Ensuring access to quality reproductive health and family planning services is fundamental to human development results and is a top priority in the Bank’s 2007 Healthy Development strategy.
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Ladies and Gentlemen,Albania’s health outcomes are relatively strong by regional standards (such as: life expectancy at birth which reached 77 years by 2011 (80 for women and 74 for men), favora... Show More +bly comparing with other countries in the region); though key performance indicators are mixed (for ex: according to the 2008 Demographic and Health Survey (DHS), infant and neo-natal mortality were 18 and 11 per 1,000 live births, respectively, both of which are slightly higher than comparable statistics for other countries in South-Eastern Europe). A critical issue is that financial protection of households against high out-of-pocket payments (OOP) is relatively weak, and quality of care remains a significant concern.In 2013, Albanian public spending on health amounted to 2.6 percent of GDP, the lowest among countries in the region. Out of pocket expenditures accounted for as much as 55 percent of total expenditures on health (the highest among countries in the region) of which 45% was spent on pharmaceuticals. Hence the role of pharmaceuticals is critical.The goals of pharmaceutical reform are the same as those of health sector reform: equity and access, quality, and efficiency. However, because of differences in financing and provision of services, certain problems such as inequity may be more severe within the pharmaceutical sector.The Albanian Ministry of Health is embarking on health sector reforms. The World Bank is working closely to prepare a program of support under an upcoming Health Reform Project, which is seeking to (i) improve efficiency and quality of hospital services delivery; (ii) augmenting Health Management Information System (HMIS); and (iii) improve the Health Financing System, including design and piloting of innovative pharmaceutical policies (i.e: restructuring the existing reimbursed drug list, generic promotion and prescription, and piloting expanded coverage of outpatient drug benefit package).In parallel, the Ministry on its own initiative is undertaking an ambitious reform of the pharmaceutical sector aiming to rationalize expenditure, improve reimbursement decision-making and increase access to medicines (some reform measures have already been implemented: wholesale and retail markups were decreased and VAT is no longer charged on medicines as of April 2014). The World Bank provided technical assistance for reviewing the Pharmaceutical Policy, bringing in the experience of other countries. Today’s technical workshop has been organized to discuss the findings with you.While the benefits of spending on medicines are increasingly being understood, the key test is translating that understanding into policy action. Unmanaged spending runs the risk of contributing to fiscal problems for future generations, while too little spending runs the risk of Albania’s population being less healthy and less productive as it ages. Spending on medicines provides social and economic benefits that need to be recognized in any discussion about future policy and spending decisions.A key public policy challenge is how to ensure that the well-being of Albanians and the Albanian economy is enhanced to the maximum extent possible from the technological advances being made with medicines while maintaining an appropriate level of fiscal control. New medicines offer both valuable new treatments as well as improvements on existing treatments that allow for more appropriate care in response to the needs of individual patients. This can reduce both the incidence of associated downstream treatment issues and the overall cost of care.Let me share three key issues in pharmaceuticals highlighted in the Review Paper:First, Price comparisons to other Western Balkan countries (Serbia, Macedonia, Croatia) reveal that Albania, particularly if its economic context is taken into consideration, has significant potential to reduce prices of medicines. Second, Supply-side constraints still remain a major obstacle to achieving substantial reductions on medicine prices, which undermines the access of large groups of populations on expensive medicines. Evidence shows that hospitals face continuous lack of medicines and procuring medicines for hospitals still remains a challenge.Third, Potential regulatory measures of both supply and demand side can be implemented in a short – medium time. The objective would be to reduce high rates of co-payments, generate savings and ensure value-for-money for public health expenditures on medicines, increase access for lifesaving medicines, control the growth of expenditures on medicines, guarantee rational prescribing on medicines. What could be some measures to move towards addressing these issues? A top priority is the development of a comprehensive framework, capturing key technical aspects of pricing and reimbursement policy including regulation for prescribing and dispensing. This would avoid wasting of scarce resources and allow the government to control the growth of pharmaceutical expenditures.The Paper provides recommendations on both supply and demand side and these will be presented today for discussion. If these are taken on board, their successful implementation would require i) a sound legal basis, ii) political will, iii) enforcement capacity, iv) management skills and v) systems to collect data for measuring both the baseline and impact of a given measure.The World Bank remains available to provide continued technical support as Albania moves to reform this important part of the health sector.Thank you. Show Less -
