EUROPEAN NETWORK FOR GLOBAL HEALTH TO EUROPEAN ALLIANCE AGAINST MALARIA Barcelona, 28 de febrero de 2007

2 Barcelona, 28 Feb Patricia Huerto

3 Human Poverty Poverty is not just a financial state. Being poor affects life in many ways. The human poverty index uses indicators that capture non-financial elements of poverty, such as life expectancy, adult literacy, water quality, and children that are underweight. The 30 territories of the Organisation for Economic Cooperation and Development use a different index which includes income and long- term unemployment; and not water quality or underweight children. This implies that the poor in richer territories are materially better off.The highest human poverty index scores are in Central Africa, the lowest are in Japan. Territory size shows the proportion of the world population living in poverty living there (calculated by multiplying population by one of two poverty indices). (

4 MDG on Health Goal 4: Reduce child mortality - Target 5: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate. Goal 5: Improve maternal health - Target 6: Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio Goal 6: Combat HIV/AIDS, Malaria and other diseases - Target 7: Have halted by 2015 and begun to reverse the spread of HIV/AIDS Target 8: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases

5 Who are we?

6 Emerging issues or Working groups 1.Financing for health 2.Health system strengthening 3.Gender and health 4.R&D for diseases of poverty

7 1.Financing for health (Core Issues) Official Development Aid levels International Monetary Found ceilings Range of delivery mechanisms Balance of budget support with project funding

8 DONORSUS $ Million% of Donor Total % All Donors Developed Countries, of course, TOTAL DAC International Organizations TOTAL Multilateral %31% AID TO HEALTH Source: CRS and DAC statistics

9 2. Health system strengthening (Core Issues) Human resources User fees Community participation Equity

10 Public Health Spending Public health spending is all government spending on health care, plus money from grants, social insurance and non-governmental organisations. Public health spending reduces, or even eliminates, the direct cost of health care to an individual. Territory size shows the proportion of worldwide spending on public health services that is spent there. This spending is measured in purchasing power parity. (

11 3. Gender and Health (Core Issues) Gender disaggregated data needed Responsive systems Infant mortality and gender differences Maternal health indicators addressed through reproductive health rights

12 Maternal Mortality In the year 2000, more than 513 thousand women died due to pregnancy-related causes. The map shows that most of these maternal deaths were in Southern Asian and African territories. The fewest maternal deaths were in Western Europe and Japan. The highest rate of maternal deaths was in Sierra Leone, where 2 mothers die per 100 births. At the other extreme, Malta and Iceland reported no maternal deaths in The world average is 386 maternal deaths for every 100,000 births. (

13 4. R&D for diseases of poverty (Core Issues) Closing the 10:90 gap (10/90 gap refers to the statistical finding of the Global forum for Health Research that only ten per cent of worldwide expenditure on health research and development is devoted to the problems that primarily affect the poorest 90 per cent of the world's population) Lack of appropriate products for developing countries Restricted access to products

14 Affordable Drugs This map shows where people with access to essential and affordable medicines live. The World Health Organisation (WHO) defines essential medicines as those that satisfy the priority health care needs of the population. The WHO states that these should be available in adequate amounts, with assured quality and accompanying information, at prices that are affordable to the community and individuals. Of the total world population, 69% have access to affordable essential drugs. That means 1.9 billion people live without access to these drugs. (

15 And what about Malaria?

16 Malaria Cases Territory size shows the proportion of all people living with malaria worldwide, that live there. (

17 And what can we do together, both networks? To share information? To join work opportunities? To take advantage of expertise? … … …

18 Thanks for your time and good work!!!