IFMSA Report on the 72nd World Health Assembly
IFMSA Imprint Executive Board Batool Al-Wahdani Nebojša Nikolic Ahmed Taha Ivan Fabrizzio Canaval Diaz Georg Schwarzl
The
International
Federation
of
Medical
Students’ Associations (IFMSA) is a non-profit, non-governmental
organization
representing
associations of medical students worldwide. IFMSA was founded in 1951 and currently maintains 136 National Member Organizations from 126 countries across six continents, representing a network of 1.3
Marian Sedlak
million medical students.
José Chen
IFMSA envisions a world in which medical students
Liaison Officer to the World Health Organization Charlotte O’Leary Layout Design Akshay Raut
unite for global health and are equipped with the knowledge, skills and values to take on health leadership roles locally and globally, so to shape a sustainable and healthy future. IFMSA
is
recognized
as
a
non-governmental
organization within the United Nations’ system and the World Health Organization; and works in
Publisher International Federation of Medical Students’ Associations (IFMSA) International Secretariat: c/o IMCC, Norre Allé 14, 2200 Kobenhavn N., Denmark
Email: gs@ifmsa.org Homepage: www.ifmsa.org
Contact Us
vpprc@ifmsa.org
2
2
collaboration with the World Medical Association. This is an IFMSA Publication
Notice
© 2019 - Only portions of this publication may be reproduced for non political and non profit purposes, provided mentioning the source.
All reasonable precautions have been taken by the IFMSA to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material herein lies with the reader.
Disclaimer This publication contains the collective views of different contributors, the opinions expressed in this publication are those of the authors and do not necessarily reflect the position of IFMSA. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the IFMSA in preference to others of a similar nature that are not mentioned.
Some of the photos and graphics used in this publication are the property of their respective authors. We have taken every consideration not to violate their rights.
Contents
Welcome Message Page 3
Message from the Head of Delegation Page 4
Introduction to the WHO and the WHA Page 5
IFMSA Delegation to the 72nd WHA Page 9
IFMSA Advocacy at the WHA Page 11
2
2
www.ifmsa.org
WHA Side Events Page 17
Agenda Items in Focus Page 26
Visibility and Social Media Page 37
WHA Youth Constituency Page 41
Annexures Page 46
Welcome Message Marian Sedlak
Vice-President for External Affairs 2018-2019 vpe@ifmsa.org
Dear all, ‘’My message to all young people is : speak up.’’ These are the words which started the Twitter commentary of Tedros Adhanom Ghebreyesus, the Director-General of the World Health Organization, in reaction to the biggest youth side event of the 72nd World Health Assembly. Young people of WHA72 have once again proved that the current young generation, the largest the world has ever seen, is not only the leader of the future but one of the most important stakeholders of the present day. IFMSA with all its youth partners believes that the opinion of future health professionals must play a central role in global health decision making. Throughout the World Health Assembly, we did our best to participate actively in all discussions, decision-making processes, conversations, and events. We spoke up before we witnessed the words of Dr. Tedros. We spoke up to represent 1.3 million medical students of our Member Organizations. We spoke up to represent the voices of those who are not able to join the global health community in the big halls of the Palais des Nations. We spoke 3
3
up to defend human rights, sexual and reproductive health and rights, meaningful youth participation, universal health coverage, to advocate for IFMSA’s global policy stances. We spoke up together with our partners and collaborators to amplify these messages. But speaking up is not enough. The 72st World Health Assembly has been a great success story for our delegates and Liaison Officers, but the delegates and Liaison Officers, but the work starts right now - when we come back to our countries, communities, and universities. IFMSA’s motto is to ‘’Think global, act local.’’ Global health is extremely dependent on local actions which understand the global context, and this was the take-home message for our delegates. If we do not want our WHA work to stay in Geneva, we must continue to share the messages and work with our peers, colleagues, teachers, politicians, and all the people who are able to translate global strategies into actions on the ground. Hence, if you witness a motivated health student trying to change the world, try to lend them a helping hand. They are not alone - and only together we change the world for the communities we aim to serve.
Message from the
Head of Delegation Charlotte O’Leary
Liaison Officer to the World Health Organization 2018-2019 lwho@ifmsa.org
Dear all, I am so pleased to be sharing the IFMSA report from the 72nd World Health Assembly. IFMSA has once again demonstrated our commitment to achieving health for all, and our impact in the global health arena grows every year. There has never been a better time to be a young person engaged in global health, and this year there was a palpable youth energy at the WHA. The IFMSA has one of the biggest delegations to the WHA because we see a triple dividend from bringing young health advocates to this event. Firstly, young people make an impact in the here and now, through our direct advocacy efforts with Member States on issues that we as young people care about. This year has been no exception: IFMSA had a clear advocacy message focusing on meaningful youth participation and UHC, and we reached many important stakeholders in these issues. We also successfully delivered 14
4
4
official statements, reflecting the views of our 1.3 million members. Secondly, the experience of attending the WHA has a lifelong impact on a young person with a passion for improving health, and will continue to inspire them to make a change in their community for many years to come. Thirdly, our diverse delegation form a close bond and global network with each other, creating a new generation of health leaders who value international and interprofessional collaboration. We all know that working together is the only way to meet ambitious health and development goals. This triple dividend is extremely powerful, and makes every hour of work put into providing this opportunity worthwhile. It has been a privilege and an honour to lead this delegation and facilitate this opportunity for such an inspiring group of young people. The IFMSA remains committed to youth empowerment and looks forward to many more WHAs in the future!
Introduction to the
WHO and the WHA The World Health Organization The WHO was created when its Constitution came into force on the 7th of April 1948, a date now celebrated every year as ‘World Health Day’. More than 7000 people from over 150 countries work for WHO across national and regional offices, as well as its headquarters in Geneva.
5
5
The WHO remains committed to the principles that are set out in the preamble of its Constitution : •
Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity;
• • • • • • • • • • • • • • • • • • • • • •
The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition; The health of all peoples is fundamental to the attainment of peace and security and is dependent on the fullest cooperation of individuals and States; The achievement of any State in the promotion and protection of health is of value to all; Unequal development in different countries in the promotion of health and control of diseases, especially communicable disease, is a common danger;
•
• • • • • • • •
Healthy development of the child is of basic importance; the ability to live harmoniously in a changing total environment is essential to such development; The extension to all peoples of the benefits of medical, psychological and related knowledge is essential to the fullest attainment of health;
• • • • • •
Informed opinion and active cooperation on the part of the public are of the utmost importance in the improvement of the health of the people;
•
Governments have a responsibility for the health of their people, which can be fulfilled only by the provision of adequate health and social measures;
The WHO is the directing and coordinating authority on international health within the United Nations’ system. WHO does this through : Providing leadership on matters • critical to health and engaging in partnerships where joint action is needed; • • • • • • • • • • • • • • • • • • • • • •
Shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge; Setting norms and standards and promoting and monitoring their implementation; Articulating ethical and evidence-based policy options; Providing technical support, catalysing change, and building sustainable institutional capacity; Monitoring the health situation and assessing health trends.
The World Health Assembly The World Health Assembly (WHA) is the decision-making body of the WHO. The WHA meets once a year in May, in Geneva. The WHA is attended by the WHO’s Member States, as well as non-state actors and other
6
6
stakeholders in global health. The main functions of the WHA are to determine the policies of the WHO, appoint the Director-General, supervise financial policies, and review and approve the proposed programme budget.