Thank you, Mrs. Brown.Prime Minister Harper, Mr. Secretary-General, President Kikwete, Director General Margaret Chan, Partners and Friends, Ladies and Gentlemen:We stand today on a critical thr... Show More +eshold for global health and development. A quarter century ago, more than half a million women worldwide died annually due to childbirth, and more than 12 million children perished before the age of five, mainly from preventable causes. Today, with the Millennium Development Goals -- and thanks to the collective efforts of so many in this room -- these numbers have been nearly cut in half. The 2010 Muskoka G8 Declaration was a pivotal moment in securing high-level political support for maternal, newborn, and child health. Canada’s leadership and commitment was critical for all our current efforts.And Muskoka, in turn, paved the way for the Every Woman, Every Child partnership, to scale up global advocacy and support for women’s and children’s health. Mr. Secretary-General, thank you for your leadership.And Prime Minister Harper, I want to thank you for your stunning announcement yesterday that Canada is committing an additional $3.5 billion for maternal, newborn and child health, beyond 2015. Once again, Canada is leading the charge to ensure that we meet our commitment to improve maternal health and reduce child mortality.Four years after Muskoka, it’s the right time to reflect on how far we’ve come. While we can point to progress, we know that it’s been uneven. Too many women and children are still dying because they lack access to quality health care – especially in the least developed countries.Over 6 million children under age five died in 2012 – that’s nearly 18,000 every day. The maternal and child mortality rates in the least developed countries are about 30 times those in high-income countries, with half the global burden in sub –Saharan Africa. It doesn’t have to be this way. A baby in Cameroon and a baby in Canada should have the same opportunity to be born safely, and to have her mother survive childbirth to care for her.The future should be brighter for every woman and every child. As the Lancet Commission on Investing in Health shows, a global convergence on maternal, newborn, and child health is possible within a generation – that is, if governments and donors invest sufficiently and smartly. And these investments will not only save lives, they will drive economic growth and prosperity.So what are the smartest investments? The first is results-oriented service delivery. Shifting our focus from inputs to paying for results has been proven to be extremely effective in getting high quality, essential health services to women and children.Empowering frontline health workers -- with the autonomy and resources to develop strategies to improve service delivery -- has resulted in transformational changes in access and quality.This results-oriented approach enables health systems to innovate, and become more efficient and accountable for delivering timely and quality services.Coupled with independent verification, it ensures accountability and transparency in the use of donor and government resources.The evidence of this approach speaks for itself:Argentina reduced neonatal mortality by 74 percent.In Zambia, the use of modern family planning increased by 109 percent in just one year.And in Zimbabwe, child immunization rates nearly doubled from 33 to 62 percent in a single year.I’m proud that the World Bank Group has been able to support mothers and children through our partnership in results–based financing. We’re supporting programs totaling 2.5 billion dollars in 32 countries.As they view results from our successful pilots, more governments are allocating their own budget resources to sustain and scale up successful programs.The Republic of Congo, for example, is providing $100 million dollars from its domestic budget to scale up the program nationwide -- that’s 80 percent of the total cost.We’re also excited to see our partners, such as UNICEF, GAVI and the Global Fund, leveraging this approach to provide additional in-country financial support.Results-based financing is helping us make progress on our promises at Muskoka and the promises of Every Woman, Every Child: More money for women’s and children’s health, and more women’s and children’s health for the money.So with 580 days to go until the deadline for the Millennium Development Goals, it’s time for all of us to double down.With an additional 510 million dollars in grant funding linked to IDA, we estimate that by 2020, we can save the lives of an additional 61,000 mothers and 1.1 million children, of which 56,000 are newborns.With an additional 1 billion dollars in grant funding, we can make an exponential leap and by 2020, save the lives of 183,000 mothers and 3.3 million children, including 1.7 million newborns.This more than doubles the pace of global death reductions.I urge every development partner and donor in this room to join with us and follow Canada’s lead to help scale up investments in maternal and child health.A second smart investment to improve maternal and child health is to build a well-functioning civil registration and vital statistics system. Prime Minister Harper, thank you for bringing much-needed attention to this issue.To stop mothers and young children from dying, we first