Action by different thematic sectors beyond the health sector - such as education, infrastructure, agriculture, finance and energy - on the health determinants is well recognized as being fundamental to health progress.
Yet such multisectoral action has often proved challenging in practice, with health plans, policies and programming mostly focused on healthcare services.
The Sustainable Development Goals (SDGs) provide a renewed impetus for countries to implement multisectoral (or intersectoral) action to address complex problems, including reaching the ambitious health targets under SDG 3. SDG 3 also includes the specific target under 3.8 for countries to achieve universal health coverage (UHC).
The bulk of the responsibility for achieving UHC lies with the health sector in countries, stewarded by Ministries of Health. Yet multisectoral action is also required to achieve UHC, with the health sector and Ministries of Health having the following key responsibilities:
- Ensuring/securing the provision of critical physical and human resources essential to the functioning of health facilities and services from other sectors (for example water and sanitation services, energy, roads, education to train health workers)
- Ensuring alignment of overarching health governance mechanisms (for example Health in All Policies), public health programmes and policies of other sectors to address key health determinants and immediate threats (for example in epidemic outbreaks, or regulating goods that are harmful to health)
- Monitoring the health system and health outcome impacts of interventions that are the core business of other sectors
Despite its importance, multisectoral action has often received low levels of attention in current efforts towards UHC. In the context of the SDGs, greater support for countries to implement multisectoral action for health is therefore required, including placing the role of the health sector in such action as a core part of the UHC agenda. Existing efforts on this theme, for example around the ‘Health in All Policies’ approach and on the political economy of multisectoral action for health, can be drawn upon to support countries in doing so.
The purpose of the UHC2030 Multisectoral Action Technical Working Group is to:
- Draw attention to the importance of the health sector taking steps to build capacity for multisectoral efforts for health as part of UHC
- Convene partners to leverage their resources to support country capacity and efforts on this theme, including in country plans for UHC
- Link to efforts in other global partnerships on multisectoral health work e.g. Every Woman Every Child; practice communities (for example Health in All Policies; Global Coordinating Mechanism for Non-Communicable Diseases)
The working group will not provide direct technical assistance and will also not be a funding mechanism, in keeping with the mandate of UHC2030. The working group will commission high level policy briefs to discuss and synthesize knowledge on the topic. The working group will be supported by the UHC2030 secretariat, working virtually with a face-to-face annual meeting and other meetings opportunistically).
|Maureen||Samms-Vaughan||Professor, University of the West Indies||Jamaica|
|Gail||Andrews||MoH South Africa||South Africa|
|Shehla||Zaidi||Aga Khan University||Pakistan|
|Charles||Mwansambo||Ministry of Health||Malawi|
|Kirk||Emerson||Professor, University of Arizona||USA|
|Sara||Bennett||Professor, Johns Hopkins University||USA|
|Abdalla||Osman||Director-General, Public Health Institute||Sudan|
|Carmel||Williams||Government of South Australia||Australia|
|Giang||Kim Bao||Hanoi Medical University||Vietnam|
Meetings and notes
December 2017: UHC Forum side event on multisectoral action concept note
Presentations at event:
For further information please contact:
Nicole Valentine, WHO email@example.com; or
Patricio Marquez, World Bank firstname.lastname@example.org;
David Hipgrave, UNICEF email@example.com