1. Impact of Climate Change on Vector Borne Diseases, Kigali, RWanda, 29 March 2013 1 |1 | ADDRESSING ENVIRONMENTAL RISK FACTORS TO HUMAN HEALTH AND ECOSYSTEM INTEGRITY THE LIBREVILLE DECLARATION ON HEALTH AND ENVIRONMENT IN AFRICA ADDRESSING ENVIRONMENTAL RISK FACTORS TO HUMAN HEALTH AND ECOSYSTEM INTEGRITY

2. Impact of Climate Change on Vector Borne Diseases, Kigali, RWanda, 29 March 2013 2 |2 | What is the Libreville Declaration? The Libreville Declaration on Health and Environment in Africa, is a policy statement that provides a cohesive and integrated framework to coherently address health and environment linkages. The Libreville Declaration is the overarching framework under which health and environment linkages will be addressed coherently. The Libreville Declaration is a set of 11 priority actions to which 52 African Governments committed themselves to, in order to protect health and preserve ecosystems

3. Impact of Climate Change on Vector Borne Diseases, Kigali, RWanda, 29 March 2013 3 |3 | The 11 priority actions (1) Governments committed to: 1.Establishing a health-and-environment strategic alliance as the basis for plans of joint action. 2.Integrating health and environment linkages into policies, strategies, regulations and national development plans. 3.Implementing Priority Intersectoral Programmes at all levels, aiming to accelerate achievement of Millennium Development Goals. 4.Establishing or strengthening health and environment institutions. 5.Supporting knowledge acquisition and management to identify knowledge gaps and research priorities

4. Impact of Climate Change on Vector Borne Diseases, Kigali, RWanda, 29 March 2013 4 |4 | The 11 priority actions (1) Governments committed to: 6.Establishing or strengthening systems for health and environment surveillance to identify emerging risks, in order to manage them better. 7.Enforcing compliance with international conventions. 8.Setting up national monitoring and evaluation mechanisms to assess performance in implementing priority programmes. 9.Instituting the practice of systematic assessment of health and environment risks. 10.Developing partnerships for targeted and specific advocacy on health and environment issues. 11. Achieving a balance in the allocation of national budgetary resources for Intersectoral health-and-environment programmes.

5. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 5 |5 | The implementation Process at the country level The LD implementation process has three main phases at the country level: i.Situation analysis and needs assessment (SANA), ii.Development of national plans of joint action (NPJA) and iii.Implementation, monitoring and evaluation

6. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 6 |6 | Implementation Tools WHO and its partners have developed tools and methodologies to guide countries on the above implementation phases. These tools include: The SANA guide The SANA data management system (HELDS) The Guide for the preparation of National plans for joint actions (NPJA) The guide for assessment of inter-sectoral priority actions The monitoring and evaluation framework. Framework of Public Heath adaptation to Climate Change

7. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 7 |7 | Implementation Status in the African Region

8. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 8 |8 | Role of the HWCO Completion of SANA in all countries by 2014 is a milestone of the RD strategic direction 2010-2015. Advocate with national authorities to ensure that the management of environmental determinants to health are taken into account in National Health Policies Strategies and Plans. Ensure that the implementation of the LD is reflected in the operational plans (Plan a top task on LD in the WCO biennial workplan) Advocate with sister UN agencies and other partners to take into account the management of environmental determinants of health in their development assistance policies and strategies (UNDAF)

9. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 9 |9 | Next steps The 3 rd Interministerial Conference on Health and Environment will be held in December 2013- Meeting of partners in July in Tunis (AfDB) – support participation of country delegates) Internal Evaluation conducted Independent External evaluation of the LD will start in April 2013 (selected countries) Countries will be requested to report on progress on the LD implementation in their countries ( questionnaire to be sent)

10. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 10 | Implication of WCO The 3 rd Ministerial Conference on Health and Environment in Africa will be Held in December 2013 (Libreville?) Each country will present a report on the progress in implementation of the Declaration

11. Inception Workshop for the implementation of the Libreville Declaration Rwanda, Kigali 2 -3 April 2013 11 | Thank You For Your Attention