WHO-EB132 Meeting Summary update

IFMSA was represented by Roopa Dhatt (IFMSA President), Usman Mustaq (IFMSA VPE) and Chantelle Willard (AMSA-Australia). We would like to share with you some updates about the meeting.

Chantelle Willard (LEFT), Dr. Chan (Middle), Roopa Dhatt (Right)
Chantelle Willard (LEFT), Dr. Chan (Middle), Roopa Dhatt (Right)

WHOEB132

photo

Day 1
Today was the first day of the WHO-EB 132. As an opening day, the discussions focused on key themes of the health agenda for the year–including special mention of the WHO reform, NCDs, and as well as the overall increased participation of member states on global health. A great deal of comments were made on the NCD resolution and indicators and the process that has been going on for sometime. The agenda for this WHO-EB is quite extensive thus they are being very selective about speaking rights.

Next Days..

The next days will be followed up with many more reports being presented and discussion of various resolutions. We have several follow up meetings scheduled with WHO representatives, WMA and other partners that are present.

Priorites selected by the delegation to focus on
IFMSA will be closely focusing on the agenda items below and consider delivering interventions on them based on the discussion and whether an intervention is appropriate. We passed several key policy statements in AM12 and MM12 that will be used as a foundation for our statements.

EB132/5
WHO reform

EB132/7
EB132/7 Corr.1
Draft action plan for the prevention and control of
noncommunicable diseases 2013–2020

EB132/8
Draft comprehensive mental health action plan 2013–2020

EB132/11
Monitoring the achievement of the health-related Millennium Development Goals

EB132/12
Monitoring the achievement of the health-related Millennium Development Goals
Health in the post-2015 development agenda

EB132/13
Follow-up actions to recommendations of the high-level commissions convened to advance women’s and children’s health

EB132/14
Social determinants of health
Report by the Secretariat

EB132/19
Neglected tropical diseases
Prevention, control, elimination and eradication

EB132/22
Universal health coverage

EB132/23
The health workforce: advances in responding to shortages and migration, and in preparing for emerging needs

Day 2

Mental Health

The morning has been spent discussing key health commitments in Mental Health. Member States across the board have supported the Mental Health Plan . This plan will potentially be used to impact the Mental Health Across the board.

Some key highlights:

Switzerland: protect mental health without sexual discrimination.

Australia: It is a very polished document. Mental health is a priority in Australia, there is a separate ministry.

Croatia: Mental health services should be paired with civil society organizations.

Lithuania: A call for universal call for mental health services coverage. By 2013, depression burden will be leading.

Thailand: The Mental Action plan requires health work force to implement.

Blindness & Visual Impairment 2014-2019 (Action Plan)

Member states discuss how this issue has been neglected, even though there are often preventable measures and treatments that are curable. Several express they hope this is on the agenda for the next WHA.

Some key highlights:

Saudi Arabia: We adopted the EMRO resolution on Universal Eye Care. We are delighted to co-sponsor this resolution on the Global Health Eye Action Plan.

Resolutions Submitted by IFMSA

WHO REFORM

Day 3: THEME DAY FOR REFORM

The day was used primarily for discussing WHO Reform. This is a process that WHO took upon itself in the past year to review how the entire organization works–from structure, to financing to engaging with civil organizations. It is a vast project and this could potentially impact our relations with them, as we are part of the Civil Society Organization (CSOs) group or NGOs. We will be delivering a statement on this WHO reform to areas that pertain to us. We want to focus on youth engagement, but also increasing transparency, inclusiveness, involvement and coordination to engage with CSOs more (all values we promote in IFMSA).

We networked on the Global Health Diplomacy Pre-WHA event. We had some successes, more to come. We also talked with the U.S. Mission, Norway Mission, and Australia Mission.


Health Promotion
, (Health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.)

The department has sent us an invitation to be involved in this conference–the specifics are to be further defined. They are also considering internship opportunities.
Health Promotion

SDH (The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels.)

