-related targets. • UHC: Use the HIV experience to achieve UHC and use the UHC framework to accelerate and strengthen the HIV response. • Define core HIV interventions to be included in UHC packages • Expand HIV links with other health areas to achieve health equity • Focus where interventions are needed and responses lagging • Emphasize efficiency and quality • Ensure universal financial and social protection

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