Japan’s Policy and Global Health
-External financing for health care-
16th March 2009
Ministry of Foreign Affairs of Japan
Global Health in the context of
Foreign Policy
 Growing attention on Global Health in the 21st century
 3 MDGs related to health issues
 To address health issues…
 Participatory approach
Multi-sectoral input
Dialogue between G8 Health Experts and H8
Takemi Working Group
New dimensions of foreign policy
 A comprehensive approach
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Japan’s Initiative in 2008
 TICADⅣ
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Compiled the “Yokohama Action Plan”
Established TICAD Follow-up Mechanism
Additional pledge to the Global Fund (US$ 560 million)
Training of 100,000 health workers
Save the lives of 400,000 children
 G8 Hokkaido Toyako Summit
 Endorsed the “Toyako Framework for Action on Global Health”
 Agreed to establish a follow-up mechanism to monitor our
progress on meeting our commitments
 Actions to be Taken
1.Health Systems Strengthening
2. Maternal, Newborn and Child Health
3. Infectious Diseases (HIV/AIDS, Tuberculosis, Malaria, Polio, NTD)
4. Cross-Sectoral Approach
5. Resources
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Global Health Framework for Action
- A Comprehensive ApproachDevelopment of Framework for Action suitable for 21st Century
(The Human Security perspective, participatory approach）
Developing
Countries
Polio
HIV/AIDS
TB
Malaria
Other
Infectious
Diseases
(NTD, measles etc.)
UN/International
Organizations
Non-infectious
Diseases
G8/Developed
Countries
Newly Emerging
Donors
Focus on women and children
Maternal, Newborn and Child Health
Health Systems Strengthening
Expansion of community health
Private Sector
NGOs
Academia
Human Resource Development of Health Workers
Water and
Sanitation
Education
Gender
Infrastructure
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Approaches for
Health System Strengthening
 A better balanced-approach between…
Disease-oriented
approach (vertical) and
Strengthening of health systems (horizontal)
 Three major components identified for health system
strengthening
Health
Workforce
Health
workforce
Health financing
Health information
 Takemi working group
Provide
Health
Financing
Health
System
Strengthening
Health
Information
policy recommendations for G8 in the context of human
security
Participatory approach: Academia , NGOs, 3 relevant ministries,
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Government aid agencies
Economic Crisis and Global Health
 Maintain the commitment for the health sector
Health
and Development Initiative (HDI)
•Pledged: Approx. US$ 5 billion for 5 years (2005-2009)
•Disbursement: Approx. US$ 4.5 billion for 3 years (2005-2007)
Global Fund （As of February 2009)
•Provided: US$ 846 million
•Pledged: US$ 560 million from 2009 for coming years
 Raise awareness for the global health issues
 Intensive discussion on “Innovative Financing Mechanism”
 Better allocation and use of inputs within developing countries
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Next Agenda for 2009
 Sustain momentum in global health politics
 Japan’s initiative in drafting WHO resolution, “Primary Health
Care, including Health System Strengthening”
Approved by the WHO Executive Board in February 2009,
to be submitted to the Sixty-second World Health Assembly
in May 2009
 Translate the policy recommendations to the G8 into concrete
actions for strengthening health systems at G8 La Maddalena
Summit and beyond
 Close cooperation and coordination with stakeholders in the
global health
WHO,
World Bank, UNICEF, UNFPA, UNAIDS, The Bill and Melinda
Gates Foundation, GFATM, GAVI, Academia, NGOs…
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Towards the ECOSOC
 "Implementing the internationally agreed goals and
commitments in regard to global public health”
 Japan’s high-level will make national voluntary presentation
(NVP) at the ECOSOC Annual Ministerial Review in July 2009
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