The Rio Political Declaration of 2011 confirmed Member State commitment to take action to address the social determinants of health in five areas:

Adopt improved governance for health and development
Promote participation in policy-making and implementation
Further reorient the health sector towards promoting health and reducing health inequities
Strengthen global governance and collaboration
Monitor progress and increase accountability

The SDH momentum continues to grow. They have confirmed an internship opportunity in this area, more to follow. Furthermore, opportunities are being explored about pushing for an online module. The department expressed interest on documenting the value of sdh/global health curriculum–potentially meaningful measures for students.

Global Health Force Alliance

We received an invite to coordinate the youth component to this movement. We also received an opportunity to attend this meeting with a very large delegation of health students. The aim would be support this very key issue about health workers. We had the chance to meet with Robbert Duvvier an intern and LoME 2009/11. The department expresses continued interest on working with us. Very excited about IFMSA and the young voices being part of this.

THIRD GLOBAL FORUM ON HRH
3rd Global Forum on HRH
(more news, very exciting new to be delivered on this) These maybe potential areas that medical student and health students could get involved in. As well, we met up with the fellow IPSF representatives.

IFMSA and IPSF

Our statement is attached. Agenda Point 5.

Personal Comment–> The reform happening at WHO hasn’t happened at this level in almost 30 years. Things weren’t working well for them and they decided to do a major reform. TAKE HOME LESSON: REFORMs might be a huge investment of time and resources, but without them, organizations become ineffective. It might be time for us to consider in IFMSA to commit to a major reform process.

Chantelle, Roopa, and Bronwyn,

Day 4
Today was a day that IFMSA delivered its voice to the WHO-EB. It was a very tough day with only myself and Chantelle and many things to address.

Including, DG Maraget Chan jotted down notes. Day 4 was relevant to our key areas of focus Post-2015 and SDH.

Post-2015 was a very interesting discussion about how member states engage with either placing health into all MDG goals or making one goal. Another interesting point was universal health coverage (UHC) vs. vertical programs. The majority were supporting UHC. Interesting, it was noted that many do not know the definition of Universal Health Coverage and how it is easily confused with Universal Health Care (so what is UHC–> check out the link, I KNOW UHC. There was also concern about supporting the notion of UHC, especially in countries with weakened health systems. In other words, if the hospitals are bad, is UHC the answer. Our statement was well received. A few delegations in passing stated it was a good statement, including the representative from World Health Professions Alliance and UNFPA (United Nations Population Fund). Our statement focused on three key areas: considering health in all the 10 thematic discussions on Post-2015, using a human rights and human security (development and rights) approach, and a special attention to women & child related issues, especially reducing violence, ending child-brides and focusing on basic needs. PLEASE READ IT, AS IT WAS AWESOME. We also said a special thanks to Norway, as it was the only member state that mentioned youth.

We had the UK delegation approach and they spoke to us for an 1hr on our position. What we think. Of course.

SDH
The topic had more consensus in the room and is fully supported. Most states discussed how to implement and what are the next phases. They also discussed the range of SDH work in the regions with Africa being the weakest and PAHO doing great stuff. We delivered another great statement that focused on youth being a part of the innovative solutions.

We celebrated this awesome day with UN DRINKS–Bar De La Plage Geneva. Of course we were only there for professional networking–to hear how other young people are contributing to social change at the UN (loads of exciting thing…!)

WHOEB ROOM

Day 5, Key Discussions
Day 5 was an interesting day for the on-going discussions in WHO on a variety of topics. The key discussions were around the consultative Expert Working Group on Research and Development: Financing and Coordination (CEWG). There was a lack of commitment on part of the members states on CEWG report and the draft resolution was weak in many opinions. However, some member states, including China, fervently stated that they opposed the resolution, whereas, other member states felt this was a step forward, while still more needed to be done. There was a great deal of disagreement in the room, resulting in DG Chan singing at one point.

