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Advances and challenges in the health of women, children and adolescents
World Health Assembly delegates in Committee A discussed progress on the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). During the discussion, which took place over two days and generated comments from a large number of Member States, delegates strongly reiterated their commitment to the Strategy as a global health priority and expressed alarm at the stagnation of progress on the improvement of maternal and neonatal survival.
The Director-General’s report on the Strategy presented to the World Health Assembly expressed alarm that maternal mortality rates have stagnated since 2016. Furthermore, if current trends continue, he said, 54 countries will miss the Goal target of Sustainable Development (SDG). for under-five mortality and 63 countries will miss the SDG target for neonatal mortality. Levels of violence against women and girls remain alarmingly high, while mental health problems pose a growing threat to adolescent health.
Delegates emphasized the importance of an integrated life-cycle approach to improve outcomes, including access to sexual and reproductive health services, as well as increased efforts and investment to accelerate progress in the poorest, most fragile and most crisis-affected countries. conflicts.
related links
- A76/5 Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030) Report of the Director-General
- Related progress reports
Member States urge WHO to maintain momentum in work to prevent and respond to sexual misconduct
Committee B discussed Prevention of Sexual Exploitation, Abuse and Harassment (Item 22.1) this afternoon as part of the Review and update of the matters considered by the Board of Executive Directors (Item 22, Pillar 4)
The Committee heard the recommendations of the Program, Budget and Administration Committee of the Executive Council and the Chair of the Committee opened the session. Australia spoke on behalf of 61 Member States from all WHO regions; Botswana spoke on behalf of the 47 Member States of the African Region; Israel, India, Indonesia, Timor-Leste, the United Kingdom of Great Britain and Northern Ireland, Kenya, the United States of America, South Africa, the Maldives, Ecuador, Bangladesh and Peru also took the floor.
All speakers acknowledged the significant progress made by WHO to address sexual misconduct and welcomed both the new Policy to Address Sexual Misconduct (PASM), launched in March 2023, and the three-year strategy to preventing and responding to sexual misconduct, launched in January of this year. year. Member States highlighted the need for the cases relating to the response to the 10he Ebola outbreak in the Democratic Republic of the Congo (2018-2019), including accountability for perpetrators and comprehensive support for victims and survivors. They welcomed the WHO’s transparency in publishing dashboards that capture both investigations and disciplinary actions taken. They encouraged the WHO to continue making progress and leading by example within the UN system. Member States stressed that preventing and responding to sexual misconduct is a shared responsibility and they will continue to support WHO.
The Director General thanked the Member States for their support and reminded them that WHO is focusing on four areas: changing the organizational culture, a process that takes time; have safe and reliable reporting mechanisms; ensure prompt and credible investigations and set timelines for the end-to-end process (200 days); and following a victim- and survivor-centered approach.
related links
A76/7 Rev.1
Consolidated report of the Director General
A76/39
Prevention of sexual exploitation, abuse and harassment
Report of the Programme, Budget and Administration Committee of the Executive Board to the 76th World Health Assembly
Sustainable financing: feasibility of a replenishment mechanism
The 75th World Health Assembly adopted the recommendations of the Working Group on Sustainable Financing, requesting WHO to explore the feasibility of a replenishment mechanism to further broaden the financing base.
In response, WHO presented an assessment of the feasibility of such a replenishment mechanism. Member States took note of the report and reaffirmed the need for more sustainable, predictable and flexible funding for WHO. The report summarizes the analysis of the six principles that will serve as the basis for considering a WHO replenishment mechanism and proposes the main elements of a first “WHO investment round” to implement such a mechanism in 2024.
Member States adopted a decision welcoming the continued effort to sustainably finance WHO and requested a plan for the First Investment Round in 2024, in closer consultation with Member States, for the EB in January 2024 .
related links
A76/32, A76/40 and A76/40 Add.1
2022 results report, Financial report and audit for the year ended December 31, 2022
Financing and implementation of the Program Budget 22-23 and perspectives of the Program Budget 24-25
Member States welcomed the Results report and the detailed work found in it. Further progress is needed to reach the triple billion targets to meet the health-related Sustainable Development Goals and address other health challenges.
The midterm review of the Program Budget 2022-2023 shows that, despite progress in 2022 towards the triple billion targets, results and outputs, according to the GPW13 results framework, the world You are not on track to achieve your goals. While much has been achieved, more urgent action is needed to achieve the goals.
In addition, key achievements and selected impact case studies are highlighted in the report to exemplify how the Secretariat and Member States work together to drive health impact at the country level, where it matters most.
The Health Assembly took note of the Report of Results.
Member States also took note of the reports on the financing and execution of the program budget. Despite the positive trends, as of March 31, 2023, WHO core programs have a funding gap of US$443.8 million, after including projections of voluntary contributions. The current gap is exacerbated by the challenge of persistent ‘pockets of poverty’, underscoring the urgent need for more sustainable financing.
related links
Results Report 2022 (Program Budget 2022-2023: performance evaluation)
Midterm review of the performance of the program budget 2022-2023
Audited Financial Statements for the year ended December 31, 2022
Voluntary contributions by fund and by contributor, 2022
WHO reform
WHO presence in countries, territories and areas: 2023 report
WHO contribution to health outcomes of the Results Report
Financing and execution of the program budget 2022-2023 and financing perspectives of the program budget 2024-2025
Financing and execution of the program budget 2022-2023 and financing perspectives of the program budget 2024-2025
Reports on operational efficiencies
Delegates support maintaining momentum and innovations to end TB
Today, delegates to the 76th World Health Assembly participated in a strategic roundtable on Ending tuberculosis by 2030: universal access to care, multisectoral collaboration and innovations to accelerate progress and combat antimicrobial resistance.
A treatable and curable communicable disease, tuberculosis remains a leading infectious cause of death, claiming 1.6 million lives and affecting millions of additional lives and livelihoods each year.
Health ministers, civil society leaders, partner organizations and WHO shared first-hand reflections on global and national leadership and innovations to end TB, as well as challenges and concerns, including growing threats of antimicrobial resistance.
Dr. Atul Gawande, USAID Deputy Administrator and Ambassador Zbigniew Czech, Permanent Representative of Poland to the UN Office at Geneva, highlighted the importance of building stronger partnerships and integrating TB services into primary health care.
Delegates heard stories of progress stopped and reversed; Dr. Ethel Leonor Noia Maciel, Secretary of Health of Brazil, noted the decline in TB service coverage rates during the pandemic and also highlighted the need to share responsibilities and resources across sectors to address the main drivers of the TB epidemic. TB.
There were also stories of resilience; Sylvia Masebo, Minister of Health of Zambia, which is one of the 30 high TB burden countries, reported that the country managed to maintain progress despite the impact of the COVID-19 pandemic and shared lessons learned on how to combat the TB and COVID-19 could strengthen pandemic preparedness. Mr. Setiaji, Indonesia’s Vice Minister of Health Technology, outlined the country’s innovative new national health financing strategy, its efforts to provide equitable TB services, and the country’s commitment to advancing TB research, particularly for the development of new vaccines.
Top leaders in the fight against TB noted the importance of political momentum in the run-up to the upcoming second UN High-Level Meeting (HLM) on TB in September. The HLM can provide the necessary political momentum to turn the tide in the fight against TB and accelerate progress towards the critical TB-related targets of the 2030 Sustainable Development Goals.
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