1. SDG Action Plan: Congress of South African Trade Unions Matthew Parks COSATU Parliamentary Office

2. SDG: Sustainable Development Goal 3: Ensure Healthy Lives and Promote Well-Being for All at All Ages. Sustainable Development Goal 3: Ensure Healthy Lives and Promote Well-Being for All at All Ages.

3. Targets: 3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol. 3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol. 3.6 by 2020, halve the number of global deaths and injuries from road traffic accidents. 3.6 by 2020, halve the number of global deaths and injuries from road traffic accidents.

4. Targets: 3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all. 3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.

5. Targets: 3.a Strengthen the implementation of the World Health Organisation Framework Convention on Tobacco Control in all countries, as appropriate. 3.a Strengthen the implementation of the World Health Organisation Framework Convention on Tobacco Control in all countries, as appropriate.

6. Indicators: 3.5.2 Harmful use of alcohol, defined according to the national context as alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol. 3.5.2 Harmful use of alcohol, defined according to the national context as alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol. 3.6.1 Death rate due to road traffic injuries. 3.6.1 Death rate due to road traffic injuries.

7. Indicators: 3.8.2 Numbers of people covered by health insurance or a public health system per 1, 000 population. 3.8.2 Numbers of people covered by health insurance or a public health system per 1, 000 population. 3.a.1 Age-standardised prevalence of current tobacco use among persons aged 15 years and older. 3.a.1 Age-standardised prevalence of current tobacco use among persons aged 15 years and older.

8. Background and Justification: 36% long term unemployment. 36% long term unemployment. World record poverty and inequality levels. World record poverty and inequality levels. Low education and skill levels. Low education and skill levels. Slow economic and job growth levels. Slow economic and job growth levels. Poor public housing, schooling, transport and education. Poor public housing, schooling, transport and education. High levels of crime, including gender violence. High levels of crime, including gender violence.

9. Background and Justification: High levels of alcohol, narcotic drug and tobacco abuse, amongst all age groups. High levels of alcohol, narcotic drug and tobacco abuse, amongst all age groups. 12, 000 road fatalities per annum. 12, 000 road fatalities per annum. Alcohol is the leading cause of domestic and other violence, crimes and road accidents. Alcohol is the leading cause of domestic and other violence, crimes and road accidents. Legacy of farm worker dop system. Legacy of farm worker dop system.

10. Background and Justification: Lack of health coverage. Lack of health coverage. Poor quality health care. Poor quality health care. World records of tuberculosis and HIV/ AIDS deaths. World records of tuberculosis and HIV/ AIDS deaths. Poor health indicators. Poor health indicators. Unaffordable health care. Unaffordable health care. Loss of life. Loss of life.

11. Priority Problems: Alcohol abuse. Alcohol abuse. High road carnage. High road carnage. Loss of bread winners. Loss of bread winners. Disabilities. Disabilities. Health care access, affordability and quality. Health care access, affordability and quality.

12. Needs: Need to assert rule of law. Need to assert rule of law. Help prevent, reduce and cure substance abuse. Help prevent, reduce and cure substance abuse. Weaken alcohol, tobacco and drug industries. Weaken alcohol, tobacco and drug industries. Promote education and awareness. Promote education and awareness. Decent affordable health care for all. Decent affordable health care for all.

13. Strategy: Educate and mobilise COSATU members and workers. Educate and mobilise COSATU members and workers. Lobby civil society. Lobby civil society. Lobby allies, the ANC and SACP and government. Lobby allies, the ANC and SACP and government. Lobby Ministries of Health, Labour, Transport, and Trade and Industry. Lobby Ministries of Health, Labour, Transport, and Trade and Industry. Pressure business organisations. Pressure business organisations.

14. Strategy: Support progressive government laws, regulations and National Health Insurance proposals. Support progressive government laws, regulations and National Health Insurance proposals.

15. Gender Analysis: Loss of husbands and bread winners. Loss of husbands and bread winners. Domestic violence. Domestic violence. Impact upon children. Impact upon children. Health care. Health care.

16. Prior On Going Union Activities Submissions to amend: Submissions to amend: –Road Accident Act and Regulations. –Liquor Act and Regulations. –Tobacco Act and Regulations. –NHI White Paper.

