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Setting the Scene: Confronting the Pacific’s Health Challenges

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Page 1: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Setting the Scene:Confronting the Pacific’sHealth Challenges

Page 2: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 3: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

MISSION

The attainment by allpeoples of the highestpossible level of health

Page 4: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

• Challenges• Drivers • Policy options

Page 5: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 6: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 7: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 8: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 9: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Dengue : A water-bornedisease?

Page 10: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 11: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

The Economic Costs of NCDs in the Pacific Islands, World Bank, 2012

Page 12: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

World Bank, NCD Roadmap Report, 2014

Page 13: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

• Challenges• Drivers • Policy options

Page 14: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Lancet, Dec 1, 2012

Page 15: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Infectious Disease Movement in a Borderless World, IOM, 2010

Page 16: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 17: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 18: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 19: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 20: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 21: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 22: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 23: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Lancet 2014; 384: 766–81

Page 24: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Lancet 2014; 384: 766–81

Page 25: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 26: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

World Bank, NCD Roadmap Report, 2014

Page 27: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 28: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Garrett et al, Lancet 374. 1294-99, 2009

Universal coverage worldwide

Page 29: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Country

External resources for health as

% of total expenditure on health

Niue 76.7

Micronesia 68.8

Timor-Leste 54.1

Solomon Islands

Nauru

48.7

39.6

Marshall Islands 36.4

Palau 34.4

Data from WHO, World Health Statistics 2014 (data for 2011)

Page 30: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 31: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

"Gaps in health outcomes are not a matter of fate-they are indicators of policy failure"

Dr Margaret Chan WHO Director-General

Lancet Sept 13, 2008

http://intranet.who.int/asp/datacol/uploaded_files/802/65531/17883/margaret_chan.jpg
http://intranet.who.int/asp/datacol/uploaded_files/802/65531/17883/margaret_chan.jpg
Page 32: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

• Challenges• Drivers • Policy options

Page 33: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
http://www.nap.edu/catalog/11567.html
Page 34: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

UN Millennium DevelopmentGoals (MDG's) (2000-2015)

Page 35: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Sustainable Development Goals SDGs (2015-2030)

Page 36: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 37: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Strategies – Policy Options

1. Strengthening tobacco control, including raising the excise duty to 70% of the retail price of cigarettes.

2. Reducing consumption of food and drink directly linked to obesity, heart disease and diabetes such as sugar-sweetened drinks, salty and fatty food.

3. Improving the efficiency and impact of the health sector for prevention and early treatment.

4. Strengthening monitoring and evaluation around activities.

Page 38: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Financing Global Health 2011, IHME

Page 39: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

World Bank, NCD Roadmap, 2014

Page 40: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible
Page 41: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

Areas for discussion ofpractical policy options

• Social & economic impacts of disease

• Regulatory, institutional & behavioral challenges

• Dealing with water-borne diseases

• Health systems structure and financing

• Supporting countries-global & regional responses-but countries at the centre of responsibility

Page 42: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

MISSION

The attainment by allpeoples of the highestpossible level of health

Page 43: Setting the Scene - Crawford School of Public Policy · Setting the Scene: Confronting the Pacific’s Health Challenges. MISSION The attainment by all peoples of the highest possible

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