1. SDGs and Framework for Advancing UHC in EMR
Setting the in Scene
2nd UNIVERSAL HEALTH COVERAGE CONFERENCE
22-24 January 2017
Khartoum, Sudan
Zafar Mirza
Director
Health System Development
Eastern Mediterranean Regional Office

2. Theme of the Conference
2nd UNIVERSAL HEALTH COVERAGE CONFERENCE
“Enhancing the transformation of health sector through advocating for whole of government and whole society approach”

3. Transformation Agenda Institutional Challenge
Presentation Themes
Transformation Agenda
Institutional Challenge
Implementation
Gap

4. Scale-up
Improvement
Reform
Transformation 
Paradigm Shift

5. Conceptual Transformation in Health Care
WHO
Constitution
1947
Selective PHC
Safety-net Approach
Vertical Programs
U H C
UN Human Rights Charter
1948
Alma-Atta Declaration
1978

7. “UHC the most powerful concept that public health has to offer”
“UHC is one of the most powerful social equalizers among all policy options.”

8. Universal Health Coverage
“all individuals and communities receive the health services they need, in good quality, without suffering financial hardship.”

9. Expanding Universal Health Coverage

10. A framework for UHC as part of SDGs
Global Public Health Security & Resilient Societies
Equitable Health Outcomes & Wellbeing
Inclusive Economic Growth & Employment
Results
Goal
Universal Health Coverage
All communities and people receive the quality health services the need, without financial hardship
Determinants of Health t
Health System Strengthening
Action

12. Transforming our World: the 2030 Agenda for Sustainable Development
a plan of action for people, planet and prosperity

13. Economic
SDGs
MDGs
Environment
Social

15. SDGs are universally applicable to all countries
MDGs
SDGs
The MDGs framework focused attention and resources on the attainment of particular goals
The MDGs have been an influential attempt and international target setting in the field of development
Three of the eight MDGs are focused on health without interlinkages ignoring that health is also a component of several other MDGs (nutrition, water and sanitation).
SDGs are universally applicable to all countries
Focus is on human rights principles and values - “Leaving No One Behind”,
The 17 goals are integrated, indivisible, and inter-linked with significant health dimension

20. Health-in –all-policies
WHO &
Health-in –all-policies

21. Transformation Agenda Institutional Challenge
Presentation Themes
Transformation Agenda
Institutional Challenge
Implementation
Gap

22. The Institutional Question form should follow the function!
Do we have fit-for-purpose institutions?
Are we making corresponding investments in strengthening our institutions?

23. The Institutional Reform
Health Governance and Leadesrhip
Civil service reform
Work-culture and work-ethic
e-Health
Capacity building in management
Accountability

24. Policy Coherence Sectoral policies should have shared national goals
Mutually consistent and complementary policies

25. Development partners also need to change From IHP+ to IHP for UHC-2030

26. Joint Assessment of National Health Strategies (JANS)

27. Transformation Agenda Institutional Challenge
Conclusions
Transformation Agenda
Institutional Challenge
Implementation
Gap
More than reform
SDGs are transformative
Sudan is generally on track to
No transformation without strong institutions
Institutional reforms should be a priority
From policy to practice to impact
Implementation is difficult without institutional reform

28. Thank you