Countries must increase spending on primary healthcare by at least 1% of their gross domestic product (GDP) if the world is to close glaring coverage gaps and meet health targets agreed in 2015, says a new report from the World Health Organization and partners on the eve of a UN General Assembly high-level meeting on Universal Health Coverage.
They must also intensify efforts to expand services countrywide.
The world will need to double health coverage between now and 2030, according to the Universal Health Coverage Monitoring Report. It warns that if current trends continue, up to 5 billion people will still be unable to access healthcare in 2030 – the deadline world leaders have set for achieving universal health coverage. Most of those people are poor and already disadvantaged.
Primary healthcare key to health for all
“If we are really serious about achieving universal health coverage and improving people’s lives, we must get serious about primary healthcare,” says Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “That means providing essential health services like immunization, antenatal care, healthy lifestyle advice as close to home as possible – and making sure people do not have to pay for this care out of their own pockets.”
Investing an additional USD200 billion a year on scaling up primary healthcare across low and middle-income countries would potentially save 60 million lives, increase average life expectancy by 3.7 years by 2030, and contribute significantly to socio-economic development. It would represent about 3% increase on the USD7.5 trillion already spent on health globally each year.
Most of that funding would come from countries themselves. The report says that most countries can scale up primary healthcare using domestic resources – either by increasing public spending on health in general, or by reallocating spending towards primary healthcare – or by doing both. At present, most countries are underinvesting in primary healthcare.
But for the poorest countries, including many affected by conflict, this may not be feasible. These countries will continue to require assistance from outside. This funding must be carefully targeted to result in a lasting improvement to health systems and services – via a systematic strengthening of primary healthcare countrywide.
Accelerate scale-up of services
Countries must also renew efforts to scale up service coverage countrywide. Although coverage has increased steadily since 2000, progress has slowed down in recent years. Most increases have occurred in lower income countries, but these countries are still lagging behind. The biggest health service gaps are in the poorest countries and those affected by conflict.
“Too many women and children continue to die from easily preventable and treatable causes simply because they can’t get the care they need to survive,” said Henrietta Fore, UNICEF Executive Director. “By working with communities to provide primary healthcare to the poorest and the most vulnerable, we can reach the last mile and save millions of lives.”
Coverage is generally lower in rural areas than in towns. The report cites lack of health infrastructure, shortages of health workers, weak supply systems, and poor-quality care leading to low trust among communities as major obstacles to achieving UHC.
“Improving and expanding primary healthcare in all regions is key,” says Natalia Kanem, Executive Director of UNFPA. “It’s the best way to ensure people can obtain services to cover the majority of their health needs from pre-birth throughout their lives.”
Protecting against financial hardship
The report also highlights the need to protect people from financial hardship.
“The goal of universal health coverage will remain elusive unless countries take urgent steps to protect people from falling into poverty to pay for essential healthcare,” says Dr. Muhammad Pate, Global Director, Health, Nutrition, and Population at the World Bank. “Expanding access to quality primary healthcare services will save more lives and keep healthcare costs affordable.”
More people are suffering the consequences of paying for services out of their own pockets than 15 years ago. About 925 million people spend more than 10% of their household income on healthcare; 200 million people spend more than 25% of their income on health. And impoverishment due to paying for healthcare increased except among the extremely poor.
“It’s shocking to see a growing proportion of the population struggling to make ends meet because they are paying too much for their own health, even in advanced economies” adds OECD Secretary-General Angel Gurría. “The only places where this is not happening is in countries that invest more and more effectively in health.”
On 23 September, world leaders will discuss a far-reaching Declaration on Universal Health Coverage. The Declaration lists a number of steps to advance progress towards UHC. These include WHO’s recommendations relating to primary healthcare, including the allocation of an additional 1% GDP to primary healthcare through additional investments or reallocation.
WEF Announces Global Technology Governance Summit and Flagship Report
The World Economic Forum today published its flagship Global Technology Governance
Report in advance of its upcoming Global Technology Governance Summit. The summit will be held virtually and in Tokyo, Japan, from 6 to 7 April 2021. The central focus will be the transformation experienced as a result of COVID-19 and its technological impact on society, businesses, and governments. The theme of the meeting is Harnessing New Technologies of the Fourth Industrial Revolution.