IFMSA and the World Health Organization The International Federation of Medical Students’ Associations (IFMSA) is one of the largest international student organizations and aims to serve medical students all over the world. Currently, the IFMSA represents 1.3 million medical students through its 133 National Member Organizations. Its vision is a world in which all medical students unite for global health and are equipped with the knowledge, skills and values to take on health leadership roles locally and globally. The IFMSA is an independent, nonpolitical organization, founded in 1951, and is officially recognized as a Non-Governmental Organization (NGO) within the United Nations’ and recognized as a non-state actor in Official Relations by the World Health Organization (WHO). Official Relations with WHO started back in 1969, when the collaboration resulted in the organization of a symposium on ‘Programed Learning in Medical Education’, as well as immunology and tropical medicine programs. In the following years, IFMSA and WHO collaborated in the organization of a number of workshops and training programs.
7
7
In the present day, IFMSA collaborates with the WHO through various departments, programs and projects. The IFMSA has a Liaison Officer to the World Health Organization who is responsible for fostering the established partnership between IFMSA and WHO. This is done by bringing medical students to WHO (through internships, delegations to meetings, collaboration with WHO on different activities and events) and by bringing WHO to medical students (through general updates and communication, and inviting WHO staff to IFMSA events). The Liaison Officer to the World Health Organization is also involved in organizing the Youth Pre World Health Assembly (PreWHA), and seeks to establish internships at WHO’s regional offices, so to allow medical students to discover WHO in a more accessible and affordable way. The Liaison Officer to the World Health Organization can be contacted through lwho@ifmsa.org.
IFMSA Youth Pre World Health Assembly Every year, IFMSA hosts a Youth Pre World Health Assembly workshops (PreWHA) in the 4 days preceding the WHA. Started in 2013, the PreWHA has become an important event for the IFMSA and the broader youth community engaged in health. The event aims to educate and empower future leaders in health while developing a collaborative approach to youth participation at the WHA. In 2019, the PreWHA was held between the 15th and 19th of May, and was attended the full IFMSA delegation to the WHA. A full report of the PreWHA can be found elsewhere if you are interested please email at lwho@ifmsa.org.
8
8
IFMSA Delegation to the
72nd World Health Assembly The International Federation of Medical Students’ Associations attended the World Health Assembly with a delegation of 58 young delegates from over 30 countries. Delegates came from a variety of backgrounds, including medical, dentistry, pharmacy, veterinary sciences and public health. The Delegation included : Aamr Hammani Abanob Yosry Ahmed Elshaer Amro Aglan Andrea Pedot Andres Quintero Leyra Anjila Thapa Anna Ciećkiewicz Anthony Nemr Antonio Romero Rubio Arush Lal Asi Alkoronky Aufia Espressivo Caitlin Pley
- - - - - -
Morocco Egypt Egypt Egypt Italy Mexico
- - - -
Nepal Poland Lebanon Mexico
- USA - Sudan - Indonesia - United Kingdom Carrie Lee - Australia Charlotte O’Leary - Australia Christina Guo - Australia Eglė Janušonytė - Lithuania Egle Vaiciulyte - Lithuania Emilie Claerbout - Belgium Ena Husaric - Australia George Katoul - Lebanon Rahbani Heber Oliva - Honduras
9
9
Heiman Kwok Irene Cattacin Isaac Florence John Etietop Ebong Jorge Félix Cardoso Kapil Narain Karan Parikh Katerina Dima Katja Čič Katja Eliassen Kim Robin van Daalen Lerly Luo Mahmoud Masoud Hemida Marco L. Moran Marian Sedlak Mariem Ben Salem Mário Andrè Bergano Michelle Houde Mindaugas Galvosas
- Hong Kong - Switzerland - United Kingdom - Nigeria -
Portugal
- South Africa - India - Greece - Slovenia - Norway Netherlands - -
Canada Egypt
- - -
Honduras Slovakia Lebanon
-
Portugal
- Canada - Lithuania
Mohi Badr Mokshada Sanjay Sharma Neil Vezeau Nour Nassour Paula Reges Rahba Osman El-Amin Rodrigo JosĂŠ Penados Castro Roselle Pineda Sanne de Wit Sarah Walji Sophie Yau Tarek Ezzine Teodor Blidaru Thomas Hausmann Viktoria Kastner
10
10
- -
Egypt India
- - - -
USA Lebanon Brazil Sudan
- - -
Guatemala Singapore Netherlands
- Canada - Hong Kong - Tunisia - Romania - Austria -
Germany
The IFMSA recognises the following delegates who were selected to be part of the delegation but were unable to attend : Agboola Progress Ali Theyab Bolu Aderounmu Hassan Khalid Hassan Hussain Marie-Claire Wangari
- Nigeria - Iraq - Nigeria - Sudan - Kenya
IFMSA Advocacy at the 72nd WHA
Overarching Advocacy Priorities This year, the IFMSA delegation’s advocacy was focused on two overarching advocacy priorities: Universal Health Coverage (UHC) and meaningful youth participation.
Universal Health Coverage The IFMSA believes that health is a human right, and UHC is the materialization of that right. Health products and services, including health promotion, preventive care, treatment, rehabilitation, and palliative care, should be accessible to all. Our key asks on UHC related to :
11
1.
Primary health care as the most efficient and cost-effective way to achieve UHC around the world, with youth as important partners in achieving and maintaining primary health care in all communities.
2.
Digital health and digital technologies as having the potential to revolutionize healthcare delivery, expand coverage, and promote health and prevent disease.
11
3.
Sexual and reproductive health and rights as a fundamental component of UHC, especially for women, girls and adolescents.
You can find the UHC Policy Brief in Annex 1.
Meaningful Youth Participation Today, there are over 3 billion young people under the age of 25, making up 42% of the world’s population. Youth are therefore a critical voice for change, and can be a crucial source of soft power and international influence, promoting democratic values, creativity, and idealism. The IFMSA believes that providing opportunities for youth to contribute to health decision-making at the local, national, regional and international level is fundamental for sustainable development and thus achieving UHC. Our key asks on meaningful youth participation related to : 1.
Engaging youth in health decision-making at the national level - including through initiatives such as joint campaigns and education programs, including youth in policy-making and strategic health matters, sponsorship of youth organisations, providing internships and work experience for youth etc.
2.
Developing Youth Delegate programs in the field of health.
12
12
You can find the Youth Delegates to the WHA Policy Brief in Annex 2, and the Meaningful Youth Participation in National Health Decision-Making Policy Brief in Annex 3.
Official Statements A right of being a non-state actor in Official Relations with WHO is being able to address the Assembly through a statement on agenda items relevant to your work. At the 72nd WHA, the IFMSA delegation delivered 14 official statements. These statements were written by delegates and IFMSA Officials, and reflected the stance upheld in IFMSA Policy Documents that are approved at the highest level (by the IFMSA General Assembly).
13
13
Statement co-proposed with
Statement supported by
Agenda Point No.
