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1|mothy Lvans, nNÞ Sector D|rector, Wor|d 8ank

IANÞnI Annua| Meenng, Cctober 2
nd
, 2013
Arusha, 1anzan|a
The World Bank and Strengthening of
National Public Health Institutes
Þresentanon Cut||ne
! Wor|d 8ank Goa|s and ke|evance to nea|th, Nutr|non and
Þopu|anon
! Wor|d 8ank kenewed Iocus on Þub||c nea|th: 1he Þub||c hea|th
Þo||cy Note.
! kanona|e for kenewed focus on Þub||c nea|th
! Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty on Þub||c
nea|th at Country Leve| (non exhausnve)
! Go|ng forward: key Messages
Lnd|ng Lxtreme Þoverty, 8oosnng Shared
Þrosper|ty
To fight poverty with
passion and
professionalism for
lasting results
---------------------------
To help people help
themselves and their
environment by
providing resources,
sharing knowledge,
building capacity,
and forging
partnerships in the
public and private
sectors
• Providing financial and
technical assistance to 100
countries in 20 development
sectors
• Supporting inclusive and
sustainable globalization,
promoting good governance,
creating jobs, enhancing
resilience and economic
growth
• Operating through a country-
driven demand business model
• Prioritizing the world’s poorest
countries
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Wor|d 8ank Goa|s and the nNÞ G|oba| Þracnce
3 3
nNÞ G|oba| Þracnce Þr|or|nes
lmprove access Lo añordable quallLy healLh care by bulldlng sLrong and accounLable healLh
sysLems and harness Lhe lnvesLmenLs ln oLher secLor for healLh ouLcomes
CorporaLe Servlces
ÞarLnershlps
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Mu|nsectora| Lngagement
narness the |nvestments |n other
sectors for hea|th outcomes
I|nanc|a|
Þrotecnon
no one should be
lmpoverlshed due Lo
ouL-of-pockeL
expendlLures.
Governance, Accountab|||ty, Susta|nab|||ty
UnC
Lqu|tab|e access to
qua||ty hea|th serv|ces w|thout
r|sk of hnanc|a| comprom|se
Serv|ce
De||very
All communlues and
lndlvlduals, especlally
Lhe bouom 40°,
should recelve Lhe
quallLy healLh servlces
Lhey need Lhrough Lhe
llfe cycle .
Þub||c
nea|th
All communlues
should be empowered
and proLecLed from
publlc healLh rlsks.
World Bank’s Renewed Focus on Public
Health: The Public Health Note (1)
key Messages:
Mulu-secLoral acuon for healLh ls allve and
growlng aL Lhe World 8ank!
60° of Lhe 8ank's pro[ecLs ln healLh ln Lhe
lasL 20 years are mulu-secLoral!
Cf $43 bllllon ln healLh spendlng ln lasL 20
years, $16 bllllon spenL on mulu-secLoral
areas such as soclal proLecuon, poverLy
reducuon, LransporLauon, educauon,
urban developmenL, waLer supply and
sanlLauon and agrlculLure
CaLalyze a shlû ln mlndseL wlLhln Lhe 8ank,
placlng Lhe responslblllLy for PealLh 8esulLs
noL [usL ln Lhe PnÞ Clobal Þracuce, buL
across muluple secLors, Lhus empowerlng
oLher secLors Lo pay greaLer auenuon Lo Lhe
healLh ouLcomes of Lhelr operauons.
World Bank’s Renewed Focus on Public Health:
The Public Health Policy Note – The Vision (2)
" World 8ank ls worklng Lo develop 'a whole of governmenL,
whole of socleLy approach' Lo healLh ouLcomes
" SLrengLhen lnLerfaces beLween anlmal and human publlc
healLh sysLems Lo prevenL and prepare for pandemlcs.
" 8lsk facLor approach Lo dlseases ( communlcable and non
communlcable) - sLrong focus on Lobacco conLrol
World Bank’s Renewed Focus on Public Health:
The Public Health Policy Note – The Vision (3)
Þubllc PealLh
Þollcy:
!"##$%&#'
)$%*"+, -#.
)/,*$0, 1"+
2$-3*4 5$,63*,
ºlL makes no sense Lo pour resources
respondlng Lo downsLream compllcauons,
wlLhouL lnvesung ln upsLream prevenuon
and dlsease managemenL LhaL could oûen
keep Lhose compllcauons from happenlng ln
Lhe ñrsL place"
!lm ?ong klm, World 8ank ÞresldenL, WPA Speech,
May 2013
Renewed Focus on Public Health :
Need to keep people healthy
Renewed Focus on Public Health is timely: Major
Shifts in Global Landscape (1)
! Cloballzauon, lnequallLy, rapld urbanlzauon, cllmaLe change.
