The Global Thematic Consultation on Health has confirmed that tackling diabetes and related Non-communicable Diseases (NCDs) will be central to the successor Millennium Development Goals (MDGs). The consultation, led by WHO and UNICEF from September 2012 to March 2013, united governments, UN agencies, civil society and the private sector to discuss how best to ensure the health of future generations. The report drew on input from formal papers - including one submitted by the International Diabetes Federation and the NCD Alliance -, online discussions and conferences around the world. The consultation culminated in a High Level Dialogue on Health, at which 50 high level representatives met in Gaborone, Botswana from 5-6 March 2013.
The final report - entitled “Health in the Post-2015 Development Agenda” - outlines a transformative approach for future global health. It strongly reflects IDF’s response to the consultation, and recommends that the post-2015 development agenda must create “sustainable wellbeing for all.” The post-2015 agenda should contain a health goal, and health targets in other areas of development, including the economy and environment.
The health goal should aim to “maximise healthy lives at all stages of life” and would include three priorities:
Accelerating the current MDGs
Reducing the burden of diabetes, cancers, cardiovascular and respiratory diseases - this will likely build on the target to achieve a 25% reduction in mortality from NCDs by 2025, and also include targets for reducing risk factors, morbidity and disability.
- Achieving universal coverage of, and access to affordable, comprehensive, high-quality health services - including action on health systems strengthening, financing, a skilled health workforce and access to essential medicines and technologies.
Health goals will be universal, but applied with specific national targets and indicators. The overall approach to improve health across the life-course reflects IDF’s calls to end the siloes of the MDG era and focus on improving the health of people, rather than specific diseases. New opportunities and trends - such as technology, and information, and youth in developing countries - will need to be leveraged in post-2015. A focus on the means to implement health goals (though better governance, accountability, information systems and a multisectoral approach including the voice of civil society) will also be crucial.
This report was presented to the UN Secretary-General Ban Ki-moon, and the High-Level Panel on Post 2015, which is co-chaired by Presidents Susilo Bambang Yudhoyono of Indonesia, President Ellen Johnson Sirleaf of Liberia and UK Prime Minister David Cameron. The Panel will consider this report as they produce their final report in June 2013, which will form the basis of discussions at a UN General Assembly Special Event on Post-2015 in September 2013.
IDF has participated in this consultation as part of our long term objective to ensure diabetes is included in the successors to the MDGs, which expire in 2015.