Agenda Point Title
11.2b
WHO’s work in health emergencies
11.4
Implementation of the 2030 Agenda for Sustainable Development
11.5b
Universal health coverage: Primary health care towards universal health coverage
IADS, IVSA, InciSion
11.5c
Universal health coverage: Preparation for the High-Level Meeting of the General Assembly on universal health coverage
IADS, IVSA
11.6
Health, environment and climate change
Global Climate and Health Alliance
11.7
Addressing the global shortage of, and access to, essential medicines
Universities Allied for Essential Medicines
11.8
Follow-up to the High-Level Meetings of the United Nations General Assembly on health-related issues: Prevention and control of noncommunicable diseases
International Youth Health Organization
IADS
WMA
12.1
Pandemic Influenza Preparedness Framework for the sharing of influenza viruses and access to vaccines and other benefits
12.3
Human Resources for Health
12.4
Promoting the health of refugees and migrants
12.5a
Patient safety: Global action on patient safety
11.6
Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030)
12.8
WHO reform processes, including the transformation agenda, and implementation of United Nations development system reform
18.1
Follow-up to the High-Level Meetings of the United Nations General Assembly on health-related issues: Prevention and control of noncommunicable diseases
11.8
Follow-up to the High-Level Meetings of the United Nations General Assembly on health-related issues: Ending tuberculosis
IADS IPSF IVSA WMA
14
14
: International Association of Dental Students. : International Pharmaceutical Students’ Federation. : International Veterinary Students’ Association. : World Medical Association
Member State Advocacy An important aspect of IFMSA’s advocacy at the WHA is direct advocacy with Member States. This is seen as an opportunity to raise pertinent issues directly with health decision-makers at the national level, and improve collaboration and dialogue between Member States and young global health advocates. This year, our delegates established contact early with over 45 Member States via email, to share their perspectives on UHC ahead of the multistakeholder hearing for the High-Level Meeting. At the WHA itself, delegates had bilateral meetings with around 25 Member States, and discussed the IFMSA’s overarching advocacy priorities with them. There were many positive responses, especially on the topic of Youth Delegates.
15
15
Advocacy Working Groups The delegation was split into seven Advocacy Working Groups (AWGs) according to their fields of special interest. In the lead up to the WHA, AWGs were responsible for drafting IFMSA’s official statements for the WHA. Once in Geneva, AWGs had time together in the IFMSA Pre World Health Assembly workshop (PreWHA) to meet with experts and discuss pertinent issues on the WHA agenda. At the WHA itself, AWGs met with partner organisations, attended side events, and delivered the official statements on behalf of IFMSA. The seven AWGs were :
16
Name of the AWG
Co-ordinator
Position in IFMSA
Sexual and Reproductive Health and Rights in UHC
Eglė Janušonytė
Liaison Officer for Sexual and Reproductive Health Issues including HIV and AIDS
Non-Communicable Diseases and Environment
Tarek Ezzine
Liaison Officer for Public Health Issues
Human Resources for Health
Katerina Dima
Liaison Officer for Medical Education Issues
Refugee and Migrant Health
Rahba el-Amin
-
Communicable Diseases
Teodor Blidaru
Liaison Officer to Student Organizations
Access to Medicines and Health Governance
Charlotte O’Leary Isaac Florence
Liaison Officer to the WHO Chair of PreWHA Organising Committee
Universal Health Coverage
Jorge Felix Cardoso
UHC Academic Coordinator for PreWHA
16
WHA
Side Events The IFMSA delegation attended many other side events as active participants and contributors. In addition, the IFMSA officially participated in and/or cosponsored a number of official side events at the WHA. The most important events are highlighted here.
Fighting hierarchy and tokenism : Young people at the forefront of advocacy for sexual and reproductive health and rights Date and Time : Location : Co-sponsorsed by :
Tuesday 21st May, 14:00 - 16:00 UNAIDS Headquarters Youth Coalition for Sexual and Reproductive Rights, UN AIDS, AssociaciĂł : Drets Sexuals i Reproductius
Young people still have to fight structural barriers that unfortunately perpetuate oppression on the basis of gender, place of birth, ethnicity, skin color and many other traits that shape individual and collective identities. Many youth-led organisations are at the forefront of the sexual and reproductive health and rights movement, yet they still struggle to get a seat at the table and be considered relevant and essential stakeholders. This event provided a space in which youth could share first-hand stories on how they are working to shape public policies and programs, as that sets a foundation of good practices that could enhance further change. Charlotte O’Leary, the Liaison Officer to the WHO moderated the panel of three inspiring youth leaders.
17
17
Addressing the shortfall of 18 million Healthcare Workers Date and Time : Tuesday 21st May, 19:00 - 21:00 Location : Chateau de Penthes Co-sponsorsed by : Global Health Workforce Network, International Pharmaceutical Federation (FIP)
The event brought together representatives of Member States as well as Presidents and CEOs of multiple health professions associations and NGOs, to generate ideas on how joint action can tackle the ongoing health workforce crisis. The IFMSA Liaison Officer for Medical Education Issues (Katerina Dima), Vice-President for External Affairs (Marian Sedlak) and Liaison Officer to the WHO (Charlotte O’Leary), attended the meeting and engaged in group discussions with representatives from other professional associations. The outcome was in developing key points to address the 18 million shortfall, covering aspects such as education and training, decent work, health worker migration and much more.
18
18
Health promotion through the lifecourse : A call to action to leave no one behind Date and Time : Location : Co-sponsorsed by :
Wednesday, 22nd May 2019, 19:00 - 19:50 Palais des Nations, Room IX International Federation on Ageing and IOGT International
Promoting health through the life course means to invest in prevention and to provide treatment and care services whenever and for whoever necessary. The objective of this side event was to inform decision-makers about costeffective, high-impact, evidence-based solutions that are available to protect and promote the health of youth and older people. IFMSA Liaison Officer for Public Health Issues, Tarek Ezzine, spoke about “Investing in Youth to Tackle NCDs� explaining how youth can be both a vulnerable and a powerful group for this global and need to be involved.
19
19
Effective implementation of home-based records to improve maternal, newborn and child health towards achievement of UHC : leaving no one behind Date and Time : Location : Co-sponsorsed by :
23rd May 2019, 12:30 - 14:00 Palais des Nations, Room VII The Delegations of Afghanistan, Indonesia, Kenya, Lao People’s Democratic Republic, the Netherlands and the Philippines
This event focused on the new WHO guidelines as well as country case examples on the design and implementation of home-based records intended to improve maternal and child health, featuring representatives of the countries sharing the good practise experience as well as the WHO Director-General’s intervention. IFMSA’s Liaison Officer for sexual and reproductive health and rights (SRHR) including HIV and AIDS, Eglė Janušonytė, was part of the panel during the event as the youth representative who emphasized that homebased records improve not only maternal and child home care practices, infant and child feeding, but also the communication between health providers and women or caregivers. Therefore, it is essential that medical students are not only educated about the importance of all possibilities on how to improve the patients health, but also advocate to make it accessible and known everywhere, regardless of the patients social or financial status.
20
20
Health and dignity of Palestinians and Palestinian refugees Date and Time : Wednesday, 22nd May 2019, 19:00 Location : Intercontinental Hotel Co-sponsorsed by : UNRWA, Medical Aid for Palestinians, Palestinian Ministry of Public Health, IFMSA, WHO
This side event was a panel discussion discussing certain challenges and posing solutions to challenges faced by Palestinians in their country as well as Palestinian refugees in countries they’ve settled in. IFMSA Liaison Officer for Human Rights and Peace Issues, Hiba Ghandour, presented the youth perspective, highlighting the need for trans-sectoral collaboration, a more vigorous involvement of youth as well as a need for stronger advocacy and accountability mechanisms.
21
21
Catalysing innovation and progress through self-care interventions : WHO normative guidance development to advance the 2030 Sustainable Development Goals Date and Time : Location : Co-sponsorsed by :
Thursday, 23rd May 2019, 17:00 - 19:00 Intercontinental Hotel Ministry of Health of Bangladesh, WHO Department of Reproductive Health and Research
This event was held in support of the forthcoming WHO global consolidated guideline on self-care interventions and aimed to facilitate a dialogue between key stakeholders in their role as policymakers to promote self-care interventions. IFMSA has been highly involved throughout the guideline development process over the past year. Charlotte O’Leary, IFMSA Liaison Officer to the WHO, made an intervention on the panel, focusing on the importance of training future healthcare workers to be equipped to support patients in their own self-care. Key points were the importance of teaching healthcare workers to be patient advocates and educators, to communicate compassionately with patients, and to be interprofessional team players.