“Fourth Industrial Revolution technologies can play a significant role in helping societies emerge from the pandemic stronger than ever” shared Murat Sönmez, Managing Director, World Economic Forum. However, if not directed with purpose, the Fourth Industrial Revolution could exacerbate inequality; therefore, proactive steps must be taken to ensure technology adoption does not heighten abuse of power, bias, wealth disparities, exclusion and loss of livelihoods.”
Efforts to recover from COVID-19 have triggered an influx of innovations in work, collaboration, distribution and service delivery – and shifted many customer behaviours. While these technologies can help drive enormous social breakthroughs and economic value, they can also be misused.
New governance models are required to fill gaps, enhance technology’s benefits and avoid harm. The COVID-19 pandemic has accelerated the urgent need to address these gaps.
The World Economic Forum and Deloitte produced a practical handbook to examine some of the Fourth Industrial Revolution’s most critical applications. The report aims to address these technologies’ governance challenges in a post-pandemic world so they can reach their full potential.
“Every industrial revolution has reshaped economies and social structures in ways that have defined local, regional and global history. The technologies driving the Fourth Industrial Revolution are already presenting opportunities and challenges we can only address through a forward-looking and innovative approach to governance,” said William D. Eggers, Executive Director of the Deloitte Center for Government Insights. “The question is, how can we harness and shape this disruption in a way that promotes global economic recovery, expands human opportunity and increases cooperation and security?”
Global Technology Governance Report 2021
The analysis revealed common challenges across the five Fourth Industrial Revolution technologies, focused on:
· Artificial intelligence (AI)
· Drones and unmanned air systems
· Internet of things (IoT)
· Mobility (including autonomous vehicles)
These challenges include a lack of regulation, misuse of technology, and addressing cross-border differences. For instance, one estimate suggests that bitcoin accounts for more than 90% of ransomware payments. The lack of regulation of facial recognition technologies and incidents of misuse by law enforcement agencies has caused a backlash against this technology throughout the world.
There are common themes in what makes technology governance effective. For example, many governing bodies are unprepared for the legal consequences of facial recognition and other transformative technologies – much less the ethical implications. The report profiles a series of innovative governance and regulatory frameworks to address these and many other challenges.
Governing these new technologies will require new principles, rules and protocols that promote innovation while mitigating social costs. This report aims to help governments, innovators and other stakeholders understand the current challenges.
The study will enable conversations across a broad cross-section of stakeholders to partner on technology governance globally.
Global Technology Governance Summit 2021
Solving this dilemma requires a more agile approach to governing advanced technologies, creating public-private partnerships and managing business models. To that end, the World Economic Forum, as the International Organization for Public-Private Cooperation, is convening the first Global Technology Governance Summit virtually and in Tokyo, Japan, on 6-7 April 2021 in close collaboration with the Forum’s Centre for the Fourth Industrial Revolution Network launched in 2017.
This global network comprises more than 50 governments and international organizations as well as 150 companies. The summit will have 250 on-site participants with 300 more joining virtually.
COVID-19 could see over 200 million more pushed into extreme poverty
An additional 207 million people could be pushed into extreme poverty by 2030, due to the severe longterm impact of the coronavirus pandemic, bringing the total number to more than a billion, a new study from the UN Development Programme (UNDP) has found.
According to the study, released on Thursday, such a “high damage” scenario would mean a protracted recovery from COVID-19, anticipating that 80 per cent of the pandemic-induced economic crisis would continue over a decade.
Not a foregone conclusion
The gloomy scenario, is however, “not a foregone conclusion”.
A tight focus on achieving the Sustainable Development Goals (SDGs), could slow the rise of extreme poverty – lifting 146 million from its grip – and even exceed the development trajectory the world was on before the pandemic, UNDP said.
Such an ambitious but feasible “SDG push” scenario would also narrow the gender poverty gap, and reduce the female poverty headcount, even taking into account the current impacts of the COVID-19 pandemic, the agency added.
A “Baseline COVID” scenario, based on current mortality rates and the most recent growth projections by the International Monetary Fund, would result in 44 million more people living in extreme poverty by 2030 compared to the development trajectory the world was on before the pandemic.