need to know who is dying, from what causes, and where. Vital statistics systems are also a keystone of any country’s development infrastructure. Policymakers can’t plan and allocate resources effectively unless they have accurate data on the health and welfare of their citizens.Vital statistics promote accountability by providing a baseline for measuring progress, and for better targeting of health and other development programs -- like education and safety nets.And vital statistics provide legal rights to families, for example, in conferring property. Only 34 developing countries have high quality, easily accessible data on something as important as the causes of death for their citizens.Two-thirds of all deaths globally are not counted at all.In some countries, particularly in Africa, as many as 80 percent of deaths go unreported.Part of the problem lies in outdated, inaccurate definitions. Take the example of birth registration. The current definition of registration “at birth” is children registered by age 5. Only 10 percent of births are registered in the first year. This means that most still births and neonatal deaths go unregistered. This means that those lives are not counted.This is unacceptable – but it’s a problem that the global community can solve.We have the technology. In 2014, no country should have to rely on passive, paper-based records systems.We have the human resources. Health workers are present at vital events of birth and death, and we can empower them to record these events in real time.We have the know-how. If we can attend every delivery, then we can register every maternal and child outcome. Our vision is to register every single pregnancy and every single birth by 2030.In partnership with Canada and many others, we’ve developed a plan to improve and scale up existing registration systems. Every country should have a 21st century, active, digital, and truly “vital” system. These smart investments in results-oriented service delivery and vital statistics systems will help countries achieve the goal of universal health coverage.More than one billion people lack access to health care, and about 100 million people fall into poverty every year from paying out-of-pocket costs for health care. Universal health coverage is the progressive pathway that will save lives, increase economic growth, and help millions of people lift themselves out of poverty.Universal health coverage and saving women’s and children’s lives are mutually reinforcing goals.Universal health coverage is about ensuring that everyone – women, men, and children – can access a package of essential health services. No one should fall into poverty or be kept in poverty to pay for the health care they need. Universal health coverage is about equity, and delivering on the social contract.A growing number of countries at all income levels are pursuing universal health coverage. They are responding to their emerging health needs and disease burdens, closing gaps in access to quality care, and protecting their poorest and most vulnerable populations. As more countries move toward universal coverage, fewer mothers die in childbirth, and more babies are born healthy.Peru has nearly doubled its health coverage from 37 percent to 65 percent of the population, which has helped lead to a significant reduction in maternal and child mortality. Ghana has nearly quintupled its health coverage from 6 percent to 35 percent of the population. Now, 30 percent of insured poor women deliver their babies in a health facility with a skilled birth attendant, as compared to just 10 percent for uninsured households.The December 2015 Millennium Development Goals deadline, and the emerging post-2015 development framework, present us with some critical choices. We can continue to invest in a myriad of health programs that are not very well-coordinated and have limited impact -- or, we can begin to consolidate and leverage our resources around the most equitable, effective, and efficient initiatives, backed by evidence. The people in this room have done some extraordinary things. As a global health and development community, we have collectively mobilized once unthinkable resources over the last decade and saved hundreds of millions of lives. Let’s leave this summit committed to deliver essential, quality health care to every woman, every child, every family, everyone, everywhere. Thank you very much. Show Less -
Thank you, Margaret, for your leadership and for our great partnership with WHO.As the Secretary-General reminded us, there are just 629 days until the deadline for the Millennium Development Goals.Th... Show More +e World Bank Group remains deeply committed to helping countries push as far and as fast as possible toward all of the goals.Yet despite all our best efforts, there will be unfinished business when 2015 ends.Too many people will be dying from preventable causes because they lack access to essential, quality care; or because they can’t afford to pay for the care they need.So as UN member states come together to forge the post-2015 development framework, we must keep a few things in mind:The development landscape is changing. Between now and 2030, about half of today’s low-income countries will graduate to middle-income status.Not only that, but the burden of disease is evolving – including the alarming spread of chronic conditions such as heart disease and diabetes.We must build on the progress made through the health MDGs and work together to set goals that are universal and based on the principle of health