WHA 2018: IntraHealth Statement on FCGH

WHA71-IntraHealth-FCGHIntraHealth commends WHO for its progress in supporting Member States to implement Resolution 69.24 including important position papers on integration, health innovation, and continuity of care. Strengthening integrated, people-centered health services is critical for progress on all health issues and the SDGs. Progress can continue only if the patient, the health worker delivering services, and the community in which they live are at the center of efforts to strengthen health systems and achieve universal health coverage.

We applaud WHO for its efforts to encourage Member States and civil society to participate in the robust IntegratedCare4People platform designed to further operationalize the integrated, people-centered health services framework.
 People deserve basic primary health care that takes into consideration their concerns, wants, and needs. Communities with the least access to the essential health services provided by frontline health workers are by-in-large the same communities with the greatest burden of diseases such as HIV, tuberculosis and malaria, maternal and child mortality, and—as we tragically witnessed during the Ebola outbreak in West Africa—the greatest vulnerability to disease outbreaks.

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New FCGH Briefing Paper

BriefingThis briefing paper provides the overall vision of the Framework Convention on Global Health (FCGH), how the FCGH would respond to 4 core failings of national and global governance for health, possible treaty models of treaties and other international frameworks that the FCGH could learn from, and an FCGH call to action, including for a World Health Organization (WHO) FCGH working group.


A Rights-Based Framework for the SDGs and Beyond:
A Framework Convention on Global Health
April 2018

A growing movement is galvanizing around a proposed Framework Convention on Global Health (FCGH) – a global treaty based in human rights and aimed at national and global health equality. On December 10, 2017 – Human Rights Day – a coalition of supporters formed the FCGH Alliance. UN Secretary-General Ban Ki-moon issued the following call to action in his report in advance of the June 2016 High-Level Meeting on Ending AIDS: “I further encourage the international community to consider and recognize the value of a comprehensive framework convention on global health.” It is now time for the international community, from individual states to the Director-General of the World Health Organization – the organization mandated to lead the world on global health, and with the right to health as a core constitutional principle – to answer this call.

The FCGH Vision

All people, wherever they live, ought to be able to easily access comprehensive quality universal health coverage in a health system that does not discriminate, and that equally serves poor and rich. All should be able to readily access other universal needs for good health, such as clean water and nutritious food. The right to health, and the equality, accountability, and participation that are central to it, should be infused throughout the health system and integrated in other sectors and legal regimes, both domestically and internationally.
Filling in gaps in accountability, governance, financing, and human rights, the FCGH would help achieve the health goals and targets of the Sustainable Development Goals, while establishing a rights-based framework for health for the post-SDG era.

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Join a Global Conversation on a New Approach to Reducing Health Inequities

inequityJoin a Global Conversation on a New Approach to Reducing Health Inequities

A version of this post first appeared on the blog of the O’Neill Institute for National and Global Health Law.

At the core of the Framework Convention on Global Health (FCGH) is the conviction that today’s health inequities – nationally and globally – are unconscionable but not inevitable. The FCGH could incorporate specific mechanisms for countries to undertake to respond to these inequities, turning right to health (and human rights more broadly) norms of non-discrimination and substantive equality into directives for specific actions, into comprehensive responses. One proposal is that countries develop national health equity strategies. This idea is further explained below, along with information on an upcoming opportunity to you to participate in further solidifying this concept.

Such strategies are rare today. The FCGH could change that. But we need not, cannot, wait until our efforts to create an FCGH come to fruition to begin the process of implementing the measures it might include, such as national health equity strategies. We can begin now to encourage countries to develop such strategies. This would demonstrate their value for global adoption through the FCGH and, even more importantly, would begin to do some of the work of the FCGH — of the right to health, of the demands of justice — today.

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The realities of health inequities may be too well known to shock us any longer. People in richer countries live longer than those in poorer countries. And within countries, people who are rich live longer than people who are poor, people with more education longer than people with little schooling. Practically everywhere, certain populations, like indigenous peoples, fair badly when it comes to the potential to live long, healthy lives.

Yet the tremendous nature of this injustice ought to shock us still. It ought to shock us that the residents of one mostly white suburb of St. Louis can expect to live to be over 91 years old – 35 years more than residents of another St. Louis suburb, where most residents are black. It ought to shock us that South Asian women who are among the poorest segment of the population are almost five times less likely to be attended by a skilled birth attendant – one of the most important interventions for reducing maternal mortality – than they would be if they were part of the wealthiest segment. And it ought to shock us that the TB incidence in Canada’s indigenous Inuit people is more than 270 times that of non-indigenous Canadians.

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