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Global health challenges Policies and priorities. PROF. SCOTT C. RATZAN, MD, MPA, MA Vice President, Pharmaceuticals and Global Health Government Affairs, Europe Johnson & Johnson and Editor-in-Chief, Journal of Health Communication: International Perspectives. Agenda.

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Global health challenges policies and priorities

Global health challengesPolicies and priorities

PROF. SCOTT C. RATZAN, MD, MPA, MA

Vice President,

Pharmaceuticals and Global Health

Government Affairs, Europe

Johnson & Johnson

and

Editor-in-Chief, Journal of Health Communication: International Perspectives


Agenda
Agenda

  • Welcome – tour de table – What is the biggest challenge in your country, region or globally in health?

  • Global health realities and challenges

  • Group discussion on communication issues and priorities

  • Presentation by each group on their ideas


What is health?

[Health] is ‘what we, as a society, do collectively to assure the conditions in which people can be healthy.’

Institute of Medicine, 1988


What contributes to health?

  • poverty

  • inequality

  • human rights

  • conflict/war

  • housing

  • pathogens

  • leisure

  • pollution

  • employment

  • education

  • food

  • epidemiology

  • surveillance

  • detection

  • immunizations

  • payment

  • pharmaceuticals

  • patient counselling

  • treatment

Health

system

Environmental influences

Human

behavior & lifestyle

Culture,

beliefs, attitudes,

values, networks,

social norms,

empowerment


How is health policy developed
How is health policy developed?

POLITICAL

(multilateral orgs., reimbursement, transparency…)

ECONOMIC

(trade, innovation, tech. assessment…)

Public Sector

Private Sector

The patient

LEGAL

(patent protection, access…)

ADMIN

(access to the market, length of processes…)


How is policy developed what about evidence based policy making
How is policy developed?What about evidence-based policy-making?

  • Epidemiology

  • Economics

  • Trends in the absence of action

  • Health and quality of life outcomes

    Where are ethical principles to guide decision making?


Priorities for global health are highly contested
Priorities for global health are highly contested.

  • G8 Okinawa (2000): AIDS, malaria, and tuberculosis

  • G8 Gleneagles (2005): Africa

  • Gates Foundation: vaccines; infectious diseases; technology rich solutions for developing country problems

  • Media: Avian Flu, SARS, “killer diseases”

  • Business: infections, productivity

  • United Nations: Millennium Development Goals

  • US Government: HIV/Aids; health related security issues

Source: Derek Yach, Director of Global Health, Rockefeller Foundation


Source: Ratzan, S. Filerman, G. and LeSar, J, Attaining Global Health: Challenges and Opportunities Population Bulletin, 2000.


Global Challenges: Global Health: Challenges and Opportunities Population Bulletin, 2000.

Ideas for Health Competence

  • Individual

  • health literate

  • appropriate demand

  • participants

  • System

  • supply

  • quality

  • access

POLICY

CLIENT

  • Environment

  • community participation

  • policies

  • social norms


How to get there: A science based approach can make a difference

  • Adds VALUE from the intervention

  • Bases decisions on SOUND SCIENCE and EVIDENCE

  • Develops opportune OPINION LEADERSHIP

  • Involves Policymakers, Physicians, Patients and the Public inPARTNERSHIP


Our Goal: difference

Health for the public good

“Informed opinion and active

cooperation on the part of the

public are of the utmost importance

in the improvement of health of the people.”

World Health Organization

Preamble to the Constitution


Breakout session
Breakout session difference

  • What should the priorities be in your country, region or globally in health?

  • Which are the communication activities and for which audiences?



Dramatic progress on several fronts over the last decade
Dramatic progress on several fronts over the last decade difference

  • New funding for R&D; targeted programs (Global Fund, GAVI, PDPs……)

  • High level political interest for a restricted set of health issues

  • New products for malaria, TB, AIDS and others in the pipeline


But still neglecting the basics at country level
BUT: still neglecting the basics at country level difference

  • Health systems supported by national funds

  • Health professionals

  • Surveillance systems

  • Health leadership

  • Prevention and public health

  • Major causes of suffering-not death: mental health


Old and new agendas for global health

acute childhood infections maternal deaths difference

Simple technologies

Rapid impact

Controlled by health services

Within the medical sector and the health department

chronic, life long infectious and non-infectious diseases

Complex interventions

Decades before impacts

Main levers outside health service control

Multiple stakeholders and all government

Old and new agendas for global health


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