equity for all.We need a bold health goal for 2030 that encompasses BOTH the health outcomes we want AND the path to get us there.We now have the evidence that we can end preventable maternal and child deaths. Let’s have the courage to have a goal to do it.We have the evidence showing us how we can significantly reduce deaths and disability resulting from chronic diseases. So let’s have a goal that will help us scale up those interventions.And we also have a growing body of evidence that the most equitable and sustainable way to achieve the health outcomes we all want is through Universal Health Coverage. Let’s have a goal that will make it happen by 2030.Countries like Japan, Thailand, and Turkey have shown the promise of Universal Health Coverage for their people. And a growing number of countries like Myanmar, Nigeria, Peru, Senegal, Kenya, South Africa, and the Philippines have made Universal Health Coverage a top priority. They’re mobilizing resources and pursuing reforms to turn Universal Health Coverage from a slogan to a reality.Thanks to our collaboration with WHO, for the first time, we now have two time-bound targets for Universal Health Coverage. These targets will allow us to chart progress, both in scaling up equitable access to essential health services, and in preventing poverty due to out-of-pocket payments for health. These targets can be applied to all countries, rich and poor, as envisioned under the Sustainable Development Goals.Time-bound targets for universal coverage in the post-2015 framework will drive policy and program choices that lead to better health -- such as investing in strong, front-line primary care that is accessible to the poorest and most marginalized communities. Good primary care delivers the essentials like antenatal care, skilled birth attendants, child vaccines, blood pressure and diabetes monitoring, and other interventions that prevent health crises and keep health care costs from escalating.We also know from the Lancet Commission on Investing in Health, chaired by Larry Summers, that investments in health deliver great economic returns. Nearly a quarter of the growth in full income in low- and middle-income countries between 2000 and 2011 was due to better health outcomes. Universal health coverage is our aspiration, a progressive pathway that will save lives, increase economic growth, and help millions of people lift themselves from poverty.Some ask whether universal health coverage by 2030 is possible. But a decade ago, no one thought it was possible to get 3 million people on anti-retroviral treatment, and today there are 10 million and counting. Unwavering political commitment, clear progressive goals, and measurable targets drive the change.This afternoon’s session builds on the terrific morning panels.We heard about countries -- at different stages of reform -- that are making progress toward universal health coverage. We learned about innovative approaches to expanding access to essential health services, such as results-based financing.We heard about efforts to mobilize resources to scale up key interventions, like child nutrition and immunization; and learned about the importance of countries and development partners agreeing on targets to track performance.This final panel will look ahead at challenges and opportunities to get more health for the money -- and more money for health. Larry Summers will tell us about the powerful findings from the new Lancet Commission on Investing in Health. Mike Bloomberg will talk about how public policy interventions can drive healthier choices. Minister Ngozi will describe how Nigeria has made universal health coverage a priority, and is leading the way forward.We’ve invited these economic and development leaders because this is a development conversation.Investing in health -- and achieving universal health coverage -- will help us achieve the development goals to end extreme poverty by 2030 and boost shared prosperity. We have an unprecedented opportunity to achieve these goals and change millions of lives for the better.As it says behind me – it’s time to “Take On Universal Health Coverage.”Thank you very much. Show Less -
Thank you, Steve, and good morning everyone. I want to thank CSIS for taking on the ambitious topic of universal health care for emerging economies. There is strong evidence that investments in people... Show More + -- like health care, education and social protection -- are not just good for the individuals who directly benefit, they’re also good for their countries’ growth and political stability. Likewise, I believe not providing health, education, and social protection is fundamentally unjust -- in addition to being a bad economic and political strategy.Yet some say our agenda for universal health coverage is too ambitious, too complex, and too costly for high-income countries, let alone for emerging economies.We’ve heard that argument many times before. My first year of medical school was when we first understood the devastation of the AIDS virus. And in a remarkably short period of time, we developed effective treatments.But when we thought about bringing those treatments to the poorest people around the globe, the conventional wisdom was that treating people with AIDS in places like Africa was too expensive, too difficult, and offered slim prospects for success.In fact, some of the most important leaders in public health angrily opposed and ridiculed our efforts, and talked about focusing on the next generation through an emphasis on prevention.Yet others were