! key drlvers of rapld changes ln global healLh pauerns requlre a
new publlc healLh focus (C8u 2010):
o A demographlc Lransluon wlLh subsLanual lncrease ln
proporuon of Lhe populauon over 60 years old ln mosL reglon
o A cause of deaLh Lransluon wlLh nCus as Lhe leadlng cause of
premaLure deaLh ln almosL every reglon
o Lmergence of road Lramc ln[urles and drownlngs as leadlng
causes of deaLh ln cerLaln age groups
o A Lransluon Lo chronlclLy and dlsabllng condluons
o 8lsk behavlors Lransluons
Renewed Focus on Public Health is
timely: Recent developments (2)
! 8eforms Lowards unlversal PealLh Coverage requlre sound publlc
healLh pollcles almed aL prevenung dlseases and promoung
healLh
! ML8S and Lhe P7n9 lnßuenza are sober remlnders of pandemlcs
rlsks: need for ºsurge capaclLy" and lnLer-secLoral acuon for
whlch mosL lnsuLuuons are lll-equlpped Lo manage
! ºlnLersecLoral lmperauve": as per Lhe 8
Lh
Clobal PealLh
Conference on PealLh Þromouon: counLrles wlll need supporL Lo
lmplemenL Lhe PlAÞ framework
1hese developmenLs challenge all lnsuLuuons Lo reLhlnk Lhelr roles:
Asslsung counLrles ln bulldlng capaclLy for and lmplemenung sound
publlc healLh pollcles has become an lmperauve.
Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty
|n Þub||c nea|th at Country |eve| (1)
1he West Afr|ca Mu|n D|sease Surve|||ance Þro[ect
! uS$ 10.73 mllllon pro[ecL
! SepL 2013 - !une 2017
! Covers all 13 LCCWAS counLrles (8enln, 8urklna laso, Cape verde,
CoLe d'lvolre, 1he Cambla, Chana, Culnea, Culnea-8lssau, Llberla, Mall, nlger,
nlgerla, Senegal, Slerra Leone, and 1ogo)
! Þro[ecL componenLs: 8eglonal capaclLy bulldlng,
sLrengLhenlng human resources, and managemenL supporL.
! ÞarLners - nauonal, reglonal, lnLernauonal: WPC, CuC,
CClSu (CenLre de Cooperauon lnLernauonale en SanLe eL
ueveloppemenL), a Canadlan-based lnLernauonal nCC), and
1he loundauon Merleux (lrance).
Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty
|n Þub||c nea|th at Country |eve| (2)
1he Wor|d 8ank's Þub||c nea|th Þoruo||o |n Argennna: US51 b||||on
1. Lssenna| Þub||c nea|th Iuncnons and Þrograms I (uS$ 220m)
1. SLrengLhen nauonal/provlnclal healLh sLewardshlp
2. CapaclLy for core Þubllc PealLh funcuons and programs
2. Lssenna| Þub||c nea|th Iuncnons and Þrograms II (uS$483m)
1. SLewardshlp for nCu conLrol
2. LxLend coverage of prlorlLy ÞP programs for nCus.
3. Lmergency Þro[ect for the Þrevennon and Management of
Inßuenza 1ype I||ness and Strengthen|ng of Argennna's
Lp|dem|o|og|ca| System (uS$160m)
1. supporLed sLrengLhenlng Lhe capaclLy of Lhe epldemlologlcal
survelllance sysLem for more eñecuve prevenuon and beuer
monlLorlng and evaluauon of lnßuenza acuvlues.
Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty
|n Þub||c nea|th at Country |eve| (3)
1he Last Afr|ca Þub||c nea|th Laboratory Network|ng Þro[ect
(US5 78.6 m)
! Countr|es: kenya, 8wanda, 1anzanla, uganda, 8urundl
! Þer|od: 2010-2016
! Þro[ect components:
78 5$'7"#-3 .7-'#",&% -#. ,6+9$733-#%$ %-:-%7*/,
778 ;"7#* *+-7#7#' -#. %-:-%7*/ <673.7#' for laboraLory personnel,
7778 ;"7#* ":$+-&"#-3 +$,$-+%4 -#. =#">3$.'$ ,4-+7#'? +$'7"#-3
%""+.7#-&"# -#. :+"'+-0 0-#-'$0$#* .
Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty
|n Þub||c nea|th at Country |eve| (4)
1he Last Afr|ca Þub||c nea|th Laboratory Network|ng Þro[ect
key kesu|ts to-date:
! Iaster, more accurate d|agnos|s: 1he pro[ecL has rolled ouL new molecular dlagnosuc
Lechnology LhaL ls lncreaslng accuracy of LesL resulLs, savlng ume and money.
