1. Private Sector: Who is Accountable?
Dr Elizabeth Mason
Former Director Maternal, Newborn, Child and Adolescent Health, WHO
Member of the
Independent Accountability Panel
Accountability for results resources and rights

2. Independent Accountability Panel
Accountability Framework
Monitor
Review
Remedies and Action

3. PRIVATE SECTOR: WHO IS ACCOUNTABLE?
for Women’s, Children’s and Adolescents’ Health
Delivering Health Services: From local providers to Hospital networks
The Pharmaceutical Industry and access to essential medicines
The Food Industry and big business impacts on health

4. Delivering Health Services
Issues:
Who is responsible for service provision?
Who accesses services?
Who regulates cost and quality?
Recommendations:
Governments should regulate private as well as public sector providers.
Parliaments should strengthen legislation and strengthen oversight for its enforcement
The UHC 2030 partnership should drive political leadership at the highest level to strengthen private sector transparency and accountability

5. The pharmaceutical Industry
Issues:
$1.1 billion in trade in 2016
2 billion people lack access to essential medicines
90% population in LICs purchase drugs out of pocket with very variable pricing.
Recommendations:
To ensure equitable and affordable access to quality essential medicines … for WCA ..
Governments and parliaments should strengthen policies and regulation governing the pharmaceutical industry

6. The Food Industry and big business
Issues:
Over 2 billion adults in the world are overweight or obese and the numbers are rapidly rising: Children and Adolescents obesity increased ten-fold in past 40 years.
The Infant Formula Industry is worth >$40 billion and Code violations are rampant.
Recommendations:
Governments and parliaments should regulate the food and beverage industry and adopt a binding global convention.
MOH + MOE should educate the public and students on the benefits of diet and exercise and set standards in school-based programmes.
Related commitments should be included in next G20 summit agenda

7. The UN Global Compact and the EWEC partners
Recommendation 4
The UN Global Compact and the EWEC partners should:
Strengthen monitoring and accountability standards for engaging the business sector.
Advocate for accountability of the for-profit sector to be put on the global agenda for achieving UHC and the SDGs, including at the 2019 High-Level Political Forum on Sustainable Development.
The UN H6 Partnership entities and the GFF should raise accountability standards in the country programmes they support.
WHO and the World Bank should ensure for-profit providers are included in global monitoring of UHC.

8. Donors and business engagement in the SDGs
Recommendation 5
Development cooperation partners should ensure that transparency and accountability standards aligned with public health are applied throughout their engagement with the for-profit sector.
They should invest in national regulatory and oversight capacities, and also regulate private sector actors headquartered in their countries.

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