“Benefits of the post-2015 UN Development Agenda for health workers and their families”

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network “Benefits of the post-2015 UN Development Agenda for health workers and their families” Thomas Schwarz, Executive SecretaryMedicus Mundi International Network

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 All The post-2015 UN Development Agenda 2 How does health fit in it? 3 What good is it for health equity? …and for health workers??

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 • The post-2015 UN Development Agenda “Realizing the Future wewant for All” • The worldwe do not wantanymore • The worldtheywanted in 2015 • “Realizing the future we want for All” • ?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 Realizing the Future we want for All The world we do not want any more ?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 Realizing the Future we want for All The world they wanted in 2015 ?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 Realizing the Future we want for All The world they wanted in 2015 eradicating extreme poverty and hunger, achieving universal primary education, promoting gender equality and empowering women reducing child mortality rates, improving maternal health, combating HIV/AIDS, malaria, and other diseases, ensuring environmental sustainability, and developing a global partnership for development.

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 Realizing the Future we want for All The world they wanted in 2015 “While intended as one means of monitoring progress… …the way goals are defined inevitably influences how the world understands development and the ways in which it can be advanced.” UN Task Team, June 2012

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 Realizing the Future we want for All The world they wanted in 2015 “Goals are thus interventions in their own right, shaping the meaning of development… …and influencing resource transfers within and between nations and institutions.” UN Task TeamJune 2012

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 Realizing the Future we want for All The world they wanted in 2015 ? Certainly some of us hada good time with the MDGs… eradicating extreme poverty and hunger achieving universal primary education, promoting gender equality and empowering women reducing child mortality rates, improving maternal health, combating HIV/AIDS, malaria, and other diseases, ensuring environmental sustainability, and developing a global partnership for development.

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 “Realizing the Future we want for All” ?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 “Realizing the Future we want for All” ? “In the current context, it is no longer viable to argue the case for continuing business as usual, merely extending the time frame and making minor adjustments to the current framework of goals and targets.” UN Task team

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 1 “Realizing the Future we want for All” ? • UN Task Team proposes an integrated framework for realizing the “future we want for all” in the post-2015 UN development agenda • Three fundamental principles • Fourcoredimensions • Four broad areas of “enablers”

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network enablers strategies and means to achievethe goals enablers strategies and means to achievethe goals EnvironmentalSustainability the world we want after 2015 the future we want for All ? Human Rights Inclusive economicdevelopment Peace and security Equality Sustainability enablers strategies and means to achievethe goals enablers strategies and means to achievethe goals Inclusive socialdevelopment

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda:? …how does health fit in it?

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network the world we want after 2015 the future we want for All ? “enablers” (…) Universal access to quality health care Inclusive socialdevelopment (…)Reduced mortality and morbidity

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda: …how does health fit in it? ? Thematic consultation, October 2012 – March 2013: “Health in the Post-2015 Development Agenda” What are the lessons learnt from the health related MDGs? What is the priority health agenda for the 15 years after 2015? How does health fit in the post 2015 development agenda? What are the best indicators and targets for health? How to ensuring a process and outcome that is relevant to the key stakeholders?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda: …how does health fit in it? ? www.worldwewant2015.org/health

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network Thematic guide:www.bit.ly/mmi-beyond2015guidewww.medicusmundi.org

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda: …how does health fit in it? ?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …how does health fit in it? “On one hand, it can be argued that the health agenda has broadened and that “new” issues such as noncommunicable diseases, health systems and health security need to be reflected in goals or targets. It is equally evident, however, given the context in which we are working, that a long list of health goals is unlikely to be acceptable. ” …strategic reflections …UHC as ”overarching health goal” (WHO)

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda:? …how does health fit in it? Thematic consultation, October 2012 – March 2013: “Health in the Post-2015 Development Agenda” What are the lessons learnt from the health related MDGs? What is the priority health agenda for the 15 years after 2015? How does health fit in the post 2015 development agenda? What are the best indicators and targets for health? How to ensuring a process and outcome that is relevant to the key stakeholders?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda:?? …how does health fit in it? “The common thread for the global agenda is the need to change the focus from dealing with selected diseases and conditions... ...to ensuring access to services, using innovation to foster efficiency, preventing exclusion and protecting people against catastrophic expenditure when they fall ill.” Thematic think piece

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 2 Post-2015 UN Development Agenda: …how does health fit in it? “The gaps within and between countries demand a much sharper focus on inequities and their consequences for health, and on health inequities themselves.” Thematic think pieceMay 2012

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health equity? • We will call for a post-2015 framework, that: • Addresses the root causes of poverty and structural power imbalances;

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health equity? • We will call for a post-2015 framework, that: • Recognises health as a right in and of itself and seeks to reduce inequities in health and other aspects of development.