compelled to act -- or to ACT UP. They had aspirations as high as the people living with HIV/AIDS everywhere in the world -- indeed, some of these activists were themselves living with HIV/AIDS. As a result, millions were treated, millions of lives were spared, and incalculable human and economic costs were avoided. What is the lesson for us here today, as we hear the same negative arguments about universal health care? We saw with AIDS that concrete action often only happens when there is a powerful political and social movement behind it. And just as the AIDS activists drove the movement for treatment – and brought along the scientists, policymakers, the donors and businesses – today around the world we are seeing a large, and growing, movement to achieve universal health coverage. Universal health coverage will deliver better health outcomes. But like other investments in people, investing in health is also imperative for economic growth and poverty reduction. Nobel Prize-winning economist Michael Spence, chair of the Growth Commission, noted that health “dramatically improves income and welfare.” The Growth Commission report concluded that investing in good health and nutrition in young children improves the productivity and earning of individuals and households, “with strong implications for economic growth in the aggregate over the longer term” to help break the cycle of poverty.And the new report of the Lancet Commission on Investing in Health estimates that about 24% of growth in “full income” in developing countries from 2000-2011 resulted from health improvements. Full income is defined as the sum of the income growth measured in the national income accounts, plus the value of the change in mortality (or life expectancy), in that period. Projecting forward to 2035, the Commission Report says that better investments in health could yield a 9- to 20-fold return in full income.Health care is a right for everyone, in every country, rich or poor. As with AIDS, to make universal health coverage a reality, we have to be committed to take on the conventional wisdom and the vested interests. And we should expect to be called some names. But as an experienced health activist -- and as a parent -- I’ve found that gets easier over time.For us at the World Bank Group, achieving universal health coverage and equity in health are central to reaching the global goals to end extreme poverty by 2030 and boost shared prosperity. Our aims are clear:First, everyone should have access to affordable, quality health services. Our commitment is universal, but during the next 721 days until the Millennium Development Goal deadline in December 2015, we are putting a special focus on expanding access to vital services for poor women and children.Second, no one should be forced into poverty, or be kept in poverty, to pay for the health care they need. Every year an estimated 100 million people – that’s more than a quarter of a million people every day – are forced into poverty as a result of out-of-pocket health care costs. So we must pay special attention to affordability for the poorest 40 percent of the population in every developing country.Third, all countries must harness investments in other sectors beyond health that provide the essential foundations for a healthy society. Achieving universal health coverage requires solutions beyond the health sector – including investments in people, like education and social protection, but also things like roads, water and sanitation, and information technology. For example, policy interventions to curb tobacco use or improve air quality, diet, and road safety can all play a critical role in addressing the alarming increase in chronic conditions and injuries in so many emerging economies.Helping countries advance universal health coverage is a strategic priority across the World Bank Group. Through our Bank loans and technical assistance, we are partnering with middle-income countries to design and implement tough health sector reforms and contain costs, while at the same time expanding and sustaining coverage.Through IDA, our fund for the poorest countries, we are supporting the next generation of countries to lay the foundations for universal health coverage. The strong commitments made by the United States and other donors for the recently completed IDA-17 replenishment round will enable us to scale up our efforts over the next three years.And through the International Finance Corporation, our private sector arm, we are helping both middle and low-income countries harness the resources and innovation of the private sector – while promoting greater collaboration between private and public sector health institutions. While there is no single pathway for countries to achieve universal health coverage, all countries can learn from one another’s experiences as they chart and calibrate their own paths. Why, for example, are some countries able to achieve better maternal and child health outcomes than others with the same level of resources? How have some countries managed a rapid expansion in coverage? What are the best ways for governments to engage private sector partners while ensuring equity and quality?All of us who are committed to improving global health need to document, evaluate, and share lessons across countries. This will help save lives, reduce spiraling health care costs, and demonstrate value for money. That’s why at the World Bank Group we are placing a priority on what we are calling the science of delivery, which for us means a more rigorous and