22
22
WHO - civil society collaboration to drive progress on climate change and health Date and Time : Friday, 24th May 2019, 18:00 - 18:50 Location : Palais des Nations, Room IX Co-sponsorsed by : WHO, Global Climate & Health Alliance, Alliance for Health Promotion
This event presented the newly launched WHO Civil Society Working Group on Climate Change and Health, aimed at strengthening WHO-NGO collaboration to drive progress on addressing climate change and protecting and promoting health. IFMSA has been nominated among 12 organizations to be part of the Civil Society Working Group. IFMSA Liaison Officer for Public Health Issues, Tarek Ezzine, spoke at the event about youth and medical students’ advocacy toward environment, climate change and health and the IFMSA 2020 Vision of Climate Change in Medical Curriculum.
23
23
Adolescents : the missing population in UHC Date and Time : Location : Co-sponsorsed by :
Monday, 20th May 2019, 18:00 - 19:30 Vieux-bois Restaurant Partnership on Maternal, Newborn and Child Health (PMNCH), UNICEF, World Health Organization, Independent Accountability Panel and the Every Woman Every Child Secretariat
This side-event aimed to advance the global adolescent health agenda as an integral component of UHC and showcased the latest evidence from Member States in their efforts to advance adolescent health, discussing the main obstacles from accessing the healthcare services as well as evidencebased solutions. IFMSA’s Liaison Officer for SRHR incl. HIV and AIDS, Eglė Janušonytė, was invited to make a floor intervention on IFMSA’s perspective. This highlighted that the highest possible standard of health cannot be attained without ensuring that the health workforce has the capacity to provide holistic and evidence-based services to the adolescent population and noted that IFMSA strongly supports PMNCH’s efforts towards more inclusive UHC for all.
24
24
Let’s get real : adolescents’ sexual and reproductive health and rights and well-being Date and Time : Friday, 24th May 2019, 12:40 - 14:00 Location : Palais de Nations, Room VIII Co-sponsorsed by : Slovenia, Canada, UNFPA, UNAIDS, Plan International, World Vision and International Planned Parenthood Federation (IPPF)
The side event explored the most prominent barriers preventing adolescents from fully accessing and benefiting from SRHR services, and also provided the perspectives of some of the most prominent stakeholder organisations. IFMSA’s Liaison Officer for SRHR incl. HIV and AIDS, Eglė Janušonytė, made a floor intervention and urged stakeholders to engage youth, a previously underrepresented constituency, in all health decisions as well as create platforms for advocacy to foster a strong voice for youth. It is necessary to leverage the unique skills that youth possesses such as social media and technological innovation.
25
25
AGENDA ITEMS in Focus
The IFMSA delegation followed many of the agenda items discussed at the 72nd WHA. Relevant WHO documents can be found at the WHA website here. 11.2 - Public Health Emergencies : Preparedness and Response Responsible Advocacy Working Group : Communicable Diseases The main topic of the discussion was WHO’s work in minimising the negative impact of health emergencies on public health through continued implementation of the International Health Regulations and the WHO Health Emergencies Programme. IFMSA Statement The IFMSA made an official statement on agenda item 11.2, ‘WHO’s work in health emergencies’. The statement was based on IFMSA policy ‘Health Emergencies’. The statement was delivered by Amro Aglan from Egypt . The main points of the statement were strong primary healthcare, attacks on health workers, funding, ethical research and active inclusion of all stakeholders, including youth.
11.4 - Implementation of the 2030 Agenda for Sustainable Development Responsible Advocacy Working Group : Universal Health Coverage The report from the Director-General on the implementation of the 2030 Agenda for Sustainable Development briefed the WHA on the attainment of the health-related Sustainable Development Goals (SDGs).
26
26
Part I summarized global and regional progress made by Member States towards achieving Goal 3 (Ensure healthy lives and promote well-being for all at all ages), as well as other health-related goals and targets. Part II described activities underway directed to implementing resolution WHA69.11 on health in the 2030 Agenda for Sustainable Development. Part I showed no country is on track to meet the SDGs. Several Member States lauded the efforts by the WHO and the global health community, but underlined that progress is still deeply insufficient. One positive step forward is the Global Action Plan for healthy lives and well-being for all that supports countries to achieve the health-related targets of the SDGs. IFMSA Statement The IFMSA made an official statement on agenda item 11.4, ‘Implementation of the 2030 Agenda for Sustainable Development’. The statement was based on IFMSA’s ‘Sustainable Development Goals’ policy. The statement was delivered by Mokshada Sanjay Sharma from India. The main points of the statement were 3: coordinate action by all stakeholders; promote multisectoral research efforts; half of the world is under 30, include youth and its representative in debates.
11.5 - Universal Health Coverage Responsible Advocacy Working Group : Universal Health Coverage Subpoint a) : ‘Primary health care towards universal health coverage’ This agenda point noted the agreement and commitments enshrined in the Astana Declaration, and sets forth a vision for UHC including primary health care (PHC). The report sets forth the proposed operational framework for advancing PHC as a fundamental structural model for health system development. The key outcomes were that Member States were urged to take measures to share and implement the vision and commitments of the Declaration of Astana according to national contexts, and the DirectorGeneral was requested to develop an operational framework.
27
27
Subpoint c) : ‘Preparation for the High-Level Meeting of the United Nations General Assembly on universal health coverage’ This agenda point focused on the upcoming High-Level Meeting on UHC, which is generating a lot of attention in the global health arena. The report noted recent statistics regarding financial barriers to healthcare and noted the limitations of disease-oriented programs. There was also discussion on the possible themes of the Political Declaration and on the process through which it will be developed. The key themes that emerged during the discussion were the importance of gender, workforce, PHC, system infrastructure, technology, access to medicines and vaccines, health literacy, prevention, research and UHC implementation monitoring. IFMSA Statement The IFMSA made two official statements on agenda item 11.5, under subpoints a, ‘Primary health care towards universal health coverage’, and c, ‘Preparation for the High-Level Meeting of the United Nations General Assembly on universal health coverage’. About a) : The statement was based on IFMSA’s policy ‘Universal Health Coverage’. The statement was delivered by Marco L. Moran from Honduras. The main points of the statement were to call for improved working conditions for all interprofessional PHC workers and for governments to keep improving evidence-based primary health care provision. About c) : The statement was based on IFMSA policy ‘Universal Health Coverage’. The statement was delivered by Marian Sedlak from Slovakia. The main points of the statement were to highlight the need to have youth at the table for the high-level meeting outcome document and to ask for the provision of youthfriendly health services.
28
28
11.6 - Health, Environment and Climate Change Responsible Advocacy Working Group : Non-communicable Diseases and Environment This agenda point discussed the draft WHO global strategy on health, environment and climate change: the transformation needed to improve lives and well-being sustainably through healthy environments. This is a comprehensive plan that outlines strategic objectives for the global health strategy, and also focused on the WHO’s role in this topic. IFMSA Statement The IFMSA made an official statement on agenda item 11.6 ‘Health, environment and climate change’. The statement was based on IFMSA policy document ‘Climate Change and Health’. The statement was delivered by Tarek Ezzine from Tunisia. The main points of the statement were the importance of recognising the health co-benefits of climate change mitigation and adaptation strategies, and encouraging Member States to meet an emissions trajectory consistent with the limiting of the global temperature rise to 1.5 degrees.