Some key comments:

Medicus mundi international network: “We firmly believe that the independent evaluation of WHO should produce a comprehensive and strategic situation analysis of WHO’s current positioning on the overcrowded stage of actors influencing global health.” (Democratising Global Health coalition and MMI statement on the independent evaluation of the WHO reform #EB132 http://bit.ly/V0bVLo)

Disabled

@WHO Executive Board: #Disabled ppl face barriers in accessing services such as health care, education, transport, employment #EB132

@WHO People with disabilities also face barriers in accessing justice. #EB132 #disability
RT @WHO: An estimated 1 billion people live with disabilities; this number is set to increase as populations age. #EB132 #disability

Vaccines

Doctors w/o Borders: Decade of #Vaccines” plan must do more to address high prices and lack of products for developing world. Vaccine costs rose 2700% over the last decade, so why doesn’t the blueprint for the next decade have a goal to bring prices down? We need products that make vaccinating kids easier. We need a clear signal that this is a critical objective for the next decade.

CEWG
#EB132-Director-General Chan throws down the gauntlet on the CEWG process: “Let’s fight this out at the Assembly”

MSF Intervention on CEWG: Financing & Coordination at WHO #EB132 http://www.msfaccess.org/content/msf-intervention-cewg-financing-coordination-132nd-who-executive-board

Joint letter to WHO EB delegates on follow-up of CEWG report on R&D (HAI, KEI, MSF, Oxfam, PHM, Stop AIDS, TWN) http://lists.keionline.org/pipermail/ip-health_lists.keionline.org/2013-January/002758.html … #EB132

#eb132 Medico Mundis, TWN & PHM say CEWG report proposed a paradigm shift that draft resolution does not reflect

Day 6, Working on the Weekend, Reform
We came in today to follow up on the reform process and deliver our statement on WHO Reform. It was a low action day.
IMG_4976

It was also Aussie Day, as Chantelle Willard is from Australia, we were very fortunate to have lunch with the Australian Mission and Dr. Halton. Including having very important diplomatic discussions on Vegemite.

The remaining part of the day was spent prepping for Monday and also meeting with our colleagues from IPSF ( International Pharmaceutical Students’ Federation). We discussed the follow-up on the World Health Student Alliance (WHSA), as well as representation to the high-level discussions on Health Promotion in June in Finland. We concluded by discussing a bit about on-going reform. President Radek Mitura will join us at the MM13.

Some Comments:

25% of the @WHO #budget comes from regular “dues”, the rest is money that countries, agencies, other partners give to WHO voluntarily #EB132


Day 7, Delivering a Message

Today IFMSA delivered a message on Universal Health Coverage. A special thanks to Schi from St. Kitts for the input. The statement was well received and we were approached by Save the Children, as we as positive feedback. We also received a request from the PHM to have our statement. Our statement is attached below.


Discussions also focused on health workforce. There were encouragement on reporting and migration studies. The ILO expressed there needs to be ethical guidelines on international recruitment. (PERSONAL COMMENT: THIS IS A HUGE TOPIC THAT IFMSA AT THE MOMENT HAS NOT LOOKED AT, IT COULD POTENTIALLY BE A PRIORITY AREA FOR US TO ADDRESS THE EQUITY ISSUES).

Some Key Comments:

UHC
China: #UHC not only responsibility of health sectors. Governments should have primary responsibility for implementing policies.

Universal health coverage. Report by WHO Secretariat. Discussion will continue today at 132nd Session of WHO EB http://apps.who.int/gb/ebwha/pdf_files/EB132/B132_22-en.pdf … #EB132

Italy: include human rights, equity and in particular gender equity. #post2015 #EB132 need to have simple subgoals under universal coverage

Argentina: free health care is best, but sustainability of these models is successful when implemented with health insurance #EB132 #UHC

Lebanon: involvement of NGOs and primary care important for #UHC (universal health coverage)#EB132 #WHO

Cuba: health is a human right and can’t be achieved without #UHC it fails when unequal distribution of wealth #EB132 #WHO

Lithuania: include #UHC in monitoring of healthcare systems, multi-sectorial approach required #EB132 #WHO

