Dr. Robert Scherpbier 谢若博 Chief Health, Nutrition and WASH, UNICEF China 卫生，营养及 水与环境卫生处 处长 Wuhan, Hubei 武汉，湖北,Managing for Results in Maternal and Child Health International Perspective 妇幼健康管理-国际视角,2 |,Xian, Shaanxi, 17-19 September 2011,Health system 卫生体系 投入 产出 成果 (常规工作) (“覆盖率“) 政策 向家庭提供的信息 目标构成 卫生人力 服务可获得性 得到干预的人口 费用筹资 服务可及 物流和药品供应 服务质量,Determinants of Health 卫生工作的影响因素 Socioeconomic and demographic factors社会经济及人口因素 Environmental and behavioural risk factors环境和行为危险因素,Health status 健康状况 (“impact“) Mortality 死亡率 Morbidity - Disability 患病率残疾率 Growth 生长 Development 发育 Well-being 幸福感,Achieving health results for children & women 为妇女儿童取得成果,Source: Adapted from Health Metrics Network,Pathways to maternal and child survival, growth and development 孕产妇及儿童生存、生长及发展路线图,3 |,Xian, Shaanxi, 17-19 September 2011,Health system Inputs Outputs Outcomes (programme efforts) (“ coverage“) Policies Information to families Proportion of target Health workforce Availability of services population who Costs & financing Access to services received interventions Logistics/supplies Quality of services,Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors,Health status (“impact“) Mortality Morbidity - disability Growth Development Well-being,Source: Adapted from Health Metrics Network,Achieving health results for children & women 为妇女儿童取得成果,Pathways to maternal and child survival, growth and development 孕产妇及儿童生存、生长及发展路线图,4 |,Xian, Shaanxi, 17-19 September 2011,Health system 卫生体系 投入 产出 成果 (常规工作) (“覆盖率“) 政策 向家庭提供的信息 目标构成 卫生人力 服务可获得性 得到干预的人口 费用筹资 服务可及 物流和药品供应 服务质量,Determinants of Health 卫生工作的影响因素 Socioeconomic and demographic factors社会经济及人口因素 Environmental and behavioural risk factors环境和行为危险因素,Health status 健康状况 (“impact“) Mortality 死亡率 Morbidity - Disability 患病率残疾率 Growth 生长 Development 发育 Well-being 幸福感,Achieving health results for children & women 为妇女儿童取得成果,Source: Adapted from Health Metrics Network,Pathways to maternal and child survival, growth and development 孕产妇及儿童生存、生长及发展路线图,Population survey Verbal autopsy,Population survey Routine HMIS,Service provision assessment Routine HMIS Programme records,Population surveys, surveillance, MIS (health, socio-economic, environment, etc),OUTLINE 内容,1. Global strategies post 2015 2015年后全球策略 2. Challenges to overcome 需克服的挑战 3. Action framework: moving towards better health 行动框架：向更好的健康迈进,GLOBAL Strategies POST-2015 2015年后的全球策略,Sustainable Development Goals 可持续发展目标 Target & indicators for ending all forms of malnutrition and preventable maternal and newborn deaths 覆盖与终结所有形式的营养不良及可预防孕产妇及新生儿死亡相关的目标和指标 Global Strategy for Womens, Childrens and Adolescents Health 妇女、儿童、青少年健康全球战略 SURVIVE, THRIVE, TRANSFORM 生存、发展、变革 Targets & indicators align with SDGs 相关目标和指标与可持续发展目标一致 Global Financing Facility全球融资便利机制 Smart financing 筹资更加具有策略 Scaled financing 筹资规模扩大 Sustainable longer-term financing 筹资更有长期性计划性,SDGs: 17 Goals 可持续发展目标： 17项目标,SDGs 2015-2025 17 Goals (1 Health) 169 Targets (13 Health) 229 Indicators (25 Health),MDGs 1990-2015 8 Goals (3 Health) 21 Targets (6 Health) 60 Indicators (21 Health),SDG 1 (end poverty) - poverty reduction, child grants, equitable access SDG 2 (end malnutrition) exclusive breastfeeding, anaemia and stunting reduction, no increase in obesity SDG 3 (healthy lives and wellbeing) emerging policies (child injury prevention, indoor air pollution), intervention coverage WASH in school SDG 6 (water&sanitation) - hygiene & sanitation at home, schools & clinics SDG 13 (climate change) - water, environmental health SDG 16 (peaceful society) - birth registration, physical punishment SDG 17 (global partnerships) - China and Africa collaboration,Chinas SDG Challenges 中国可持续发展目标的挑战,SGs WCAH strategy-VISION & COMPONENTS,To reduce MMR to 70 deaths per 100,000 live births or less Reduce NMR to 12 deaths and U5MR to 25 deaths per 1000 live births or less Reduce Still Birth Rate to 12 deaths per 1000 live births or less,289.000 maternal deaths 2.8 million newborn deaths 2.6 million stillbirths,More than 5.6 million babies and women could be saved each year,Survive: End preventable deaths 生存 终结可预防的死亡 End preventable deaths 终结可预防死亡 Improve quality of care 提高服务质量 Thrive: Ensure improved health 繁荣 确保健康和福祉 End malnutrition 终结各种形式的营养不良 Ensure optimal child development 实现高质量的早期发展 Acknowledge adolescents 关注青少年 Transform: Expand enablers 变革 扩大促进性环境 Ensure registration at birth 出生登记 Ensure access to sanitation 环境卫生和卫生 Ensure universal health coverage 全民健康覆盖,OUTLINE 内容,1. Global strategies post 2015 2015年后全球策略 2. Challenges to overcome 需克服的挑战 3. Action framework: moving towards better health 行动框架：向更好的健康迈进,Inequitable risks of maternal and child death across regions 各地区的孕产妇及儿童死亡风险存在较大差距,Equity gaps within countries and regions 各国各地区内的公平性差距,The size of each bubble