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From the Report Building from Common Foundations: The World Health Organization and Faith-Based Organizations in Primary Health Care. The Reverend Canon Ted Karpf Office of the Director-General Partnerships and UN Reform World Health Organization. Setting the Context.
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From the ReportBuilding from Common Foundations:The World Health Organization and Faith-Based Organizations in Primary Health Care The Reverend Canon Ted Karpf Office of the Director-General Partnerships and UN Reform World Health Organization
Setting the Context • Widespread health challenges in communities around the world include: Malaria, Tuberculosis, HIV/AIDS, child survival, diseases exacerbated by climate change • Revival of the primary healthcare model within WHO as vertical silos tend to isolate diseases and mitigate against system-wide solutions • Primary Health Care offers the potential for greater breadth and effectiveness in treating, caring and prevention, by including FBOs • WHO to rejuvenate dialogue and partnership with FBOs
Key Findings of ARHAP Report 2006 • FBOs provide at least 40% health care in developing countries • FBOs offer a wide range of treatment, care and prevention activities, along with social development and spiritual support services • FBOs Often more closely aligned with community needs • FBOs offer a range of assets and resources that could strengthen primary care health system • FBOs can function in accordance with WHO priorities and primary healthcare principles
Dilemmas and Complexities • Religious mission connects with health services through the value of compassion and commitment to decency, but can be linked to evangelism, which is negative to government • Issues of morality can cause tensions with some health interventions and strategies • Some faith groups tend to rely on a voluntary or more ‘amateur’ models of service delivery • FBOs are challenged by standards and norms set by WHO and government ministries • Engaging with FBOs entails challenges, yet...
Basis of Common Interest • Roots of Alma Ata found in Christian Medical Commission and collaboration with WHO • An holistic approach to health and well-being - founded in values of compassion and decency • Benefits of partnership: economy of effort, consistent and quality of care, community-based community-driven interventions • A track record of experience with WHO for six decades through a variety of health interventions
WHO Charter – Health Principles Health is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity. The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. The health of all peoples is fundamental to the attainment of peace and security and is dependent upon the fullest co-operation of individuals and States. The achievement of any State in the promotion and protection of health is of value to all.
Areas for Collaboration & Partnership • Potential to: • deliver quality services valued by community and government • narrow gaps in national health planning programmes and systems • support and manage a coordinated network of FBO and other community health assets • FBO must work in systems of accountability: monitoring and evaluation must be part of them • Opportunities for developing more comprehensive community-based health systems
Ways Forward • Engage in dialogue with faith communities and institutions among government and international organizations • Provide guidance for the engagement with religious health assets in international and national health system planning and programming • Engage FBOs when developing national health plans • Opportunity to spearhead pilot programmes of health system re-engineering
Ways Forward continued • Develop the concept of primary health care consensus • Promote constructive relationships between FBO and government • Develop relationships among Faith-Based Development Agencies and governments & international organizations • Support FBOs and FBDAs to develop proposals to: • Support health financing • Ensure recruitment and retention of staff • Establish monitoring and evaluation frameworks
Conclusions • Much can be achieved in renewed interaction and cooperation between WHO and FBOs • Clear, long-term commitment to dialogue and collaboration and mutual learning • Next steps • A road map developed with stakeholders • Embark together
Thank you Together: The objective of the World Health Organization shall be the attainment by all peoples of the highest possible level of health.