11.7 - Access to Medicines and Vaccines Responsible Advocacy Working Group : Access to Medicines and Health Governance Access to medicines was a hot topic at this WHA. The main document for discussion was the draft road map report outlining the programming of WHO’s work on access to medicines. This document was requested by Member States at the 71st WHA, and was discussed and revised at the 144th Executive Board Meeting in January 2019. Earlier in the year, the Italian Ministry of Health proposed a draft document for discussion under this agenda point at the WHA, entitled ‘Improving the transparency of markets for drugs, vaccines and other health-related technologies’. In light of this resolution, transparency issues dominated the access to medicines discussion at the WHA. 29
29
IFMSA Statement The IFMSA made an official statement on agenda item 11.7, ‘Access to medicines and vaccines’. The statement was based on IFMSA policy ‘Access to Medicines’. The statement was delivered by Mariem Ben Salem from Lebanon. The main points of the statement were firstly the need for transparency guidelines that were internationally standardised and included issues of research transparency, and secondly for the WHO to act as a leader on enabling best practice sharing on the use of TRIPS flexibilities.
11.8 - Follow up to the High-Level Meetings of the United Nations General Assembly on health-related issues
Antimicrobial Resistance Responsible Advocacy Working Group : Communicable Diseases This agenda item subpoint discussed the report from the WHO DirectorGeneral on the follow-up to the High-Level Meeting on antimicrobial resistance (AMR). There was particular focus on the progress that is being made on AMR in relation to national AMR action plans in line with the One Health approach, surveillance and the work of WHO on developing a competency framework, optimising the use of antimicrobials in human and animal health, and infection prevention, including vaccination. IFMSA Statement The IFMSA co-proposed an official statement on agenda item 11.8a, ‘Followup to the High-Level Meeting of the United Nations General Assembly on antimicrobial resistance’ along with the World Medical Association. The statement was based on IFMSA policy ‘Antimicrobial Resistance’. The main points of the statement were One Health, adoption of National Action Plans, research and moving the Global Action Plan forward.
30
30
Prevention and Control of Non-communicable Diseases Responsible Advocacy Working Group : Non-communicable Diseases & Environment This agenda point focused on the follow up from the 3rd High-Level Meeting on NCDs that was held in September 2018. There was a lot of discussion on the broadening of the NCDs mandate to include air pollution and mental health, which is a positive step forward. However, there is ongoing concern amongst many Member States that progress is insufficient to meet the SDGs target 3.4 on NCDs. IFMSA Statement The IFMSA made an official statement on agenda item 11.8b, under ‘Followup to the High-Level Meeting of the United Nations General Assembly on non-communicable diseases’. The statement was based on IFMSA policy ‘Non-Communicable Diseases’. The statement was delivered by Michelle Houde from Canada. The main points of the statement were for Member States to focus on NCD risk factors and social determinants, including the implementation of taxation on tobacco, alcohol and sugar-sweetened beverages. It also stressed on the importance of engaging youth in the NCDs agenda, as both a vulnerable and a powerful group. Ending tuberculosis Responsible Advocacy Working Group : Communicable Diseases The discussion was built around endorsement by Member States of the Political Declaration on tuberculosis (TB) at the 2018 UN High-Level Meeting. TB remains very much a poverty-related infection and mainly affects persons in vulnerable situations with insufficient access to prevention, diagnostics, treatment and health care services. Communities and people affected by TB must be engaged, empowered and supported in order to be able to assist as service deliverers, advocates and activists thus helping to reduce the burden of disease and stigmatization.
31
31
IFMSA Statement The IFMSA made an official statement on agenda item 11.8c, under ‘Followup to the High-Level Meeting of the United Nations General Assembly on ending tuberculosis’. The statement was based on IFMSA policies ‘Antimicrobial Resistance’ and ‘Vaccination’. The statement was delivered by Teodor Cristian Blidaru from Romania. The main points of the statement were funding, research, stewardship mechanisms for anti-TB drugs and prioritizing education for students and healthcare professionals.
11.7 - Pandemic Access to Medicines Vaccines Framework for the sharing of 12.1 Influenza and Preparedness Influenza viruses and access to vaccines and other benefits Responsible Advocacy Working Group : Communicable Diseases In the case of the next influenza pandemic, the main discussion is around the WHO Pandemic Influenza Preparedness Framework, which guarantees access to vaccines, medicines and diagnostics in all countries in the world, especially those most in need. IFMSA Statement The IFMSA made an official statement on agenda item 12.1, under ‘Pandemic Influenza Preparedness Framework for the sharing of influenza viruses and access to vaccines and other benefits’. The statement was based on IFMSA policy ‘Vaccination’. The statement was delivered by Caroline Lee from Australia. The main points of the statement were a well functioning infrastructure for maintaining and improving an effective global influenza surveillance and response system, as well as ratifying and implementing the Nagoya Protocol.
32
32
12.3 - Human Resources for Health Responsible Advocacy Working Group : Human Resources for Health In 2010, Member States adopted the ‘WHO Global Code on the International Recruitment of Health Personnel’, in hopes of offering some guidelines for health workforce recruitment, retention and migration among states. During the WHA, the third round of national reporting on the implementation of the Code took place, with only 80 Member States submitting national reports. IFMSA Statement The IFMSA made an official statement on agenda item 12.3 on ‘Human Resources for Health’. The statement was based on the IFMSA policy ‘Global Health Workforce’. The statement was delivered by Emilie Claerbout from Belgium The main points of the statement were the urgent need for political commitment on behalf of the Member States in collecting and sharing reliable data on national health workforce statistics, as well as the need for financial investment in the health workforce, a labor market that evidently accelerates economic growth and generates jobs.
12.4 - Promoting the Health of Refugees and Migrants Responsible Advocacy Working Group : Refugees and Migrants Health With people increasingly on the move and the emergence of new drivers of migration over the last two decades, with consequences of disease, injury, suffering, and death, the WHA requested the Director-General to identify best practices, experiences and lessons learned on the health of refugees and migrants. This contributed to the development of a draft global action plan on promoting the health of refugees and migrants for the years 20192023 for consideration by the 72nd WHA. The WHA discussed the need for Member States to report back to the Assembly on the actions they have taken in their countries relating to the global action plan, and requested the Director-General to report back on 33
33
progress of the WHO in the implementation with relevant Member States and partners. IFMSA Statement The IFMSA made an official statement on Agenda item 12.4, ‘Promoting the health of refugees and migrants’. The statement was based on IFMSA policy ‘Asylum Seekers and Refugees Health’. The statement was delivered by Paula Reges from Brazil. The main points of the statement were urging Member States to implement inclusive health policies, ensuring accountability in implementing existing frameworks and encouraging the WHO to receive this issue with greater attention. 12.5 - Patient Safety Responsible Advocacy Working Group : Human Resources for Health Patient harm and unsafe care represent a great burden in health care, with more than 64 million disability-adjusted life years lost every year. Unsafe practices, medication errors, health care associated infections and sepsis are some of the major challenges. To counter this, the WHO has launched several initiatives to encourage Member States to assume action, such as the Global Patient Safety Challenge in 2005 or the Global Patient Safety Collaborative in 2018. This resolution aimed to outline further action and political prioritization for both WHO and Member States. IFMSA Statement The IFMSA made an official statement on agenda item 12.3, ‘Patient Safety’. The statement was based on the IFMSA policies ‘Global Health Workforce’ and ‘Accreditation & Quality Assurance’. The statement was delivered by Mindaugas Galvosas from Lithuania. The main points of the statement were the importance of high quality health professions education in ensuring the quality of health services and the role of accreditation as an accountability mechanism for academic institutions. The value of social accountability was also stressed, as a way of safeguarding patients and healthcare providers.