systematic focus on outcomes – and how to achieve them. We need to understand why development approaches succeed in one country or context and fail in another.This search for global knowledge to solve local problems will be an integral part of our everyday work. Our knowledge must be accessible, useable, and relevant to government policymakers and development practitioners, telling them how to drive decision-making by policymakers, solve political problems, and change behaviors. The ultimate test is whether our science of delivery actually delivers results for the poor.We are learning a great deal about how countries achieve universal coverage. Last year we produced 27 case studies on universal health coverage experiences from low- and middle-income countries. The countries are geographically, culturally, and economically diverse, but all demonstrate how these programs can improve the health and welfare of their citizens and promote inclusive and sustainable economic growth.Here are five lessons from country experiences with universal coverage:First, strong national and local political leadership and long-term commitment are required to achieve and sustain universal health coverage;Second, short-term wins are critical to secure public support for reforms. For example, in Turkey, hospitals were outlawed from retaining patients unable to pay for care;Third, economic growth, by itself, is insufficient to ensure equitable coverage. Countries must enact policies that redistribute resources and reduce disparities in access to affordable, quality care;Fourth, strengthening the quality and availability of health services depends not only on highly skilled professionals, but also on community and mid-level workers who constitute the backbone of primary health care. And finally, countries need to invest in a resilient primary health care system to improve access and manage health care costs.Not surprisingly, all of these case studies also demonstrate that as countries move toward universal coverage, they will confront competing demands and continuing trade-offs.Countries face choices that can either enhance or erode coverage. Countries of all income levels which have been most successful in expanding coverage have been in a mode of continuous learning – observing what is happening both inside and outside their borders, and adapting their approaches based on the best available knowledge and evidence.Let’s take a closer look at a few country examples:In 2003, Turkey’s infant and maternal mortality rates were among the highest in the region, while life expectancy was 10 years below the OECD average. Despite fiscal difficulties and double-digit inflation, Turkey decided that to become more economically competitive it had to reform its health care. Today, formal health insurance covers more than 95 percent of the Turkish population. Infant mortality has dropped over 40% since 2003. And three-quarters of the Turkish people say they are satisfied with their health services.Thailand focused on strengthening its health workforce, a network of rural doctors leading the push for reforms. The government increased the number of doctors and nurses, raised basic salaries, and introduced incentives to attract and retain health workers. As a result of this and other factors, catastrophic health expenditures are declining. In the poorest rural northeast region of Thailand, the number of impoverished households dropped by nearly two-thirds.When Ethiopia launched its free universal primary care program in 2003, at its center was a network of health extension workers. These 35,000 women -- 10th grade high school graduates recruited from their communities -- were trained for one year and redeployed back into their communities. The latest survey data show that child mortality fell by over one quarter, as did child stunting. For women, anemia rates fell and contraceptive use nearly doubled, helping to reduce the total fertility rate. Our case studies showed that all countries face challenges implementing complex reforms to achieve universal health coverage. That’s why we need global mechanisms, such as a joint learning network, through which countries can gain access to the latest experiential knowledge. The World Bank Group is now moving toward a Global Practice for Health, Nutrition, and Population as a platform for supporting countries in achieving these goals. Our ambition for universal health coverage is very high, as are the ambitions of many nations. Yet no goal is real unless measured against an actual time-bound target. All countries need to make their universal health coverage policies and programs accountable and measurable, so they can track progress and adjust as they go.And in order for countries to continue learning from one another, and to benchmark progress, the world needs a measurement framework that can provide a common, and comparable, set of metrics.That’s why the World Bank and WHO have released a joint framework for monitoring progress toward universal health coverage with two targets, one for financial protection and one for service delivery. For financial protection, the proposed target is by 2020 to reduce by half the number of people who are impoverished due to out-of-pocket health care expenses. By 2030, no one should fall into poverty because of out-of-pocket health care expenses. This is no small feat: this would mean moving from 100 million people impoverished every year now, to 50 million by 2020, and then to zero by 2030.For service delivery, the proposed target is equally