17. Target Group: Unions membership and leadership. Unions membership and leadership. Workers. Workers. Civil society. Civil society. ANC and SACP allies. ANC and SACP allies. Government. Government. Business organisations. Business organisations. Media. Media.

18. Main Partners: COSATU unions. COSATU unions. FEDUSA and NACTU. FEDUSA and NACTU. ANC and SACP. ANC and SACP. Government. Government. Civil Society. Civil Society. Business organisations. Business organisations.

19. Coordinating Mechanisms: COSATU Parliamentary Office. COSATU Parliamentary Office. COSATU Secretariat. COSATU Secretariat. NEDLAC. NEDLAC.

20. Differentiated Project Interventions: Educate and empower unions, members and workers. Educate and empower unions, members and workers. Public relations campaign. Public relations campaign. Mobilise civil society. Mobilise civil society. Negotiate and lobby ANC, SACP and government and Parliament. Negotiate and lobby ANC, SACP and government and Parliament. Pressure and support government. Pressure and support government. Pressure business organisations. Pressure business organisations.

21. Development Objectives: Improve health of workers and their families. Improve health of workers and their families. Increase life span of workers. Increase life span of workers. Reduce substance abuse. Reduce substance abuse. Discourage youth from substance abuse. Discourage youth from substance abuse. Provide quality affordable health care for all. Provide quality affordable health care for all.

22. Development Objectives: Educate and empower workers. Educate and empower workers. Reduce political and policy role of business organisations. Reduce political and policy role of business organisations.

23. Work Plan Will Contribute To: Tightening and enforcing existing laws and regulations. Tightening and enforcing existing laws and regulations. Establishing NHI. Establishing NHI.

24. Immediate Objectives: Amend: Amend: –Aarto Act and Regulations. (1 to 2yrs) –Liquor Act and Regulations. (1yr to 3yrs) –Tobacco Act and Regulations. (1yr to 3yrs) Establishing NHI. (2025) Establishing NHI. (2025)

25. Key Outputs/ Direct Results: Mobilise unions, members, workers and civil society. Mobilise unions, members, workers and civil society. Positive public relations campaign. Positive public relations campaign. Negotiate and lobby ANC, SACP and government. Negotiate and lobby ANC, SACP and government. Pressurise business organisations. Pressurise business organisations.

26. Key Outputs/ Direct Results: Amending: Amending: –Aarto Act and Regulations. –Liquor Act and Regulations. –Tobacco Act and Regulations. Establishing NHI. Establishing NHI.

27. Activities: Educate unions, members and workers. Educate unions, members and workers. Positive public relations campaign. Positive public relations campaign. Mobilise civil society. Mobilise civil society. Negotiate and lobby ANC, SACP, Government, Nedlac and Parliament. Negotiate and lobby ANC, SACP, Government, Nedlac and Parliament. Pressure business. Pressure business.

28. Main Input: Main Resources: Main Resources: –Human, budgetary and logistical. Source Of Funds: Source Of Funds: –COSATU Parliamentary Office –COSATU Head Office. –Affiliated Unions. –Nedlac. –Government.

29. Indicators Of Achievements: Amended laws and regulations. Amended laws and regulations. Establishment of the NHI. Establishment of the NHI. Reduced levels of substance abuse. Reduced levels of substance abuse. Improved health indicators. Improved health indicators. Improved health care, coverage and affordability. Improved health care, coverage and affordability. Increased life expectancies. Increased life expectancies. Reduced road carnage. Reduced road carnage.

30. Management Of Risks: Loss of union, member and worker support. Loss of union, member and worker support. Loss of civil society support. Loss of civil society support. Public relations campaign failures. Public relations campaign failures. Failure to convince ANC, SACP and government. Failure to convince ANC, SACP and government. Failure to pressure business organisations. Failure to pressure business organisations.

31. Possible Responses: Engagements and negotiations. Engagements and negotiations. Political leadership interventions. Political leadership interventions. Mass mobilisation. Mass mobilisation.

32. Monitoring, Reporting & Evaluation Procedures: NOB reports. NOB reports. CEC reports. CEC reports. Congress reports. Congress reports. Self-evaluation. Self-evaluation.

33. Preliminary Budget Proposal: No additional costs incurred. No additional costs incurred. –Covered by existing COSATU, Nedlac and government budgets.