Reflection from Pre-WHA Youth Workshop: Negotiating for better global health

“Not just training for the future, but participating in the present” were the words of Dr Wilson, President of the World Medical Association, at the Closing Ceremony of the recent Pre- World Health Assembly (WHA) youth workshop, organised by the IFMSA. In many ways, his words reflected exactly what we were doing in this three-day workshop, which involved over 30 young people interested in health advocacy. With students from all over the world gathered in Geneva, covering disciplines such as medicine, pharmacy, dentistry, law, and public health, we had come together to prepare for the upcoming WHA.

The workshop involved a combination of keynote addresses, expert panels on five important WHA agenda topics, and small working groups on these issues for advocacy preparation. These five topics were non-communicable diseases (NCDs), human resources for health (HRH), maternal and child health (MCH) and sexual and reproductive health (SRH), the post-2015 agenda, and research and development (R&D). Throughout the three days, we split into groups to prepare focus points and briefing papers on these issues, which we would use throughout the WHA to discuss with member states, and interventions, which we would submit for presentation to the Plenary.
Pre WHA

Group Photo of the participants on the Pre-WHA Youth Workshop

But first, we had a range of excellent introductory lectures. The opening address was given by the wonderful Dr Sigrun Møgedal, who spoke about the importance of youth involvement in global health. She inspired us all by promoting the key differences youth can have in this field, most particularly, by being able to take risks, be strong, and demand change. We talked about the difficulties in defining global health, but ultimately the one that resonated with me the most was simple: “global health means…we’re all in this together!” This was followed by a lecture on global health diplomacy, given by Professor Ilona Kickbusch of the Graduate Institute of International and Development Studies. She gave an excellent overview of the current global health agenda, and the need for global governance for health. An introduction to the World Health Organisation (WHO) was provided by Dr Mihály Kökény, former Chairman of the Executive Board, and Dr Andrew Cassels, current Director of Strategy. Dr Cassels spoke about WHO reform and highlighted the fact that one of the WHO’s key roles in creating normative standards and public goods is often not recognised, resulting in criticisms of the organisation as a whole. Dr Kökény shared the lessons he learnt while at the WHO, including the importance of preparing for all scenarios, consulting with experts on topics, and discovering the vested interests of those you are working with.

Workshop days two and three were made up of panel sessions for each of our focus areas. An attempt at brevity prevents me from going into detail about the speakers and issues discussed in each, but we were fortunate to have interesting and experienced panellists who were able to provide new perspectives on each topic. A highlight was to hear from Dr Lola Dare, of CHESTRAD, who spoke about the need for reform in medical education, and emphasised the need for social accountability as a component of training for all health workers. Similarly, Carlos Dora, of the WHO Department of Public Health and Environment, spoke about the importance of health in the post-2015 agenda – as he pointed out, “health is central to development; as a precondition, beneficiary, and indicator.” Perhaps the most useful session of the workshop however was an advocacy simulation exercise, coordinated by representatives from the Graduate Institute, World Vision and Save the Children. This forced us to play various roles in the WHA process – member states, non-governmental organisations, and the WHO Secretariat – in order to understand how the lobbying process works at the assembly and think more critically about our role as an NGO agitating for change within the system.

So, after three long days, we concluded the pre-WHA workshop with a greater understanding of the issues on the agenda, a renewed focus on interdisciplinary collaboration in health, and concrete goals for our advocacy throughout the assembly itself. The inaugural pre-WHA workshop was most definitely a success, and will no doubt see an improved recognition of the role for informed and coordinated youth involvement in global health.

By Freya Langham

IFMSA at WHOs 132nd Executive Board Meeting

Greetings from a cold Geneva

The first one and a half day of the WHOs Executive Board Meeting have been very intense for IFMSAs delegation. Before going into some specifics let me explain what the WHOs Executive Board is, the WHO EB as it is also called is composed of 34 individuals technically qualified in the field of health, each one designated by a Member State elected to do so by the World Health Assembly. The Board members are selected for a 3 year period. The WHO EB is the body who selects and proposes the topics and resolutions that are put on the agenda for the World Health Assembly. This year, the WHO EB has an extremely long and packed agenda, amongst other things it will discuss WHO reform; noncommunicable diseases; promoting health through the life course; preparedness, surveillance and response; communicable diseases and health systems.

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Myself, Roopa and Chantelle are representing IFMSA in this meeting, and we have been working on drafting specific statements on different agenda items. Given that IFMSA is in official relation with WHO, we are allowed to speak during the governing body meetings.