ambitious. Today, just 40 percent of the poor in developing countries have access to basic health services, such as delivering babies in a safe environment and vaccinating children. We propose that by 2030 we will double that proportion to 80 percent coverage. In addition, by 2030, 80 percent of the poor will also have access to many other essential health services, such as treatment for high blood pressure, diabetes, mental health and injuries.We are now consulting with a wide array of partners to work out the details for tracking these targets.These targets are bold-- but we need bold targets to close the gap on universal coverage. Simply put, targets drive action. Without the ambitious 3 by 5 target for HIV, I do not believe that today we would have 10 million people and counting on anti-retroviral treatment.I know all of us in this room will help nations who seek the path to universal health coverage. And while the road won’t be easy, the lessons and experiences we are sharing today show that it is possible for all countries to realize this goal.Because it is possible for all nations to achieve it, let’s make that an explicit goal as well. The goal of universal health coverage should be firmly embedded in the emerging post-2015 global development agenda.It has been 20 years since the landmark 1993 World Development Report on Investing in Health, which led to a generation of investments that produced dramatic achievements in global health.It’s time to finish the job in this generation.Yet as we seek a brighter future, let’s not forget the lessons of the past.Today, some say achieving universal health coverage is impossible. What I learned from the HIV/AIDS fight is that individuals must stand up and advocate for doing the right thing, despite the difficulty.Ultimately, it is the duty of each of us -- all of us here today --to persevere through the doubts and indifference, to educate our friends and colleagues, and to work tirelessly to find evidence-based solutions.With our moral compass as a guide -- and aided by dogged determination -- we can provide quality health care to millions of people. We can help them lift themselves from poverty, so that they may lead healthy, productive lives -- lives with dignity, equity and opportunity.Thank you very much. Show Less -
Thank you, Mr. Secretary General,I couldn’t agree more with the Secretary General. We need to work together so that the people of the Sahel can have both peace and development. The partners he mention... Show More +ed that are on this trip--and the many unsung heroes helping people on the ground--must coordinate closely to stop the destructive cycle of poverty and conflict.Following our historic visit to Africa's Great Lakes region in May, we are even more committed to this approach. We are committed because the stakes are so high. The people of the Sahel have lived for decades with threats to their survival. They have been battered by conflicts, political instability and a harsh and unpredictable environment.Now is the time to help them build more stable lives. They need better access to quality health care and education, as well as good jobs, especially for women and young people.The Secretary General and I will hear first-hand from Sahelian leaders next week. We know their nations suffer from many interrelated problems. Many of these countries have chronically low economic growth which lags behinds the urgent need for job creation. The severe impacts from climate change threaten hard-won gains in poverty reduction. As the Secretary-General mentioned, volatility in the price and supply of food now leaves millions at risk of hunger. Tragically high infant and maternal mortality rates not only afflict families but also burden countries with high economic costs. And tenuous government control over several large areas makes public services scarce or non-existent for the citizens who need them most.Not surprisingly, the Sahel is highly vulnerable to a long-term “fragility trap” of fading economic prospects, high poverty and insecurity. That is why we must act now--to give the people of the Sahel a chance for a brighter future.The World Bank Group will mobilize behind a new approach to the Sahel. We will do this while working side by side with countries from the Sahel, the Secretary General and other development leaders from the UN, the European Commission, the African Development Bank, and the African Union.As we will announce on the trip next week during our visit to Mali, our regional action plan will promote greater stability, resilience and sustainable development in the five core countries of the region: Burkina Faso, Chad, Mali, Mauritania and Niger.Our aim is to address the root causes of poverty, conflict and hopelessness.As a part of this new approach, the World Bank Group will mobilize substantial public and private resources and support: We will help strengthen social safety nets for people, lower the cost of energy, and expand support for irrigation and pastoralism.We’ll also work to transform the state of agriculture across the Sahel, and move even closer to the elimination of river blindness and other neglected tropical diseases.Finally, we’ll help create and support small- and medium-sized businesses through increased finance, trade incentives, better infrastructure and an improved investment climate.I'm pleased to support this historic new vision for change in the Sahel. We see this as an essential component of the World Bank Group’s global strategy to end extreme poverty and build shared prosperity.Working closely with these nations and partners, we can empower families to achieve more prosperous, hopeful, and peaceful lives. Thank you very much. Show Less -