Yemen: quotes DG “#UHC is achieveable” #EB132 interplays of exisiting initiatives with #UHC and emergencies in our region #EB132

Health workforce

Brazil: analysis on migration patterns of health workforce must respect human rights #EB132 #WHO

Australia: self-sufficiency, spend 1.5 billion USD on this domestically to champion health workforce but still not there #EB132

USA: supports goals of global code, need health workforce training and health systems, increase medical, nursing school enrollment #EB132

Norway: Global code of practice-less than 1 in 4 member states submitted code report in 2012. Coordinate with GHWA #EB132 #WHO

Maldives: difficulty with their own eduction of health workers, trouble with forged medical degrees, massive expat health workforce #EB132

E-Health

@WHO Executive Board has adopted resolution on #eHealth incl. eLearning, capacity building and networks #EB132
Chad: protection measures need to prevent efraud, not enough resources currently in Africa for this IT health sector #EB132 #WHO

Day 8, the Conclusion
The last day was filled with many informal meetings among members states and discussions on WHO Reform. This was a quite day for IFMSA, but we followed up with some of the acquaintances we networked with and reminded them of the potential opportunities to engage with us for the pre-WHA, our GAs and additional chances. Ms. Chantelle Willard (AMSA-Australia) represented us to the last day.

Some Key Comments:
WHO’s Executive Board recommends adoption of a resolution on all 17 neglected tropical diseases.

E-Health

eHealth and health Internet domain names, Report by the Secretariat @WHO #EB132 http://apps.who.int/gb/ebwha/pdf_files/EB132/B132_24-en.pdf

Global updates on eHealth, health Internet domain & the protection of domain names of intergovernmental orgs | http://apps.who.int/gb/ebwha/pdf_files/EB132/B132_24-en.pdf … #EB132

Finances

At @WHO Board meeting, Director Chan resorts to crying to persuade members not to micro-manage her on budget. Story to follow. #EB132

Brazil: Don’t cry for us Dr DG. The truth is we never left you. We reelected you – Tune of don’t cry for me argentina #EB132 #WHO

Related to WHO Reform:
– WHO Secretariat will continue developing policies for engagement with both civil society and the private sector, to be presented at the World Health Assembly in May 2013.
-The Secretariat agreed that there are some overarching principles that will guide all relationships such as transparency, accountability, and the criteria of making a contribution to health.
-However, WHO must ensure that it properly and appropriately safeguards against vested interests.

WHO EB COFFEE BREAK

Thank-you for following IFMSA at the WHOEB132. If you have any questions, please email me at president@ifmsa.org or Renzo at lwho@ifmsa.org.

WHSS in Prague: Healthcare students’ synthesis and awareness of counterfeit medicines

Last November on 18-23rd more than 300 hundred students from all around the world gathered in Prague for the 4th World Healthcare Students’ Symposium (WHSS). This biennial event brought medical, pharmacy, dental and nursing students as well as 4 IFMSA TO members: Lukas, Roopa, Marianne and Omar, to participate in workshops and share their experience on interdisciplinary communication, patient safety and pharmacovigilance.

4th World Healthcare Students' Symposium
4th World Healthcare Students' Symposium

During the meeting participants had a good chance to get more sensitized by these  topics as well as get acquainted with the latest situation of the implementation of these programs in the world. The participants were actively involved in patient safety and the its curriculum guide presentations and workshops, which were given by the experts of the field as well as clinical case competitions and keynote presentations, which included medical ethics, pharmacovigilance reporting systems in different countries and interprofessional communication workshops.

Besides the enriching WHSS experience Lukas and Marianne were also represented IFMSA at World Healthcare Professionals Alliance (WHPA) “Be Aware, Take Action” campaign, the WHPA Central Europe regional workshop, held on 21 November in Prague. We had a valuable opportunity to participate in the following discussions:

  • the situation of counterfeit medicines in the region and best practices and measures taken in different countries by the various health professions;
  • debate how to encourage actions aimed at reducing the entry of counterfeit medicines;
  • consider sustained and collaborative action plans involving the various healthcare professions and to combat counterfeit medicines continuously;
  • we proposed to include healthcare students in raising awareness and educating society about dangers of falsified medicines, which was included in the “WHPA Prague Call to Action” urging governments to ramp up fight against falsified medicines (1).

