Special Issue No. 7: Consultation on Macroeconomics and Health: December 2003
Countries present macroeconomics and health work
The China delegation, led by Mr Qiang Gao, Executive Vice-Minister of Health, highlighted lessons learned from SARS, including the importance of health for socioeconomic development. In the past twenty-five years, increased access to health services has meant improvements in major health indicators. However, China recognizes that people’s health needs, particularly those of the poor, are not being met. The Government is taking action to strengthen commitment and investment in health, establish a public health emergency response system, and make rural health a country-wide priority. Please see: http://www.who.int/macrohealth/infocentre/presentations/en/3gaoqiang.pdf [pdf 305kb]. A briefing and discussion on China’s experiences in dealing with recent public health crises was held at the conclusion of the first day’s session of the Ministerial meeting.
The Djibouti representatives, led by Dr Mohamed Ali Kamil, Minister of Health, presented country efforts to develop pro-poor multisectoral strategies for health. This includes mobilizing increased resources and using existing resources better. Djibouti has established an inter-ministerial dialogue and a high-level coordinating mechanism. It has identified three priority diseases affecting the poor and is putting in place integrated action to address them, as well as encouraging collaboration between civil society, the private sector, and the government. Macroeconomics and health in Djibouti aims to work with Basic Development Needs (BDN) and intersectoral committees for AIDS. Please see: http://www.who.int/macrohealth/infocentre/presentations/en/6djibouti.pdf [pdf 159kb].
The Ethiopia delegation, led by Dr Tadesse Kebede, Minister of Health, said that the country is currently preparing for the third phase of its Health Sector Development Programme (HSDP), which is government-led, encourages strong partnerships, and is focused on addressing poverty-related diseases. Ethiopia’s government sees macroeconomics and health as a tool to accelerate implementation of HSDP. The country has completed analytical work and continues to move the macroeconomics and health process forward. Please see: http://www.who.int/macrohealth/infocentre/presentations/en/8ethiopia_hsdp.pdf [pdf 83kb].
The Ghana delegation, led by Dr Moses Dani Baah, Deputy Minister of Health, reported that Ghana initiated macroeconomics and health work in July 2002 and is now focusing on water and sanitation access and human resources capacity at village level. The Technical and Advisory Committees of the Ghana Macroeconomics and Health Initiative (GMHI) recommended establishing health insurance, implementing community-based health planning and services, waste management, increasing investments in water and sanitation, and mobilizing increased resources.
Please see: http://www.who.int/macrohealth/infocentre/presentations/en/4ghana.pdf [pdf 348kb].
The representatives from Indonesia, led by Dr Anhari Achadi, Senior Adviser to the Minister of Health, said that the macroeconomics and health approach in Indonesia aims to accelerate existing initiatives in line with Indonesia’s poverty reduction strategy framework and the Millennium Development Goals. Progress has been achieved in transferring more resources to the districts, and also in addressing the social aspects of poverty nationwide. Significant progress has also been made in reducing financial vulnerability to medical expenses, ensuring sufficient resources to priority health needs, and increasing coverage with the participation of private and NGO health providers.
Please see: http://www.who.int/macrohealth/infocentre/presentations/en/5indonesia.pdf [pdf 189kb]
The Mozambique delegation, led by Dr Francisco Songane, Minister of Health, said that the country is continuing advocacy and consensus-building on the relevance of the CMH findings and is establishing coordinating mechanisms with the Economic Council of the Cabinet to steer the process. Mozambique’s presentation concluded that its Action Plan for the Reduction of Absolute Poverty (PARPA) is the basis for helping to define the allocation of internal and external resources to health; resources should go through the state budget to increase coverage and transparency; and more studies should be conducted on the impact of health and health investments on economic development.
Please see: http://www.who.int/macrohealth/infocentre/presentations/en/4mozambique.pdf [pdf 427kb]
The Sri Lanka delegation, led by Mr Sajith Premadasa, Deputy Minister of Health, Nutrition and Welfare, presented country efforts to develop a health finance policy that ensures equity, efficiency, and sustainability and to strengthen the Health Financial Management System. The national Commission on Macroeconomics and Health, a key part of this effort, was established in November 2002. Sri Lanka has also launched an initiative to develop a ten-year master plan for health development. Please see: http://www.who.int/macrohealth/infocentre/presentations/en/9sri_lanka.pdf [pdf 2.7Mb]