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Future Global Priorities or Beyond 2015

Future Global Priorities or Beyond 2015. Gorik Ooms Researcher, Institute of Tropical Medicine Executive director, Hélène De Beir Foundation. Beyond 2015?. My guess is as good as yours... My guess: Only 1 health goal → Universal Health Coverage (UHC).

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Future Global Priorities or Beyond 2015

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  1. Future Global PrioritiesorBeyond 2015 GorikOoms Researcher, Institute of Tropical Medicine Executive director, Hélène De Beir Foundation

  2. Beyond 2015? • My guess is as good as yours... • My guess: Only 1 health goal → Universal Health Coverage (UHC)

  3. Why this could be bad news for the fight against AIDS... • UHC sounds like “health for all by the year 2000”, but then by the year 2100 or so • The fatal flaw of the Alma Ata Declaration: “Primary health care is essential health care … made universally accessible … at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.”

  4. “Primary health care is essential health care … made universally accessible … at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.” • Sounds good, but for people living with AIDS in low-income countries, it means death (for the sake of self-reliance)

  5. Why this could be good news for the fight against AIDS... • ‘AIDS exceptionalism’ has run its course • The paradigm shift it imposed is truly Copernican: • From national responsibility (with some external assistance) • To humanresponsibility (national and international) (Note: global responsibilization may have induced national deresponsibilization)

  6. The new paradigm is implicit, unclear, fragile,... • The “Right To Health” (R2H) or health seen as a human right, with corresponding entitlements and national and global dues, could provide a solid foundation for the paradigm shift

  7. TUESDAY :: NOON :: Steps off from In front (South) of the Convention Center & at archives metro www.WeCanEndAIDS.org

  8. R2H does not support the prioritization of a single disease • Could UHC = R2H???

  9. How to make sure that UHC = R2H? • Question conventional understanding of ‘sustainability’ • Clarify national and global responsibility, and where they meet (a.k.a. ‘shared responsibility’) – a Framework Convention on Global Health? • Promote ‘diagonal approach’

  10. Sustainability = context-specific = depends on who is held responsible

  11. What does ‘shared responsibility’ really mean?

  12. The ‘diagonal approach’…… now more than ever

  13. Conclusion (personal opinion) UHC will work for the fight against AIDS... ...if and only if AIDS fighters work for UHC

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