34
34
12.8 Updatetoon the Global Strategy for Women’s, Children’s and 11.7 --Access Medicines and Vaccines Adolescents’ Health (2016 - 2030)
Responsible Advocacy Working Group : Sexual and Reproductive Health and Rights in Universal Healthcare Coverage The Global Strategy (2016-2030) is a roadmap designed to achieve the right to the highest attainable standard of health for all women, children and adolescents, intended to transform the future where every mother and child not only survive, but thrive and are put at the heart of SDGs. The discussion thus followed on the update of the implementation of this strategy, with Member States outlining their priorities. The term SRHR was heavily questioned by some of the Member States while endorsed and promoted by the majority. IFMSA Statement The IFMSA made an official statement on agenda item 12.8 ‘Update on the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016 - 2030)’. The statement was based on IFMSA policies ‘Gender Equity’ and ‘Universal Health Coverage’. The statement was delivered by Eglė Janušonytė from Lithuania. The main points of the statement were that SRHR is essential to achieving UHC, and Member States should take into consideration vulnerable populations while ensuring that out-of-pocket expenditure for SRHR is kept at minimum. Secondly, IFMSA called to foster knowledge on SRHR and ensure the health workforce has the capacity to provide holistic services by embracing digital technologies to bring services closer to populations and standardizing tools to decrease data gaps of the implementation of this strategy protocol.
35
35
18.1 WHO reform processes, 11.7 - Access to Medicines andincluding Vaccines the transformation agenda, and implementation of United National development system reform Responsible Advocacy Working Group : Access to Medicines and Health Governance The WHO is undergoing an ambitious transformation agenda, with the roles of Country Offices, Regional Offices and Headquarters more clearly defined. The transformation aims to align WHO’s technical, external relations and business processes across the major offices and three levels of the organisation. IFMSA Statement The IFMSA made an official statement on agenda item 18.1 ‘WHO reform processes, including the transformation agenda, and implementation of United National development system reform’. The statement was delivered by Isaac Florence from the United Kingdom. The main points of the statement were to emphasise the importance of the engagement of civil society and youth in national health decision-making, especially through WHO Country Offices, and to encourage the use of gender sensitive pronouns in WHO governing body rules of procedure.
36
36
VISIBILITY AND SOCIAL MEDIA Social Media and Public Relations Coordinator : Michelle Houde Vice-President for Public Relations and Communication : JosĂŠ Chen
Youth Social Media Plan IFMSA paired up with IVSA, IPSF, WCCS and other youth organizations to develop a social media strategy for youth at WHA72. We, together, chose our two official hashtags: #Youth4Health and #WHA72. The other hashtags used were #yWHA72, #WalkTheTalk, #YouthWalk, #YouthTalk, #Walk4ThePlanet and #PreWHA. In this way, our posts reached more people and shared a clear message: youth are present at the WHA and are advocating for health. All young people attending got informed of the strategy and used the hashtags. Goal : Creating a bigger and more active network.
37
37
Use of Social Media Platforms A session on social media was given during IFMSA’s Youth PreWHA Workshop, by the Public Relations & Social Media Coordinator. A general introduction, an overview of how and when to use each platform and a list of the important # and @ were presented. Goal : Give the delegation the environment to discuss social media strategy and exchange tips and tricks. Brief the delegates on Youth Social Media Strategy for WHA72 to have uniform posts and stronger plan.
38
38
Blog posts
IFMSA got active on Twitter every day of the PreWHA and of the WHA, sharing pictures and quotes of speakers, members of our delegation, IFMSA’s Liaison Officers, other nonstate actors, Member States and members of WHO’s staff.
Three blog posts were published: one about the PreWHA and the advocacy plan for WHA, another about IFMSA’s external work during WHA, and a last one on delegates’ general experience.
An exact number of 150 tweets and retweets were made on IFMSA’s Twitter account during the month of May, related to PreWHA and WHA, reaching out to hundreds of people including WHO’s Director-General Dr Tedros. Goal :
Create a strong network- ing for IFMSA among external partners and internal members and reach a broader audience for our advocacy.
Instagram & Facebook Instagram and Facebook stories were uploaded everyday of the PreWHA and WHA. Pictures of the speakers, inspiring quotes, updates on IFMSA’s delegation are examples of our work. Official posts were also published about IFMSA’s delegation and PreWHA’s financial partners. Goal : Update our members on our work at PreWHA and WHA72. 39
39
Goal : Giving more extensive information to our mem- bers and external partners on our work at IFMSA’s Youth PreWHA and at the World Health Assembly.
PreWHA Recap Video A 5-minute video was created with IFMSA delegates of all five continents to explain the meaning and the content of PreWHA workshops, as well as some highlights of participants. It was shared on Facebook, Instagram and Twitter. Goal : Giving more extensive information to our mem- bers and external partners on our work at IFMSA’s Youth PreWHA and at the World Health Assembly by a different mean, reaching a different audience.
Live Video A live video was recorded on IFMSA’s Facebook page during Walk The Talk, to show the atmosphere of the event. We also explained why we were walking for climate change and health and how physical activity is closely linked with the health of our planet. Goal : Involve members who were not present and spread our message through a different plat- form, to reach a different audience.
Representation IFMSA gave a special consideration to representativity of gender, region and sex for publications, blogs and videos, as it is a priority for our federation.
40
40
WHA Youth Constituency This year, for the first time ever, a youth constituency was formed in the lead up to the WHA. This idea was conceived by Charlotte O’Leary, IFMSA Liaison Officer to the WHO, and was executed in collaboration with a number of youth organisations and youth leaders. The aim of the constituency was to bring the youth community together at the WHA to strengthen our voice, align efforts, and spark new ideas. A number of educational, advocacy, strategic and social youth activities were organised in the margins of the WHA and PreWHA, to allow the youth constituency opportunities to connect.
Members of the WHA Youth Constituency In total, there were 220 members of the WHA Youth Constituency. The constituency was formed of youth who were attending the WHA in any capacity, and included youth who were; delegates of youth organisations like IFMSA and IPSF, delegates of other non-state actor delegations, Member State Youth Delegate, and interns at the WHO, Permanent Mission or other organisations.
41
41
Youth Schedule of Events at WHA PreWHA Open Session
On Saturday 18th May, IFMSA opened its Pre World Health Assembly (PreWHA) workshop to other youth. There were around 120 youth in attendance, from a variety of backgrounds. The afternoon had two sessions. Firstly, a groupdiscussion based session called ‘Paving our way to raise our voice’ allowed participants to explore notions of meaningful youth participation and highlight key priorities for governments, young people and WHO in achieving it. The second session was called ‘Careers in Global Health’ and gave participants an opportunity to reflect on their own future career plans, and how they can make a difference in the field of global health. We had four experts speakers who shared their experiences and career paths in global health, Prof Aisha Holloway (Nursing Now and University of Edinburgh), Mr Austin Liu (Gavi), Dr Caline Mattar (Washington University and World Medical Association), Dr Diogo Martins (Wellcome Trust). The whole afternoon was a fantastic way for youth to meet each other and get prepared for the upcoming WHA.
42
42
Youth Walk the Talk
The Walk the Talk is the WHO’s annual fun run, and this was held on Sunday 19th May. It gathers people from international and local Geneva for a day of physical activity and activities celebrating and promoting health. The Youth Walk the Talk: The Health for All Challenge aimed to show the contribution of youth in promoting healthy living and to raise awareness on the work and goals of the WHO and other global health agencies. Youth gathered together and engaged in a number of activities, including raising awareness for planetary health through posters and social media. A group of youth led by Viktoria Gastens from IPSF performed a dance on stage during the warmup activities, highlighting the importance of the Sustainable Development Goals and UHC.
43
43
Youth Delegates Strategic Meeting
On Tuesday 21st May, a number of Member State Youth Delegates gathered for a strategic meeting on the development of Youth Delegate programs. These inspiring and engaged youth shared best practices for Youth Delegate programs, and discussed some of the challenges and barriers faced to the further implementation of them around the world. It was a fantastic opportunity for informal discussion and planning. As a follow up, a few days later many of the Youth Delegates met with Ms Diah Saminarsih, Senior Advisor to the WHO Director-General on Gender and Youth. They discussed WHO’s plans for engaging youth and for supporting Member States to initiate Youth Delegate programs.