Today IFMSA will speak for the first time in this meeting on Social Determinants of Health (SDH) and the progress since the political declaration on SDH. You will find below that we are glad to see the progress, but are still critical on some issues. Enjoy the reading, and please make sure to comment if you have any!

Follow us live on IFMSA Facebook and Twitter as well
Until next time!

Usman Mushtaq
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IFMSA statement on Social Determinants of Health Agenda Point 7.3

IFMSA would like to acknowledge the work of WHO in supporting member states with the
implementation of the Rio Political Declaration. It is also pleasing to see the commitment from the WHO Regional Offices in this effort. Beside this, we also welcome the engagement with other UN bodies on highlighting health in all policies approach. However we are still compelled to point out that one of the three overarching recommendations of The WHO Commission on Social Determinants of Health is to “Tackle the inequitable distribution of power, money and resources”. It is perhaps strange to see that the report does not identify the root causes for health inequities and also fails to deliver on a concrete action to address these causes.

We recognize that changing and defeating inequalities worldwide is a challenging effort, partly due to the inequitable distribution of power and wealth at the international level. Action on social determinants of health will require substantial funding and therefore it is essential that members states and the WHO work for innovative funding schemes that will propel reduce the inequality gap.

As early as now, young people need to be made to understand the principles of equity and
social determinants. This will not only provide an avenue for smooth transfer of knowledge to but eventually ensure the sustainability of this global movement. Youth today has the sheer capacity to effect positive change, a capacity that remains largely untapped. With their innate energy, fresh vision, and advanced grasp of technology, young people, who will be inheritors of global health sooner rather than later, can largely and meaningfully contribute in advancing the movement for “health and equity for all.”

We would like to end with the words of the WHO Commission on Social Determinants of Health
- “reducing health inequity is an ethical imperative. Social injustice is killing people on a
grand scale.”

[Day 3 and 4] WHOs Western Pacific Regional Committee, Technical Programmes and Closing

Continuing with the unfinished agenda item 16—program reports on technical programmes,
the Member States and the WPRO official had many discussions on topics: malaria and
antemisinin resistance, expanded program on immunization (EPI), and HIV/AIDS prevention
and treatment. During the discussion, China presented their success on tobacco control: the
initiative on smoke-free working environment, improving their surveillance system, etc. Philippine
also presented their plan on tobacco control from 2011 to 2016. In order to achieve the Millennium
Development Goals, most Member States asked for the WHO’s fund and technical support, and some
of the Member States, such as Philippine and Mongolia, asked for more time to achieve MDGs.

The AusAID delivered technical briefing on malaria in the afternoon. During this side event, experts
and the attendees shared and exchanged their ideas on treating and preventing malaria.

In the afternoon, the Member States coordinated the work of the World Health Assembly (WHA),
the executive board and the regional committee. After quick discussion, the Member States adopted
the WHA reform (WHA(9)); WHA65.4—The global burden of mental disorders and the need for a
comprehensive, coordinated response from health and social sectors at the country level; WHA65.7—
Implementation of the recommendations of the Commission on Information and Accountability
for Women’s and Children’s Health; WHA65.8—Outcome of the World Conference on Social
Determinants of Health; WHA65.19—Substandard/spurious/falsely-labelled/falseified/counterfeit
medical products;WHA65.20—WHO’s response, and roles as the health cluster lead, in meeting the
growing demands of health in humanitarian emergencies; and WHA65.22—Follow up of the report of
the consultative Expert Working Group on Research and Development: Financing and Coordination.

Moreover, this time, the WPRO official and the Member States adopted the resolution on nomination
if the regional director: code of conduct. This would be the novel guideline to make the nomination
of RD be much more fairness and transparency. And also, the Member States also adopted the
resolution on amendments to the rules of procedure of the regional committee. It will allow the
chairperson of WPRO to decide which organizations or observers they would like to invite.

In this afternoon, the AP-RC-elect, Vincent, headed to the medical school in Viet Nam to met their
president of student association to find out their medical students’ association and try to invite them
to join the IFMSA big family to complete the Asia-Pacific region.

On the evening, the IFMSA team of WPRO was invited to the farewell dinner. After four-day work, the
IFMSA team has completed the mission for attending to the WHO Regional Committee of the Western
Pacific.

Andrew and the IFMSA team to the WHO Regional Committee of the Western Pacific.