To sum up, WHSS was a valuable experience and a unique chance to get in touch with other healthcare students. A Joint Working Group composed of representatives from International Federation of Medical Students’ Associations, International Pharmaceutical Students’ Federation, International Association of Dental Students, European Pharmaceutical Students’ Association and European Medical Students’ Association together with huge efforts from Czech organizing committee made this great event happen and laid grounds for even more successful future for interdisciplinary communication. The next WHSS will be held in 2013, therefore stay tuned not to miss the next one-of-a-kind healthcare students’ meeting.

  1. WHPA “Prague Call to Action”, http://www.whpa.org/WHPA_Prague_Call_to_Action_21Nov2011.pdf

Day 4 in the 7th UNESCO Youth Forum in Paris:A happy ending!

Welcome to the 4th and last day of the 7th Youth Forum live from UNESCO headquarter in Paris.
IFMSA  was missing one powerful member: Our LO to SCORP Nassima as she had to leave the previous day  but the delegation was still as effective as before.
In the morning session, every region had a meeting to discuss the final report written by the drafting committee. After 2 hours of suggestions and amendments, the delegates gathered all together to agree on the final draft.
As I said before” EFFECTIVENESS ” but also “SATISFACTION” were the key words of the day.
I was extremely happy to see that my recommendation for the National Commissions to advertise the participation program in their countries and prioritize youth initiatives was adopted in the report.
We even succeeded to include the recommendations about sexual education and HIV/AIDS to which Joško, our SCORA-D contributed  during the ‘cafe discussion’ on HIV-related issues and AIDS activism. For instance, IFMSA was part of the interview and the article published in UNAIDS website http://www.unaids.org/en/resources/presscentre/featurestories/2011/october/20111021unescoyouthforum/
In the afternoon ,me and Josko had a meeting with the HIV/AIDS UNESCO section that were very helpful and open to our questions and suggestions. We discussed new opportunities that lie ahead such as externals for the Regional Meetings and General Assemblies, collaboration on sexuality education programmes, creating a publication of good practices on sexuality education programmes driven and led by youth organizations (hint – SCORA and IFMSA!). They were very interested in that idea that definitely must be followed upon!
Later, I met the people from the Climate Change section and gathered UNESCO interesting publications about both topics.I also tried to get UNESCO send us some hard copies for our next meetings.
Last night and of course last adventures of the forum: Lamia loosing her hat and gloves that she finds back  while waiting for the metro in the possession of a youth delegate from Uganda. Joško experiencing the Magheb culture in a nice Algerian restaurant with Tunisian and Algerian delegates. And last but not least Josko forgetting the IFMSA posters twice in the way to our way back home.  This time we did take the right metro direction 🙂
Dear IFMSA friends, this is the end of the IFMSA participation to the 7th UNESCO Youth Forum. Being both an IFMSA observer and a Tunisian young delegate was a rewarding learning experience: Exchanging of leadership experiences, identifying youth problems and advocating for change, contributing to the recommendations, observing the intercultural interaction…
The youth forum is organized every 2 years and the delegates are selected by the National Commissions. Therefore,I’d invite all of you to be in contact with your national commissions so that you may get the chance to be part of the next big adventure.
And as s LO to UNESCO,I would like to emphisize on the importance of UNESCO as one of the main partner of our Federation.I encourage all of you to seek for more information about what this UN agency is doing and how you can benefit from it.
Hope you were pleased to read this report and thank you very much for you trust. Also big thank you to my fellow IFMSA delegates Joško Miše (SCORA Director) and Nassima Dzair (SCORP LO) in being part of this amazing adventure and for giving input for the blog.
Your devoted LO to UNESCO Lamia Jouini.