How can health remain central post-2015 in a sustainable development paradigm?

Globalization and Health

Gorik Ooms²  Claire E Brolan³  Kent Buse¹  Peter S Hill³ 

[1] Joint United Nations Programme on HIV/AIDS, (UNAIDS), 20 Avenue Appia CH-1211, Geneva 27, Switzerland;Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerpen, Belgium;School of Population Health, The University of Queensland, Herston Road Herston, 4006 Brisbane, Australia

关键词: Health policy;    Sexual and reproductive health and rights;    Non-communicable diseases;    Universal health coverage;    United Nations;    Sustainable development;    Sustainable Development Goals (SDGs);    Millennium Development Goals (MDGs);   

Others  :  803787
DOI  :  10.1186/1744-8603-10-18

 received in 2013-09-26, accepted in 2014-03-17,  发布年份 2014

【 摘 要 】

In two years, the uncompleted tasks of the Millennium Development Goals will be merged with the agenda articulated in the 2012 United Nations Conference on Sustainable Development. This process will seek to integrate economic development (including the elimination of extreme poverty), social inclusion, environmental sustainability, and good governance into a combined sustainable development agenda. The first phase of consultation for the post-2015 Sustainable Development Goals reached completion in the May 2013 report to the Secretary-General of the High-Level Panel of Eminent Persons on the Post-2015 Development Agenda. Health did well out of the Millennium Development Goal (MDG) process, but the global context and framing of the new agenda is substantially different, and health advocates cannot automatically assume the same prominence. This paper argues that to remain central to continuing negotiations and the future implementation, four strategic shifts are urgently required. Advocates need to reframe health from the poverty reduction focus of the MDGs to embrace the social sustainability paradigm that underpins the new goals. Second, health advocates need to speak—and listen—to the whole sustainable development agenda, and assert health in every theme and every relevant policy, something that is not yet happening in current thematic debates. Third, we need to construct goals that will be truly “universal”, that will engage every nation—a significant re-orientation from the focus on low-income countries of the MDGs. And finally, health advocates need to overtly explore what global governance structures will be needed to finance and implement these universal Sustainable Development Goals.

