UHC 2030 – update on transformation Presentation IHP+ Steering Committee 21 June 2016

Reminder of why we need to change? The Sustainable Development Goals (SDGs): a renewed global commitment to health, underpinned by Universal Health Coverage (UHC) The inclusion of UHC in the SDGs: an opportunity to promote a comprehensive and coherent approach to health, to focus on how the health system delivers integrated, people-centred health services Domestic resources account for the large majority of health spending even in fragile states and low income countries (LIC): need to focus on levers to strengthen institutions and efficient use of resources for increased health security and equity The Ebola and Zika tragedies: a reminder of the importance of public health systems and better ways of engaging with other sectors - to be relevant UHC, cannot overlook growing concerns related to health security 28/02/2019

The need to change The overall aim of UHC 2030 would be: “to support a movement for accelerated, equitable and sustainable progress towards UHC as well as the other health targets in the SDGs, including global security and equity” 28/02/2019

How far have we gone? Sept 2015: Germany and Japan’s initiatives for better coordination around HSS & UHC (UNGA Special Session on SDGs) Nov 2015: IHP+ Steering Committee discussed IHP+ possible new role April 2016: Steering Committee recommended IHP+ signatories to expand the scope of IHP+ May 2016: IHP+ agreed to expand its scope May 2016: G7 support to establish UHC 2030 And today? 28/02/2019

Consensus Rationale to have a movement for UHC 2030 Purpose and objectives: Improve coordination of HSS efforts for UHC at global level, including synergies with related networks Promote multi-stakeholder dialogue and coordination of HSS efforts for UHC in countries, including adherence to IHP+ principles /behaviors in countries receiving external assistance Facilitate accountability for progress towards HSS for UHC that contributes to a integrated approach to accountability for SDG3 Consolidate political momentum around a shared global vision of HSS for UHC and advocate for sufficient, appropriate and well-coordinated resource allocation to HSS What UHC 2030 should not be: Not duplicate the functions that its member institutions or countries can perform through current mechanisms Not assume the functions of a fundraising or a financing entity for health systems strengthening. Not assume the functions of an implementing entity or a technical assistance agency

Consensus Interest to build on IHP+ rather than creating a new partnership Importance of continued commitment to IHP+ principles Overall structure, including linkages with related technical networks & partnerships Gradual change in membership and evolution of tasks

Functions Reinforcing and complementing principles of coordination Strengthening, monitoring, review and remedial action Knowledge management Providing tools Matrix with JFA 28/02/2019

Feedback on concept note - highlights Accountability – what accountability framework will be in place? Inter-sectorial nature of UHC – how will this be handled? Country prioritization- how will emphasis on countries be maintained? Actual deliverables- what will be the deliverables of the initiative? Maintaining IHP+ principles – There is still a need for IHP+ principles, how will these principles be maintained in the new UHC What will be UHC2030 role in transition and non ODA countries

Key remaining questions Balance between old IHP+ agenda and new UHC 2030 direction Principles: IHP+ and/or complement with more principles for effective HSS towards UHC? Accountability: how do we avoid overlapping, don’t add layers of monitoring/indicators What will be the balance between technical and political representation on the Steering Committee Collaboration with other networks & partnerships: clarity on how it would work in practice What will success look like? What are the measurement indicators? Balance between old IHP+ agenda and new UHC 2030 direction: Way forward: focus on IHP+ maintained, pace of change in focus will happen over time, depending on demand and change in membership. Principles: Way forward: discussion to take place as part of the revision of the Global Compact. Accountability: Way forward: ambition to bring together findings from various monitoring efforts together to provide an overall narrative of progress (including speed and distribution of progress). Need to explore how UHC 2030 can strengthen multi-stakeholder review and drive remedial action, strengthening the capacity of citizens to hold their governments to account. Coordination between UHC2030 and other networks & partnerships:. Way forward: iterative process, learn as we go, proposal from P4H (session in the afternoon). Balance between technical and political work: Way forward: IHP+ has focused on generic principles and the SC has not had enough influence in promoting adherence. How do we ensure partners are ready to engage and adapt their technical work in response to the political discussions and decisions? Some may argue for a stronger political representation in the Steering Committee.

What may success look like? Longer-term success for UHC 2030 would entail contribution to: A shared vision of HSS for UHC with broadly recognised principles for sufficient, appropriate and well-coordinated resource allocation to HSS Improved country-led coordination of health systems strengthening efforts in support of UHC and integrated approach by development partners Increased focus on results and measurement of progress to inform country-led multi-stakeholder review and remedial action for accelerated progress towards UHC Convergence towards a single and strengthened accountability mechanism for progress towards UHC, linked to the UN established process for the SDGs A gradual process of transition Initial transition phase, with gradual updating/evolving of scope Moving forward to identify a list of products that contribute to the above in a measurable way

Operationalizing UHC2030: Proposed next steps 21June: IHP+ Steering Committee decides on: Name of UHC 2030, composition of Steering Committee and way forward (incl. Global Compact) 22-23 June: Multi stakeholder consultation - Marking the launch of the transformation process of IHP+ to UHC 2030 July-September: Further consultation and targeted constituency outreach (based on suggestions from Steering Committee members) Rapid independent review of IHP+ September: Announcement of UHC 2030 during side event at UNGA in NY December: UHC 2030 transitional Steering Committee meeting to approve: Updated Global Compact, new programme of work for 2017, other working arrangements (e.g. TORs) 2017 – World Health Assembly: new members formally join UHC 2030 Timing TBC - Annual UHC 2030 Forum