gorik ooms at aids2012: future global priorities or beyond 2015
TRANSCRIPT
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Future Global Prioritiesor
Beyond 2015
Gorik Ooms
Researcher, Institute of Tropical Medicine
Executive director, Hélène De Beir Foundation
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Beyond 2015?
• My guess is as good as yours...
• My guess:Only 1 health goal
→ Universal Health Coverage (UHC)
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Why this could be bad news for the fight against AIDS...
• UHC sounds like “health for all by the year 2000”, but then by the year 2100 or so
• The fatal flaw of the Alma Ata Declaration:
“Primary health care is essential health care … made universally accessible … at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.”
Washington D.C., USA, 22-27 July 2012www.aids2012.org
“Primary health care is essential health care … made universally accessible … at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.”
• Sounds good, but for people living with AIDS in low-income countries, it means death (for the sake of self-reliance)
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Why this could be good news for the fight against AIDS...
• ‘AIDS exceptionalism’ has run its course
• The paradigm shift it imposed is truly Copernican:– From national responsibility (with some external
assistance)– To human responsibility (national and
international)
(Note: global responsibilization may have induced national deresponsibilization)
Washington D.C., USA, 22-27 July 2012www.aids2012.org
• The new paradigm is implicit, unclear, fragile,...
• The “Right To Health” (R2H) or health seen as a human right, with corresponding entitlements and national and global dues, could provide a solid foundation for the paradigm shift
Washington D.C., USA, 22-27 July 2012www.aids2012.org
TUESDAY
:: NOON :: Steps off from
In front (South) of the Convention Center & at archives metro
www.WeCanEndAIDS.org
Washington D.C., USA, 22-27 July 2012www.aids2012.org
• R2H does not support the prioritization of a single disease
• Could UHC = R2H???
Washington D.C., USA, 22-27 July 2012www.aids2012.org
How to make sure that UHC = R2H?
1. Question conventional understanding of ‘sustainability’
2. Clarify national and global responsibility, and where they meet (a.k.a. ‘shared responsibility’) – a Framework Convention on Global Health?
3. Promote ‘diagonal approach’
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Sustainability = context-specific = depends on who is held responsible
Washington D.C., USA, 22-27 July 2012www.aids2012.org
What does ‘shared responsibility’ really mean?
Washington D.C., USA, 22-27 July 2012www.aids2012.org
The ‘diagonal approach’…… now more than ever
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Conclusion (personal opinion)
UHC will work for the fight against AIDS...
...if and only if AIDS fighters work for UHC