Dr Erio Ziglio

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What have we learnt since the Black Report?
Reducing Health Inequalities Lessons and
Challenges from an International Perspective
St. Andrews, Scotland, 30th September 1st
October 2004
Dr Erio Ziglio Head European Office for
Investment for Health and Development Venice,
Italy E-mail ezi_at_ihd.euro.who.int
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(No Transcript)
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Income poverty
People living on less than US 2 a day
(CEE and CAR, millions of people)
Source Global Economic Prospects, Worldbank, 2001
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Income poverty
EU People at risk of poverty and social
exclusion ()
Average of 18 or 60 million people bellow the
threshold
Source European Commission, data for 1997
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Glasgow, Scotland
67 LIFE EXPECTANCY 77
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Torino, Italy
8 years difference
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Malmö, Sweden
10 years difference
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WHO European Region
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many of which have got far off track in reaching
the poverty MDG!Progress towards reaching the
poverty MDG, by region
Source www.developmentgoals.org
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National

• Subnational

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Z.59.5
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The worlds biggest killer and the greatest cause
of ill-health and suffering across the globe is
listed almost at the end of the International
Classification of Diseases. It is given the code
Z59.5 Extreme poverty (World Health Report
1995 The state of world health WHO Geneva)
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as a communicable disease
Poverty
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Governments should be the stewards of their
national resources, maintaining and improving
them for the benefit of their populations.
Stewardship in health is the very essence of
good government
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Stewardship and Good GovernanceFunctions

• Development of health policy
• Coordination
• Regulations
• Advocacy
• Training
• Incentives
• Research
• Monitoring

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Policy-makers
Practitioners
Poor People
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P
P
P
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Stewardship and Good GovernanceFunctions

• Development of health policy
• Coordination
• Regulations
• Advocacy
• Training
• Incentives
• Research
• Monitoring

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System Capacity Profile
A
B
F
C
E
D
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PROGRESS
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Good governance is perhaps the single most
important factor in eradicating poverty and
promoting development

• Kofi Annan