! Io|nt surve|||ance and |nvesnganon: WlLh enhanced nauonal capaclLy and lmproved
reglonal collaborauon, uganda was able Lo swlûly respond (wlLhln 7 days) Lo several Lbola
and Marburg ouLbreaks.
! 8u||d|ng top-notch |nsntunons: 1he uganda nauonal 18 laboraLory has become a WPC
Supranauonal 8eference LaboraLory, Lhe second of lLs klnd on Lhe conunenL.
! 8enchmark|ng by g|oba| standards: 1he pro[ecL has lnsulled a culLure of conunuous quallLy
lmprovemenL, and benchmarklng and Lracklng performance across counLrles.
! IC1 |nnovanons: Collaborauon wlLh Lhe prlvaLe secLor (Mlcrosoû Corporauon) has resulLed
ln Lralnlng on lC1 skllls for paruclpanLs from all counLrles. A [olnL webslLe for sharlng
lnformauon has been creaLed.
! Þartners: nauonal Þubllc PealLh LaboraLorles and 8esearch lnsuLuLes (kLM8l, nM8l),
8eglonal: LasL Afrlcan CommunlLy, LasL, CenLral and SouLhern Afrlca PealLh CommunlLy,
AM8Ll, CllnLon loundauon, ASLM (Afrlcan SocleLy for LaboraLory Medlclne), lnLernauonal:
CuC, WPC, 18 unlon, Mlcrosoû.
8raz|| - Surve|||ance and Contro| (VIGISUS) Þrogram: US5600 m||||on
(I8kD-US5300m, GC8-US5 300 m)
! Þurpose: lmprove and sLrengLhen Lhe nauonal dlsease survelllance and conLrol sysLem.
and supporung dlsease prevenuon and conLrol for lndlgenous populauons.
! V|g|sus |nc|udes 3 pro[ects :
o V|g|sus I (US5 200 m. 2001-2004) : focused on sLrengLhenlng ÞP laboraLory neLwork,
daLa managemenL and lnformauon sysLem and esLabllshmenL of envlronmenLal
healLh survelllance unlL .
o V|g|sus II ( US5 200 m. 2004-2009) : focused conunulng Lo sLrengLhen Lhe
survelllance program, broadenlng lLs scope Lo lnclude nCus, ln[urles and rlsk facLors,
uullzauon of servlces Lo lndlgenous populauons and exLendlng waLer and sanlLauon
servlces Lo rural communlues.
o V|g|sus III: (US5 200 m||||on. 8oard date Iu|y 2014) : wlll focus on lncreaslng Lhe
sensluvlLy, umellness and rellablllLy of Lhe nauonal survelllance sysLem, lncreaslng
decenLrallzed managemenL capaclLy of Lhe survelllance sysLem and lmprovlng Lhe
quallLy of lndlgenous ÞPC servlces.
Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty
|n Þub||c nea|th at Country |eve| (4)
17
• W8 conLrlbuuon Lo g|oba| response to Av|an Inßuenza
Lhrough a uS$1.3 bllllon mulu-secLoral program
• 72 pro[ecLs ln 60 counLrles comb|ned acnons Lo
sLrengLhen sysLems for anlmal healLh, human healLh,
dlsasLer rlsk managemenL, and communlcauons
• 1wo Lhlrds of Lhe pro[ecLs were managed by Lhe
agrlculLure secLor
• Cverarch|ng goa| of the program was Lo safeguard
human healLh securlLy
Cne nea|th approaches
Lxamp|es of Wor|d 8ank Work |n 8u||d|ng Capac|ty
|n Þub||c nea|th at Country |eve| (S)
Go|ng Iorward: key Messages (1)
! lnvesung ln nÞPls ls a prlorlLy for Lhe World 8ank Lo
supporL governmenLs ln Lhelr sLewardshlp role ln
performlng essenual publlc healLh funcuons (LÞPls) and
achlevlng uPC.
! 1he World 8ank ls engaged ln dlalogue on LÞPls wlLh
WPC, WPC/LM8C, and nÞPls e.g. uS CuC
! uemand from counLrles for sLrengLhenlng nÞPls needs
Lo be more eñecuvely aruculaLed aL counLry level and
reglonally.
Go|ng Iorward: key Messages (2)
! World 8ank PealLh Þro[ecLs could be used as vehlcles for
bulldlng ÞP capaclLy such as nÞPls ln selecLed counLrles
across reglons.
! Cur Þubllc PealLh ClusLer wlll follow up wlLh lAnÞPl Lo
dlscuss counLrles and concreLe areas of collaborauon
across W8 reglons ln movlng Lhls agenda forward.
1PAnk ?Cu!
Lgevans[worldbank.org
www.worldbank.org/healLh