Reframing UHC and SDGs Suwit Wibulpolprasert, M.D. Senior Adviser - PowerPoint PPT Presentation

Reframing UHC and SDGs Suwit Wibulpolprasert, M.D. Senior Adviser on Global Health International Health Policy Program, Ministry of Public Health, Thailand WHS regional meeting, Kish Islands, Iran April 29 th , 2019

Outline of presentation • SDGs and UHC – the same or different? • SDG contributes to UHC? • UHC contributes to SDGs? • The Political Economy of SDGs and UHC 2

1.1 SDGs is equivalent to UHC - broad • The definition of ‘Health” – Health means ‘well-being’ in at least three, not just absence of diseases and infirmity • The goal of SDGs – ‘Well-Being for All’, UHC - Universal ‘well-being’ We should move from ‘Health’ to ‘Well-Being’ Sector, and from WHO, MoH to WWO, MoW!! 3

1.2 UHC is part of SDGs - narrow • Definition of UHC “ Universal Access to Essential, Quality, and Comprehensive Health Services and Technologies, including Health Promotion, Disease Prevention, Treatment, Rehabilitation and Care, without Financial Barrier’ • UHC is an important element of SDGs 4

2. SDGs contributes to UHC • They are the same ‘Well-being for All’ –broad def • In the narrower definition of UHC: - Less poor, economic growth, education – more demand and investment on UHC - Reduce ‘inequality’ – advocacy for UHC - Innovation – Genomics, AI, Digital Health – improved access – real meaning of ‘Digital Health’ - Peace – bring wealth and safe service access - Partnership – good governance of UHC - There is no such things as ‘Health Related SDGs’!! 5

3. UHC contributes to SDGs – few examples • SDG 1 – reduce ‘Medical Poverty’ • SDG 5,10 – reduce ‘inequality’ - universality • SDG 8 – decent jobs and economic growth – big return on UHC investment not expense • SDG 9 – opportunity for health innovation and industry 6

How the Thai UHC contributes to the SDGs? Prevented 100,000 households from medical poverty annually. SDG 1

Economic return, income redistribution and health industry SDG 8, 9 Income redistribution by UHC Return on UHC investment 180,000 153,450 160,000 129,281 140,000 39,840 16,450 120,000 Millions of Baht 100,000 80,000 60,000 113,610 112,831 40,000 20,000 - UCS investment Final Consumption Intermediate 8 Domestic Import

Public Investment on Health in Thailand % government budget on Health 18 16 17 14 UHC 13.3 12 12.5 Percentage 11.1 10 10 9.9 8 6 4 4 Infrastructures 2 Development 0 1985 1995 2000 2005 2010 2014 2015 Year 9

4. The Political Economy of SDGs and UHC • Politics – ‘Mechanism and processes to determine ‘Who’ gets ‘What’, ‘When’ and ‘ How’ ? • Limited resources but many needs – prioritization based on equity (horizontal, vertical) and efficiency – Role of Economic • Get social scientists, anthropologist, and political scientists involve in the science of SDGs and UHC – not just health specialists 10

Strategies to reframe and rethink SDGs and UHC “Triangle that move the “Tipping point” mountain” Knowledge Three groups Conductive generation & of people Environment management (Chamipions) Champions Political/ Social Stickiness of Policy movement the issue linkages Prawase Wasi Malcolm Gladwell 11