44
44
Engaging Youth in the Global Health Agenda
On Friday 24th May, the main informal side event for the WHA was held, entitled Engaging Youth in the Global Health Agenda. It brought together the WHA youth constituency with global health experts to discuss various current issues, including UHC, primary health care, non-communicable diseases, the engagement of youth with international health organisations, and sexual and reproductive health and rights issues. The event was a big success, with a lot of fruitful discussion and outcomes. We would like to thank Dr Guy Fones, Mr Ruben Pages, Dr Edward Kelley, Ms Diah Saminarsih, Dr Akihito Watabe, Dr Sunny Khan and Mr Bjorn Kummel for joining us in these discussions. In addition, the event served as a consultation to inform the work of the Global Health Workforce Network Youth Hub, including on their advocacy, convening spaces and research agenda. Dr Jim Campbell, Director of the WHO Health Workforce Department gave an opening address on the pressing issue of the health workforce shortage. We were extremely privileged to be joined by Dr Tedros, Director-General of the WHO. He gave some inspiring words and advice to all the youth present, and showed his support for the engagement of youth in global health.
45
45
Annexures Annexure 1 Universal Health Coverage Policy Brief Annexure 2 Youth Delegates to the WHA Policy Brief Annexure 3 Meaningful Youth Participation in National Health Decision-Making Policy Brief
46
46
ANNEXURE 1 POLICY BRIEF
Universal Health Coverage
IFMSA Policy Brief for the 72nd WHA The International Federation of Medical Students’ Associations (IFMSA) believes that health is a human right, and Universal Health Coverage (UHC) is the materialization of that right. Health products and services, including health promotion, preventive care, treatment, rehabilitation, and palliative care, should be accessible to all. Unfortunately, stigma, inequality, geographical isolation and discrimination are some of the barriers to UHC that preclude more than half of the world’s population from accessing essential health services. We are currently off-track to achieve UHC in 2030 as part of the Sustainable Development Goals, but we can change our trajectory. The IFMSA urges all stakeholders to commit to attaining this goal.
Primary Health Care (PHC)
PHC is the most efficient and cost-effective way to achieve UHC around the world, with youth as important partners in achieving and maintaining PHC in all communities. IFMSA calls upon Member States, NGOs and international agencies to: - Acknowledge PHC as a central component of health systems, and that it should receive a fair share of the total Health Care investment, proportionate to its significant importance to the health of a population; Foster an interprofessional approach in the development of PHC services, ensuring appropriate planning, education and employment of the health workforce; - Improve working conditions and promote safe practices for PHC professionals, such as safe working hours, fair payment, and continuing education; - Include and empower the community in all decision-making regarding PHC services;
Digital Health
Digital technologies have the potential to revolutionize healthcare delivery, expand coverage, and promote health and prevent disease. IFMSA calls upon Member States, NGOs and international agencies to: - Develop and implement a user-friendly, comprehensive electronic medical record system that functions across different regions and hospitals; - Ensure communication technology is used as an important tool in the facilitation of health in remote areas and abandoned communities - Integrate digital capabilities into new infrastructure projects, and design public health interventions to work in tandem with these projects; - Utilize young people’s familiarity with technology and digital media to optimise the design and implementation of digital health technologies;
Sexual and Reproductive Health and Rights
SRHR is a fundamental component of UHC. The highest possible standard of health cannot be attained without access to high-quality SRHR services, especially for women, girls and adolescents. IFMSA calls upon Member States, NGOs and international agencies to: - Ensure that out-of-pocket expenditure for sexual and reproductive healthcare is kept at a minimum for emergency and essential services, and seek to minimise non-financial barriers to healthcare, including discrimination and stigma; - Promote and foster knowledge of SRHR and UHC among healthcare professionals to ensure that the health workforce has the capacity to provide holistic and evidence-based services to diverse patient populations.
47
47
For further information about IFMSA or the information in this brief, please contact the Vice-President for External Affairs at vpe@ifmsa.org
ANNEXURE 2 POLICY BRIEF
Youth Delegates to the World Health Assembly IFMSA Policy Brief for the 72nd WHA
What is a Youth Delegate to the World Health Assembly?
· A young person that is formally accredited on a country’s official delegation to the World Health Organization’s (WHO) World Health Assembly (WHA) to represent the young people of their country; · Youth Delegates participate in the preparation meetings, informal negotiation and provide assistance in monitoring general debates and drafting reports; · They have a mandate to contribute to creating links with other youth organizations and to share those inputs with their delegation; · The United Nations, for statistical purposes, defines ‘Youth’ as those persons between the ages of 15 and 24 years without prejudice to other definitions by Member States (1992). Member States vary with ranges as low as age 7 up to age 30 depending on cultural, social, economic and political factors.
Background to Youth Delegate programs
Youth delegates have existed within various UN processes, including at the UN General Assembly, the UNFCCC, the functional Commissions for the ECOSOC, and the Post-2015 negotiations. They are a relatively new phenomenon at the World Health Assembly. There is an increasing recognition of the value of Youth Delegates within the UN system. There is also an increasing recognition for the need for new forms of diplomacy that make use of soft power. “The opportunity for a young person to represent the youth of their country creates civic role models for other young people to participate more fully in their nation’s development as concerned citizens” - Nicola Shepard, United Nations Focal Point on Youth The World Programme of Action for Youth to the Year 2000 and Beyond calls upon Member States to: “Include Youth Representatives in their national delegations to the General Assembly and other relevant United Nations meetings, thus enhancing and strengthening the channels of communication through the discussion of youth related issues, with a view to finding solutions to the problems confronting youth in the contemporary world.”
What are the benefits of a Youth Delegate Program to the World Health Assembly? To youth
To the member state
Opportunity to become more engaged and informed in political issues, and an insight into negotiations.
Opportunity to engage with the youth perspective on global health issues and incorporate this into the member state’s positions on issues facing young people.
Involve a wider youth constituency in global health decision-making and communicating the reasoning behind governmental decisions to young people.
Assistance in meetings, briefings, and administrative tasks.
Experience international diplomacy at the highest level whilst developing essential skills and the selfconfidence to flourish in these environments.
Youth can be a crucial source of soft power and international influence, promoting democratic values, creativity, and idealism.
Opportunity to engage positively with other youth advocates from around the world.
Provide sustainability by preparing young people for future careers in civil service.
Creation of civic role models for other young people to participate more fully in their nation’s development as concerned citizens.
The existence of a national Youth Delegate Program or position is a concrete demonstration by the respective Government of their commitment to young people.
48
48
For further information about IFMSA or the information in this brief, please contact the Vice-President for External Affairs at vpe@ifmsa.org
Basic principles of a Youth Delegate Program to the World Health Assembly
The exact role of a Youth Delegate to the World Health Assembly can differ from country to country, however a few principles should underpin the program: · The Youth Delegate should be selected in a fair and transparent way; · The Youth Delegate should be adequately integrated in the delegation including participating in preparatory meetings and on-the-ground coordination meetings; · The mandate given to the Youth Delegate must be achievable and with clear objectives; · The Youth Delegate should be engaged with a wider youth global health network; · There should be financial assistance for participation.
Responding to concerns about such programs Question
Solution
Can youth delegates be Youth delegates with clear rules and regulations have consistently trusted to be part of official behaved with professional integrity. They fully understand that they are government delegations? in a country capacity, which means that there are limits to what they can say or do. Are they participate?
qualified
How much will it cost?
to
There are many examples of young professionals taking leadership positions in global health. Objective selection criteria can ensure that the youth involved in the program have the necessary knowledge, skills, and experience. Although some countries directly finance Youth Delegates, there are alternative funding models, including seeking joint funding with sponsoring youth organizations.
