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Presenting. U.N. Roles on Public Health. B y Anne Whitsel and Brooke Bauman. Contents. Solutions. Current Public Health System Under U.N. Management. 1. 3. Issues with Public Health System. 2. Current Public Health System Under U.N. Management.
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Presenting... U.N. Roles on Public Health By Anne Whitsel and Brooke Bauman
Contents Solutions Current Public Health System Under U.N. Management 1. 3. Issues with Public Health System 2.
World Health Organization • Directing and Coordinating Authority • Focus on Improving World Wide Health -ex: 6 point plan • Research and Policies
Joint Programs & Organizations • United Nations Childrens Fund (UNICEF) • The Joint United Nations Program on HIV & AIDS (UNAIDS) • United Nations Population Fund (UNFPA)
Formation of Policies & Initiatives • General Assembly • Economic & Social Council (UNECOSOC)
Public Health Policies 1952 to 1964 • WHO: inspected 300 million for yaws, cared for affected 50 million 2013 to present • UNICEF and WHO: Anti-polio Campaign in Syria
World Health Goals • Alma Ata Declaration of 1978 • Universal Commitment • Financial Risk Protection -"Everyone should have access to the health services they need without risk of financial ruin or impoverishment" • Treatment for HIV/AIDS & TB
U.N. Health Budget • $5.53 billion budget adopted • 20 million: children’s health • 13 billion required: health and treatment
Issues With Public Health System
Health Coverage Factors That Determine Health Coverage: • Population • Percentage Affected By Disease • Number of Health Workers • Wealth • Large gap between present health coverage and Universal Health Coverage (UHC)
World Health Report: 2006 The AmericasSub-Saharan Africa 14 % of the world’s population 11% of the world’s population 10% of the global burden of disease 25% of the global burden of disease 42% of the world’s health workers 3% of the world’s health workers >50% of global health expenditure < 1% of global health expenditure Source: 2006 World Health Report, World Health Organization.
2013 WHR (Continued) • ⅓ of people given antiretroviral treatment (ART) • 5 million still in need of treatment
Funding For Appeals • Flash and Consolidated Appeals - Natural Disasters and War Zones • At 60% of total required funding needed
Research Coordination & Communication • Relationship between researchers/ health workers and policy makers - “Top Down v.s. Bottom Up Approach” • Research conducted far away from where it will be applied
System Management • Fair Number of Health Workers • Provide Healthcare to the Financially Unstable -ex: Cash payments • Focus on the Role of the United Nations (UHC)
Education on Disease Prevention In order to prevent diseases before they occur… • More educational programs ex: Department of Defense HIV/AIDS Prevention Program (DHAPP) ex: United States of America International Development (USAID)’s International Mother and Child HIV Prevention Initiative What You Need to Know on HIV & AIDS… 1. Prevention is more effective than Treatment!
Analyzing Funding For Appeals • Difficult to raise money for an issue that hasn’t occurred (Flash Appeal) • Generosity of donors/ Financial Status • Large budget Sending Donors (not including relief groups) to areas they will be funding ???
Research Coordination & Communication • Studies conducted closer to affected area • “Bottom Up Approach”
Conclusion Solutions 1)System Management 2) Education 3) Presenting Problems to Donors 4) “Bottom Up Approach” Main Problems 1) Lack of Healthcare in poor countries 2) More Focus on Prevention v.s. Treatment 3) Lack of Funding 4)Currently a “Top Down” Approach
Sources Cited • "About WHO." WHO. N.p., n.d. Web. 30 Jan. 2014. <http://www.who.int/about/en/>. • "Bodies, History, Visits, Employment, Address, Members, Budget, Information." UN News Center. UN, n.d. Web. 25 Jan. 2014. <http://www.un.org/en/aboutun/index.shtml>. • "General Assembly Adopts $5.53 Billion Budget to Fund WorldwideOperations as Main Segment of Sixty-eighth Session Concludes." UN News Center. UN, 27 Dec. 2013. Web. 30 Jan. 2014. <http://www.un.org/News/Press/docs/2013/ga11479.doc.htm>. • Gladstone, Rick. "Polio Vaccination Effort in Syria Appears to Have Some Effect." The New York Times, 9 Jan. 2014. Web. 29 Jan. 2014. <http://www.nytimes.com/2014/01/10/world/middleeast/polio-in-syria-is-said-to-be-under-control.html?_r=0>. • "Global Issues at the United Nations." UN News Center. UN, n.d. Web. 21 Jan. 2014. <http://www.un.org/en/globalissues/health/>. • "Main Messages from World Health Report 2013: Research for Universal Health Coverage." WHO. N.p., n.d. Web. 30 Jan. 2014. <http://www.who.int/whr/2013/main_messages/en/index.html>. • Nelson, Jane. "Business As a Partner in Strengthening Public Health Systems in Developing Countries." N.p., n.d. Web. 20 Jan. 2014. <http://www.un.org/partnerships/Docs/report_13_HEALTH%20FINAL.pdf>. • "Prevention Programs." Prevention Programs. U.S. Department of Health and Human Services, n.d. Web. 30 Jan. 2014. <http://www.aids.gov/federal-resources/hiv-aids-programs/prevention-programs/>. • "Providing Help for Children." Save a Child. N.p., n.d. Web. 15 Jan. 2014. <http://www.unicefusa.org/work/>.
Sources Cited (Continued) • "Research for Universal Health Coverage." World Health Report 2013. N.p., 2013. Web. 31 Jan. 2014. <http://www.who.int/entity/whr/2013/whr2013-slides.pptx?ua=1>. • "UN Agencies Begin Syrian Immunization Campaign after Reports of Polio Outbreak." United Nations Multimedia, Radio, Photo and Television. N.p., 25 Oct. 2013. Web. 1 Feb. 2014. <http://www.unmultimedia.org/radio/english/2013/10/un-agencies-start-syrian-immunization-campaign-after-reports-of-polio-outbreak/>. • "UN Launches Middle East Anti-polio Campaign." The Times of Israel. N.p., 8 Nov. 2013. Web. 30 Jan. 2014. <http://www.timesofisrael.com/un-launches-middle-east-polio-campaign/>. • "UN, Partners Seek Record $13 Billion to Bring Life-saving Aid to Millions in 2014." UN News Center. UN, 16 Dec. 2013. Web. 21 Jan. 2014. <http://www.un.org/apps/news/story.asp?NewsID=46743&Cr=humanitarian+appeal&Cr1=#.UtGkRtGA3IU>. • "UNAIDS Strategy 2011-2015." UNAIDS Strategy 2011-2015. N.p., n.d. Web. 02 Feb. 2014. <http://www.unaids.org/en/aboutunaids/unaidsstrategygoalsby2015/>.
Sources Cited (Continued) • "UNFPA in the UN System." UNFPA -. N.p., n.d. Web. 31 Dec. 2013. <http://www.unfpa.org/public/home/about/pid/4629>. • "United Nations Fund For International Partnerships." United Nations, 20 Dec. 1999. Web. 31 Jan. 2014. <http://www.un.org/partnerships/Docs/children_a-54-664-add1.pdf>. • "The United Nations System." United Nations Department of Public Information, n.d. Web. 26 Jan. 2014. <http://www.un.org/en/aboutun/structure/pdfs/UN%20system%20chart_lettercolor> • "WHO Called to Return to the Declaration of Alma-Ata." WHO. N.p., n.d. Web. 03 Feb. 2014. <http://www.who.int/social_determinants/tools/multimedia/alma_ata/en/>.
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