Cancer in Africa: A rights-based public health approach Dr. Christoph Hamelmann Regional Practice Leader HIV, Health and Development UNDP Europe and Central Asia EPP Group Hearing ‘Cancer in Africa’ Session I: The problem of health care in Africa; role of different organizations of fighting diseases in Africa Brussels, 27 June 2012
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Cancer in Africa: A rights - based public health approach (2012)
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Cancer in Africa:A rights-based public health approach
Dr. Christoph HamelmannRegional Practice Leader HIV, Health and Development
UNDP Europe and Central Asia
EPP Group Hearing ‘Cancer in Africa’Session I: The problem of health care in Africa; role of different organizations of fighting diseases in Africa
Brussels, 27 June 2012
Cancer: A Public Health Challenge in Africa
WHO Global Status Report On Non-Communicable Diseases 2010
Age-standardized incidence of all cancers (excluding non-melanoma skin cancer) per 100,000
Health is a Basic Human Right
Eleanor Roosevelt with United Nations Universal Declaration of Human Rights
UN 1948 Universal Declaration of Human Rights, Article 25
UN 1966 International Covenant on Economic, Social and Cultural Rights
• Right of everyone to the highest sustainable standard of health
• Prevention, treatment, care and support
• Signed by 160 countries, 2011
Global Commitment and Coordination
International and National Strategies
Primary Prevention
• Environmental, socio-ecomomic and behavioural risk factor reduction
• Vaccinations against infections associated with cancer
• Multi-sectoral approach
Example:
International and National Strategies
• Universal access to screening
• Universal access to early diagnostis
• Universal access to primary, secondary and tertiary service levels and referral models
Treatment, Care and SupportSecondary Prevention
Health Systems Approachaddressing:• Inequities
• Gender imbalances
We Need Solutions: Sustainable Financing
National Health Financing Systems
Global Cancer Fund ?
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Global Cancer Fund ?
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We Need Solutions: Affordable Medicines
Target 8.E:In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries
Target 8.F: In cooperation with the private sector, make available benefits of new technologies, especially information and communications
We Need Solutions: Quality and Efficiency
• Improved governance: Integrity in the health sector
• Improved management: Defined standards and accountable implementation, public-private mix
• Inclusive and equitable services
• Client and patient orientation
Investment in Health – Investment in Sustainable Development
Economic growth
Environmental protection
Social justice
• GDP• Employment• Human
productivity
• Risk pooling• Universal access
to health services
• Link with primary prevention • ‘Greening’ of health services