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health equity? • We will call for a post-2015 framework, that: • Ensures broad participation in its preparation, monitoring of processes and outcomes and includes systems of accountability and governance;

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health equity? • We will call for a post-2015 framework, that: • Establishes a clear financing framework that moves beyond ODA, is based on social justice and addresses the illicit outflow of funds from developing countries;

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health equity? • We will call for a post-2015 framework, that: • Takes due attention to the three R's (Regulation, Rights, and Redistribution) as principles for the global governance for health in policy domains within and beyond the health sector;

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health equity? • We will call for a post-2015 framework, that: • Includes health and equity as outcome indicators in non-health development goals.

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network enablers strategies and means to achievethe goals enablers strategies and means to achievethe goals EnvironmentalSustainability the world we want after 2015 the future we want for All ? Human Rights Inclusive economicdevelopment Peace and security Equality  Sustainability enablers strategies and means to achievethe goals enablers strategies and means to achievethe goals Inclusive socialdevelopment

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health workers?

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health workers? “The health MDGs entailed 3 goals, 6 time-bound targets, and 19 indicators to track progress; however none of them was specific to the health workforce. The Global Health Workforce Alliance, launched in 2006 to identify and advocate solutions to HRH challenges, would like to see human resources for health issues better reflected in the post-2015 development agenda.”

After the MDGs: Social Protection by Workers and for WorkersGeneva, 10 December 2012, NGO Forum for Health / Public Services InternationalInput by Thomas Schwarz, Medicus Mundi International Network 3 Post-2015 UN Development Agenda: …what good is it for health workers? ...this question goes back to you.

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network 1 the world we want after 2015“the future we want for All” ? Thank you! www.bit.ly/mmi-beyond2015guide

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network Annex 1: Beyond 2015

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network Beyond 2015 is a global civil society campaign pushing for a strong and legitimate successor framework to the Millennium Development Goals. www.beyond2015.org

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network “We seek to create a civil society consensus around a minimum standard of legitimacy for a post-2015 framework, both in terms of the process and the framework itself. “ www.beyond2015.org

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network www.beyond2015.org

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network Annex 2: MDG critizism

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network the world we want after 2015 the world they wanted in 2015 • “MDGs suffer from: • Donor over-influence • inattention to action on underlying social and economic inequalities • a predominant focus on health and education rather than on the entire political economy” • Claudio Schuftan, PHM, Are you MDG-skeptic? I am.

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network the world we want after 2015 the world they wanted in 2015 • “MDGs • encourage quick-fix technical approaches • offertoo little too late and only for a few • emphasize average outcomes across an undifferentiated population. • do not recognize that poverty is a function of human rights violations” • Claudio Schuftan, PHM, Are you MDG-skeptic? I am.

the world we want after 2015 the world they wanted in 2015 • “MDGs • were set arbitrarily …in the North … resulting in the ghettoization of the problems of development • call for change, but not for creating the conditions to make real needed structural change possible. • have failed to provide a real sense of ownership either by poor countries’ governments or their civil society actors” • Claudio Schuftan, PHM, Are you MDG-skeptic? I am.

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network Annex 3: GHWA online discussion4-6 December 2012

All together defining the role of health in the world we want after 2015 ? Reformulating "Health for All" in Sustainable Development Goals Thomas Schwarz, Executive Secretary, Medicus Mundi International Network Annex 3: GHWA online discussion “I suggest not to be too much focused on strategic reflections on how to ensure the inclusion of HRH in the post-2015 development framework. I invite HRH and other health activists to leave their respective sectoral silos and try to come to a joint answer to the second question of the introductory blog: What should be the priority health agenda in the next decades?” Thomas Schwarz

“Benefits of the post-2015 UN Development Agenda for health workers and their families”