New York City, September 25, 2012 – Remarks as prepared for delivery by World Bank Group President Jim Yong Kim for the Every Woman, Every Child event at the UN General Assembly on Tuesday, September ... Show More +25, 2012:“Mr. Secretary-General, Excellencies, Ladies and Gentlemen: It’s a great pleasure for me to be here tonight, and to join with all of you in driving forward progress on the Every Woman Every Child Initiative. We at the World Bank strongly support this program, because children’s and women’s health are absolutely crucial to our core mission of expanding prosperity and ending poverty. Mr. Secretary-General, thank you for your leadership of this critical effort. Poor health and high out-of-pocket healthcare expenditures are among the leading causes of poverty. And access to quality, affordable healthcare is not only about making people healthier, but is also a necessary underpinning for creating productive opportunities and decent jobs, and ultimately for sustaining economic development.That’s why we at the World Bank Group have been stepping up our investments in children’s and women’s health. Over the past 5 years, the World Bank has committed more than $1.4 billion dollars to improve child health, and nearly an additional $1 billion for reproductive and maternal health programs. At the 2010 MDG Summit, we committed more than $600 million over 5 years in results-based financing programs to address the challenges of high fertility, poor child and maternal health and nutrition in 35 highest burden countries. Two years later, we’re well on our way to fulfilling this pledge, with $368 million either already committed or in the pipeline.But we must do more to accelerate progress. Too many women and children continue to die needlessly, lacking access to the basic, quality, affordable health care they need and deserve.That’s why tonight I am announcing that the World Bank will establish a special funding mechanism to enable donors to scale up their funding to meet the urgent needs related to Millennium Development Goals 4 & 5. We hope to do this by leveraging the International Development Association (IDA), the World Bank’s fund for the poorest. We are committed to finding the financial and human resources needed to address these incredibly important issues. We will be talking with our IDA shareholders and other interested donors and partners in the coming weeks to agree on the best way to do this, together.We don’t just need more money for health – we also need to achieve better outcomes for the money we’re spending. At the World Bank, we’re pursuing this goal in three ways:First, we’re increasing our focus on reproductive health, because we know this is critical for achieving broader health outcomes. Through our Reproductive Health Action Plan, 70% of all World Bank health projects in countries with high maternal mortality and/or high fertility now address reproductive health. We’re helping ensure a continuum of care from family planning to pregnancy and safe delivery, to post-natal care, newborn and child health. Second, we’re designing innovative programs that link financing to results, producing dramatic gains in both access and quality of health care for poor women and children. To give just one example, in Burundi, results-based financing has led to a remarkable increase in reproductive health services in just one year, including a 25% rise in births at health facilities, a 20% increase in prenatal consultations, and a 27% increase in family planning services.Third, and most importantly, we’re helping countries put in place strong health systems. To achieve outcomes at scale, you can’t just look at the inputs – you need to focus on systems. Consider, for example, everything it takes for a mother to safely deliver a healthy baby that can thrive. It starts with the mother having the right information and access to affordable family planning. Then you need nutritious food and vitamins and ante-natal care, and an equipped and accessible clinic with trained health workers to deliver her baby safely. And you need to ensure that she and her baby receive necessary vaccines, medicines, and affordable basic health care.It takes all of these things and more working together in a strong health system – a network of people, resources, and information that makes the difference between life and death. And a strong health system requires investments beyond the health sector. We also need to think about infrastructure, water and sanitation, education systems, and labor markets: All play a role in delivering health outcomes.Finally, as donors and development partners, we have a special obligation to harmonize our aid efforts and remove any bottlenecks to effective service delivery. I am committed to deepening our collaboration with our multilateral and bilateral partners to ensure we’re working together as effectively as possible to support country priorities and produce results.What will it take for all women and children live healthy lives? I’ve talked about some of the things we know are working - but we also need new ideas. That’s why we’ve launched a global campaign to ask people what it will take to end poverty. Check it out on Twitter at hash tag #whatwillittake and tell us what you think. Thank you and I look forward to continuing to work with all of you to ensure that every woman and every child can survive and thrive.” Show Less -