Date: Friday, April 11th, 2014 Time: 8:30 a.m. - 1:00 p.m. ET (12:30 – 17:00 GMT or convert time) Location: Online
This event has concluded. View the replay below.
In 1993, the World Development Report made a strong case for investing in health while the World Health Report 2010 showed how countries can develop their health financing systems to move closer to universal health coverage. The recent Lancet Commission on Investing in Health shows that improvements in health may account for as much as 24% of economic growth in low- and middle-income countries. With appropriate mobilization of resources, the Commission suggests that low- and middle-income countries could improve their maternal and child survival rates to equal those found in upper middle-income countries within a generation.
The way forward is dependent on reforms towards universal health coverage (UHC) that prioritize access to essential, quality health services, with financing mechanisms that protect people from being pushed into poverty or kept in poverty and to access the health services they need.
Co-sponsored by the World Bank Group and the World Health Organization (WHO), this half-day high-level event will identify ways in which countries can accelerate achievement of the Millennium Development Goals (MDGs) and emerging post-2015 targets with aligned support from the global development community around universal health coverage.
The event includes four panel discussions. We will take online questions for the fourth panel only, from 12:00pm - 1:00pm ET. If you’d like to submit a question for this panel, please do so using the question form at the bottom of this page. The entire event will be webcast live on this page.
Opening Remarks 8:30- 8:45 am EDT
Tim Evans, Director, Health, Nutrition and Population, World Bank Group
Margaret Chan, Director-General, World Health Organization
Panel 1: Securing equitable access to essential services 8:45 – 9:35 am EDT
Recep Akdað, former Minister of Health, Turkey, Member of Parliament, Grand National Assembly of Turkey
Pe Thet Khin, Minister of Health, Myanmar
Chris Elias, President, Global Development Program, Bill and Melinda Gates Foundation
Børge Brende, Minister of Foreign Affairs, Norway
Carolyn Miles, President and CEO, Save the Children USA
Moderator – Suwit Wibulpolprasert, Vice Chair, International Health Policy Program Foundation, Thailand
Panel 2: Strengthening domestic and international resource mobilization 9:45 – 10:35am EDT
Seth Berkley, CEO, GAVI Alliance
Daniel Kablan Duncan, Prime Minister, Minister of Economy, Finance and Budget Cote D’Ivoire Cesar Purisima, Secretary of Finance, Philippines
Kiyoshi Kodera, Vice President, Japan International Cooperation Agency
Jamie Cooper-Hohn, Chair, Children’s Investment Fund Foundation, UK
David Evans, Director, Health Systems Governance and Financing, World Health Organization
David de Ferranti (Moderator) President and Co-Founder, Results for Development
Panel 3: To 2015 and Beyond: Targets to Track Performance 11:00 – 11:50am EDT
Mongkol Na Songkhla, former Minister Public Health, Thailand
Miklós Szócska, State Minister of Health, Hungary
Midori de Habich, Minister of Health, Peru
Miatta Kargbo, Minister of Health, Sierra Leone
Paul Rochon, Deputy Minister of International Development, Canada
Ariel Pablos-Méndez, Assistant Administrator for Global Health, United States Agency for International Development (USAID)
Moderator – Tim Evans, Director, Health, Nutrition and Population, World Bank Group
Panel 4: Investing in Health: Toward Universal Coverage and Ending Poverty by 2030 12:00pm – 12:50pm EDT
Jim Yong Kim, President, World Bank Group
Ban Ki-moon, Secretary-General of the United Nations
Lawrence H. Summers, Charles W. Eliot University Professor & President Emeritus, Harvard University
Ngozi Okonjo-Iweala, Minister of Finance, Nigeria
Michael Bloomberg, Former Mayor, New York City, and U.N. Special Envoy for Cities and Climate Change
Moderator – Margaret Chan, Director-General, WHO
Closing Remarks 12:50 – 1:00 pm EDT
Margaret Chan, Director-General, WHO
Hope this Universal Health Coverage by 2030 A.D. program will be as successful as 'Pulse Polio Drive' in India. Hence, my question is are their definitive weekly goals kept in this program from small village level to each country levels? Are all the steps and procedures and reach made transparent and visible on the World Bank website?
Kurfi Abubakar Muhammed
1. There is need for the world to define what actually is UHC taking into consideration the peculiarities of different nations.
2. How does one measure the attainment of UHC by any nation? is there a possibility of harmonizing indicators for the attainment of UHC to make them more universally applicable.
Please can I ask a question to Mr Ban Ki-Moon, Secretary General of the United Nations:
Will you please make sure that universal health coverage is included in the goals to replace your MDGs. We in India desperately need better health services and this could really help us.
So will you make sure that all countries try and can get UHC after 2015?
Thank you for your consideration,
Dr. Mpuma Kamanga
What are the best practices on how to engage with the Ministry of Health to allocate adequate resources to the health sector?
Dr Mpuma Kamanga
What role can publicly financed insurance schemes play in moving lower middle income countries such as Zambia towards Universal health coverage?
Dr Mpuma Kamanga
What are the best practices on how Ministries of Health should engage the Ministry of Finance to allocate more resoucres to the Health sector?
Dr Mpuma Kamanga
What sort of Global and national instutions will be needed to accelerate greater investments in MCH,nutrition,NCDs, injuries and UHC reform?
Equitable access: how can we support decision makers make informed decisions between new products competing for fiscal and advocacy space? How can we protect them from profit motivated lobbying? What is the role of broad cost effectiveness studies?
