1. 16 th March 2009 16 th March 2009 Ministry of Foreign Affairs of Japan 16 th March 2009 16 th March 2009 Ministry of Foreign Affairs of Japan Japan’s Policy and Global Health -External financing for health care- Japan’s Policy and Global Health -External financing for health care-

2. 1 Global Health in the context of Foreign Policy Growing attention on Global Health in the 21 st century 3 MDGs related to health issues To address health issues… Participatory approach  Multi-sectoral input  Dialogue between G8 Health Experts and H8  Takemi Working Group  New dimensions of foreign policy A comprehensive approach

3. 2 Japan’s Initiative in 2008 TICAD Ⅳ TICAD Ⅳ Compiled the “Yokohama Action Plan” Established TICAD Follow-up Mechanism Additional pledge to the Global Fund (US$ 560 million) Training of 100,000 health workers Save the lives of 400,000 children G8 Hokkaido Toyako Summit G8 Hokkaido Toyako Summit Endorsed the “Toyako Framework for Action on Global Health” Agreed to establish a follow-up mechanism to monitor our progress on meeting our commitments Actions to be Taken 1.Health Systems Strengthening 2. Maternal, Newborn and Child Health 3. Infectious Diseases (HIV/AIDS, Tuberculosis, Malaria, Polio, NTD) 4. Cross-Sectoral Approach 5. Resources

4. Global Health Framework for Action - A Comprehensive Approach- Developing Countries Infra- structure Education Water and Sanitation Gender Health Systems Strengthening Expansion of community health Human Resource Development of Health Workers Focus on women and children Maternal, Newborn and Child Health Malaria G8/Developed Countries Newly Emerging Donors UN/International Organizations Private Sector NGOs Academia TB Other Infectious Diseases (NTD, measles etc.) Non-infectious Diseases HIV/AIDSPolio Development of Framework for Action suitable for 21 st Century (The Human Security perspective, participatory approach ） 3

5. A better balanced-approach between…  Disease-oriented approach (vertical) and  Strengthening of health systems (horizontal) Three major components identified for health system strengthening  Health workforce  Health financing  Health information Takemi working group  Provide policy recommendations for G8 in the context of human security  Participatory approach: Academia, NGOs, 3 relevant ministries, Government aid agencies 4 Approaches for Health System Strengthening Health System Strengthening Health Financing Health Workforce Health Information

6. Maintain the commitment for the health sector  Health and Development Initiative (HDI) Pledged: Approx. US$ 5 billion for 5 years (2005-2009) Disbursement: Approx. US$ 4.5 billion for 3 years (2005-2007)  Global Fund （ As of February 2009) Provided: US$ 846 million Pledged: US$ 560 million from 2009 for coming years Raise awareness for the global health issues Intensive discussion on “Innovative Financing Mechanism” Better allocation and use of inputs within developing countries 5 Economic Crisis and Global Health

7. 6 Next Agenda for 2009 Sustain momentum in global health politics Japan’s initiative in drafting WHO resolution, “Primary Health Care, including Health System Strengthening”  Approved by the WHO Executive Board in February 2009, to be submitted to the Sixty-second World Health Assembly in May 2009 Translate the policy recommendations to the G8 into concrete actions for strengthening health systems at G8 La Maddalena Summit and beyond Close cooperation and coordination with stakeholders in the global health  WHO, World Bank, UNICEF, UNFPA, UNAIDS, The Bill and Melinda Gates Foundation, GFATM, GAVI, Academia, NGOs…

8. 7 "Implementing the internationally agreed goals and commitments in regard to global public health” Japan’s high-level will make national voluntary presentation (NVP) at the ECOSOC Annual Ministerial Review in July 2009 Towards the ECOSOC