Examples of successful Youth Delegate Programs
There are currently over 10 countries with Youth Delegate Programs at the World Health Assembly including Canada, Chile, China, The Netherlands, and the United States of America. Several Member States are trialling a Youth Delegate program at this 72nd WHA. At the UN General Assembly in New York there are over 24 youth delegate programs.
49
49
For further information about IFMSA or the information in this brief, please contact the Vice-President for External Affairs at vpe@ifmsa.org
ANNEXURE 3 POLICY BRIEF
Meaningful Youth Participation in National Health Decision-Making IFMSA Policy Brief for the 72nd WHA
Today, there are over 3 billion young people under the age of 25, making up 42% of the world population. Youth are therefore a critical voice for change, and can be a crucial source of soft power and international influence, promoting democratic values, creativity, and idealism. Providing opportunities for youth to contribute to health decision-making at the local, national, regional and international level is fundamental for sustainable development and thus achieving Universal Health Coverage. Engaging youth in health decision-making at the national level enables states to engage a previously underrepresented constituency while supporting capacity building in national health leadership. In today’s interconnected world, global issues are of increasing importance to all sectors of activity, requiring multi-stakeholder engagement. Young people are key influencers, as they play many roles in society, including in public and private sector, civil society, academia and as consumers of healthcare. How can the National Governments and WHO Country Offices meaningfully engage youth in health at the national level? · Include youth in policy-making and strategic health matters o Organising regular youth fora for impactful consultation with young individuals and youth organisations o Consultation in strategic matters such as the development of WHO Country Cooperation Strategies · Joint public health campaigns between youth constituencies and Governments/WHO Country Office o Engage youth networks in order to amplify public health messages o Add legitimacy to the advocacy and project work of youth through verbalising support · Create platforms for lobbying and advocacy that foster a strong and independent political voice for youth o Support youth political engagement with networking opportunities · Leverage the unique skills of youth such as social media, technological innovation and grassroots advocacy · Create opportunities for knowledge sharing with youth o Invite youth as attendees at national conferences and meetings o Engage with youth conferences and meetings as expert speakers o Develop education programs in collaboration with youth · Financially support the work of youth o Sponsorship for youth activities that promote health in the community o Sponsorship agreements with youth organisations to support their sustainable growth o Scholarships for outstanding youth · Provide opportunities for internships and work experience within the Government or WHO Country Office · Formalise your collaboration with youth organisations to promote sustainability eg. through Memoranda of Understanding and Terms of Reference
50
50
For further information about IFMSA or the information in this brief, please contact the Vice-President for External Affairs at vpe@ifmsa.org
IFMSA
International Federation of Medical Students’ Associations
Lebanon (LeMSIC)
Saint Lucia
Lithuania (LiMSA)
(IFMSA-Saint Lucia)
Algeria (Le Souk)
Dominican Republic (ODEM)
Luxembourg (ALEM)
Senegal (FNESS)
Argentina (IFMSAArgentina)
Ecuador (AEMPPI)
Malawi (MSA)
Serbia (IFMSA-Serbia)
Egypt (IFMSA-Egypt)
Malaysia (SMMAMS)
Sierra Leone (SLEMSA)
Mali (APS)
Singapore (SiMSA)
Aruba (IFMSA-Aruba)
El Salvador (IFMSA-El Salvador)
Malta (MMSA)
Slovakia (SloMSA)
Australia (AMSA)
Estonia (EstMSA)
Mauritania (AFMM)
Slovenia (SloMSIC)
Austria (AMSA)
Ethiopia (EMSA)
Mexico (AMMEF-Mexico)
South Africa (SAMSA)
Azerbaijan (AzerMDS)
Finland (FiMSIC)
Montenegro (MoMSIC)
Spain (IFMSA-Spain)
Bangladesh (BMSS)
France (ANEMF) Georgia (GMSA)
Morocco (IFMSAMorocco)
Sudan (MedSIN)
Belgium (BeMSA)
Sweden (IFMSA-Sweden)
Bolivia (IFMSA-Bolivia)
Germany (bvmd)
Nepal (NMSS)
Switzerland (swimsa)
Bosnia & Herzegovina (BoHeMSA)
Ghana (FGMSA)
The Netherlands
Greece (HelMSIC)
(IFMSA NL)
Syrian Arab Republic (SMSA)
Grenada (IFMSAGrenada)
Niger (AESS)
Taiwan - China (FMS)
Nigeria (NiMSA)
Tajikistan (TJMSA)
Norway (NMSA) Oman (MedSCo)
Thailand (IFMSAThailand)
Palestine (PMSA)
Tanzania (TaMSA)
Pakistan (IFMSAPakistan)
Togo (AEMP)
Albania (ACMS)
Armenia (AMSP)
Bosnia & Herzegovina – Republic of Srpska (SaMSIC) Brazil (DENEM)
Guatemala (IFMSAGuatemala)
Brazil (IFMSA-Brazil)
Guinea (AEM)
Bulgaria (AMSB)
Haiti (AHEM)
Burkina Faso (AEM) Burundi (ABEM)
Honduras (IFMSAHonduras)
Cameroon (CAMSA)
Hungary (HuMSIRC)
Panama (IFMSAPanama)
Trinidad and Tobago (TTMSA) Tunisia (Associa-Med)
Canada (CFMS)
Iceland (IMSA)
Canada – Québec (IFMSA-Québec)
India (MSAI)
Paraguay (IFMSAParaguay)
Indonesia (CIMSA-ISMKI)
Peru (IFMSA-Peru)
Turkey – Northern Cyprus (MSANC)
Catalonia - Spain (AECS)
Iran (IMSA)
Peru (APEMH)
Uganda (FUMSA)
Chile (IFMSA-Chile)
Iraq (IFMSA-Iraq)
Ukraine (UMSA)
China (IFMSA-China)
Iraq – Kurdistan (IFMSAKurdistan)
Philippines (AMSAPhilippines) Poland (IFMSA-Poland)
Ireland (AMSI)
Portugal (ANEM)
Colombia (ASCEMCOL)
Israel (FIMS)
Qatar (QMSA)
Costa Rica (ACEM)
Italy (SISM)
Croatia (CroMSIC)
Ivory Coast (NOHSS)
Republic of Moldova (ASRM)
Cyprus (CyMSA)
Jamaica (JAMSA)
Czech Republic
Japan (IFMSA-Japan)
Republic of North Macedonia (MMSA)
(IFMSA-CZ)
Jordan (IFMSA-Jo)
Romania (FASMR)
(IFMSA-Uruguay)
Democratic Republic of the Congo (MSA-DRC)
Kazakhstan (KazMSA)
Russian Federation (HCCM)
Uzbekistan (Phenomenon)
Denmark (IMCC)
Korea (KMSA)
Venezuela (FEVESOCEM)
Dominica (IFMSA Commonwealth of Dominica)
Kosovo - Serbia (KOMS)
Russian Federation – Republic of Tatarstan (TaMSA) Rwanda (MEDSAR)
Zimbabwe (ZIMSA)
China – Hong Kong (AMSAHK)
Kenya (MSAKE)
Kuwait (KuMSA) Latvia (LaMSA)
www.ifmsa.org
Turkey (TurkMSIC)
United Arab Emirates (EMSS) United Kingdom of Great Britain and Northern Ireland (SfGH) United States of America (AMSA-USA) Uruguay
Yemen (NAMS) Zambia (ZaMSA)
medical students worldwide