COVID-19 ‘a tipping point’
Achim Steiner, UNDP Administrator, highlighted that the COVID-19 pandemic is a “tipping point” and the future would depend on decisions made today.
“As this new poverty research highlights, the COVID-19 pandemic is a tipping point, and the choices leaders take now could take the world in very different directions. We have an opportunity to invest in a decade of action that not only helps people recover from COVID-19, but that re-sets the development path of people and planet towards a fairer, resilient and green future.”
The concerted SDG interventions suggested by the study combine behavioural changes through nudges for both governments and citizens, such as improved effectiveness and efficiency in governance and changes in consumption patterns of food, energy and water.
The proposed interventions also focus on global collaboration for climate action, additional investments in COVID-19 recovery, and the need for improved broadband access and technology innovation.
The study was jointly prepared by UNDP and the Pardee Center for International Futures at the University of Denver. It assesses the impact of different COVID-19 recovery scenarios on sustainable development, and evaluates multidimensional effects of the pandemic over the next ten years.
Cut fossil fuels production to ward off ‘catastrophic’ warming
Countries must decrease production of fossil fuels by 6 per cent per year, between 2020 and 2030, if the world is to avert “catastrophic” global temperature rise, a new UN-backed report has found.
Released, on Wednesday, in the shadows of the coronavirus pandemic, the Production Gap Report also revealed that while the pandemic and resulting lockdowns led to “short-term drops” in coal, oil and gas production, pre-COVID plans and post-COVID stimulus measures point to a continuation of increasing fossil fuel production.
“As we seek to reboot economies following the COVID-19 pandemic, investing in low-carbon energy and infrastructure will be good for jobs, for economies, for health, and for clean air,” said Inger Andersen, Executive Director of UN Environment Programme (UNEP).
“Governments must seize the opportunity to direct their economies and energy systems away from fossil fuels, and build back better towards a more just, sustainable, and resilient future.”
The Production Gap Report, produced jointly by research institutions – Stockholm Environment Institute (SEI), International Institute for Sustainable Development (IISD), Overseas Development Institute, and E3G – and UNEP, measures the “gap” between the aspirations of the Paris Agreement on climate change and countries’ planned production of coal, oil, and gas.
The report also comes at a potential turning point, according to the author organizations, as the global pandemic prompts unprecedented government action – and as major economies, including China, Japan, and the Republic of Korea, have pledged to reach net-zero emissions.
‘Recover better together’
The 2020 edition found that the “production gap” remains large: countries plan to produce more than double the amount of fossil fuels in 2030 than would be consistent with a 1.5-degree Celsius temperature limit.
UN Secretary-General António Guterres said that the report showed “without a doubt” that the production and use of fossil needs to decrease quickly if the world is to achieve Paris Agreement goals.
“This is vital to ensure both a climate-safe future and strong, sustainable economies for all countries – including those most affected by the shift from grey to green,” he said.
“Governments must work on diversifying their economies and supporting workers, including through COVID-19 recovery plans that do not lock in unsustainable fossil fuel pathways but instead share the benefits of green and sustainable recoveries. We can and must recover better together.”
Use COVID-19 recovery plans
The report outlined key areas of action, providing policymakers with options to start winding down fossil fuels as they enact COVID-19 recovery plans.
“Governments should direct recovery funds towards economic diversification and a transition to clean energy that offers better long-term economic and employment potential,” said Ivetta Gerasimchuk, report co-author and lead for sustainable energy supplies at IISD.
She also highlighted that the pandemic-driven demand shock and the plunge of oil prices this year once again demonstrated the vulnerability of many fossil-fuel-dependent regions and communities.
“The only way out of this trap is diversification of these economies beyond fossil fuels,” Ms. Gerasimchuk added.
A ‘clear’ solution
The report also urged reduction of existing government support for fossil fuels, introduction of restrictions on production, and stimulus funds for green investments.
Michael Lazarus, report co-author and the head of SEI’s US Center, underscored “research is abundantly clear, we face severe climate disruption if countries continue to produce fossil fuels at current levels, let alone at their planned increases.”
“The research is similarly clear on the solution: government policies that decrease both the demand and supply for fossil fuels and support communities currently dependent on them. This report offers steps that governments can take today for a just and equitable transition away from fossil fuels.”
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