What is the role of the International Health Partnership to achieve Universal Health Coverage? And, how can it be strengthened, in light of still increasing fragmentation of approaches at country level?
What is the best way to collect contributions from the people in developing nations putting in mind that most of the people in these nations are in the informal sector and most youths are not employed.
For Lawrence Summers: How solid is the causal relation from health to growth? More health care could reduce growth by siphoning resources away from investment and raising tax burden. More growth will cause better health because of better food, sanitation, less polution, and public health policies for contagious diseases. How do these measures compare in effectiveness to coverage for illness? Where do you see the most promising opportunity for the World Bank?
For World Bank Group president Dr Kim : please, can you explain why World Bank projects often promote more demand for health care? We say that a pineaple a day, keeps the doctor away. Is prevention or health care the better way to have good health for all the people? Where will you put priority as World Bank president?
What is the role of civil society in accelerating progress toward universal health coverage? How would intergovernmental agencies such as the World Health Organization respond to calls and campaigns among the general public to take practical steps toward UHC? How can intergovernmental agencies and civil society work together to ensure that UHC is prioritized through not only rhetoric but also practical actions on local, national, and global scales?
dr nam eun-woo
Where i can find ppt materials.?
can we share the ppt ?
This question is for Michael Bloomberg but also for the World Bank and WHO. Resources are very constrained in poor countries. It is difficult to raise tax revenue when tax evasion is rampant and growth is not good. So we need to make hard choices about spending our health dollars. Where do you feel priorities should be placed by our government? You have been promoting better public health. How has it paid off and what advice do you have for mayors of large cities in poor countries? Should we compare the benefits of more health care to the benefits of public health programs, if we need to make choices and cannot have more of everything, more public health and more health care? How did you succeed in boosting public health programs in New York? What is the role of public health in reaching Univeral Health Coverage goal in Kenya and other low-income countries? Thank you.
NABAKISHORE PANDU (N.K.PANDU)
The plan and policy of the Universal health program for 2030 is all right.But my question is this noble issue of the plan and policy is staring form grass level from individual to individual, family to family ,village to village , gram panchyat to panchyat, block to block, district to district and state to state for through general awareness for mass involvement and successful not in papers but in practical in Indian counterpart. The noble issue health is wealth, come .join and participate for the universal health program for 2030. N.K.PANDU, RESEARCH CUM NBDP INDIA PLANNER
Adam L. Kushner, MD, MPH
Dr Jim Yong Kim, President of the World Bank spoke to the Lancet Commission on Global Surgery meeting and stated “Surgery is an indispensable part of health care.”
I’d like to hear from the panelists their thoughts on how surgical care can be included in health system strengthening in terms of prevention, screening, curing and palliation of diseases, injuries and disabilities.
When we looked at countries who achieved the Universal Health Coverage within relatively short period of time, the strong political leadership played key roles in institutionalizing relevant laws and regulations to adopt the UHC. By adopting UHC, many countries have shown that they were able to improve their healthcare delivery system and to increase the access to healthcare since more people started seeking healthcare services than before. However, the financial sustainability has become very challenging even for developed countries. For developing countries, how can we address this financial sustainability issues especially?
One way to accelerate UHC will be to include an agenda for research on implementation as an integral part of this initiative. This research could help remove obstacles to achieving UHC, lower costs, improve impact and ensure the programs are achieving the greatest return on investment . What efforts are anticipated to support an agenda for research on implementation? I
If the panel members address the important question from Dr Kuchner above, about ways to integrate surgery into Universal Health Care, could they also please discuss the effect of increasing antibiotic resistance?
Antibiotic drugs are essential for surgery success. Does WHO anticipate that the drugs will weaken and when will they stop working ? If so, what will be the effect on surgery patients in poor countries?
Dr Kim, how does the World Bank goal for UHC take this spreading antibiotic resistance consideration? What can be done?
What is different this time, from 1978 Primary Health care, The 2000 MDGs, now UHC.. Perhaps the time is right for a true reflection on all these initiatives asking right questions on why, what, when, to whom, by whom what happened or was achieved or not achieved.
Demand for quality health care increases as families move out of poverty. Supply side needs to improve nevertheless. Devleoping countries have difficulty prioritizing between poverty and health. Shouldn't we think of turning around- 'Investing in Health: Toward Universal Coverage and Ending Poverty'?
Dr Gisela Schneider
How can Primary Health Care be revitalised especially in LIC and a system of health financing established that protects people from poverty?
How can we reverse the brain drain and ensure that the huge potential that exists in many LIC and MIC can be made available to the people who most need them.
Do we need a Global Health Fund that will ensure UHC alongside mobilising local resources and innovative health financing systems?
Dr. Rashid Jooma
I wish to enquire of the members of Panel 3 from their country examples, how a low income country with resource constraint can invest in underwriting universal coverage concurrent to their expenditures on their state funded health networks which offer free (and poor quality) service?
David Lawrence Chu
What impact on universal health would you expect if a LMIC community heath worker can act as the eyes, hands, ears, and arms for - to be tele-guided by - specialists situated anywhere in the world? An extremely frugal and simple, and low-powered wearable prototype has demonstrated feasibility. The scenarios were presented at the 2013 World Congress for Surgery, et ctc. (WCSOTA). An application has been submitted to the 4th round of Saving Lives At Birth.
UHC should include health protection and promotion in order to make health care an achievable task from the resources point of view. Much of these actions happen beyond the health care medical services, and therefore are systematically set aside and therefore institutionally weak. What do you consider is the best approach to integrate that into the core of UHC definition?