Helping Health Systems Develop: Russia’s Role John Kirton and Jenilee Guebert G8 and G20 Research Groups Munk School of Global Affairs, University of Toronto April 20, 2011

Introduction  Beyond official development assistance to socioeconomic determinants of health  Beyond the Development Assistance Committee and the International Bank for Reconstruction and Development or the World Health Organization  Beyond health silos to a “whole of government” approach  A summit subject — for the G8, the G20 and other plurilateral summit institutions  Russia’s G8 2006: health first, development push at home

G8 Performance on Health Systems for Development  1979–2010 with Muskoka Initiative on Maternal, Newborn and Child Health (MNCH) for Millennium Development Goals Nos. 4 & 6  Russia’s G8 2006: priority, ministerial, commitments  G8 compliance

G20 Performance on Health Systems for Development  MDGs to Seoul Development Consensus  Noncommunicable diseases (NCDs) added for the first time  Indonesia’s initiative: a club where all can lead

United Nations Performance on Health Systems for Development  2010 maternal, newborn and child Health from Muskoka to New York  2011 UN summit on noncommunicable diseases (September 19)  Russia’s role: First global NCD ministerial (April 28)

Russia’s Role  NCD risk factors: alcohol, tobacco, road accidents  From statist to private-public partnerships for health systems for development (privatization)  Historic and new footprint in Africa and nearby  Bringing the BRICS (Brazil, Russia, India, China and South Africa) into health systems for development  Add 2012 Asia Pacific Economic Cooperation Forum and the G /14

Raising the Resources  Principles  Save before you spend  Subsidize goods not bads  Tax bads not goods  Produce what you promise  Count on citizens to help  If we all do a little, we all gain a lot  Prevention first to shrink the strain

Raising the Resources  Actions: The Bottom Line  Phase out fossil fuel subsidies  Shift agricultural subsidies to healthy foods  Tax tobacco and transfats  Accountability assessments of Canada’s $5 billion