【 授权许可】

   
2014 Hill et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]United Nations: The Millennium Development Goals Report 2013. New York: United Nations; 2013:4-5.
• [2]Harttgen K, Klasen S: Do fragile Countries experience worse MDG progress? J Dev Studies 2013, 49:134-159.
• [3]The World We Want. Available at: http://www.worldwewant2015.org/post2015-about webcite (accessed 1 February 2014)
• [4]Global Thematic Consultation on Health: Health in the Post-2015 Agenda. Report of the Global Thematic Consultation on Health. New York: The World We Want; 2013:74-76.
• [5]Nations United: A New Global Partnership: Eradicate Poverty and Transform Economies Through Sustainable Development. The Report of the High-Level Panel of Eminent Persons on the Post-2015 Development Agenda. New York: United Nations; 2013.
• [6]Buse K, Hawkes S: Health post-2015: evidence and power. Lancet 2014, 383:678-679.
• [7]United Nations: The future we want: Outcome document adopted at Rio+20. New York: United Nations; 2013:27-28. Available at: http://www.un.org/en/sustainablefuture/ webcite (accessed 28 August 2013)
• [8]Sachs J: From Millennium Development Goals to Sustainable Development Goals. Lancet 2012, 379:2206-2211.
• [9]United Nations: A life of dignity for all: accelerating progress towards the Millennium Development Goals and advancing the United Nations development agenda beyond 2015. Report of the Secretary General. New York: United Nations; 2013:19. A/68/202
• [10]Open Working Group: Progress report of the Open Working Group of the General Assembly on Sustainable Development Goals. New York: United Nations; 2013. A/67/941. Available at: http://www.stakeholderforum.org/fileadmin/files/sdgs%20owg%20interim%20report.pdf webcite (accessed 19 Feb 2014)
• [11]Frenk J, Gómez-Dantés O, Moon S: From sovereignty to solidarity: a renewed concept of global health for an era of complex interdependence. Lancet 2014, 383:94-97.
• [12]Sustainable Development Solutions Network: An Action Agenda for Sustainable Development. Report for the UN Secretary-General. New York: United Nations; 2013:15-16. 29
• [13]Griggs D, Stafford-Smith M, Gaffney O, Rockström J, Öhman MC, Shyamsundar P, Steffen W, Glaser G, Kanie N, Noble I: Sustainable Development Goals for People and Planet. Nature 2013, 495:305-307.
• [14]Higgins K: Reflecting on the MDGs and Making Sense of the Post-2015 Development Agenda. Ottawa: The North–south Institute; 2013:13. Available at: http://www.nsi-ins.ca/publications/post-2015-development-agenda/ webcite (accessed 21 January 2014)
• [15]Jamison DJ, Summers LH, Alleyne G, Arrow KJ, Berkley S, Binagwaho A, Bustreo F, Evans D, Feachem RGA, Frenk J, Ghosh G, Goldie SJ, Guo Y, Gupta S, Horton R, Kruk ME, Mahmoud M, Mohohlo LK, Ncube M, Pablos-Mendez A, Reddy KS, Saxenian H, Soucat A, Ullveit-Moe KH, Yamey G: Global health 2035: a world converging within a generation. Lancet 1898–1955, 2013:382.
• [16]World Bank. World Development Report: Investing in Health. Washington DC: World Bank; 1993.
• [17]Horton R, Lo S: Investing in health: why, what, and three reflections. Lancet 2013, 382:1859-1861.
• [18]Kickbusch I, Brindley C: Health in the Post-2015 Development Agenda. An Analysis of the UN-led thematic consultations, High-Level Panel report and sustainable development debate in the context of health. Geneva: World Health Organization; 2013:23-40.
• [19]Melamed C: Putting Inequality in the Post-2015 Picture. London: Overseas Development Institute; 2012.
• [20]Kickbusch I, Szabo MMC: A new governance space for health. Global Health Action 2014, 7:23507.
• [21]Frenk J, Moon S: Governance challenges in global health. N Engl J Med 2013, 368:936-942.
• [22]Ottersen OP, Dasgupta J, Blouin C, Buss P, Chongsuvivatwong V, Frenk J, Fukuda-Parr S, Gawanas BP, Giacaman R, Gyapong J, Leaning J, Marmot M, McNeill D, Mongella GI, Moyo N, Møgedal S, Ntsaluba A, Ooms G, Bjertness E, Lie AL, Moon S, Roalkvam S, Sandberg KI, Scheel IB: The political origins of health inequity: prospects for change. Lancet 2014, 383:630-667.
• [23]Ooms G, van Damme W, Baker BK, Zeitz P, Schreker T: The ‘diagonal’ approach to Global Fund financing: a cure for the broader malaise of health systems? Glob Health 2008, 4:6. BioMed Central Full Text
• [24]Gostin LO: A proposal for a framework convention on global health. J Int Econ Law 2007, 10:989-1008.
• [25]van Kerkhoff L, Ahmad IH, Pittock J, Steffen W: Designing the green climate fund: how to spend $100 billion sensibly? Environment 2011, 53(3):18-30.
• [26]European Commission: Beyond 2015: towards a comprehensive and integrated approach to financing poverty eradication and sustainable development. Brussels: European Commission; 2013. Available from: http://ec.europa.eu/europeaid/what/development-policies/financing_for_development/documents/accountability-report-2013/accountability-report-2013-01_en.pdf webcite (accessed 7 April 2014)
• [27]Mayhew S, Van Belle S, Hammer M: Are we ready to build health systems that consider the climate? J Health Serv Res Pol 2014, 19(2):124-127.
• [28]Hill PS, Vermeiren P, Miti K, Ooms G, Van Damme W: The health systems funding platform: Is this where we thought we were going? Glob Health 2011, 7:16. BioMed Central Full Text
• [29]Franzen A, Meyer R: Environmental attitudes in cross-national perspective: a multilevel analysis of the ISSP 1993 and 2000. Eur Sociol Rev 2010, 26(2):219-234.