1. ASEAN in Post-2015 Health Development Agenda
Good morning, ladies and gentlemen,
I would like to first extend my sincere congratulations and thanks to the Tropical Disease Research Laboratory, Faculty of Medicines, Khon Kaen University, to successfully host this very important conference right after the official declaration of ASEAN Community at the end of December 2015.
My presentation is about the ASEAN in Post-2015 Health Development Agenda.
Phusit Prakongsai, M.D. Ph.D.
Director, Bureau of International Health
Ministry of Public Health, Thailand
14 January 2016

2. ASEAN
Highly connected: Physically, Institutionally and among the Peoples
Free trade agreements with major regional economies
Young educated labor force
Population: 616,613,651 (2012)
Land area: 4,435,618  sq. km. 
GDP: US$ trillion (2014) and GDP per capita USD 3,832
Trade: US$ 2.51 trillion (2014) -- Exports = USD 1,271,128 Million; Imports = USD 1,240,388 Million
Foreign Direct Investment (FDI): US$ billion (2013)

3. DIVERSE ASEAN… Home to major religions Rich culture
Courtesy of ASEAN National Tourism Organisations
Courtesy of ASEAN National Tourism Organisations
Courtesy of ASEAN National Tourism Organisations
ASEAN is diverse.
ASEAN people practice Islam, Christianity, Buddhism, Hinduism, etc
It has varied topography and vast natural resources, with rich mineral deposits, oil deposits, etc.
ASEAN people have rich cultural traditions and heritage.
Tourism in ASEAN:
Total visitor Arrival to ASEAN: 98,016,001 person
Tourist originating from fellow ASEAN Member States: 43,559,100
Vast natural resources

4. ASEAN Community
HDI of Singapore and Brunei were classified as high HDI , while that of Myanmar was identified as low.
GDP of Singapore was more than 14 times higher than average GDP of ASEAN, and higher than Myanmar for 87 times.

5. Disparity among AMS was extremely high in 2010
Another example of the diversity of AMS can be shown in the incidence of Malaria.
Despite the significant reduction in the incidence of Malaria from 755 cases per 100,000 population in 1990 to 198 cases per 100,000 population to 2010, the incidence of Malaria in Myanmar was almost 250 times higher than that of Singapore and Brunei Darussalam

6. ASEAN governance structure prior to 2015
The variety among AMS poses a key challenge in health sector development among AMS.
Source: ASEAN Secretariat

7. Implementing Mechanisms
Lead Countries
Cost Sharing
Partnership with key Development Partners
Technical Working Groups/Task Forces & Networks
Partnership with key Dialogue Partners

8. Strategic framework for ASEAN post- 2015 health development agenda (2016-2020)
Vision
A Healthy, Caring and Sustainable ASEAN Community
Mission
To promote a healthy and caring ASEAN Community, where the people achieves maximal health potential through healthy lifestyle, have universal access to quality health care and financial risk protection; have safe food and healthy diet, live in a healthy environment with sustainable inclusive development where health is incorporated in all policies.

9. ASEAN Health Development agenda
ASEAN Post-2015 Health Development Agenda
Promoting healthy lifestyle
Responding to all hazards and emerging threats
Strengthening health systems and access to care
Ensuring food safety

10. ASEAN Post-2015 Health Development Agenda
Cluster
Health priorities
1. Promoting healthy lifestyle
Prevention and control of NCDs
Reduction of tobacco consumption and harmful use of alcohol
Prevention of injuries
Promotion of occupational health
Promotion of mental health
Promotion of healthy and active ageing
Promotion of good nutrition and healthy diet

11. ASEAN Post-2015 Health Development Agenda
Cluster
Health priorities
2. Responding to all hazards and emerging threats
8. Prevention and control of communicable diseases, emerging infectious diseases and neglected tropical diseases
9. Strengthening laboratory capacity
10. Combating antimicrobial resistance (AMR)
11. Environmental health and health impact assessment (HIA)
12. Disaster Health Management

12. ASEAN Post-2015 Health Development Agenda
Cluster
Health priorities
3. Strengthening health system and access to care
13. Traditional Medicine
14. Health related MDGs (4, 5, 6)
15. Universal health coverage (UHC)
16. Migrants’ health
17. Pharmaceutical development
18. Healthcare financing
19. Human resources development

13. ASEAN Post-2015 Health Development Agenda
Cluster
Health priorities
4. Ensuring food safety
20. Food Safety

14. Designated country for each health cluster
Chair
Co-chair
1 : Promoting healthy lifestyle
Indonesia
Lao PDR
2 : Responding to all hazards and emerging threats
Malaysia
Myanmar
3 : Strengthening health system and access to care
Philippines
Singapore
4 : Ensuring food safety
Thailand
Viet Nam

15. ASEAN Governance structure in Post 2015

17. WHA resolution 66.12 Urges Member States Urges International partners
Ensure continued ownership of program for NTDs prevention, control, elimination and eradication,
Further strengthen the disease surveillance system for NTDs eradication,
Expand and implement interventions against NTDs to reach the targets agreed in the Global Plan to Control NTDs ,
Urges International partners
Provide sufficient and predictable funding to enable the targets for 2015 and 2020 to be met,
Harmonize the provision of support to continues for implementing a national plan and strategies
Promote universal access to preventive chemotherapy and diagnostics, case management and vector control, and other prevention measures.
Urges WHO’s Director General
sustain WHO’s leadership in the drive to overcome NTDs, and monitoring progress in achieving the targets for NTDs, and strengthening HR capacity.

18. Sustainable Development Goals
Source:

19. Sustainable Development Goals (SDGs)
- 17 Goals 169 targets covering all dimensions of socio-economic development aspects,
- Aiming to achieve ‘inclusive society ’- leaving no one behind,
- Funding for development:
Public domestic resources as a main financing source,
External resources as a complementary source,
Health is in Goal 3 with 13 targets and more than 30 health related targets under other goals,
Target 3.2: End epidemics of HIV, TB, Malaria, and NTDs, and combat hepatitis, water-borne diseases and other communicable diseases.

21. Implications of SDGs for GH landscape
Paradigm shift in financing from external funding to domestic funding,
Will be more non-state actors involved in GH policy,
Will be more GHPs,
Need good governance for global health:
multi-stakeholders platform.

22. Crowded Global Health Landscape9
Credit: IHPP, MUGH 4 22

23. UN multi-stakeholder platform on GGH
Credit: Churnrurtai Kanchanachitra
Source : Ole Petter Ottersen et al. Lancet 2014

24. Thank you for your attention